The Investigation of Sterility
The following case is reported in order to call attention to some of the methods which are commonly employed in the investigation of childlessness:
Report of Case
A young woman, 22 years of age, presented herself for examination in March, 1938. She had been married for four years, during which time contraceptives had not been used and pregnancy had not occurred. She wished to have children. The history revealed no suggestion of pituitary or hypothalamic disease except for extreme obesity. She weighed 242 pounds and her height was sixty-four and one-fourth inches. The history did not suggest the presence of hypothyroidism. The menarche had occurred at the age of 12 years and the menstrual periods had occurred regularly at about every twenty-eight days until the age of 20 when there had been amenorrhea for three months. Since that time, the menses had occurred every twenty-one to thirty-four days and lasted for six days. Molimina were not excessive.
The texture of the skin was fine and the complexion pink. The general appearance was suggestive of Fröhlich’s syndrome. Although the obesity was rather generalized, the lower legs and forearms were relatively spared.
Physical examination revealed the following findings of consequence: The thyroid gland was very slightly enlarged diffusely. The breasts were large and obese. The pulse rate varied between 60 and 80. The blood pressure was 112 systolic, 78 diastolic. Examination of the pelvis revealed no abnormality.
Urinary estrogens were measured on March 23, which was two weeks following a menstrual period.