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Charles H. Birnberg, M.D.
JAMA. 1934;103(15):1143-1144. doi:10.1001/jama.1934.72750410001007.
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The phase of sterility to be discussed is familiar to all: "sterility in apparently normal women." A series of eighteen cases is presented. The results of treatment were so gratifying that a presentation of the observations and the method of treatment may be of interest even though the series is small.

On examination, these patients showed no evidence of glandular dysfunction. The cervix, uterus and adnexa revealed no gross pathologic changes. The tubes were patent and examination of the husband's spermatozoa as to size, shape number and motility all proved normal.

The periods of sterility ranged from four to eighteen years. All known methods of treatment had been previously tried without success. These included dilation and curettage, artificial insemination, glandular therapy, corrective exercises, pessaries, diet and tubal insufflation.

When examined, these patients presented an eccentric external os, a very narrow and deviated cervical canal, and some slight displacement of the


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