MENSTRUATION: ADVICE FOR WOMEN

PROFUSE MENSTRUATION—MENORRHAGIA:

By menorrhagia we understand an immoderate flow of the menses. There is no fixed amount of blood which is lost at the menstrual period, but it varies in different women. It will average, however, from four to eight ounces. The quantity discharged may be estimated by the number of napkins used. Each napkin will contain about half an ounce, or one tablespoonful, so that eight napkins would contain four ounces; twenty, ten ounces; etc. In some females the discharge may be excessive without impairment of the general health.

Some females are predisposed to uterine hemorrhages, from a relaxed or flabby state of the texture of the uterus. Frequent childbearing, abortion, high living, too prolonged and frequent suckling, may induce flooding. Among the exciting causes we may mention overexertion, dancing, falls, lifting heavy weights, cold, and mental excitement.

TREATMENT.

The patient must lie down on a hard bed, and abstain from all stimulating food and drinks. The room should be cool and she should be lightly covered with bedclothes. Soak the feet in warm water, and if the flowing is excessive apply cloths wrung out in vinegar and water to the lower bowels. The hips must be elevated higher than the head.

Only in extreme cases should plugging be resorted to. This may be done [by pieces of linen, about four inches square, thrust into the vagina until it is full, and a bandage applied between the legs. Cold hip baths and vaginal injections of cold water will be beneficial when the hemorrhage is slight.

Mix. Dose: A teaspoonful in a wineglassful of water two or three times a day.

If there is much pain administer the following every two or three hours:

Mix. Give in blackberry syrup.

PAINFUL MENSTRUATION—MENSTRUAL COLIC—DYSMENORRHEA.

Dysmenorrhea means a difficult monthly flow, and is always preceded by severe pains in the back and lower part of the abdomen. It is caused by taking cold during the period; fright, violent mental emotions, obstinate constipation, sedentary occupations, smallness of the mouth and neck of the womb.

Females subject to this trouble are generally relieved by marriage. The symptoms are severe bearing-down pains in the region of the uterus, like labor pains; restlessness, coldness, flashes of heat, with headache; aching in the small of the back, lower part of the abdomen, and thighs; the discharge is scanty, and contains shreds of fiber and clotted blood.

TREATMENT.

The patient should immediately go to bed and cover up warmly. Stimulating food and drinks should be avoided. Use a warm foot bath and sitting-bath, with hot poultices of hops or cloths wet in hot water applied to the abdomen.

In the interval of the menses, take active exercise, with a tepid hip bath three nights in the week, injecting some of the water high up in the [vagina. Keep the bowels open by a pill of aloes and myrrh, and take a small teaspoonful of the volatile tincture of guiacum three times a day, in water. On the approach of the period, take the following at night:

In the morning a dose of caster oil, and on the appearance of the menses, the Dover’s Powder and mixture as before. Repeat this treatment, in each interval, until permanently relieved.

The following is recommended by an eminent physician, to be taken a few days before the period:

Mix. Dose:

A small wineglassful every two or three hours until it operates. This should be preceded the night before by a small dose of blue pill.

SUPPRESSION OF THE MENSES—AMENORRHŒA.

By suppression is meant a disappearance of the menses after they have become established, and may be either acute or chronic. It is caused by cold caught during the flow, by exposure to night air or by wetting the feet; fear, shocks, violent mental emotions, anxiety, fevers and other acute diseases.

Chronic suppression may be either a consequence of the acute, or caused by delicate health; also, from diseases of the ovaries or womb. It may also be occasioned by an imperforate hymen, in which case it must be cut open by a physician.

TREATMENT.

When the suppression is caused by some disease in the system, that disease must be cured before the menses will return. For sudden suppression, use the warm sitting-bath or foot bath. Apply cloths wet in warm water to the lower part of the abdomen, and drink freely of warm water.

If the suppression is chronic and the patient is delicate, in the interval between the menses use the shower or the full bath of cold or tepid water, rubbing the body briskly with a coarse towel, especially around the abdomen, loins, and genital organs.

As soon as the discharge has ceased, a warm hip bath will generally bring it on. If there is much inflammation of the uterus give the following:

Dose:

One teaspoonful every two or three hours.

If the discharge cannot be brought on, wait until the next period. A few days before the term the bowels should be freely opened and kept open until the period for the discharge has arrived. A pill of aloes and iron is one of the best that can be given. Give from one to three pills daily. If there is no evident reason for the discharge not appearing, such as pregnancy, inflammation of the neck of the womb, and the woman is suffering from the suppression, use the following:

Make into forty pills.

Dose: Two or three pills, taken night and morning.

The remedies should always be taken a few days before the period arrives for the menses. If the chronic suppression is the result of any acute disease, the health must first be re-established, otherwise it would be wrong to force the menses.

When this has been done, immediately before the return of the period a warm hip bath should be taken every night for six nights, and one of the following pills taken three times a day:

Make into twelve pills with syrup or mucilage, washing down each pill with a cupful of pennyroyal tea.

CESSATION OF THE MENSES—CHANGE OF LIFE.

By the phrase, “change of life,” or, the critical period, we understand the final cessation, or stoppage, of the menses. It usually takes place between the ages of forty and fifty, although in some cases it may occur as early as thirty, and in others not until sixty. However, we can expect the change about the forty-fifth year.

[The symptoms will vary according to the constitution of the woman. In some the change occurs by the discharge gradually diminishing in quantity; in others, by the intervals between the periods being lengthened. A woman may pass this period without having any more unpleasant symptoms than an occasional rush of blood to the head, or a headache.

Others, however, may have very severe symptoms arise, which will require the care of an intelligent physician. These disagreeable sensations should receive a careful consideration and not be hushed up with the reply that these complaints arise from the “change of life” and will vanish whenever that change takes place.

The foundation of serious trouble may be laid which will make the remainder of her existence a burden and cut short a life which might have been conducted to a good old age. While this change is in progress, in probably the majority of cases there is more or less disturbance of the health. It is sometimes quite impossible to say exactly what is the trouble with the patient, except that she is out of health.

The following are some of the symptoms which may arise: Headache, dizziness, biliousness, sour stomach, indigestion, diarrhœa, piles, costiveness, itching of the private parts, cramp and colic of the bowels, palpitation of the heart, swelling of the limbs and abdomen, pains in the back and loins, paleness and general weakness.

TREATMENT.

Eat and drink moderately; sleep in airy, well-ventilated rooms; exercise daily in the open air, either by walking or riding; avoid violent emotions; shun exposure to wet, stormy weather, wet feet, etc.

Keep the bowels regulated with the following:

Mercurial pill, one grain; ipecac powder, one-half grain; compound rhubarb pill, three grains. Mix for a pill to be taken every night.

Or, one ounce of hicra picra, or powdered aloes with castella, mixed in a pint of gin, which should stand for four or five days, after which a tablespoonful in a glass of water may be taken every morning or second morning, as the case may be.

If the patient is large and fleshy, of full habit, the following is recommended:

Sulphate of magnesia, one and one-half ounces; compound infusion of roses, five ounces; cinnamon water, one ounce.

Mix, Dose: Two tablespoonfuls once a day.

If there are nervous symptoms prominent, give valerianate of zinc, eight grains; tincture of valerian, two drams; orange flower water, three and a half ounces; syrup of red poppies, two drams.

Mix. Dose: A tablespoonful every six hours.