OASES OF 
A M E X 0 R R H (E A 
RESULTING FROM UNDEVELOPED UTERI. 
REPORTED BY 
WILLIAM H. BAKES, M. D., 
SENIOR ASSISTANT HOUSE-SURGEON NEW lVIUPWlTE WOMAN'S HOSPITAL, 
[REPRINTED J?ROM THE NEW YORK MEDICAL JOURNAL, JUNE 1S73.] 
NEW YORK: 
D. APPLETON AND COMPANY, 
549 & 551 BROADWAY. 
1873. PROSPECTUS FOR 1873. 
THE MEDICAL PROFESSION 
Of the United States have universally indorsed the New York Medical Journal 
as one of the very best medical periodicals published in the world. 
THE 
New York Medical Journal, 
EDITED BY 
WILLIAM T. LUSK, M. D., 
Professor of Obstetrics and Diseases of "Women, in the Bellevue Ilospital Medical College. 
AND 
JAMES B. HUNTER, M. D., 
Assistant Surgeon to the New York State Woman’s Hospital, etc. 
The contents of each number are— 
I. 
Original Communications from the very first writers of the Profession; articles which ar# 
widely circulated, and which leave their impress on the medical literature of the age. 
II. 
Clinical Reports from Hospital and Private Practice, American and Foreign; Records 
of Cases taken alike from tho crowded wards of the hospital, and the daily life of the busy 
practitioner. 
III. 
Bibliographical and Literary Notes, carefully prepared and conscientiously written, of 
all the latest medical publications of the month. 
IV. 
Reports of the Progress of Medicine in the various departments—Obstetrics and Diseases 
of Women, Surgery, etc. 
V • 
Proceedings of Societies, in which all the leading questions of the day affecting the Medical 
Profession are thoroughly discussed. 
VI. 
Miscellaneous and Scientific Notes of whatever may be deemed of interest or profit to 
the readers of the Journal. 
VII. 
Obituaries of the honored dead of the Medical Profession, deceased during the previous month. 
Such a journal, giving the latest movements in the medical world, and keep- 
ing pace with the advance of medical science, cannot fail to be a medium of use- 
fulness to the entire Profession, and to establish its claim to be, in the highest 
sense, 
A Monthly Review of Medicine and the Collateral Sciences. 
A new volume of The New York Medical Journal commences in January, 
1873, and all new subscriptions should begin with that date, so as to secure the 
ensuing volumes, complete. 
Terms: Pour Dollars per Annum. 
A Specimen Copy will be sent on receipt of Twenty-five Cents. 
New York Medical Journal and Popular Science Monthly .per annum, 8 00 
New York Medical Journal and Appletons’ Weekly Journal of Literature, Science, and 
Art. per annum, TOO 
Remittances, invariably in advance, should be made to the Publishers, 
D. APPLETON & 00., 549 & 551 Broadway, N. Y CASES OF 
AMENOREHCEA 
<■ 
RESULTING FROM UNDEVELOPED UTERI. 
REPORTED .BY 
WILLIAM II. BAKER, M. D., 
SENIOR ASSISTANT HOUSE-SURGEON NEW TORK*STA$fi WOMAN’S HOSPITAL. 
[.REPRINTED FROM TEE NEW TORE MEDICAL JOURNAL, JUNE, 1673.] 
NEW YORK: 
D. APPLETON AND COMPANY, 
549 & 551 BROADWAY. 
1873. CASES OF AMENORRIKEA RESULTING FROM 
UNDEVELOPED UTERI. 
Insufficient attention has been directed to want of devel- 
opment of the uterus as a cause of amenorrhoea. This has 
been noted where there has been evidently an undeveloped 
state of the other organs connected with reproduction, but has 
been lost sight of, in a large number of cases, where there has 
existed the normal condition of the mammae and the external 
organs of generation. 
