Pinel mentions a case of a captain in the army
(M. Regis), who was wounded by a bullet in the body and who
afterward had a monthly discharge from the urethra. Pinel calls
attention particularly to the analogy in this case by mentioning
that if the captain were exposed to fatigue, privation, cold,
etc., he exhibited the ordinary symptoms of amenorrhea or
suppression. Fournier speaks of a man over thirty years old, who
had been the subject of a menstrual evacuation since puberty, or
shortly after his first sexual intercourse. He would experience
pains of the premenstrual type, about twenty-four hours before
the appearance of the flow, which subsided when the menstruation
began. He was of an intensely voluptuous nature, and constantly
gave himself up to sexual excesses. The flow was abundant on the
first day, diminished on the second, and ceased on the third.
Halliburton, Jouilleton, and Rayman also record male
menstruation.
Cases of menstruation during pregnancy and lactation are not
rare. It is not uncommon to find pregnancy, lactation, and
menstruation coexisting. No careful obstetrician will deny
pregnancy solely on the regular occurrence of the menstrual
periods, any more than he would make the diagnosis of pregnancy
from the fact of the suppression of menses.
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