recurrence of catamenia after a severe illness, and subsequently
a new set of teeth and a new growth of hair.

Late Establishment of Menstruation.--In some cases menstruation
never appears until late in life, presenting the same phenomena
as normal menstruation. Perfect relates the history of a woman
who had been married many years, and whose menstruation did not
appear until her forty-seventh year. She was a widow at the time,
and had never been pregnant. Up to the time of her death, which
was occasioned by a convulsive colic, in her fifty-seventh year,
she had the usual prodromes of menstruation followed by the usual
discharge. Rodsewitch speaks of a widow of a peasant who
menstruated for the first time at the age of thirty-six. Her
first coitus took place at the age of fifteen, before any signs
of menstruation had appeared, and from this time all through her
married life she was either pregnant or suckling. Her husband
died when thirty-six years old, and ever since the catamenial
flow had shown itself with great regularity. She had borne twins
in her second, fourth, and eighth confinement, and altogether had
16 children. Holdefrund in 1836 mentions a case in which
menstruation did not commence until the seventieth year, and
Hoyer mentions one delayed to the seventy-sixth year. Marx of
Krakau speaks of a woman, aged forty-eight, who had never
menstruated; until forty-two years old she had felt no symptoms,
but at this time pain began, and at forty-eight regular
menstruation ensued. At the time of report, four years after, she
was free from pain and amenorrhea, and her flow was regular,
though scant. She had been married since she was twenty-eight
years of age. A somewhat similar case is mentioned by Gregory of
a mother of 7 children who had never had her menstrual flow.