Galvanism, or electro-magnetism, applied as a direct stimu- 
lant to the development of the uterus, has but recently at- 
tracted the attention which it seems to deserve from the pro- 
fession. A report of several cases, illustrating the relative 
advantage of these two kinds of electricity, will be found in 
the Boston Medical and Surgical Journal, for August 29, 
1872. 
The three additional cases given below have come under 
my observation in the New York State "Woman’s Hospital, 
where these agents have been used : 
Case I.—Service of Prof. E. R. Peaslee. J. E. Jan vein, 
M. D., Assistant-Surgeon. 
The patient was unmarried, and twenty years old. The 
menses were very irregular, having occurred only six times; 
the flow was then very small, and accompanied by consider- 
able pain. She was very anaemic and hysterical, but was well 4 
developed in every particular except the uterus. There was 
some leucorrhoeal discharge. 
Upon examination per vaginam, the uterus was found in 
the natural position, the cervix was very small, and the os ul- 
cerated. This latter condition accounted for the leucorrhoeal 
discharge noticed above. The probe passed but one and a 
half inch to the fundus of the uterus. 
The patient was at once put upon ferruginous tonics. The 
compound tincture of iodine was applied locally to the ulcer- 
ated surface of the cervix, which soon healed. 
Sponge-tents were introduced into the cavity of the uterus 
from time to time for a month. At the end of this period, 
one of Thomas’s galvanic intrauterine pessaries was introduced, 
which continued in position for another month, occasioning 
no special discomfort. 
Her general health suffered from confinement to the hos- 
pital wards, and her anaemic condition increased, so that it 
was thought advisable for her to return home for a season, in 
order to regain, in a measure, her strength. The pessary was 
consequently removed. 
After three weeks she returned much improved, and the 
same treatment was continued five weeks, until her discharge 
from the hospital, January 2, 1873. At this time, although 
the depth of the uterine cavity had increased to two and one- 
quarter inches, yet no menstrual flow had occurred. 
The patient’s general anaemic condition had, undoubtedly, 
much to do with the non-appearance of the menses. The 
amount of galvanic force generated by the stem-pessary may 
not, however, have been large enough to stimulate the devel- 
opment of the ovaries, and to produce the menstrual flow. 
Case II.—Service of Prof. T. G. Thomas. James B. Hun- 
ter, M. D., Assistant-Surgeon. 
The patient was nineteen years of age, and unmarried. 
The menses first appeared at fourteen, but they were never 
regular, occurring at long intervals, and continuing only a 
few hours. The amount of flow wras very small. For five 
months preceding her entrance to the hospital, they had dis- 
appeared altogether, the molimen even not having been no- 5 
ticed. She was a strong, healthy-looking girl. The mammae 
and external organs were well developed. The vagina was of 
normal size, but the uterus w*as undeveloped, yet in its natural 
position. The probe passed but one and seven-eighths inch 
to the fundus. The canal was perfectly free. 
Four days after her entrance to the hospital, a sponge-tent 
wras introduced, carried through the internal os to the fundus 
of the uterus. It was removed in twenty-four hours. This 
treatment wras repeated each week for three successive weeks, 
when, in addition, a current of electricity from the secondary 
coil of an electro-magnetic battery was applied, strong enough 
to produce a decidedly prickling sensation. One electrode 
was placed upon the lumbar region of the spine; the other to 
the interior of the uterus. This application was continued for 
ten minutes. It was repeated three times a week during the 
patient’s stay. 
One month after her admission to the hospital, the flow 
came on, lasting only a few hours. It was quite natural in 
character. The depth of the cavity of the uterus was at this 
time twro inches. The patient menstruated regularly after this 
date for the next three months, or until her discharge. The 
uterus had become fully developed, the probe passing into 
the uterine cavity two and a half inches. 
Case III.—Service of Prof. T. G. Thomas. J ames B. 
Hunter, M. D., Assistant-Surgeon. 
