The left hand should be used to depress the uterus through the anterior abdominal wall. Carefully notice the position of the uterus. In ordinary cases the index finger should, without force, reach the uterus as it extends into the vagina. Should the fundus be bent upon the cervix the corresponding flexion prevails. An examination with speculum and sound is often necessary.
Local applications are useless.
Pessaries and supports are in no sense correctives. An impacted sigmoid and rectum may cause trouble to the uterus itself or to the hypogastric plexus. Overcome constipation and in many cases the cure is effected. Remove the pressure of the abdominal viscera, prevent lacing, cause patient to stand and sit with spine straight, thorax, forward and abdomen drawn backward. Control of the lower portion of the abdominal parietes so as to exert a constant lifting force on the abdominal contents will prevent many diseases and overcome the incipient stages of all.