SEX KN QWLE D GE
FO R
WO M EN
WH AT
A N D G I R LS
WO M A N
SH OU LD KN OW
EV ER Y
AN D GI R L
BY
'
WILLIA M
J R O B INSO N M D
.
.
,
D at
G t — ay a
a ol y o o t l
o al
olo y
T
o
a
al
al
Wo
a
oo
ao
Wo
m
"
o
o o
ol
G l
Wo
o ay
ol al
Ma a
lo
Yo a y M
a
M
a
l
o
Am
o at o
a
al
ao
Yo
M l o ty
a o al
ll a
l
a
G
o
a
o
a
A
m
at o
a
.
e p r me t of
en i o Urin r Dise ses an d Derm t og . Br n x H
i
a
of the
sp
n
he C ri ti c an d
of Ur
de ;
Editor of the Ameri can J u rn
g an d Ser ology ; Editor of
men ;
Au th r of Tre tmen t of Sexu Impote n ce an d Other Sexu Di sordersgn M en an d
men ; Li mi t ti n of 080 m by the Preven
Tre tmen t of G n rrhea m M en an d
ti n of C n cepti n ; Sex Kn w edge for i r s an d
men ; Sexu a Problems of
Fel w of the
rri ge , etc
T d ; Never-T d T es ; Eu gen ics an d
E
A
k
eri c n
edi c
d
i t rs
New
c dem of
edi ci n e, of the
r
rk State
Ass ci i n , Ameri c n M edic Associ ti n , New
edi ca S cie
ti n e Gese sch ft for Sexu a
. I n tern
forschu ng, meri c n
en etic Ass ci ti n . A eri c n
Associ i n for the Adv n cemen t of Sci en ce.
Ameri c n Urologi c l An n ot i on , etc . etc.
°
.
a
a
A
at
w
o ma
n
.
may kn
o
w
t he
a
n
II JRW
QPRAJ QHD
S E C O N D E D I TI O N
1 9 17
C R ITI C AN D GU IDE C OM PANY
1 2 MT n orm s m ax WEST
.
.
IQEW
V YI EUK
a
is con t in ed
may n ot kn ow
more th
thor h as been receivin g r e
qu e st s t o wri te an el emen tary sex book pre sen tin g
th e vari ou s sex proble ms whi ch ar e of im port an ce to
m an an d boy, an d t o woman an d gi rl from hi s po in t
“
Y ou ar e co n de mn i n g the e xi sti n g sex
of vie w
book s How wou ld you i mpart sex kn owledge to th e
Thi s w as th e su b st an ce
ave rage ma le an d fe male 1
of man y qu e sti on s I have given my an swe r in S ex
Kn owle dge for M en
pu bli she d sever al mon th s
Thi s con tain s th e
ag o an d in th e pr e sen t volu me
mi n i mu m of Wh at eve ry woman an d gi rl sh ou l d
’
—
kn ow
reg ardin g thei r sex Tho se women an d
—
m en
who wan t mor e kn owle dge on th e su bj e ct o f
sex m ay con su l t th e au thor s
Woman : Her S ex an d
Fox m an y year s the
au
,
,
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,
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’
‘
W J
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Febr u ary 1 , 1 91 7,
1 2 M ou n t M orris Park
West
,
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B
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C O N T E NTS
I
.
TH E P AR AI I OU N T N EED
WOM EN
OE
S Ex K N OWLEDGE
GIR LS
AN D
TH E FEM ALE S EX OR GAN S :
'
TH E P HYS I OLOGY or
TH E
THEIR
A NATOMY
FEI I ALE SEx OR GAN S
TH E S Ex I N STIN GI
‘
MEN S IR U ATI ON
'
AB NOR M ALI TIE S
TH E H YGIEN E
FEGUN DATI ON
OE
ME NS TR U ATI ON
M ENSTR U ATI ON
OE
OE
FER TILI"ATI ON
TH E DI SOR DER S or PR E GNAN C Y
WHEN
TO
ENGAGE
TH E S I"E or
TH E Am
AB ORTI ON
A
TH E
PH
YSI CIAN
FET U S
mTH ( P LACEN T A )
LAcrATI ON
OR
N UR S I NG
M I SGARR I AGE
AN D
PEEN ATAD C AR E
XV I I I
.
S TERILI TY
TH E MEN OP AU S E
TH E HAB IT
OE
FOR
OR
C HAN GE or 1m
MA STUR B ATI ON
C O N TE NT S
vi
cm
P AGE
THE V
EN m EAL
DI SE ASES
TH E ExTEN T or V
EN E RE AL
DISE ASE
GON OR R HE A
V
G
ULV OV A IN ITI S
IN
LITT LE GI R LS
S Y P HILI S
TH E C UR AB ILIT Y or V
V
EN m EAL
ADV
DI S EAS E
P RO P H Y LAxI s
B IR TH C ON TR OL
SPR I
EN E REAL
OR
TH E
LI
M ITATION
or
NG
I CE
TO
10
BE
TH E
MARR IED
AN D
THOSE
AB OUT
SEX
K N O W LE D G E FO R
WO M E N
A N D G IR LS
C H AP TER ON E
THE P AR A M OU NT NEE D O F S E X KN OWL
E DGE F O R GIRL S AN D WO ME N
reason why sex in str u cti on i s even more
importan t for girl s than i t i s for boys i s becau se a
mi sst ep in a girl h as mu ch mor e di sastrou s con se
T
n
h
e
t
r
o
i
u
e
i
n
u
s
r
e
n
t
i
s
boy
d
s
a
s
h
a
a
h
a
c
e
s
t
q
su l ts O f a mi sstep i n a boy ar e o n ly physica l in char
acte r ; th e re su l ts o f th e s am e mi sst ep i n a gi rl m y
be physi cal , m oral so ci al an d e co n omi c To spe ak
m or e pl ai n l y If a boy th rou gh ign oran ce rashl y
in du l ge s in ill ici t sexu al r e lat i on s th e wor st cou se
qu en co to him m ay b e in fect i on wi th a ven e re al d i s
B u t h e i s n ot con si de r e d immoral , h e i s n ot
e ase
despised h e is n ot o str aci ze d h e doe s n ot lo se h is
s ocial stan din g in th e sl ight e st de gr ee an d when h e
i s cu re d Of hi s ven e re al dis e ase h e h as n o d ifi cu l ty
in ge tti n g mar ri ed He do e s n ot e ven have t o con
ceal hi s pas t se xu al hi s tory from hi s w i fe
B u t if a
TH E fir st
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9
10
SEX
KN OWLE DGE F O R WO M E N
i
r
l
g
make s a mi sste p th e con se qu en ce s to h e r ar e
te rrible in dee d ; i t m ay n ot o n ly co st h e r h e r health
an d so ci al stan di n g sh e m ay have to pay wi th h e r
ve ry lif e
S h e r u n s th e ri sk O f ve n e re al i n fe cti on
th e sam e as th e boy do e s bu t in addi ti o n sh e ru n s th e
ri sk O f becomi n g pre gn an t whi ch in ou r pre sen t so
To save he r se l f
ci al sy stem i s a cata strophe i n d ee d
from th e di sgrace Of an i lle git imate chil d sh e m ay
have an aborti on produ ce d ; th e aborti on m ay have
n o bad r e su l t s, b u t i t m ay, if pe rform e d b u n gli n gly
l eave h e r an in val i d for li fe or i t m ay ki ll h e r ou t
ri ght If she is so u n fortu n ate as to b e u n able t o
i
i
i
e
s
u
n
n
ybody
t
o
prod
n
bort
o
s
g
v
b
rt
h
t
c
h
e
e
e
a
a
a
g
t o an il l e gitimate child, whi ch she i s force d in mo st
case s t o pu t away in an i n sti tu ti on of some sort
—
an d in
w he re sh e h ope s an d pr ays i t m ay d i e soo n
h
h
e
r
i
do
s
I
f
i
do
n
t
di
e
s
e
a
s
for
t
t
e
s
o
e
n
e
l
a
g
,
th e re st O f h er li fe a D am o cle s sword han gin g ove r
he r he ad an d sh e i s in con st an t te rror l e st he r sin
be fou n d ou t Sh e do e s n ot p e rmi t h e r self to look for
a m at e bu t if sh e d o e s ge t marri e d, th e sp e cte r Of
he r an tem atri m on i al e xpe rien ce i s con stan tly before
he r e yes A fte r ye ar s an d ye ar s O f ma rri e d li fe th e
hu sb an d may divo rce h e r if h e fin ds ou t that sh e had
”
“
be fore Sh e kn ew him An d u n le ss th e
sin n e d
hu sban d i s a broad m in ded m an an d loves he r tru l y
an d u n l e ss sh e made a cl e an breas t Of eve rythin g to
,
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THE P AR AM OU NT
NEE D
11
him
be fore m arriage , h e r lif e i s con tin u ou s tortu re
B u t eve n if th e girl e scape d pr e gn an cy th e me re
fin din g ou t that S h e h ad an i ll i ci t e xp e ri e n ce d eprive s
h e r Of soci al stan din g or make s h e r a social ou tcas t
an d e n ti r e ly d estroys or gr e atly mi n imi z e s h er
chan ces O f e ve r marryi n g an d e stabli shi n g a home of
he r ow n
Sh e mu st re mai n a lon e ly wan de re r to the
en d Of h e r day s
Th e en ormou s difi e r en oe in th e r e su l t s Of a m i s
ste p in a b oy an d a girl i s clearly se e n
an d f or thi s
r eason al on e , if for n o o the r sex in str u cti on i s Of
m ore importan ce t o th e girl than i t is to th e boy
B u t the re ar e oth e r import an t r e ason s an d on e
Of them i s be au ti fu lly an d tru thfu l ly e xp re sse d by
B yron in his tw o we ll kn own lin e s
.
,
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-
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Man
"
Bis
’
s
w
l ove i s o f man s li fe a
’
om an s whol e e xi ste n ce
Y es, l ove i s
’
thin g apart,
.
woman s whol e li fe
S ome m od e rn women mi ght Objact t o thi s The y
mi ght say tha t th is w as tru e o f the woman Of th e
pas t, w h o w as e xclu de d from al l othe r ave n u e s of
hu m an activi ty Th e wom an o f th e pre sen t d ay has
othe r in te re st s be si d e s tho se of L ove
B u t I cl aim
that thi s i s tr u e Of on l y a small p e rce n t age of
w omen ; an d in e v en thi s small m in ori ty o f wome n ,
a
’
.
.
.
.
