ins, or
an increase in the discharge, little attention is paid to the matter.
In fact, a woman may have a chronic gonorrhea for months or years
without being aware that there is anything the matter with her. It is
important to teach women to seek medical aid as soon as they notice
any increase in the amount of the discharge, or change in color,
particularly if it becomes greenish, or if the odor becomes offensive,
or if there is chafing, burning, or irritation around the genitals,
and particularly if there is an increase in the frequency or urgency
of urination, or if there is a burning, scalding, or cutting sensation
during the act of urination. Also whenever the sexual act becomes
painful. If women consulted a physician as soon as they noticed any of
the symptoms referred to above, they would save months and years of
suffering and expense, because the disease would often be taken in
hand while still limited to the cervix, and not, as is now often the
case, after the inflammation has extended into the uterus and
Fallopian tubes.

=Self-treatment.= I do not believe in self-treatment because it is
generally unsatisfactory and may often even become dangerous, and I
decidedly advise every woman who suspects that she has contracted
gonorrhea to apply at once to a competent physician. But it happens
not infrequently that a woman is so situated that she cannot consult a
physician. And in the meantime there is danger of the gonorrhea
spreading further and further. In such cases it is advisable for the
woman to use an injection until such time when she can consult a
physician. The injection I am going to advise may in itself produce a
cure; and, if it does not produce a complete cure, it at any rate
improves the condition, prevents the extension of the disease, makes
subsequent treatment easier, and besides is perfectly harmless. The
best injection for self use in gonorrhea is tincture of iodine; the
proportion is two teaspoonfuls to a quart or two quarts of water. If
the case is very bad, such an injection may be taken twice a day. If
the case is not very bad, once a day is sufficient. After using the
tincture of iodine for five days to a week, it is good to change off
to lactic acid. Buy a pint or so of lactic acid in a drug store, and
use one tablespoonful to a quart of water. It is preferable to have
the water hot, about 100 deg., but where this is inconvenient it may
be used lukewarm. The lactic acid injection is used for