008 PLAIN FACTS FOR OLD AND YOUNG 



sitz (108° to 118° for three to eight minutes), followed 

 by a dash of cold water to hips and legs. The hot foot 

 or leg bath and the Scotch douche 'to the legs, are use- 

 ful modes of treatment. 



Dyspareunia, or Painful Connection.— This dis- 

 order may arise from a great variety of causes. This 

 is undoubtedly more frequent than is known to physi- 

 cians, as women often suffer in this manner for years 

 without making it known even to their husbands. The 

 suffering may be the result of fissure of the vagina or 

 rectum, irritation of the bladder and urethra, vascular 

 growths at the mouth of the urethra, or sensitive parts 

 about the mouth of the vagina. In some cases it seems 

 to be a purely nervous affection. Nearly all cases are 

 curable by the adoption of appropriate means. 



A¥hatever local disease exists may, of course, be 

 removed by proper treatment. In some cases a sur- 

 gical operation is required. For the purpose of re- 

 moving a small growth from the mouth of the urethra 

 or some tender point at the orifice of the vagina, in 

 cases in which chronic ovarian disease is the cause of 

 the affection, it may become necessary to remove the 

 diseased ovaries, although cases of this sort must be 

 quite rare. 



The hot vaginal douche and the neutral sitz (93° 

 to 96°), duration fifteen to thirty minutes, give excel- 

 lent results. 



Urethral Tumors.— The symptoms are smarting, 

 burning, or cutting pain, during or after passing the 

 urine. Sometimes the pain is constant. It is gener- 

 ally aggravated by sexual connection. It is often so 

 extreme as to render the patient's existence a burden, 

 and to induce great impairment of the general health 

 by the constant strain upon the nervous system. Local 



