Since 1933 at Cleveland City Hospital and its outpatient departments, especially at the East Thirty-Fifth Street dispensary, one of us (J. D. P.) has been treating juvenile female patients for gonorrheal infections of the genital organs. As a matter of course, many girls with nongonorrheal complaints have also been referred for examination.
No report of the premenstrual condition to be described here has been found in the literature in English, although it may have been recognized by many physicians, but in 1926 an excellent description was published in German by Soeken.1 Her observations will be presented later. It would seem of value, therefore, to give a summary of the observations made by us on 50 patients in the period preceding menstruation, all of whom, with the exception of the first patient seen, were examined at the City Hospital and its dispensaries, and in addition on 9 patients, all under