SE X KN OWLE DGE F O R WO M E N
12
tific an d arti stic activi ti e s can n ot take
th e p lace Of love ; n o ma tte r h ow b u sy an d su cce ssfu l
these women m ay b e th ey will tell you if you en joy
thei r co n fiden ce that they ar e u n happy if the ir love
li fe i s u n sati sfactory Nothin g n othin g can fill th e
voi d m ade by th e lack Of love Th e vari ou s activi tie s
m ay h elp t o cove r u p the voi d to prot ect i t from
For e ssen tiall y
stran ge e ye s, the y can n ot fil l i t
Not e xclu si ve ly bu t e ssen
w oman i s m ad e for love
tin l l y an d a wom an who has h ad n o love in h e r li fe
has bee n a fail u r e Th e f ew e xce pti on s that m ay be
men ti on e d on l y emphas iz e th e ru l e
B u t n ot on l y p sychi cally i s a wom an s love an d
sex li fe m ore i mport an t th an a man s physi cally sh e
i s al so mu ch mor e cogn i zan t Of h er sex an d mu ch
m ore hammre d by th e man i f e st ati on of h e r se x
TO tak e bu t on e fu n cti on
n at u re than
m an i s
m en str u ati on
From the age 1 3 or 1 4 t o th e
age
of forty five or fifty i t i s a mon thly re
min de r t o woman that sh e i s a woman that sh e i s a
cre atu r e O f se x ; an d
while to man y women thi s
pe ri odi cal ly re cu rri n g fu n cti on i s on ly a sou rce Of
some an n oyan ce or di scomf ort to a gr e at n u mbe r
it i s a cau se of p ai n he adache sn fi e r in g or com pl e te
di sabili ty M an h as n o su ch phe n omen on to an n oy
him prac ti cally hi s whole lif e
B u t m or e importan t ar e th e r e su l t s Of love u n i on ,
soci al ,
scien
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-
PAR AM OU NT NEED
THE
13
rel ati on s A m an aft e r a sexu al re l ati on i s
ju st as fre e as h e w as b e for e A woman , if th e re la
ti on has re su l te d i n a pre gn an cy whi ch is ge n e rally
th e case u n l e ss spe ci al pai n s ar e tak en i t shou l d n ot
so r e su l t h as n in e trou bl es ome mo n th s b e for e h e r
mon ths of di scomfort i f n ot o f actu al sn fi er in g ; sh e
then h as an e xtr emely tryin g an d p ain fu l orde al that
O f chil dbi rth, an d the n the r e i s an othe r t ryin g p e
r i od , th e p e ri od o f l actati on or of n u r sin g an d O f
b ri n gi n g u p th e baby Th e pen al ty se ems almo st too
gre at
An d whe n th e woman i s on th e poin t of ce asin g to
men stru ate sh e do e s n ot do so smoothly an d com
f ortabl y S h e ha s t o go throu gh a pe ri od call e d th e
men opau se whi ch m ay l ast on e or tw o ye ar s an d
whi ch m ay brin g di scomf ort s an d dan ge r s of i ts
ow n
M an do e s n ot have to go throu gh su ch a di s
tin ct pe ri od of de marcati on sep aratin g hi s sexu al
from his n on sexu al li fe Al toge the r it can n ot be
de n i e d that woman i s mu ch mor e a slave Of h e r sex
n at u re th an man i s O f hi s
Y e s Natu r e h a s han di
capp e d woman mu ch more he avi ly than sh e h a s m an
I n short both in vi ew O f th e fact that se xu al i g
n or an ce wi th its p o ssible mi sst e p s h as mu ch more
disastrou s con sequ en ce s f or th e girl than it has f or
th e boy an d in vi ew O f th e fact that th e se x in stin ct
an d i ts physi cal an d p sychi c man i fe stati on s o ccu py
O f se x
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14
SEX
KN OWLE DGE FOR WO M E N
mu ch mor e import an t part in woman s li fe than
they do in th e life Of m an w e con sid e r th e n ece ssi ty
O f sex i n str u cti o n mu ch gr e at e r i n th e ca se O f wom an
than i n th e case O f m an I d o n ot wi sh to be m i s
u n de r stood a s u n d e r e stim at i n g th e n e e d O f se x i n
—
on l y I con side r th e n e ed
stru cti on f or th e mal e
e ven gre at e r in th e case O f th e fe mal e
’
a
,
.
.
C HAP TER Tw
THE FE MAL E S E X
o
O RGA NS : THEI R
organ s whi ch p rimar il y di stin gu i sh on e sex
from th e othe r ar e th e sex organ s It i s by th e ai d
Of the sex organ s that childr en ar e b e gotten an d
brou ght in to th e world that th e race i s r epr odu ced
I t i s f or thi s reason that th e se x
an d p e rpe tu at e d
organ s ar e al so calle d th e R e produ cti ve O rgan s
The fir st thin g w e mu st do i s to b e come fam il i ar
with th e str u ctu r e an d l ocati on Of th e sex org an s ;
i n othe r word s w e mu st get a fai r i d ea of thei r
TH E
.
,
.
.
,
A n atomy
.
Th e
femal e se x organ s al so call e d the r epr odu c
tive or gen e rati ve organ s are di vid ed in to in tern al
Th e in t e rn al ar e th e mo st impor tan t
an d e xt e rn al
an d con si st o f : th e ovari e s Fallopi an tu b e s u t e ru s
or womb an d vagin a Th e exte rn al sex organ s of
th e fe mal e ar e : the vu l va, hymen , an d clitoris
A mo n g th e e xt e rn al organ s ar e al so gen er al l y in
clu de d th e mo n s Ven e r i s an d th e br east s or mam
mary glan d s
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S EX KN OWLE DGE FOR WO M E N
16
THE I NTER N AL S E X O R GAN S
ovar ies ar e th e essen ti al organ s
O f r eprodu cti on
For i t i s th ey that gen e r at e th e
e ggs or ova or 001116 3 whi ch aft e r b e comi n g fer
ti l iz ed or femm d ated by th e sp e rm atozo a of th e male
Th e Ovari es
Th e
.
.
,
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,
d evelop in to chil dr e n Wi thou t th e ovari e s Of th e
female th e same as wi thou t th e t e sticle s of th e mal e
n
n
i
e
n
o
c
il
wh
h
th
y
c
orr
s
po
d
h
dr
e
c
o
ld
t
c
e
u
b
e
o
)
(
be gotten an d th e en ti re hu man race wou ld qu ickly
di sapp e ar from ou r plan e t Th e ovari e s ar e two in
n u mb e r ; the y ar e e mb e dd e d i n th e br oa d l ig am en ts
whi ch su pport th e womb in th e pe lvi s on e on e ach
T hey ar e O f a grayi sh or whiti sh
si d e Of th e womb
pin k color an d ar e abou t an i n ch an d a hal f l on g
—
thre e qu art e r s Of an in ch wid e an d on e thi rd Of an
They wei gh from on e e ighth to on e
in ch thi ck
qu arte r o f an Ou n ce The ir su rface i s eithe r smooth
or rou gh an d pu cke r e d Thi n k Of a large blan che d
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THE FE MAL E S Ex
o
al m n
d an d
o
u
y
will have
17
OR GANS
pre tty fai r ide a of the
a
Fallopi an t u b e s ( so
call e d from F allopiu s a gre at an atomi st who d i s
cove r e d them ; al so calle d ovidu ct s : e gg co n du ct or s
becau se they con du ct th e e ggs from th e ovary in to
the u t e ru s ) ar e tw o v e ry thi n tu b e s, e xt en din g on e
from e ach u pp e r an gle O f th e womb to th e ovarie s ;
b u t at th ei r ovari an e n d th e y e xp an d i n to a frin ge d
Th e frin ge s ar e r e
an d tr u m mt sh ap e d e xtr e mi ty
fe rred to as fim bria The y ar e abou t five in che s lon g
an d o n ly abou t on e si xt e e n th O f an in ch in di ame t e r ;
th e fu n cti on O f th e tu be s i s to catch th e ov a as they
bu r st forth from th e ovari e s an d to con vey them to
the u t e ru s T akin g in to co n si de r ati on th e ve ry n ar
or cal i be r o f th e F allopi an tu be s it i s
r ow lxw men
e asy to u n de r st an d why e ve n a ve ry sli ght in flam
mati on i s apt to clog th e m u p to seal the i r mou th s or
O pen i n g s thu s r e n d e ri n g th e woman s ter i l e or i n ca
n
h
i
l
F
i
n
e
r
l
O
f
h
v
g
dr
F
llop
h
e
a
c
o
i
f
h
a
t
e
i
a
an
p
,
“
tu be s are clogged u p th e e ggs, or ov a have n o
w ay Of r e achin g th e u t e ru s
Th e Gr e ek n ame f or th e Fall opi on tu b e i s salp in x
i
n
x
k
l
s
e
e
a
i
n
e
n
e
p
Gr
m
t
b
fl
t
o
a
u
s
A
n
i
n
m
a
m
n
a
i
(
)
Of th e Fall op i an t u b e i s the re for e call e d salpin gi ti s
The Uteru s Th e u ter u s or womb is th e organ in
w hi ch th e fe rtil i ze d ovu m or e gg, grows an d de ve l
Th e
Th e Fall opi an Tu bes
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S E X KN OWLE DGE FOR WO M E N
hild It i s a hollow mu scu l ar organ
abo u t th e si z e of a pe ar wi th thi ck wall s cap able
u n d e r th e in flu en ce of pr e gn an cy O f gr e at e xp an si on
Th e bro ad p art O f th e p e ar i s ca lle d
an d growth
th e bod y O f th e u t e ru s ; th e lowe r n arrow p art i s
The u te ru s
cal le d th e n e ck O f th e u t eru s or cer vix
in th e adu lt girl or woman i s abou t thr e e i n che s lon g,
two i n ch e s bro ad in its u pp e r p art an d n e arly an
I t we i gh s from an Ou n ce to an ou n ce
in ch thi ck
Wh en th e u t e ru s i s in a pregn an t con
an d a h alf
di ti on i t i n cr ease s en ormou sly both in siz e an d in
weight as w e w i ll see in a fu t u r e chap te r Th e
cavi ty O f th e u t e ru s i s somewhat tri an gu l ar in sh ape ;
at e ach u p pe r an gl e i s th e small op en i n g commu n i
cati n g wi th th e F allop i an tu b e ; th e u p pe r porti on of
the u te ru s i s call e d th e fu n du s ; th e e xte rn al op en in g
o f th e womb si tu a te d in th e cen te r of th e ce rvix , i s
calle d th e mou th o f th e womb or th e 03 or ex te r
ops
i n to
a c
.
