Underdeveloped uterus and vagina. Some adult women have a small uterus and a narrow vagina. Like those of a small girl (infantile uterus) or a very small uterus with an elongated cervix (hypoplasia of the uterus). Underdeveloped external genitalia are also observed, namely, inadequately developed labia majora and minora, low perineum, narrow and small vulvar opening, scanty hair on the mons veneris, and feebly pronounced secondary sexual characteristics. In such women underdevelopment of other systems of the organism is also not infrequently observed. In cases of underdeveloped internal genitalia disorders of the ovarian-menstrual cycle are observed (late onset of menstruations, scant menses to the point of amenorrhea, infertility). These disorders can be prevented by sanatory measures carried out during the first years of the girl’s life.

Inflammatory Disease of The Genitalia
Infalammation of the genitalia is the most frequent of all gynecological diseases. The inflammatory disease are caused by introduction of infection, i.e., pathogenic microbes, into the female genitalia.Microbes may gain entrance into the genitalia in various ways and may cause inflammatory processes in any part of the genitalia – the external genitalia, vagina, uterus, tubes, ovaries and surrounding tissues. Pathogenic microorganisms may penetrate into the female genitalia during sexual intercourse and during negligent vaginal examination conducted without observance of the rules of asepsis and antisepsis.
Very frequently microorganisms are introduced or those which are already in the vagina are moved higher during an abortion, especially if the latter is produced outside of a hospital. Sometimes microorganisms enter the higher parts of the genitalia from the vagina during labour and the puerperium, as well as during the menses.

It should be noted that the microorganisms contained in the vagina do not always produced disease because the healthy vaginal epithelium and the normal vaginal weakly acid environment serve as a good barrier (defence) against many bacteria; however, if the bacteria gain entrance into the uterine cavity or the tubes just the same, they frequentlty cause inflammatory disease therein.
Infection may penetrate into the genitalia from the adjagent organs, for example, from the rectum, urinary bladder, vermiform appendix, etc. Bacteria may also be brought in to the genitalia from distant organs by the blood or lymph, for example, from the lungs in cases of tuberculosis (by metastasis).
In cases of inflammatory disease several parts of the genitalia are not infrequently affected simultaneously, and in acute cases, if the infection gains entrance into the tubes and farther into the peritoneal cavity, inflammation of the peritoneum sometimes develops and may lead to general peritonitis.
Source A.Kaplan
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