In treating of catarrh of the vagina, we have alluded to excoriation, superficial and follicular ulceration of the vaginal portion of the uterus. The specific character of the catarrh and the follicular ulceration, as well as neglect of proper attention and treatment, cause the resulting ulcers to present a more or less remarkable appearance in reference to the shape of their edges, the reaction set up, the product and the change of texture, as well as in regard to the consequent fusion of the diseased tissue, and to the concurrent tendency of disorganization beyond the ulcer. It is stated that, in reference to the first of these considerations, we may distinguish the simple (catarrhal), the herpetic, scabious, and scrofulous ulcer of the cervix; as regards the local process, there may be a fungous, lardaceous, or callous ulcer, etc. We also find primary and secondary syphilitic ulcers, cancerous ulcers that have resulted from the fusion of cancerous morbid growths, the so-called phagedenic ulcer of the os tincae (Clarke's corroding ulcer). The latter may be compared to the phagedenic (cancerous) sore of the skin; without having a morbid growth for its base, it gradually destroys the cervix, and even the greater part of the uterus, and may extend to the rectum and the bladder. It is an irregular, sinuous, jagged ulcer, the tissues at the margin and the base of which are thickened or hypertrophied, in consequence of a sluggish inflammatory process; the base presents a greenish and brownish-green discoloration, with a slight glutinous and purulent, or a more copious watery, secretion: there are no granulations, but we find a gelatinous exudation, and according to the state of the immediate reaction, the tissues are converted into the above-mentioned products of the ulcerating surface.

Lastly, we find the uterus liable at different parts, and in a varying extent, to acute or chronic ulcerative disorganization, as a consequence of puerperal affections; this subject will be examined in the appendix.