,
,
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,
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,
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,
,
,
n al O S
,
.
te ru s i s situ ate d in the cen te r Of th e p elvi s,
be twe en th e bladde r an d th e r ectu m It i s su pporte d
by certai n li gam en t s th e chi e f Of whi ch ar e th e
broad ligamen t s ; bu t on ac cou n t Of gen e ral weak
too ha rd physical labor or li ftin g heavy
n e ss
w e ight s th e li gam en t s m ay str e t ch , an d th e u t e ru s
may sin k down low in th e vag in a, an d w e then have
Or
th e con di ti on kn ow n as prol ap se of th e w omb
Th e
u
.
”
‘
,
,
,
,
,
.
THE
Th e V
agin a
F E M ALE S E X O RGA NS
i
a
v
[ gn
in Latin — a
21
h th ] The
vagin a i s th e tu b e or can al which se rve s as a pas
w
h
u
e
e
e
n
e
n
sa
a
t
w
e
e
t
u
h
b
t
r
o
t
d
s
d
t
i
a
e
f
u
s
e
O
h
e
t
y
g
body It exten d s from th e ext e rn al gen i tals or vu lva
to th e n e ck of th e womb embracin g th e latte r for
It i s a stron g fib r om u scu l ar can al,
some di st an ce
li n e d wi th mu co u s membr an e I t i s n ot smooth in
si d e bu t arr an ge d i n fold s or r u g cc so th at when
n e ce ssary as du r in g chi ldb i rth i t can stre tch en or
m ou sl y an d pe rmi t th e passag e of a chi ld s head
Th e len gth of th e vagin al can al i s b e twe e n thre e an d
fiv e i n che s bu t i t i s in ge n e r al mu ch mor e cap aci ou s
in women that hav e born e on e or mor e chil dr en than
in thos e who h ave n ot born e an y
Ne ar th e vagin al en tran ce ar e situ ate d tw o smal l
i
h
e
o
f
e
n
e
n
r
l
d
th
y
e
bo
u
t
t
s
z
e
t
e
s
a
a
a
d
s
e
cr
a
a
e
a
p
;
g
mu cu s Th ey ar e call e d B artholin s glan d s ; occa
si on all y th e y b e come i n flam e d an d gi ve a good d e al
Of tro u ble
—
Th e Hym an [ hym en in Gre ek a membran e ] Th e
e xt e rn al ope n in g O f th e v agin a i n vi rgin s that i s i n
gi rls or wome n w h o have n ot had se xu al in te r cou r se
i s al mo st e n ti r e ly clo se d by a membr an e calle d th e
“
Th e vu lg ar n ame for hym e n i s
hymen
mai d en
h ead
Th e hym e n m ay be of vari ou s shape s, an d Of
difl ere n t co n si ste n cy I n some girl s i t i s a v e ry thi n
m embr an e , whi ch tear s ve ry r e adily ; in othe rs i t i s
a
s ea
.
-
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,
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’
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.
KN O WL E DGE
SEX
F OR
WO M E N
qu i te tou gh On the u pp e r margin or in th e cen te r
of the hymen the re i s an op en in g whi ch pe rmi t s an y
secr e ti on from th e vag in a an d th e blood from th e
I n r ar e ca se s the r e i s n o
u t er u s to come thro u gh
op en i n g in th e hymen that i s th e vagin a i s e n tir ely
Su ch a hym en i s cal led i m p crfor ate ( n ot
clo se d
p e rforat e d ) Whe n th e gi rl b e gin s to men stru at e ,
th e blood can n o t com e ou t an d i t accu mu late s i n th e
vagin a I n su ch ca se s th e hymen mu st be Open e d
I n some ca se s th e hymen i s con
or sli t by a do ctor
n
h
i
n
i
ll
e
i
i
t
a
b
s
e
t
th
t
i
s
t
g
rl
bor
n
w
tho
t
e
a
a
s
n
u
a
;
y
g
y
hymen Whi le th e hymen i s u su all y ru ptu re d d u r
in g th e fir st in te r cou r se , it in some cas e s b ein g
elasti c an d str e tch abl e p e r si st s u n torn aft e r se xu al
It wil l the re for e b e see n that j u st as
in t ercou r se
the pr e sen ce of th e hymen i s n o ab solu te p roo f o f
vi rgin i ty , so i s th e ab sen ce of th e hymen n o ab solu t e
p roof that th e gi rl h as h ad se x u al relati on s S h e
might have b een born wi thou t an y hymen or it
might hav e b e en r u ptu re d by vagin al examin ati on
by a vagin al dou che by scr atchi n g t o r elieve itchi n g
or by some acciden t
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THE EX TER N AL GEN ITALS
Vu l va
call e d th e
Th e
ar e
.
Th e
vu l va
e
.
xtern al gen i tals of th e female
The vu l va con si st s of th e lab i a
THE FE MAL E S E X
23
O RGA NS
majora ( me an in g th e l arge r lip s ) whi ch ar e on th e
ou tsi de an d whi ch in th e grown u p girl are cover ed
w i th hai r an d th e l ab i a mi n or a ( th e smal le r lip s ) ,
whi ch ar e on th e i n si d e an d whi ch ar e u su al ly on ly
se e n wh e n th e lab i a m ajor a ar e t aken ap art
Th e M on s Ven eri s Th e e l evati on ab ove th e vu l v a
whi ch du rin g pu b e rty be come s cove re d w i th hai r i s
calle d by th e f an cif u l n am e m on s V en e r i s or V e n u s
mou n tain It i s u su ally well p adde d with fatty ti s
,
-
,
.
,
.
,
’
,
,
.
me
.
Th e Cl i toris
mal l body abou t an
in ch i n l en gth situ at e d b e n e ath th e mon s Ven e ri s
an d partly or e n ti r e ly cov e r ed by th e u pp e r bord e r s
of th e labi a min or a
Th e U reth ra B e tw ee n th e cl itori s abov e an d th e
open in g O f th e vagin a b e low i s situ at e d th e op en in g
of th e u r e th r a or th e u ri n ary me atu s throu gh whi ch
th e u rin e passe s M an y w om e n ar e so i gn or an t or
l e t u s say in n o cen t th at th e y thin k th e u ri n e p a sse s
ou t throu gh th e vagin a
Thi s i s n ot so Th e vagin a
h as n othi n g to d o with th e pro ce ss o f u rin ati on
A gai n en u m e r atin g th e femal e se x organ s bu t i n
th e r eve r se ord e r from be for e b ackward or from
Th e mo n s V e n e ri s an d th e
ou t in ward, w e h av e :
l abi a majora or th e e xt e rn al l ip s o f th e vu l va ; th e se
ar e th e plai n ly vi sibl e p art s of th e femal e ge n it al
organ s When th e l abi a majora ar e taken apart w e
Th e cl i tori s i s
.
a s
,
.
.
,
,
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,
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,
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,
,
S EX
24
KN OWLE DGE F O R WO M E N
labia min ora ; whe n th e labia major a an d
min ora ar e taken apart w e can se e or fee l th e cli tori s
or th e r emain s of th e hyme n
We
an d th e hym en
then have th e vagin a a large st retchable m u scu l o
me mbr an o u s can al in th e u ppe r porti on of whi ch
th e n e ck o f th e womb or th e ce rvix can be se e n
n
e
i
e
e
fi
wh
p
c
u
l
m
s
u
s
d
or
f
lt
by
h
r
e
e
a
s
u
t
e
n
)
(
g
On ly th e ce rvix or n eck o f th e womb can b e se en
bu t th e r e st of th e womb th e broad e r porti on can
b e e asi ly felt an d e xam in ed by on e han d in th e va
gin a an d th e othe r han d ove r th e abdome n
C on
ti n u ou s wi th th e u te ru s are th e F allop ian t u b e s an d
be low th e tru m p e t shap e d en ds o f th e F allopi an
tu be s ar e th e ovari es e mb edde d in th e bro ad liga
men t s on e on each sid e
Th e B reasts Th e b re as t s also call e d m am mar y
gl an d s or m ammze [mamm a in Latin breast ] m ay
b e co n side r e d a s acce ssory organ s O f r eprodu cti on
T hey ar e o f n o import an ce i n th e male in whom
they ar e u su ally ru dimen t ary bu t the y ar e of great
import an ce i n th e fem ale
They man u factu r e milk
whi ch is n e ce ssary f or th e prope r n u tri ti on o f th e
in fan t an d th e y ad d a gre at de al to th e b e au ty an d
T hey ar e thu s a help
attracti v en e ss O f th e woman
to the woman in ge ttin g a mat e or a hu sb an d Th e
proj ectin g e l evati on o f th e br e ast which th e chil d
take s in hi s mou th when n u r sin g i s calle d th e n i pple ;
se e
th e
.
,
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,
,
,
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,
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THE
25
F E MAL E S EX O R GA NS
darke r colore d
cal l ed th e ar e ola
the
r
a e a su
rrou n di n g
th e
n
ippl e i s
.