The patient, aged twenty-four years, entered the hospital 
October 24, 1872. She was unmarried, and menstruated first 
in her fourteenth year; was tolerably regular until fourteen, 
when, in an attack of severe sickness, the menses ceased. The 
nature of her sickness, which continued two and a half years, 
she does not remember. But, although she had enjoyed very 
good health since the termination of that period, the catame- 
nial flow had not appeared. She had been accustomed to take 
much exercise, such as riding horseback, rowing, etc. She 
had a healthy appearance, but her wdiole manner was like 
that of a girl of seventeen. Her breasts were undeveloped; 
her external organs of generation nearly perfectly developed. 
The vagina was short, the cervix very small, and the uterus 6 
slightly retroverted. The probe passed an inch and a quarter 
to the fundus of the uterus. 
From October 27th to December 28th sponge-tents were 
introduced each week. Up to the latter date, very little, if 
any, change was noticeable, and no symptoms of menstruation 
appeared. Seven days later, one of Thomas’s intrauterine 
galvanic pessaries was introduced, but it had to be removed 
in three days on account of an imperfection in the vaginal por- 
tion of the instrument, which produced pain. 
January 1 Qth.—A current of electricity from an electro- 
magnetic battery was applied for ten minutes in the same man- 
ner as in Case II. Four days later some whitish discharge 
from the uterus, with symptoms of menstruation, appeared, 
and electricity was again applied as before, and a hot hip-bath 
and heat to the feet were ordered. 
24th.—The discharge noted above, though slight in amount, 
continued four days, with very little or no pain. 
From this time until March 18tli, electricity was applied 
in the same manner as before, three times a week; and at the 
latter date the patient had some pain in her back and symp- 
toms of menstruation. 
March 24th.—She had no flow, but the uterus looked con- 
gested, and the measurement of the uterine cavity showed an 
increase of one-half an inch. After each application of elec- 
tricity, the patient had slightly painful sensations in the region 
of the ovaries and in the breasts, coming on in paroxysms, and 
lasting more or less from one application to another. 
April 12th.—Faradization of the uterus was continued 
three times a week, from the previous note. For several hours 
after the last two applications, the patient was very much de- 
pressed and exhausted, and had faint feelings, although the 
electricity was applied in precisely the same manner as before. 
At this date, for the first time in ten years, she had a natural 
flow from the uterus, although very slight in amount. 
14£A.—The menstrual flow continued all the day before, 
but stopped this day. A current of electricity from eigh- 
teen cells of Kidder’s galvanic battery was applied, the posi- 
tive electrode to the lumbar region of the spine, and the nega- 
tive to the interior of the uterus. The current was continued 7 
for four minutes, its course being occasionally reversed. For 
five hours after its application, the patient felt perfectly well. 
She was then suddenly taken with faintness, exhaustion, and 
had every indication of a great nervous shock. Stimulants 
were at once ordered. The flow began again immediately and 
continued twelve hours. Ovulation had evidently taken place. 
19th.—The breasts were now quite well developed. The 
vagina had increased very much in length. The cervix was 
larger. The depth of the uterine cavity was two inches. 
The position of the organ was a little riglit-laterally flexed. 
The whole manner of the patient was very much more mature, 
and she was discharged cured, April 23d. Medical Worts published bj D. Appleton & Co. 
Anstie on Neuralgia. 1 vol., 12mo. Cloth, $2.50. 
liarker on Sen-Sickness. 1 voi., lfimo. Cloth, 75 ccLte. 
Barnes’s Obstetric Operations. 1 vol., 8vo. Cloth, $4.B-'. 
Bellevue and Charity Hospital Reports. 1 vol., Svo. Cloth, $4. 
Rennet's Winter and Sprlny on the Meditcrranean. 1 vol., 12mo. Cloth, (3.50. 
Rennet on the Treatment of Pulmonary Consumption. 1 vol., 8vo. Cloth, 
(1.50. 
