ould be
made into the mode of life and the hygienic surroundings of the patient.
Her general health and her mental condition should be inquired into. If
the patient is not in good health, or is not obtaining exercise in the
open air, or if she is a victim of mental worry or of domestic
unhappiness, or if any sufficient cause exists for the amenorrhea it
must be removed before any treatment may be expected to relieve the
condition. If the patient is a married woman the possibility of
pregnancy should always be borne in mind, and no radical treatment
instituted until this has been excluded. If the absence of menstruation
is dependent upon defective development of the sexual organs we cannot
expect much from any treatment. The amenorrhea from exhaustive diseases
will usually correct itself with, or soon after, the establishment of
convalescence. In diseases which tend to death, as in consumption, heart
disease, etc., the function is never reestablished. A very common habit
of most people is to regard the absence of the monthly periods as the
cause of their ill health. It is not, it is the result of the ill
health. Get rid of the bad health and the menses will take care of
themselves. That form of amenorrhea which is the result of change of
climate or surroundings will regulate itself as soon as the victim
becomes acclimated or reconciled to the change, or returns home if the
visit is of brief duration.

As a general routine treatment, good wholesome food, regular hours,
fresh air, sunlight, and judicious exercise, with such other measures as
may be suggested by the condition of the blood and nervous system, are
the indications in the way of treatment. Anemia and chlorosis (poor
blood) should be treated by the administration of iron in some form.
Obesity should be reduced by diet, exercise, and such other treatment as
may be found efficient and not detrimental to health. Overwork, mental
and physical, should be stopped, and sedentary habits changed to a more
active out-door life. The acute suppression from exposure to cold,
wearing of damp clothes, sitting on cold stones or cold or damp ground,
sea bathing in very cold water, is very often associated with an acute
inflammation of the womb itself and calls for rest in bed, laxatives to
open the bowel, hot application to the lower part of the abdomen and a
teaspoonful of Hayden's Viburnum in a glass of hot water every four
hours until relieved. The use of the sitz bath is fre