l se x organ s ar e situ ate d in th e lowe r
p art of the abdomin al cavi ty th e p art that i s call e d
Th e me an in g of th e
th e p el vis or p e lvi c cavi ty
word pelvi s in Latin i s b asin Th e p elvi s al so r e
fe rred to as th e p elvic girdle or p elvic arch form s
an d i s comp ose d of three powe rfu l
a b o n y b asin
bon e s : th e sacru m con si stin g of fiv e ve rtebrae fu se d
t oge the r an d co n sti tu tin g th e sol id p art o f th e spin e
or ve rt ebral colu mn in th e back an d th e two hip
bon e s on e on e ach S i de Th e tw o hipbon e s mee t in
fron t, formi n g th e pu bic ar ch
Th e hi pbon e s are calle d in Lat in th e o ssa in n om i
n ata ( n ame le ss bon e s ) an d e ach hi pbon e i s com
h
i
u
n
e
i
e
h
o
d
f
thr
bo
e
h
e
ili
u
m
sc
h
m
a
d
e
e
n
t
t
O
e
s
:
t
s
p
Th e thi gh s ar e attached to th e hi pbon e s
O S p u bi s
an d to th e hi pbon e s ar e also attach ed th e l a rg e gl u
“
teal mu scl e s w hi ch form th e bu tto cks , or th e se at
Th e p elvi s Of th e female d i fi e r s con sid e rably from
the p e lvi s of th e mal e
Th e female p elvi s i s shal
lowe r an d wi de r l e ss massive th e m argin s Of th e
bon e s ar e m or e widely sep arat e d thu s givin g gr e at e r
p romin en ce to th e hi p s ; th e sacr u m i s s
e
an d
" hort r
Th e in te rn
a
,
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,
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”
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C HAPTER THREE
THE
PHYSI OLO GY O F THE FE MAL E S EX
ORGA NS
TH E importan
o f an organ dep en d s u p on its
n
o
i
n
u
n
i
n
c
t
n
a
u
po
wh
t
t
do
e
n
m
h
po
u
s
d
o
t
O
c
u
S
a
f
what i t i s I t is importan t to kn ow th e siz e str u c
tu re an d locati on Of an organ bu t i t i s still mor e im
port an t t o kn ow its fu n ct i on ; in othe r word s for ou r
pu rpo se i t i s mor e import an t to kn ow th e physi ol ogy
than the an atomy of the sex organ s
ce
,
,
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,
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,
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FUN C TI ON OF THE O V AR IES
Like th e
te sticle s in m an S O th e ovarie s i n woman
They are th e fu n da
ar e th e e sse n ti al se xu al organ s
me n tal organ s wi thou t whi ch th e othe r sexu al or
gan s ar e u sele ss A l so like th e t e sti cl e s in m an th e
ovari e s hav e tw o di stin ct fu n cti on s man u factu rin g
On e fu n cti on i s to man u
tw o di stin ct su b st an ce s
factu re e ggs ; thi s calle d th e OOge n e ti c or e gg pro
d u cin g fu n cti o n i s its r acial fu n cti on ; wi tho u t i t
th e r ace cou 1d n ot p e rp e tu at e i t se l f B u t th e ovary
B e si de s th e ova
h as al so an in d i vid u al fu n cti on
,
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28
,
res w hat w e cal l an in te rn al
secr e ti o n w hi ch i s ab s orb ed b y th e bl ood an d w hi ch
is of th e g r ea te st importan ce to th e w oman h e r
Wh il e th e man u f actu re Of ova be gi n s on ly
se l f
at pu be r ty w i th m en stru ati o n
an d cl o se s at th e
men opau se th e m an u factu re Of th e in te rn al secre
ti on last s thr ou g ho u t th e woman s e n ti re life
This
whi ch con s i sts of va ri ou s chem ical su b
secr e ti on
stan ce s
h as a tre me n dou s in flu e n ce n ot on l y on
th e de ve lopm en t of th e woman S body bu t al so on
h e r fee lin gs
Fir st of all it i s n ece ssa ry for th e devel opmen t
O f th e wom an s sp eci al ch a racte r i sti cs or s e con dary
s em al cha r ac te r s
Withou t that in te rn al secre ti on
o f th e ovari e s a woman wou ld look more or l e ss
like a m an ; Sh e wou ld n ot d eve lop h e r be au ti fu l
rou n d ed form h e r pre tty lon g hair h er bre ast s h e r
broad pe lvi s h e r femin i n e voi ce etc S econ d th e
se cre ti o n i s n e ce ssary to th e prop e r d ev elopme n t
o f he r othe r sexu al organ s ; i f th e ovari e s ar e cu t
ou t th en th e u t e ru s an d th e vag in a an d ev en th e
vu lva shr ive l u p Thi r d it i s that in t e rn al secr eti o n
that e xcite s in wom an sexu al de sire an d mak e s her
en j oy r e l ati o n s wi th th e mal e sex
If th e ovarie s
ar e cu t away
p articu larly i f i t i s don e early in
li fe th e woman h as n o sexu al d e sir e an d n o on
joymou t F ou r th it con tribu te s t o th e gen e ral
th e ova r y m an
u
f actu
,
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,
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’
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,
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’
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’
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,
30
S EX
KN OWLE DGE F O R W O M E N
he al th , wellbein g e n e rgy an d men tal al e rtn e ss of
th e woman
Y ou see th e import an ce of th e in te rn al ovari an
wi ll r e ad ily u n de r st an d why,
an d you
se cr e ti o n
when th e ovari es ar e remove d by op e rati on th e
woman , p articu larly if sh e i s you n g u n de rgo e s su ch
marke d chan ge s It i s b e cau se w e r e cogn i z e n ow
th e gr e at import an ce o f th e ovari e s that w e al
ways whe n op e ratin g ou di se ase d ovari e s le ave at
l east a sm all pi e ce Of ovary i f at all po ssible
N u mber of Ova Wh en th e female in fan t i s b orn
h e r ovari e s co n t ai n a s man y ova or e gg s as th ey
I n fac t th ey con t ain mor e than
e ve r wi ll con t ai n
th ey wi ll at pu b e rty For it i s e stimat e d that at
ov a ; th e
bi rth e ach ovary con tain s abou t
majority O f the se h oweve r di sapp ear S O that at th e
ag e o f pu b e rty e ach ovary con t ai n s on ly abo u t 30
000ov a A s on ly on e ovu m rip e n s e ach mon th from
th e time of pu b e rty to th e time o f th e me n op au se
i
n
4
0
h
s
u
0
v
a
a
o
t
o
t
e
u
t
mo
t
d
r
g
i
u
3
0
o
t
0
b
e
a
t
(
a l i fe ti m e ) an d as on ly a doz en or two ov a wou ld
b e n e ce ssary for th e p rop agati on of th e race it
u n n e ces sary
an
se ems a su p e r ab u n dan ce o f ov a
l avi shn e ss B u t n atu r e is lavi sh whe r e th e pr opa
n ed
A
i
n
n
f
e
f
i
o
p
i
e
o
r
port
o
t
i
n
h
c
o
O
e
s
c
s
s
c
a
t
e
g
an ovary or of both ovari e s might b e come di se ase d
an d thou san ds Of ova might b e come u n fit for f e r
,
,
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,
P HYSIOLO GY OF THE S E X
O RGA NS
31
t re the re fore pu ts in an ext ra rese rve
We see a still more strikin g e xample Of
su pply
th i s e xtreme extr avagan t lavi shn e ss in m an ; on ly
on e spe rm atoz oOn i s n e ce ssary to i mpre gn at e the
ovu m an d on ly on e spe rm atozoOn can p en etr ate the
ovu m ; n eve r thel e ss each n ormal e j acu lati on of se
m en con t ain s b e t w e en a qu ar te r an d h alf a mi lli on
S p e rm atoz o a
Th e Graafian Fol li cl es E ach pr imi tive or pr imor
di al ovu m i s imb e dde d in a li ttle vesicl e or f ol
licl e whi ch i s gen e rally kn own as Gr aafian foll i cl e
an d th e r e ar e as m an y Gr aafian folli cle s as the re
fi
fi
d
n
e
T
h
G
r
l
i
e
f
o
l
c
l
w
r
r
t
e
e
e
s
a
s
a
ar e ova
a
(
—
—
in 1 6 72 by a De lf t
scrib e d abou t 250 y ear s ago
physi ci an n ame d De Gr aaf hen ce th e n am e ) U n til
pu b e rty that i s th e comm e n cemen t of men stru ati on
th e Gr aafian folli cle s wi th th e O Ocyt e s or primi tiv e
Bu t
ova ar e i n a mor e or l e ss dorman t con di ti on
with th e on set Of pu b erty th e r e comm en ce s a p e ri od
Thi s p e ri od of
O f i n t en se ac tiv ity i n th e ovari e s
an d
activi ty i s r ep e at e d r e gu l arly o n ce a mo n th
i t con sti tu te s th e pro ce ss of ovu la ti on an d m en
Th e tw o pro ce sse s ar e clo sely th ou gh
s tr u ati on
n ot cau sally co n n e ct e d
Ovu lati on con si st s in the
mon thl y matu rati on an d e xtru si on Of a rip e ovu m ;
men stru ati o n whi ch will b e fu rthe r di scu ssed in a
se p ar at e ch apt e r co n si st s i n th e mon thl y di scharge
tili zati on ;
n a u
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°
SEX
32
KN OWL E DGE F O R W O M E N
o f blood mi xe d wi th mu cu s from th e in si de lin i n g
of th e u te ru s E ve ry twen ty e ight d ays from th e
time of pu be rty to th e time O f th e men op au se a
Gr aafian folli cl e bu r st s an d an ovu m i s extru d e d
from th e ovary B e for e th e folli cle bu r st s it swell s
an d e n l arge s an d r e ach e s th e su rfac e of th e ovary ;
th e whole folli cl e i s con ge st e d wi th blood bu t at
on e poi n t n e ar th e su r face of th e ova ry i t i s p al e
an d h e r e th e ru ptu r e tak e s place
an d thi n
,
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,
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,
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,
.
FUN C TI ON OF THE O THE R GEN I TAL OR GAN S
Fu n cti on of th e Fal lopi an Tu b es
fu n cti on Of
th e F allop i an tu b es or ovi du ct s as the y ar e some
tim es called i s to catch th e ovu m as it bu r st s throu gh
th e ovary an d to co n du ct i t from th e ovary in to th e
It i s while th e ovu m i s in th e n arrow lu men
u t e ru s
O f th e tu b e th at th e sp e rm at ozoon whi ch h as trav
ell e d u p from th e u t e ru s u su ally fin d s it an d i t i s
in th e tu b e n ear its e n tran ce to th e womb that
A ft e r th e ovu m
impr e gn ati o n u su ally t ak e s place
i s impr egn at e d or fe cu n d at e d i t slowly move s down
t o th e u te ru s where i t attache s i t self an d r emain s
u n til i t i s r e ad y to
an d grow s f or n i n e mo n ths
come ou t an d start an in d e p e n d en t li fe
Th e u t e ru s or womb i s th e ho u se o f th e embryo
alm o st from th e mom e n t o f co n ce pti o n to th e mo
.
Th e
f
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P HYS I OL O GY OF THE S E X
O RGA N S
33
birth Wi thi n th e thi ck warm shel te r ed
wall s Of th e u te ru s th e chi ld grows develop s e at s
an d br e ath e s u n til all i ts organ s an d fu n cti o n s hav e
r eached su ch a stage o f p er fecti o n that i t can live
by i t se lf an d f or i tself An d thi s m ay be sai d to
b e th e sole fu n cti on of the u t e ru s or at l east its sole
F or the othe r fu n cti on of the
u se fu l fu n cti on
u te ru s men str u ati on , can n ot b e sai d to b e a n e ce s
It i s a n ormal fu n cti on
sary or a u se fu l fu n cti on
becau se i t o ccu r s re gu l arly i n eve ry he althy woman
du rin g h e r chil d b earin g p e ri od bu t n ot e ve ry n or
m al fu n cti on i s a n ece s sary or u se fu l fu n cti on
No t
eve rythin g th at i s i s ri ght or u se fu l
Fu n cti on of th e V agin a Th e vag in a i s th e can al
in whi ch sexu al i n t e rcou r se t ake s place It r ece ives
th e mal e organ ( p en i s ) du rin g th e sexu al act an d
se rve s as a t empor ary r epo si tory f or th e mal e s e
A ft e r th e spe rmatozo a h av e r e ache d th e
me n
u t e ru s th e vagin a h as n o fu rth e r fu n ct i o n t o pe r
for m
men t
Of
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THE S E C ONDAR Y S E X CHAR A C TER S
organ s con stitu te th e prim ary sex char ac
te rs It i s they that di sti n gu i sh primari ly on e sex
from an othe r B u t the r e ar e n u merou s othe r sex
char act e r s or sex di ffe r en ce s whi ch whi le n ot so im
Th e
sex
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.
