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The Functional Morphology of the Human Endometrium and Decidua (Paperback)
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The Functional Morphology of the Human Endometrium and Decidua (Paperback)
Series: Advances in Anatomy, Embryology and Cell Biology, 124
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1. 1 Historical Perspective In the nineteenth century, knowledge of
the events leading to ovulation, fertilization, and implantation
was very limited, so much so that Seiler (1832), in his book The
Uterus and the Human Egg, wrote: ." . . in the left ovary the first
signs of fertilization, namely a Graaf vesicle could be seen. The
right ovary shows proof of a second successful copulation: a fresh
scar from the ovulated egg and the beginning of a corpus luteum. "
In fact all nineteenth century authors strictly divide the female
cycle into two phases: the menstrual period and the intermenstruum
(ct. Hitschmann and Adler 1908). The generally accepted histology
of the endometrium in those days was that of the late proliferative
phase. Deviations from this were considered to be pathological (Von
Ebner 1902). As Gebhard (1899) expressly put it: "As a rule, it can
be said that in the mature woman the endometrial glands run
straight; an irregular course of the glands is to be regarded as
pathological. " The same author describes the changes occurring
during the secretory phase of the cycle as "endometritis
glandularis" which he believed to arise from a local nutritional
disturbance. The uterine stroma was believed to be lymphoid (Toldt
1877), and the uterine glands were compared to the crypts of
Lieberkiihn (Von Ebner 1902).
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