The woman believed she had miscarried, and still
persisted in refusing medicine. Cicatrization was somewhat
delayed; immediately on leaving the hospital she returned to her
old habits, but the pain and hemorrhage attending copulation was
so great that she had finally to desist. The vagina, however,
gradually yielding, ceased to interfere with the gratification of
her desires. Toward the end of June the menses reappeared and
flowed with the greatest regularity. The portions discharged are
preserved in the Milan Hospital.
The injuries received during coitus have been classified by
Spaeth as follows: Deep tears of the hymen with profuse
hemorrhage; tears of the clitoris and of the urethra (in cases of
atresia hymenis); vesicovaginal fistula; laceration of the
vaginal fornices, posteriorly or laterally; laceration of the
septum of a duplex vagina; injuries following coitus after
perineorrhaphy. In the last century Plazzoni reports a case of
vaginal rupture occurring during coitus. Green of Boston; Mann of
Buffalo; Sinclair and Munro of Boston, all mention lacerations
occurring during coitus. There is an instance recorded of
extensive laceration of the vagina in a woman, the result of
coitus with a large dog.
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