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Absence of menstruation can be caused by chronic illness, by emotional or endocrine disturbances, by fear of pregnancy, or by a desire to be pregnant. Nausea and vomiting may be of gastrointestinal or psychic origin. Tenderness of the breasts can be due to a hormonal disturbance.
Any condition that causes pelvic congestion, such as a pelvic tumour, may cause duskiness of the genital tissues. At times a soft tumour of the uterus may
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