ormity and permanent disability. Another
complication is gonorrheal inflammation of the eye, from direct
transference of the pus by the fingers or otherwise, and resulting in
partial or complete blindness.

=GONORRHEA IN WOMEN.=--Gonorrhea in women is a much more frequent and
serious disease than was formerly supposed. The general impression
among the laity is that gonorrhea in women is limited to the
prostitute and vicious classes who indulge in licentious relations.
Unfortunately, this is not the case. There is perhaps more gonorrhea,
in the aggregate, among virtuous and respectable wives than among
professional prostitutes, and the explanation is the following: A
large proportion of men contract the disease at or before the marrying
age. The great majority are not cured, and the disease simply lapses
into a latent form. Many of them marry, believing themselves cured,
and ignorant of the fact that they are bearers of contagion. They
transmit the disease to the women they marry, many of whom, from
motives of modesty and an unwillingness to undergo an examination do
not consult a physician, and they remain ignorant of the existence of
the disease until the health is seriously involved. In women,
gonorrhea is not usually so acute and painful as in men, unless it
involves the urethra. It usually begins with smarting and painful
urination, with frequent desire to urinate and with a more or less
abundant discharge from the front passage. In the majority of cases
the infection takes place in the deeper parts, that is, in the neck or
body of the womb. In this location it may not give rise at first to
painful symptoms, and the patient often attributes the increased
discharge to an aggravation of leucorrhea from which she may have
suffered. The special danger to women from gonorrhea is that the
inflammation is apt to be aggravated during the menstrual period and
the germs of the disease ascend to the cavity of the womb, the tubes,
and ovaries, and invade the peritoneal covering, causing peritonitis.
Pregnancy and childbirth afford favorable opportunities for the upward
ascension of the germs to the peritoneal cavity. The changes caused by
gonorrheal inflammation in the maternal organs are the most common
cause of sterility in women. It is estimated that about fifty per cent
of all sterility in women proceeds from this cause. In addition to its
effects upon the child-bearing function, the danger to the health of
such women is