The general practitioner has a world of patience with the nervous phenomena incident to the normal menopause, but little or none with the nervous phenomena of a precipitated menopause or that following the removal of the uterus or appendages at an early age. They have all patience with the hot and cold sensations, spinal and cerebral disturbances, local and general troubles so common at both normal and precipitated menopause. If the patients are active and pay but little attention to the uncomfortable sensations associated with the normal change, but little is done or advised.
If the change is stormy, patients are commonly freely medicated, often favoring the drug habit—acute and chronic inebriety—and more patients are lodged temporarily or permanently in asylums or rest-cures for the management of the normal menopause phenomena, than that from an artificial menopause.
Physicians commonly encourage their patients to persevere with treatment, saying that they have