Billroth’s General Surgical Pathology and Therapeutics. 1 vol., 8vo. Cloth, 
(■>. 
Combe on the Management of Infancy. 1 vol.. 12mo. Cloth, $1.50. 
Davis’s (Jlenry G.) Conservative Surgery. Cloth, $3. 
Elliot’s Obstetric Clinic. 1 vol., Svo. Cloth, $1.50. 
Flint’s Physiology. 4 vols. (Vol. V. in press.) 8vo. Cloth, per vol., $4.50. 
Flint’s Manual on Urine. 1 vol., 12mo. Cloth, $1. 
Flint’s Relations of Urea to Exercise. 1 vol., 8vot Cloth, $2. 
Hammond’s Diseases of the Ferrous System. 1 vol., 8vo. Cloth, (5. 
Hammond’s Physics and Physiology of Spiritualism. 1 vol., 12mo. Cloth, 
$1. 
Holland’s (Sir Henry) Recollections of Past Life. 1 vol., 12rno. Cloth, $2. 
Howe on Emergencies. 1 vol., 8Vo. Cloth, (3. 
Huxley on the Anatomy of Vertcbrated Animals. 1 vol. Cloth $2.50. 
Huxley and Youmans’s Physiology and Hygiene. 1 vol., 12mo. Cloth, $1.75. 
Johnston’s Chemistry of Common Life. 2 vols., 12mo. Cloth, $3. 
Letterman’s Recollections of the Army of the Potomac. 1 vol., 8vo. Cloth, 
$1. 
Lewes’s Physiology of Common Life. 2 vols., 12mo. Cloth, $3. 
Markoe on Diseases of the Bones. 1 vol., 8vo. Cloth, $4.50. 
Maudsley on the Mind. 1 vol., 8vo. Cloth, $3.50. 
Maudsley’s Body and Mind. 1 vol., 12mo. Cloth, $1. 
Meyer’s Electricity. 1 vol., 8vo. Cloth, $4.50. 
Nlemeyer’s Practical Medicine. 2 vols., Svo. Cloth, $9; Bheep, $11. 
Neftel on Oalvano-Therapeutics. 1 vol., 12mo. Cloth, $1.50. 
Nightingale’s Notes on Nursing. 1 vol., 12mo. Cloth, 75 cents. 
Neumann on Skin Diseases. 1 vol., 8vo. Cloth, $4. 
Peaslee on Ovarian Tumors. 1 vol., 8vo. Cloth, $5. 
Pereira’s Materia Medica and Therapeutics. 1 vol., 8vo. Cloth, $7; sheep, $S 
Sayre’s Club-foot. 1 vol., 12mo. Cloth, $1. 
Stroud’s Physical Cause of the Death of Christ. 1 vol., 12mo. $2. 
Sivett on Diseases of the Chest. 1 vol., 8vo. Cloth, $3.50. 
Simpson’s (Sir Jas. F.) Complete Works. Vol. I. Obstetrics and Gynaecology. 
Svo. Cloth. $3. Vol. II. Anaesthesia, Ilospitalism, etc. Svo. Cloth, $3. Vol. Ill 
The Diseases of Women. (In press.) 
Tilt’s Uterine Therapeutics. 1 vol., 8vo. Cloth, $3.50. 
Van Suren on Diseases of the Rectum. 1 vol., 12mo. $1.50. 
Vogel’s Diseases of Children. 1 vol., 8vo. Cloth, $4.50. 
I Vagner’s Chemical Technology. 1 vol., 8vo. $5. 
Barker on Puerperal Diseases. (In press.) 
Van Buren on Surgical Diseases of the Male Genito-Urinary Organs. 
(In press.; 
Schroeder on Obstetrics. (In press.) 
Frey’s Histology and Histo-Chemistry of Man. (In press.) 
Wells on Diseases of the Ovaries. (In press.) 
Manual of Medicinal Chemicals and their Preparations. (In press.) 