34
KN OWLE DGE F O R W O M E N
SEX
p ortan t se r ve to d ifi e r en ti ate th e se xe s at the same
ti me formin g poin t s O f attr acti o n b e t w een on e sex
For in stan ce th e b e ard an d mu stache
an d an oth e r
ar e a di stin ct ma l e char ac t e ri sti c an d co n sti t u t e on e
o f th e se con dary male sex charac t e r s Th e sec
on d ar y se x ch ar ac t e r s are v e ry n u me rou s ; on e might
say that e ach on e of th e b i lli o n s o f ce ll s in th e body
b e ar s th e impr e ss of th e sex to whi ch it b e lon gs
Th e e n ti re female Ske le t on
Fi r st th e skel e to n
di ff e r s from th e male skel eto n ; all th e bon e s ar e
sm all e r an d mor e gr acil e ; th e p e lvi s as w e have
Then th e m u s
see n b e for e i s sh all ow e r an d wi d e r
Th e e n tir e
cl e s ar e small e r an d mor e rou n ded
co n tou r o f th e body i s rou n d e d r ath e r than an gu lar
Th e S kin i s fin e r so fte r more d elicate
as in m an
Th e hai r on th e h e ad is lo n ge r an d O f a fin e r te xtu r e
whil e ove r th e body th e hai r i s also fin e r an d le ss
Th e voi ce i s fin e r more ple asan t an d O f
abu n dan t
Th e br e ast s ar e well
a hi gh e r p i tch ( sopr an o )
develope d an d se rve an importan t pu rpo se whi le
in m en th ey ar e ru dimen tary Th e br e athin g i s al s o
di fi e r en t ; woman b r e ath e s prin cip all y wi th th e u p
m
n
e
r
a
e
e
i
p
rt
O
f
c
h
t
w
th
low
r
t
h
s
a
h
e
t
T
h
e
e
p
brai n i s small e r an d i ts con volu ti on s somewhat le ss
comple x in woman
Woman difi er s con si der ably from m an n ot on ly
i
w
e
n
n
s
b
h
y
lly
h
v
l
o
m
t
lly
ca
as
e
e
e
d
u
a
s
t
s
en
a
a
a
p
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'
C HAP TER
TH E S E X
TH E
in stin ct,
FO U R
INSTI NC T
whi ch
throu gh n atu re
f r om th e l owes t an imal to th e hi gh e st i s th e in bo rn
i mpu l se cr avi n g or d e si re whi ch on e sex has f or
th e o the r : th e male for the female an d th e fe ma le
f or th e mal e Thi s in s tin ct thi s de si r e for th e opp o
si te sex, whi ch i s born wi th u s an d which ma n i f e st s
i tse l f at a ve ry e arly age i s n ot an ythin g to be
The re i s n othin g di sgracefu l n othin g
ashamed O f
It i s a n o rmal n atu r al healthy in stin ct
sin fu l in i t
im plan te d in u s by n a tu re f or vari ou s re as on s an d
ab solu te ly in di sp en sable for th e p e rp et u ati o n o f th e
If th e re we re an ythin g to b e ashame d of i t
r ace
w ou l d be th e l ack O f thi s sex in stin ct for wi tho u t i t
the r ace w ou l d qu ickl y di e ou t
N ot R espon sibl e f or Thou ghts an d Feeli n gs It
i s n ece ssary to impr e ss thi s poin t b e cau se man y
i
n d s h ave b e en p e rv e rt e d
e
n
wom
w
h
o
m
n
s
e
l
i
r
a
d
s
g
by a vi ci ou s so calle d moral i ty worry them selve s to
ill n ess, broo d an d be come hypo ch on dri ac b e cau se
they thin k they have commi tt e d a gri evou s sin i n
se x
r u n s all
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so
TH E S E X
INS TIN C T
37
xpe rien cin g a de si re for sexu al r elati on s or for th e
Al toge the r i t i s n ece s
e mbr ace o f a ce rtai n m an
sary to impr e s s u pon
th e growi n g gi rl when th e
occasi on pre sen t s it self that a thou ght or a fe elin g
An acti o n m ay b e bu t a tho u ght
can n e ve r b e S i n fu l
or a fe elin g can n ot Why " B ecau se w e ar e n ot
r e spon sible f or ou r thou ght s an d fee lin gs ; they ar e
n ot u n de r ou r co n trol
Thou gh i t do es n ot me an
that when they d o ar i se w e ar e to giv e them fu ll
sway
We shou ld attempt to comb at them an d drive
them away bu t th e re i s n othin g to b e ash ame d of,
b ecau se f or th ei r origin w e ar e n ot re spon sible
R espon si bl e f or A cti on s
Ou r acti on s ar e u n der
ou r con trol to a ce rt ain e x ten t at l e ast an d if w e
d o a b ad or i n j u r i ou s ac t w e have commi tted a sin
Th e d esi r e for th e sex
an d ar e mor ally re spon sible
u al act i s n o mor e sin fu l than th e de si r e f or food i s
whe n on e i s hu n gry B u t th e pe r forman ce of the
act m ay u n d e r ce rt ai n ci r cu m stan ce s b e as si n fu l
as th e e atin g of food whi ch th e hu n gr y m an Obt ain e d
by robb in g an othe r fellow bein g j u st as p oor as
e
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-
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pre achi n g to you B u t I am n ot an ex
I am advocatin g n ei the r
tr emi st n or a hypo cri te
On e i s as b ad , or
asce ti ci sm n or l i cen ti ou sn e ss
al mo st as b ad , as th e othe r
Wh at I am t ryin g to do i s to in cu l cate in you r
I am
n
ot
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38
SEX
KN OWL E DGE F O R W O M E N
ds, if p o ssible, a san e well balan ce d vi ew of al l
thi n gs sexu al
For I b eli eve that wron g p e r ve rte d vi ews Of th e
physi ology an d hygi en e of th e sex ac t an d of sex
mor ali ty th at i s th e prop e r r elati on shi p Of th e
se xe s, ar e r e spo n sibl e for u n told mi se ry f or meal
Both sexe s su fi e r bu t th e fe male
cu l abl e su fi e ri n g
Th e woman alw ays p ays more
sex su fi e r s mor e
Thi s i s du e to h er n atu ral di sabi li ti e s ( men stru a
ti on p regn an cy l ac tati on ) to h er age lon g r epros
si on , t o th e fact that S h e mu st b e sou ght bu t n eve r
seek, an d t o h e r e con omi c de p en den ce
For th e above re aso n s sex in stru cti on i s a m at
—
thi s fact h as
te r Of dou ble impor tan ce to woman
be en e mp has i ze d in th e first chap te r B u t woman s
di sabili ti e s i mpo se u pon u s an othe r du ty : becau s e
sh e car ri e s th e he avi e st bu rden
becau s e sh e always
n
n
e
h
i
m
a
y
s
mor
e
d
a
rly
th
a
e
b
m
i
n
u
m
a
e
c
t
c
o
t
e
s
p
ben t u po n m an t o tre at h e r wi th sp ecial con si dera
ti on , wi th ge n u in e ki n dn ess an d chi valry
mi n
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C HAP TER FI vl
PU B E RTY
PU B ERTY i s th e mo st won de rfu l the mo st sign ifi
Importan t as i t i s in
can t p e r i od in a gi rl s li f e
a boy s li fe an d d evelopmen t i t i s sti ll mor e so in
A t thi s p e ri od the r e ar e O fte n laid the
a gi rl s
’
fou n dati o n s whi ch eithe r mak e or ma r th e girl s
,
’
.
’
,
’
.
