G22 



E.MIL NOVAK 



vousness, insomnia, headache, etc., especially the various nerve sedatives, 

 such as the bromids. Since this medication is along symptomatic lines, 

 it need not be detailed here. 



The only rational therapy of the vasomotor symptoms of the meno- 

 pause and it is these of which the chief complaint is usually made is 

 by the administration of organ extracts, especially those derived from 

 the ovary. Indeed, there is no field in which such extracts yield more 



Fig. 3. Senile changes as seen on transverse section of ovary. 



satisfactory results than in this group of cases. The statement of Burnam 

 that improvement is noted in no less than 90 per cent of cases is not, in 

 my opinion, exaggerated. 



There has been considerable discussion as to the type of extract to be 

 used in these cases, and especially as to the relative merits of extracts 

 made from the entire ovary and those made from the corpus luteum alone. 

 My own feeling has been that the latter are more desirable in the treat- 

 ment of symptoms revolving about the menstrual function, while the 

 ovarian extracts are perhaps more clearly indicated in the developmental 

 disorders associated with gonadal dysfunction. For this reason I have 

 usually employed corpus luteum extract in the treatment of the meno- 



