SOME FURTHER OBSERVATION ON THE USE OF THE STEM PESSARY FOR SCANTY MENSTRUATION DYSMENORRHEA, INFANTILE UTERUS AND STERILITY.

In a paper on the above subject last year, I called attention to the great value of the stem pessary for some of these intractable cases. While a general practitioner I think I had more trouble with cases of scanty and painful menstruation than any other cases of pelvic troubles. The inefficiency of medication and general hygienic rules we have all observed. These patients go from one physician to another. We have gradually been enabled to unravel the different questions involved, and are now able to relieve many cases by understanding the pathology and the causative factors. The complex symptoms produced by the many various pathologic conditions naturally require that a correct diagnosis must first be made. After eliminating all those cases caused by diseases of the tubes and ovaries, adhesions and displacements, there still remains a goodly number of cases of painful menstruation which are not relieved by ordinary