mean in g of th e word pu be rty is matu rity It
i s th e p e ri od at whi ch th e gi rl an d th e boy re ach
sexu al matu r i ty ; in oth e r word s th e p e ri od at whi ch
th e sex glan d s O f th e boy b e gin to gen e rat e sp erm a
tozoa an d th e sex glan d s Of th e girl be gin to m a
tu re an d e xp el e ggs or ov a ; with th e gi rl pu be rty
i s m arke d by an additi on al phe n ome n on whi ch h as
n o an alogu e i n th e b oy n am ely m en stru ati on
Physi cal C han ges Th e word pu b e rty i s derived
from th e word pu ber whi ch in L atin mean s ma
tu r e rip e B u t th e word pu b er i s i t sel f de riv e d
from th e word pu bes which in Latin me an s fin e hai r
or down F or at thi s p e ri od Of matu rity al l mam
mal s ( that i s an imal s which have br e asts an d n u r se
th ei r you n g ) b egin to d evelop a grow t h of hai r Y ou
Th e
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39
40
S EX
KN OWLE DGE F O R W O M E N
ow that ou r e n ti re body with th e e xcepti o n of
th e p alms of th e h an d s an d th e sol e s of th e fe e t
i s cove r e d wi th in n u me r able hai r follicl e s an d from
ou r b i rth ou r e n ti re body wi th th e e xcepti on n ame d
i s cove re d wi th fin e hai r Th e h ai r m ay b e too d eli
bu t it i s the re an d w ith a magn i
cate to b e se e n
fyi n g glass you can se e i t withou t an y trou bl e B u t
at pu b e rty th e hai r i n cr e ase s i n thi ckn e ss an d in
qu an ti ty, an d b ecome s abu n dan t in place s wh er e i t
—
w as hardly n oti ce able b e for e
th e u pp e r lip an d
face in boys, an d th e armpi t s an d l owe r p art o f
th e abdome n in both boy s an d girl s
An d so th e fir st app ar e n t phy si cal S i gn of pu
b e rty in a gir l i s th e g radu al app earan ce of hai r
i n th e armpi ts on th e mon s V en e ri s an d th e l abi a
major a B u t all th e gen i tal organ s ar e u n de rgoin g
rapi d devel opme n t ; th e vu lva th e vagi n a th e u te ru s
an d th e ov ari es
an d th e ovari e s b ecome la rg e r
whi ch u p to that time we r e e lab oratin g an in te rn al
se cr e ti on o n l y, n ow al so b e gin to man u f actu r e ov a ;
in othe r word s th e mo n thly pro ce ss of ovu l ati o n i s
be gu n S yn chron ou sly wi th th e pro ce ss o f ovu l a
ti on the re commen ce s th e mo n thly fu n cti on of m en
The br e ast s als o i n cr ease in siz e assu me
stru ati on
th e charac te ri stic con tou r deve lop thei r glan du l ar
su b st an ce an d b e come cap abl e of se cre tin g mi lk for
th e u se Of an y p o ssible O fi spri n g D u rin g thi s p e ri od
kn
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PUB E RTY
41
deve lopme n t they are Oft en ve ry sen siti ve t o the
tou ch or fe el p ai n fu l wi th ou t b ein g tou che d
Bu t n ot on l y th e gen i tal organ s u n d e rgo grow t h
—
th e e n ti r e body p arti ci p ate s in
an d d e v elopm e n t
th e pro ce ss Th e growth i n height i s th e mo st r apid
at thi s p e r i od ; th e gr e ate st growth tak e s place i n
—
Th e p e lvi s be come s
th e li mb s l egs an d arm s
bro ade r an d th e che st or thorax al so b ecome s
b ro ade r an d large r Th e mu scl e s b ecome larger
an d rou n de r an d fin ally give the gi rl the b e au tif u l
woman ly form
Psychi c Chan ges B u t th e chan ges are n ot on l y
’
physi cal ; th e chan ge s that tak e place in th e gi rl s
p sychi c sph e r e du rin g th e pu b e rtal year s ar e also
hi ghly importan t
That i s th e p e ri o d of th e d e
vel opm e n t Of th e e moti on s ; sh e i s ove rflowin g wi th
e moti on ; sh e b e comes se n si tive ; i n h e r r el ati on s wi th
boys an d m en sh e b ecome s self con sci ou s Di stin ct
se xu al d e si r e fortu n ate ly do e s n ot mak e i ts app e ar
an ce in th e girl at thi s p e ri od as i t do es in th e boy
bu t sh e b ecome s fille d wi th vagu e u n d efin e d an d
“
”
It i s the p e ri od of cru shes
u n d e fin abl e lon gin gs
whe n th e girl i s apt to be stow h er ove rflowin g em o
ti on on a gi rl fri en d The re i s n othi n g r epr eh en si
—
bl e in th e se cru she s the y act as a safe ty valve
an d o n ly i n r ar e ca se s ar e th e y apt t o l ead t o ab
n o r mal d ev elopmen t
Thi s i s al so th e pe ri od of
of
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SEX
42
KN OWLE DGE F O R W O M E N
day dre ami n g
o f roman cin g ; th e gi rl like s to
r ead love storie s an d n ove l s i n which S h e i den tifie s
he rsel f with th e he roin e A n d it mak e s qu ite some
di ff e ren ce as to what th e gi rl r e ad s du rin g thi s
p eri od for li te ratu r e h as a stron g in flu e n ce on th e
you n g in th e mo st pla stic p e ri od of thei r lives ; an d
i t i s import an t that Olde r p e r son s see to i t th at tho se
in the i r car e spe n d th ei r time on book s of n oble
ide al s an d hi gh arti sti c valu e
“
Girl s of a highly sen si tive or so cal l ed n e rvou s
temp e r amen t e sp eci ally i f the re i s n e rvou sn e ss
in th e famil y mu st b e p arti cu larly look e d aft e r
For i t i s du rin g th e ye ar s of p u be rty an d ad o
l e scen ce th at an y n eu roti c trait s ar e apt to deve lop
It i s also th e p e ri od when
an d become emphasi z e d
b ad sexu al habi t s ( mastu rb ati on ) ar e apt to d e
vel op, an d th e ca r e fu l moth e r wi ll d evot e sp eci al
atten ti o n to h e r gi rl s i n the i r ye ar s o f p u be rty an d
i
i
e
a
i
n
a
rd
th
e
m
m
u
c
h
s
po
bl
g
s
t
p
h
y
s
l
u
s
a
a
a
ss
ca
g
an d e moti on al S h o cks
Th e age o f pu b e rty in girl s i s by man y writ e r s
co n si de r e d a s syn on ymou s or syn chro n ou s wi th th e
on se t Of m en stru ati on whi ch in thi s cou n try in th e
majori ty of case s o ccu r s b e twe e n th e age s of thi r
Th e ye ar Of gr adu al d eve lop
teen an d fou rt e e n
men t befor e th e on se t O f men stru ati on is by some
re fe rre d t o as th e pr o pu be rt al ye ar ; an d th e fir st
an d
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-
C HAP TE R
S IX
ME NS T RU A T I O N
fu n cti on wi th whi ch th e gi rl will b e con
fron t e d whi ch will impr e ss u pon h e r that Sh e i s a
cre atu r e of se x th at S h e i s d eci d e dly di ff e r e n t from
An d thi s fu n cti on w e will
th e b oy i s m en str u ati on
n ow pro ce e d to stu dy
What i s men stru ati on " M en stru ati on i s a mon thl y
di scharge of blood Th e word i s d e riv ed from th e
L ati n word m en si s whi ch m e an s a mon th ; an d m en
str u ati on i s al so f re qu en tly Spok en Of as th e m en
It i s also calle d th e cat ame n i a or ca t am en ial
s es
—
—
flow ( Greek kata by m en a mon th ) Othe r terms
ar e : th e p e ri od s cou r se s mon thli e s t u rn s mon thly
ch an ge s mon thly si ckn e ss S i ckn e ss flowe r s to b e
“
N ot to se e an ythin g i s a
u n w e ll to b e r e gu l ar
Thi s
comm on t e rm f or h avin g mi sse d th e me n se s
fl ow of blood r ecu r s i n mo st ca se s wi th r em arkabl e
r e gu larity on ce a mon th ; n ot a cal en dar mon th bu t
on ce a lu n ar mon th i e on ce eve ry t w en ty e ight
days An d as the r e ar e thi rt e e n lu n ar mon th s a
ye ar a woman men stru ate s n ot twelve bu t thi rteen
time s a ye ar
TH E fir st
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ME N S TR U A TI ON
45
Whe r e do e s th e men stru al blood come from " Th e
men stru al blood come s fr om th e i n si d e of th e womb
E ve ry mon th f or a f ew d ays pri or to men st ru a
ti on th e in si de li n in g of th e w om b ( what w e call
th e mu cou s me mbran e or e n d om e triu m ) b e come s
co n ge st e d an d i ts b l ood v e s se l s b e come di st e n d e d
wi th blood If th e woman h as sexu al i n t e rcou r se
an d pr eg n an cy h app e n s to t ak e pl ace
th en thi s
e xtr a blood i s u se d to n ou r i sh an d d ev e lop th e n e w
chi ld ; b u t if n o pr e gn an cy t ak e s pl a ce th at e xt r a
blood exu de s from th e bl oodv e ssel s ( som e Of th e
bl ood v e sse l s ru ptu r e ) an d i s di sch ar ge d from th e
u t e ru s in t o th e vagin a an d from th e r e to th e ou t
whe r e i t i s cau ght on cott on san itary n ap
si de
kin s or some oth e r pad
At w h at age d oes m en stru ati on b egi n " Th e u su al
ag e at whi ch me n stru ati o n b e gi n s i n thi s co u n try i s
thi rt e e n or fou rteen ; in some it m ay o ccu r as e arly
si xt e en
or
a s tw e lve in o the r s a s l at e as fift e e n
For men stru ati on to b e gin e ar li er
e v en s e v en t e en
th an twelve or lat e r than seven t e en i s in thi s cou n
try a r are exce pti on B u t i n cold n orth e rn climat e s
th e ag e of e ight e e n i s n ot rar e an d i n th e ho t sou th
e r n cli m at e s men stru ati on O ft e n st ar t s at th e ag e s
O f ten or e le ven
Ch an ge of climate or of cou n t ry
will Often hav e an in flu en ce on th e men se s In th e
e arly ye ar s o f hi s m e di cal pr acti ce th e au thor h ad
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,
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,
46
S EX
KN OWLE DGE
FOR
WO ME N
man y Fi n n i sh girl s as p ati en t s It w as a ve ry
common o ccu rr e n ce for th em to stop m e n stru ati n g
for th e fir st f ew mon th s or e ven for th e fir st ye ar
of th eir r e side n ce in thi s cou n try
At w hat age does m en stru ati on cease " Th e age
at whi ch men stru ati on ce a se s i s call e d th e m en o
k
e
u
u
a
a
e
i
l
s
s
a
c
h
e
or
i
It
lly
t
pl
a
m
t
r
t
t
a
c
e
c
c
a
u
s
e
p
I n som e case s i t d oe s
age of f orty e i ght or fif ty
n ot t ak e pl ace u n t il t h e ag e of fif ty tw o i n oth e r s
i t take s pl ace as e ar ly as f o r ty five or forty fou r
I n ge n e ral i t m ay b e sai d that th e woman s m en
str u ati n g p e ri od du r i n g wh i ch S h e i s abl e to h ave
last s abou t thi rty five ye ar s A n d if n o
chi ldr e n
r e strai n t be taken an d if n o pre cau ti on s b e t aken
a woman cou ld h av e twe n ty or
ag ai n st co n ce pti on
thi rty chil dr en du rin g h e r chi ldb e ari n g p e ri od
How man y days does a w oman men stru ate " Th e
u su al n u mb e r of d ay s i s f rom thr e e to fiv e ; i n s ome
case s m en stru ati on la st s o n ly tw o d ay s in oth e r s
A s a ru l e th e gr e at e st am o u n t
as lo n g as se ve n
of blood p asse d i s d u r in g th e fir st tw o d ays
Th e amou n t of blood It i s h ard to e stimate th e
e xact am ou n t o f blood p as se d by a woman du r in g
h e r men se s bu t i t r e ache s abou t an ou n ce an d a
half to thr ee ou n ce s I n some wom en th e am ou n t
m ay r e ach as mu ch a s fou r or fiv e ou n ce s an d in
Whe r e
ex ce pti on al ca se s as mu ch a s e ight ou n ce s
.
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-
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-
,
-
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’
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O
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ME N S TR U A TI ON
47
xce ed s thi s m ou n t it i s an abn ormal con di ti on ,
r equ i r i n g tre atm en t Th e u su al stat emen t that a
n ormally me n stru ati n g woman
sh o u ld n ot h ave to
thr e e n apkin s du rin g th e
u se mor e th an
fou r hou r s i s correct
it
e
,
.
.
