London's Pulse: Medical Officer of Health reports 1848-1972

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Tottenham 1937

[Report of the Medical Officer of Health for Tottenham]

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12
The complaints from which the patients attending the Gynaecological
Clinic suffered may be summarised in the following way:—
Menstrual Irregularities.— 49 patients reported at the Clinic on
this account. 16 were found to be pregnant and were transferred to
the Ante-natal Clinio; 6 had fibroids, 1 had' an ovarian cyst, and
1 had carcinoma of the uterus. All these patients were transferred to
hospital for further treatment. Of the remaining 25 patients 5 were
recommended to hospital for artificial termination of menstruation
and 20 were treated at the Clinio.
Displacement of the U terms.— 9 patients had retroversion. All
were treated at the Clinic. 21 patients had prolapse. 12 were transferred
to hospital for operation and the remaining 9 were treated at
the Clinic.
Inflammation of the Uterms and Appendages.— 35 patients with
cervicitis were treated at the Clinic, and 3 were transferred to
hospital for further investigations and treatment. 6 patients with
general pelvic inflammation were recommended to hospital for
treatment.
Disorders of Menstruation.— 4 patients were referred to the Clinic
for investigation of sterility and 3 patients for investigation of
dysmenor rhoea.
Minor Disabilities of the Menopause.— 16 patients complained of
headaches, "flushings," giddiness, depression, etc. All were treated
at the Clinic.
Backache.— 19 patients had this symptom and no gynajcological
cause was found to account for it. 3 were recommended to hospital
for manipulation, and the remainder were either recommended to wear
a suitable corset or to attend " Keep fit " classes.
Hyperpiesia.— 6 patients with varying symptoms, but with only
this one sign, were kept under observation at the Clinic. In some it
appeared to be only of a temporary nature associated with the sudden
cessation of menstruation.
Breasts.— 4 patients came complaining of pain in the breasts.
2 of these had chronic mastitis, 1 had an early and 1 an advanced
carcinoma.