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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1884 edition. Excerpt: ...rigid under reflex or voluntary action, Simpson's plan of giving a little chloroform removes all opposition, and enables one to make a perfect exploration. Then there is the vaginal touch. The senile uterus of the menopause is characteristic: it is small, the vaginal-portion is small and hard, less projecting in the vagina, and the os externum is becoming smaller and rounder. Such a uterus is unfit for gestation. Should conception occur, as it sometimes does, the end is abortion..The evidence here is all negative. The breast-signs are rarely so marked as to deceive. The woman is only big with fat and wind. The physician may have convinced himself, but the woman may still cling to the fond delusion, even for much longer than nine months. The obstinacy of the delusion sometimes assumes the character of insanity. Dr. Crichton Browne relates a remarkable example of a woman who not only could not be shaken in her belief that she was pregnant, but who even went so far when her time was up as to fall into simulated labour, which evoked a sanguineous discharge--an example of the force of the imagination directed to a particular organ. A variety of pseudocyesis of which we have seen some striking examples is that which sometimes occurs in young women who either fear or hope they may be pregnant. We have seen cases where, without any motive to deceive, recently married young women have been firmly convinced that they were pregnant. Menstruation not seldom is suspended under the emotions and other changes attending married life, although there be no conception. The wise rule in all cases of doubt is to suspend definitive judgment for a month, and to watch the development or subsidence of the symptoms suggestive of gestation. Appeal to Time, the...

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