C HAP TE R
A BNO RMAL I T IE S
SEV EN
O F M E NS T RU A TIO N
man y gi rl s an d women men stru ati on i s a per
fe ctl y n ormal phy si ologi cal pro ce ss
They su fi er
n o di scomf ort wh at ev e r from it
They su ff e r n o
p ain s n o he adach e n o i rri tability the y have n o ad
mon i ti on of its on set u n ti l th ey fee l th e blood oozin g
B u t u n fortu n at ely thi s i s tru e
or tri ckli n g ou t
o n ly Of a small p e rcen t age Th e majori ty of women
h ave some u n ple asan t symptoms Some have a
he adache for a d ay or two some complai n of a dr ag
gin g down sen sati on some ar e i rri table fe el d e
pr e sse d or qu arr el some ; some have n o app e tite n o
n o d e si r e for work or comp an y
while
ambi ti on
some gi rl s have su ch seve r e p ain s an d cr amp s th at
they ar e obli ge d to go to bed for a d ay or tw o an d
cal l i n m e di cal ai d
When th e m en stru ati on i s ve ry profu se re sem
blin g mor e a h emorrhag e than n ormal me n stru ati on ,
it i s cal le d m en or r ha gia ; if th e hemorrhage from
th e u t e ru s o ccu r s ou t Of th e r egu l ar me n stru al
p e ri od s, i t i s call ed m etr or r hagia When the m en
se s ar e ski ppe d or wh e n the y ar e so scan ty that
IN
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48
A BN O RMALI T I E S OF M E N S TR U A TI ON
otice
t
er
m
y
I n a f ew r ar e ca se s th e men stru ati on
am en or r h ea
i n st ead of comin g n ormally fr om th e u t e ru s come s
from som e oth e r p art O f th e body f or in stan ce th e
Som e women have a hemorrhage from th e
n o se
I n some a bloody di scharge m ay
n o se e v e ry mon th
T o su ch a su b stitu te m en
com e from th e br e ast s
str u ati on w e apply th e t e rm vicar i ou s m en s tr u ati on
S u ch case s howeve r ar e rar e an d ar e me r e cu ri
u
o
y
hardly
can
n
blood
49
an
w e u se
,
th e
.
,
,
,
.
.
.
.
osi ti e s
,
,
,
.
Dysmen orrhea
I men ti on e d b efore th at in some
n se s ar e accomp an i e d by
n
e
h
e
i
rl
n
wom
m
t
a
d
s
e
g
p ain s an d cr amp s Thi s affli cti on whi ch i s th e lot
of mi lli on s of women an d fr om whi ch m en ar e
Dysm en or
en tire ly fr e e i s call e d dysm en or r h ea
A
rhe a me an s p ai n fu l an d d ifli cu l t me n stru ati on
or at l ea st a fe elin g of di scomfort i s
sli ght p ain
pre sen t in mo st ca se s Of men stru ati on B u t in man y
ca se s th e p ai n i s so se ve r e so ex cr u ci a ti n g th at th e
gi rl or woman i s i n cap acit ate d f or an y
su fl er e r
In
w ork, an d mu st g o to b e d for a d ay or tw o
s ome case s th e p ai n i s so se ve r e a s to n e ce ssi t at e
th e u se o f morphin e an d a s i t i s a v e ry bad thi n g
t o have to gi ve morphin e eve ry thr e e or fou r wee ks
e ve ry en de avor sho u ld b e m ad e to fin d ou t th e cau se
of th e trou ble an d to r emove it It i s a mi st ak e
howe ve r t o thi n k that all or even mo st ca se s of
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50
SEX
KN OWLE DGE F OR W O M E N
dysm en orrhea ar e d u e to some local t rou ble that
i s, to an in flammati on of th e ovarie s or a di splace
men t of th e w on fb Man y cas e s of dysmen orrhea
ar e of n e r vou s or i gi n ; th e cau se r e si d e s i n th e cen
tral n e rvou s sy st em an d n ot in th e gen ital organ s
themselve s It i s the r e fore , n ot advi sabl e to u n
d er take an y lo cal tr e atm e n t , u n le ss a comp e t e n t
physi cian h as mad e a thorou gh e xamin ati on an d
h as deci ded that l ocal tre atm e n t i s advi sable
,
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S E X KN O WLE DGE F O R W O M E N
52
otice d at some di st an ce an d to which some m en
The r e ar e some
an d women ar e v e ry su sce ptible
wom en who n eve r t ak e a vagin al dou che Some con
si d e r i t a u sel e ss an d u n n e ce ssary l u x u ry ; whil e
s ome orthodox p u ri t an i cal wom e n con si d e r i t an u n
godl y proce du re ( forge ttin g th at cl ean lin e ss i s n e xt
to g odlin e ss ) fit on ly f or wome n of gay an d qu e s
If th e se orthodox women kn ew
ti on abl e char act e r
—
what w as good f or th em an d for th ei r heal th
they wou ld take a dou ch e at l e a st du rin g men stru a
ti on i f at n o oth e r tim e
Wh en th e gi rl r e ach es th e age of
C lean li n ess
twelve or thi rt ee n th e mothe r S hou ld e xplain to h e r
th e phen omen on of m en st r u ati on an d th e like lih ood
of i ts mak in g its app e aran ce i n a Short tim e O f
co u r se sh e shou ld b e told that th e r e i s n othin g
sham e fu l in it th at wh e n i t m ak e s i ts app e ar an ce
sh e sh o u l d at on ce t e ll h er mothe r w h o wi l l i n stru ct
h e r what to d o
Sh e sh ou ld b e shown th e u se of
R ags u n l e ss r ecen tly washe d an d
san i t ar y n apki n s
kep t wr app e d u p an d prot e ct e d from du st shou ld
n ot b e u se d
U n cle an r ags m ay l e ad to i n fecti on
I have n o dou bt that man y case s of l eu corrh e a date
b ack thei r ori gin to u n washe d r ags E ve ry morn
in g an d e v e ry ev en in g th e gi rl S ho u ld wa sh th e
or plai n soap
e xte rn al gen i t al s wi th warm wat e r
Marri e d women sh ou ld al so t ake a
an d wat e r
n
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THE
HYGIE N E O F ME NSTRUA TI O N
53
—
d ay th e
dou che on ce a
dou che m ay con si st of tw o
qu art s Of wat er in whi ch h as b e en di ssol ve d a tea
spoon fu l Of comm o n t able sal t or a t abl e spoon fu l
of bor ax or bori c aci d S u ch thi n gs like al u m
p ot as siu m p e rman gan at e carb oli c aci d l acti c acid
or tin ctu r e o f i odi n e shou ld on ly b e u se d when the re
i s leu corrhe a pr e se n t an d ge n e rally o n ly u n de r a
phy si ci an s dir ecti on s B athi n g i s p e rmi ssibl e bu t
i t i s safe t o u se on ly a lu k ewarm b ath
C old t u b
bath s cold showe r b ath s as well as o ce an an d rive r
bathin g ar e b e st avoide d du rin g th e p e ri od ; at l east
du ri n g th e fir st t w o days I d o n ot give thi s as an
ab solu t e ru l e ; I kn ow wome n w h o b ath e an d swim in
th e o ce an du ri n g th e i r me n stru al p e ri od s wi th o u t
an y i n j u ry to them se lve s b u t th e y a r e e xce p ti o n al ly
robu st women ; advi ce i n book s i s f or th e ave r age
pe r son an d i t i s al ways b e st to b e on th e safe si de
R est R e st is j u st as importan t du ri n g men str u a
ti on as clean lin e ss if n ot mor e so Some women
a s me n ti on e d b e for e fe e l du r in g th e i r m en se s j u st
as we l l a s the y do at othe r tim e s an d d o n ot n ee d
B u t the se ar e in th e mi n ori ty
an y sp e ci al hygi en e
Mo st girls an d women do feel somewhat b elow par
du ri n g that p e ri od, an d it i s very importan t that
they t ake it e asy particu larly du rin g th e fir st tw o
d ays It i s an ou tr age th at man y d e licate weak
o
r
ll
e
e
e
i
a
d
a
rl
wom
n
m
t
t
y
n
th
r
f
t
an
d
e
i
s
s
u
s
a
o
y
g
,
,
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’
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S EX
54
KN OWLE DGE
FOR
WO M E N
machi n e when they sh ou l d be at home
in bed or lyin g down on a cou ch
Th e w omb i s con ge st e d du ri n g the p e ri o d i s
l arge r an d he avi er than n ormal an d it I s then that
the re i s often lai d th e fo u n dati on for some fu tu re
“
womb trou bl e
th e we ll kn own
u t e ri n e di se ase
“
or fem al e di sease
It i s n ot n ecessary that work
be given u p altogethe r bu t the r e ce rt ain ly shou l d
b e le ss of i t an d the r e shou ld b e as mu ch r est as
n
i
l
e
i
n
e
i
e
s
s
e
i
i
i
e
a
d
i
bl
For
d
l
t
t
v
g
r
ca
l
o
s
t
ss
s
a
p
w ays b e st to st ay away from sch ool du ri n g th e fi r st
Sp eak in g again of th e ave rage
an d se con d d ays
an d n ot th e e xce p ti on i t i s b e st that d an cin g, bi cycl e
ri din g hor seb ack ri din g rowin g an d othe r athl e tic
e xe rci se s b e given u p al toge th e r du rin g th e m e n
Au t omobil e ridin g an d rai lro ad an d car ri age
se s
tr avel lin g prove in j u ri ou s in some in stan ce s gre atl y
in cre as in g th e flow of bl ood B u t the se ar e the ex
cepti on s at the o the r ext re me
w
ork
'
on
a
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,
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”
-
,
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”
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.
FE CU ND A T I O N O R F E R TI LI"A TI O N
or fe rtiliz ati on i s th e pro cess of u n i on
of th e femal e g e rm ce ll wi th th e mal e ge rm cell ;
sp e aki n g of an im al s i t i s th e pro ce ss of u n i on of
th e e gg or ov u m of th e femal e wi th th e sp e rma
Wh e n a su cce ssfu l u n i on of
toz oOn Of th e mal e
th e se tw o ce ll s t ak e s pl ace a n ew b ei n g i s st art e d
The pro ce s s of fe r t ili z ati on or f e cu n dati on i s al s o
We say to
kn own a s impr e gn ati o n an d con ce pti on
fe rt ili ze ( chi efly howeve r wh e n sp e akin g Of plan t s )
or to fe cu n dat e an ovu m or to impr e gn at e a f e
mal e Or woman an d to con ceive a child We say
th e woman h as b ecom e impr e gn at e d or h as con
Fecu n d ati on
,
.
.
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,
,
,
,
.
