is worn for a considerable period of time involution
of the vaginal walls always takes place and buy trazodone online no prescription pro- buy trazodone sleep
gressive reduction in the size of the implement,
therefore, becomes absolutely imperative. After
wearing the instrument for six months or a year,
the patient may be allowed to discard it for a
period of two or three months at a time ; indeed, in
some instances recovery is so marked that one buy trazodone could
almost term it complete.
1. Therapeutically there is a distinct need for a
specific line of division between medical and surg-
2. The symiitomatology of uterine displacements,
in general, as taught today is erroneous. This is
confirmed by the small percentage of socalled cures buy trazodone hcl
?<. Uncomplicated malpositions should be treated
by generic trazodone cost medical and mechanical means. Operative meas-
ures should be applied to those associated with dis-
tinct surgical complications.
4. Operative intervention should not be utilized
in the simple malpositions of virgins or young mar-
5. The infantile uterus never requires, nor is the
condition benefited by surgerj'. Endocrine dysfunc-
tion as an buy trazodone uk etiological factor should be remembered.
This condition should be treated and not the uterus.
6. Nerve and muscle relaxation (backache) should
be regarded as a causative factor and not the result
of generic trazodone online uterine malposition.
7. Restoration of nerve and muscle power should
be restored in buy trazodone 50 mg all cases and is best accomplished by
rest and generous feeding.
8. In no case of retroflexion or retroversion will
the patient recover in the trazodone cost without insurance presence of obstinate con-
stipation or bladder overdistention. Overcome con-
stipation and malpositions will largely disappear.
9. The prolapsus of old women with low surgical
resistance is best treated mechanically by the Menge
1621 Spruce Street.
DISEASES OF THE CERVIX UTERI.*
By Alfred Heineberg, P. D., M. D.,
Associate in Gynecology, Jefferson Medical College; Obstetrician to
the Jewish Maternity; Assistant Gynecologist, St. Agnes Hospital.
The ease with which the cervix may be amputated
has, I am how much do trazodone cost convinced, frequently led to its removal
without due consideration of other possible means generic trazodone 50 mg
of restoring it to a healthy condition. A careful
study of the aftereffects of amputation of the cervix,
as ordinarily performed, must reveal that frequently
the immediate result and at times the influence upon
subsequent pregnancy leave much to buy trazodone hydrochloride be desired. In
most instances the amputation is done to remove a
cervix which has undergone hypertrophy cheap trazodone no prescription and ero-
sion. Such conditions result from laceration and
eversion with exposure of the mucous lining of the
cervical canal to infection, trauma and irritation of
the acid vaginal secretion. To insure complete generic trazodone hcl re-
moval of the diseased cervical mucosa and eroded
area, the internal incision in the formation of the
flaps must be made so high across the mucous mem-
brane of the cervical canal in most cases that the
canal or buy trazodone generic internal os may be impaired. The latter
may be left in a state of wide dilatation ; the for-
mer may be tightly constricted by a ring trazodone discount coupon of cicatrix
perpendicular to the long axis of the cervix cheap trazodone formed
at the edges of the apposed flaps. A permanently
dilated internal os favors infection of the uterine
cavity, with the production of a leucorrheal dis-
charge how much does trazodone cost which is much more difficult to cure than
that which resulted from the preexisting cervical
disease. More important than the annoyance of the
discharge is the influence of the infected uterine
mucosa and widely patulous os upon subsequent
pregnancy. Both produce unfavorable conditions
for the retention of the impregnated ovum in the
uterine cavity. Several cases of inevitable abortion
have come under iny observation in women who,
before amputation of the cervix, had had no diffi-
culty whatsoever in carrying a fetus to full term.
I recall especially one buy trazodone online uk patient from whom I had
to remove retained products of conception as a
Medical Association of Philadelphia,
November 6. 1920.]
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