Nymphomania 191 



In one cow with ovarial tuberculosis, which led to abortion in 

 the sixth month of pregnancy, the left ovary revealed one cyst 

 the size of a hazel nut and one yellow bod}'. The right ovary 

 in the living cow was the size of a child's head, uneven, nodular, 

 slightly mobile and adherent to the right horn of the uterus. In 

 another case, each ovary was like a large, hard bunch of grapes, 

 covered over with firm round nodules from the size of a pea to 

 that of a hazel nut. Both oviducts were as large as the index 

 finger, serpentine, rigid and likewise invaded by hard nodes 

 from the size of a pea to a hazel nut. 



Finally, as further causes of nymphomania there occur very 

 rarely : oophoritis, abscesses in or near the ovaries, angioma of 

 the ovary, hydrosalpinx or dropsy of the oviducts, perimetritic 

 abscesses following perforation of a uterine horn, and cysts in the 

 broad ligaments of the uterus. 



As a result of retention of the placenta and consequent .septic 

 metritis there follows adhesion of the ovaries and uterine horns 

 to the surrounding parts, which maj' cause nymphomania, and 

 the ovaries become .so hidden by the adhesions that they are 

 scarcely, if at all, recognizable by rectal palpation and are but 

 very slightl}^ mobile. In a great many cases, in addition to these 

 changes, the ovaries undergo cystic or cysto- fibrous degeneration, 

 and attain the size of a hickory nut or hen's egg ; at times, 

 although quite seldom, the septic metritis, in addition to the ad- 

 hesions, leads to the formation of abscesses in the ligamentous 

 apparatus of the ovary and in the ovary itself, which latter con- 

 dition from a therapeutic standpoint warns one to be cautious. 



In a 3 ^'s -year-old, valuable premium winning cow, which had 

 suffered from retained placenta following abortion and later from 

 purulent endometritis, there developed, as a result of rough 

 handling of the vagina by the owner, which irritated the uterus, an 

 extensive adhesion of the va/vula vagijialis and, within a few days 

 thereafter, there occurred an extensive accumulation of pus in 

 the vagina (/j'(7Z'a^/«a) amounting to fully 3 liters. After opera- 

 tive withdrawal of the very fetid pus, an examination of the 

 sexual organs revealed an open cervical canal, which permitted 

 the passage of the little finger. There was also present purulent 

 metritis ; the right ovary was the size of a hazelnut and in the 

 left uterine horn there was a tumor (abscess) as large as one's 



