"The pelvic organs, when diseased, all have so many symptoms in common, that it requires not only good anatomical, pathological, and physiological knowledge, but close and well-cultivated diagnostic powers to decide which organ is diseased, and how it is diseased. For example, sometimes a displacement of the uterus will cause a sense of weight, dragging, and throbbing, accompanied by pain in the back and in front of the hips. But inflammation, ulceration, and induration of this organ will produce precisely the same results; and sometimes mere nervous debility in these parts will induce these symptoms, especially when the imagination is excited in reference to the subject. It also is often the case that extreme prolapsus occurs in which there is no pain at all.

"So also disease of the urinary cyst is indicated by symptoms precisely similar to those which mark the disease of the adjacent organ. These organs lying in close proximity, and supplied with nerves from the same source, would necessarily sympathize, and show disease by similar symptoms. Just as in the toothache, many a one has been unable to point out the diseased tooth. How much more difficulty exists in a case where most women are profoundly ignorant on the subject!

"It has become a very common notion that when any local displacement of the pelvic organs occurs, a woman must cease to use her arms, cease to exercise vigorously, and keep herself on the bed much of her time. All which, in most cases, is exactly the three things which she ought not to do. And thus it is that, when from want of fresh air and exercise, and from the many pernicious practices that debilitate the female constitution, the pelvic organs indicate debility, and these nerves begin to ache. Immediately a harness is put on for local support, and the bed becomes the constant resort; and thus the muscular debility and nervous irritability are increased. And yet, all that is needed is fresh air, exercise, simple diet, and proper mental occupation.

"In this condition, perhaps, resort is had to some ignorant or inexperienced practitioner, who has some patent supporter to sell, or who has some secret and wonderful method of curing such diseases. Then commences, in many cases, a kind of local treatment most trying to the feelings, which is but sel dom required, and which, in a majority of cases, results in no benefit.

"Many a one has recited to me the mental and physical suffering she has endured for months in such a course of treatment, and all to no purpose. A touching case of this kind recently occurred, in the case of a beautiful young lady who was a listener to a course of lectures on the pelvis and its diseases, given by me to the graduating class of a female seminary. At the close she came to me, and, with tearful eyes and a quivering lip, said, I see now why all I have suffered in body and mind is worse than useless. I see now that I have never had the disease for which I have been treated.'

"Woman's trusting, confiding nature is beautiful; but oh, how much it needs to be protected by an intelligence on such subjects that will enable her properly to exercise her own judgment! And surely, in such cases, above all others, a woman should be sure that her medical adviser has had a proper education, and possesses a well-established moral character.