Steiner’s Compendium of Children’s Diseases. (In press.) 
Bastian’s Diseases of Nerves and Spinal Cord. (In press.) 
*** Any of these works will be mailed, post free, to any part of the United State*, on 
rtcelnt of the price. Catalogue forwarded on application. 
D. APPLETON & 00., 549 & 551 Broadway, N. Y. APPLETONS’ JOURNAL FOR 1873. 
ENLARGEMENT. 
Appletons1 Journal will henceforth be enlarged to the extent of four more pages of 
reading. The Advertisements, which have hitherto occupied a few pages at the end, 
will be remanded to a cover, and the entire Lhirtv-two pages of the sheet will be devoted 
to literature. The Journal has always contained a larger quantity of reading-matter 
than any other periodical of its class, and this addition renders it the cheapest literary 
periodical in the country. 
ArPLKTONS1 Journal gives, in a weekly form, all the features of a monthly magazine. 
Its weekly issue brings it a more frequent visitor to the family than is the case with a 
monthly periodical, while, in course of the year, a much greater aggregate and a larger 
variety of papers are furnished than are given in any of the regular monthlies. But, for 
those who prefer it, the Journal is put up in Month1)/ Parts, and in this form its scope 
and variety, as compared with other magazines, become conspicuously apparent. 
Appletons’ Journal will continue to present healthful, sound, and enter- 
taining literature. It will confine itself, as a rule, to one serial novel at a tunc ; it will 
contain the best short stories attainable; it will give picturesque descriptions of places, 
and stirring narratives of travel and adventure ; it will have entertaining papers upon 
various subjects that pertain to the pursuits and recreations of the people; jit will give 
portraits and sketches of persons distinguished in various walks of life; will present 
lively, social sketches, having in special view those things the knowledge of which will 
contribute to the welfare and happiness of the household ; it will describe phases of life 
in all quarters of the globe; it will discuss the important events of the time, and the 
advances made in art, literature, and science; it will endeavor to reflect the ideas, 
movements, and development of society; and, while hoping to enlighten, will stren- 
uously aim to entertain, with large abundance of material, all who resort to its pages 
for intellectual pleasure. Illustration will be used sufficiently to give variety and ani- 
mation to its pages; but the aim will be to make it rather a journal of popular high- 
class literature than merely a vehicle for pictures. In carrying out this programme, the 
editors will h ive the aid of the ablest writers procurable. 
Price. 10 Cents per Number ; or $1.0) per Annum, in advance. Subscriptions received for Twelve 
or Six Months. Sub cription Price of Monthly Parts. $4.50. 
Any person procuring Five Yearly Subscriptions, for weekly numbers, and remitting $20, 
will be entitled to a copy for one year gratis; Fifteen Yearly Subscribers, lor weekly numbers, 
and remitting $50, will entitle sender to a copy for one year gratis. • 
The postage within the United States is 20 cents a year, payable quarterly, in advance, at the 
office where received. Subscriptions from Canada must be accompanied with 20 cents ad- 
ditional, to prepay the United States postage. New York City Subscribers will be charged 20 
cents per annum additional, which will prepay for postage and delivery of their numbers. 
in remittm r by mail, a post office order or draft, payable to the order of D. Appleton & Co., is 
preferable to bank-notes, as, if lost, the order or draft can be recovered without loss to the 
sender. 
Volaines begin with January and July of each year. 
Appletons’ Journal and either Harper's Weekly. Harper's Bazar. Harper's Magazine, 
Lippincott's Magazine, the Atlantic Monthly. Scribner's Monthly, or the Galaxy, for one year, on 
receipt of $7; Appletons' Journal and Littell's Living Age. for $10 ; Appletons' Journal and 
Oliver Optic's Magazine, for $5; the Journal and Popular Science Monthly, for $8. 
D. APPLETON & CO., Publishers, 
549 & 551 Broadway, N. Y.