But she never afterwards conceives. What has
happened? To the most careful and critical examination nothing abnormal
is detected. Her general health, her vitality, her emotional and sexual
life, her youthful vigorous appearance, all are unimpaired. But she is
barren, and why? A little inflammation occurred in the uterus and spread
along the tubes. The sides of the tubes cohered, permanently united by
adhesive inflammation, and complete and permanent occlusion resulted.
The operation of tubo-ligature is an artificial imitation of this
inflamatory process.
Pelvic inflammation, sometimes very slight, following a birth, or the
same process set up by uterine pessaries used for displacements, may
induce adhesive inflammation in the tubes, and simple and permanent
sterility is the incurable result. It is a well known fact that
prostitutes are usually sterile, and this arises from the prevalence of
venereal disease, which produces gonorrhoeal inflammation of the
Fallopian tubes, resulting in complete and permanent occlusion.
This process could be best imitated, if cauterisation of the tubes were
a safe and reliable procedure. An electric cautery passed along the
tubes would result in a simple and speedy occlusion.
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