,
ce iv e d
.
pro ce ss of fecu n dati on i s
b r i e fly as follows A n ovu m b ecome s matu r e br e aks
throu gh i ts Gr aafian foll i cl e in th e ovary an d i s set
fr e e It i s cau ght by th e fimb r i ate d or tru mpe t
S h ap e d e xtr emi ty O f th e F all op i an tu b e an d move d
by th e w ave lik e mo tion of th e cili a Of th e lin in g of
th e tu be i t b e gin s i ts tr avel toward s th e u t e ru s If
Th e P r oce ss
Th e
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-
,
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S E X K N O WLE DGE
56
F O R W O ME N
xu al in te rcou r se h a s t aken place n othin g h ap
“
p en s Th e ovu m dri e s u p or di e s, an d e i th er
r emain s somewh e r e in th e tu b e or womb or i s r e
move d from th e latt e r wi th th e men stru ati on or
mu co u s di scharge B u t if in t e rcou r se h as t aken
place thou san d s an d thou san d s of th e m al e g erm
ce ll s or sp e rmatozo a e n t e r th e u t e ru s th rou gh i ts
op en i n g or ext e rn al os an d b e gin to trave l u pward
in se ar ch of th e ovu m Th e sp e rmatozo a ar e cap a
bl e of in de p en den t moti on an d th ey t ravel p re tty
fast It i s cl ai me d that they can tr ave l an in ch
i n se ven min u te s whi ch i s pre tty fast when you
take in to con si der ati on that a sperm atozoiin i s on ly
of an in ch lon g
Man y of th e sp e rmatozoa,
we ake r than th e othe r s p e ri sh on th e w ay an d
on ly a f ew con tin u e th e jou rn e y u p th rou gh th e
When n e ar th e little ov u m,
u t e ru s to th e tu b e
whi ch remain s passive th ei r movemen t s become
more an d more r ap i d they seem to be attract ed to
i t as i f by a magn e t an d fin ally on e spe rm atozoiin
—j u st on e— th e on e that h app en s to b e th e stron e st
g
or th e n e ar e st make s a m ad ru sh at i t wi th i ts he ad
pe rforat e s i t an d i s comple t ely swal lowe d u p by
i t A s soon as th e spe rm atoz oiin h as b e en ab sorb e d
by th e ovu m, th e op e n i n g throu gh whi ch it got in
—
become s tightly seal e d u p a coag u l ati on take s place
—
n ear i t
so that n o othe r sp ermato zo a can e n te r
n o se
”
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,
F E C U NDA TI ON O R FE RTI LI"A TI O N
For if
two or mor e sp e rmatozo a got
i n to th e same ovu m a mon st ro si ty wou l d be apt to
b e the re su l t
What be come s Of all th e
o the r sp e rm atozo a " Th e y
p e ri sh On ly on e i s n e e d
B u t in th e ovu m th at
ed
h as be e n impregn ate d an d
whi ch i s n ow calle d an em
br yo a feve r i sh activi ty
F i rst of al l i t
com m en ce s
m e
looks for a fixe d pl ace of S r m m r ozoon P m
If the ovu m h ap
abod e
p en e d to be in th e u t e ru s wh en th e spe rmatozoon
m e t an d e n te r ed i t i t r emain s the r e
It b ecome s
attache d t o s ome spot i n th e li n in g of th e womb an d
the re i t grows an d d eve lops u n til at th e en d of n i n e
mon th s i t has reache d i ts fu l l growth, an d th e wo
mb
op en s an d i t come s ou t in to th e ou t si de world If
the ovu m i s in th e F allopi an tu b e wh en th e spe r
m atozoOn me ets i t a s i s u su al ly th e case i t tr ave l s
down to th e u t er u s an d fixe s i t se lf the re
Extra U terin e P r egn an cy Th e tu b e i s a b ad pl ace
for the ovu m to grow an d de velop, becau se th e tu be
can n o t str e tch t o su ch an e xte n t as th e u teru s can ,
n or can it fu rn i sh th e e mbry o su ch g ood n ou ri sh
the
ovu m
57
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-
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KN OWLE DGE FOR WOMEN
S EX
men t
as
the
u
te ru s
can
Occasi on all y,
.
devel op s there ;
how
eve r,
it
then ha ve a case
of w hat w e call ex tr a u teri n e ( ou t si de of the u te ru s )
E xtr a u te rin e pre gn an cy i s
or tu b al pregn an cy
al so call ed ectopic p r egn an cy, or e ct op i c gesta ti on
U n l ess diagn o sed e ar l y an d ope rate d u pon , the
w oman m ay b e in gr e at dan ge r for afte r a f ew
w eeks or mon ths th e t u b e gen e rall y r u pt u r e s
From the m omen t th e spe rm atozoOn has en tere d
the ovu m, a proce ss of d ivisi on or s egmen tati on
Th e ovu m, w hi ch con si sts of on e cell ,
comme n ce s
divi de s in to tw o the t w o in t o fou r the fou r in to
e ight, th e e ig ht in to si xt een
the se in to thir ty tw o
these in t o Sixy fou r 128 256 51 2
u n til the y
Thi s mu lbe rry mass of
can n o l o n ge r b e cou n ted
cell s arr an ge s i t sel f i n to tw o l aye r s wi th a cavi ty
An d from the se laye r s of cell s the r e
in be tw ee n
deve l op gradu al l y al l organ s an d ti ssu e s u n til a
fu ll y formed an d p e rfect chi ld i s the re su l t
If
tw o ova are impre gn ate d at the same time by tw o
spermatozoa, th e r e su l t i s tw i n s
th e t u be
an
d
w e
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S EX
KN OWLE DGE F OR WO M E N
Septembe r 3oth ; ad d seven days an d you
6
h
h
c
b
e
e
e
e
t
t
t
O
o
r
prob
bl
d
t
of
d
l
v
y
T
t
i
e
a
a
e
r
e
h
e
g
pre sen ce Of a short mon th like F ebr u ary m ay be
di sre garde d as the cal cu l ati on i s n ot ab solu tely,
bu t on l y approxi m ate ly corre ct
The pe r i od at whi ch th e ch ild s movemen t s be gin
t o be fe lt by th e mothe r i s t e rmed Qu i cken i n g It
u su all y o ccu r s at th e mi ddle of th e pr e gn an cy b e
twe en th e l 6th an d 1 8th we ek
Pr egn an cy i s a n ormal physi ological proce ss ; bu t
eve ry acti ve phy si olo gi cal pro ce ss i s apt to b e a
o
comp an i e d by di stu rban ce s an d th e r e i s ce rt ain l y
n o pro ce ss i n th e an imal body in whi ch gr e at e r ao
tivity gre ate r chan ge s go on than du rin g th e
pro ce ss of pr egn an cy Ju st se e what o ccu r s i n n in e
mOn th s Th e u te r u s at fir st th e si ze Of a smal l p ea r ,
re ach e s a si z e large r than that O f th e he ad O f a big
m an ; i t do e s n ot me re ly stre tch as some thi n k bu t
i t actu ally grows e n ormou sly i n S i ze th e mu scu l ar
wall s of a pre gn an t u te ru s bei n g man y time s thicke r
than tho se O f a n on pr e gn an t on e They have t o
be or they wo u ld n ot h av e th e str en gth to expel th e
It i s to be born e
ch il d whe n th e prop e r t im e com e s
in min d th at th e child do e s n ot S lip ou t by i t sel f ;
i t i s th e powe r fu l mu scu lar con tracti o n s of th e
If th e u t e ru s shou l d re fu se
u te ru s th at pu sh i t ou t
to work if its wall s we re too thin or too we ak th e
give s
o
u
y
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’
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-
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61
P R E GNAN CY
hil d cou ld n ot com e ou t bu t wou ld have to be taken
S till gr e ate r ch an ge s than in th e
ou t wi th for ce p s
A t th e mo
u te ru s t ake pl ace in th e chi ld i t se lf
men t Of co n ce pti on it i s th e si ze of th e h ead of a pi n ;
at th e mome n t Of bi rth i t we i gh s from se ve n to te n
p ou n ds ; at th e mome n t Of con cepti on i t i s a min u te ,
u n d i fi e r e n ti ate d ma s s Of protopl a sm j u st a si n gl e
fe rtiliz e d cell ; at th e momen t Of b irth i t con si st s
of mi l l i on s an d mi lli o n s Of ce ll s whi ch h ave b ecome
d i fl e r e n ti ate d in to n u me rou s h armon i ou sly workin g
organ s an d di ff e r e n t ti ssu e s su ch a s br ain an d
n e rv e t i ssu e
mu scu lar ti ssu e con n e ctive ti ssu e ,
bon e cartilage e tc e tc A tr u ly won d erfu l pro
A n d in th e m e an time thi s child whi ch i s b i o
cess
logical l y a p arasit e ( thou gh it i s n ot a n i ce n ame
to call i t by ) draws i ts su st en an ce from th e moth er s
blood an d th e mothe r h as to provid e n ou ri shmen t
for tw o An d b e si de s provi din g n ou r i shme n t , h e r
e xcr e ti n g organ s h e r ki dn e ys mu st work for two
becau se h e r syst em h as also to get r id Of th e child s
N O won d e r that th e pr e gn an t woman
e xcre ti on s
parti cu l arly u n d e r an artifici al u n he althy mo de of
livin g, i s su bj ect t o man y trou ble s an d di stu rb an ce s
c
,
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,
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’
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’
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’
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,
.
C HAP TER E LE V E N
TH E
WE
DIS O RD E RS O F
P R E GNA N C Y
that in some wome n men stru ati on ru n s
a pe rfectly smooth co u r se fr e e from an y di sagre e
Th e same i s t ru e of pre gn an cy I t
abl e sym ptoms
i s r ema rkabl e how smooth an d easy th e e n ti re cou r se
i s w i th s ome women
M an y women kn ow that they
ar e p re gn an t o n ly b e cau se O f th e n on appe aran ce
of the mo n thl y pe ri od s ; an d eve n in th e l ate r mon ths
the y fe e l n o di scomf ort att en di n g to al l thei r work
an d pl e asu r e s a s u su al ; an d e v e n
chi ldb i rth i s a
triflin g matte r wi th them U n fortu n at ely th e n u m
be r of su ch women i s n ot ve ry l arge an d b ecau se
often e xhau stin g w ay
Of ou r co n fin e d u n n atu r al
of livin g i s be comin g smal l er an d smalle r The re
i s n o qu e sti on that th e civilize d re fin e d woman h as
a h ard e r ord e al i n pr e gn an cy an d chil dbi rth than
ha s h er p ri mi ti ve S i st e r We con fid en tly hop e that
thi s w ill n ot b e so i n th e fu tu re ; w e exp ect th e time
to come when t r u e hygi en e wi ll b e an in t egr al p art
Of th e edu cati on an d th e li fe of e ve ry girl an d the n
pre gn an cy an d partu riti on m ay b e come e ven eas ie r
p roce sse s than the y ar e i n th e primi tive races B u t
saw
,
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-
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as
THE
DIS OR DE R S OF
th e time i s
P R E GNA N C Y
63
mean time ou r you n g
w omen h ave a g ood de al to go throu gh
Morn i n g S i ckn ess On e Of th e comm on est ai sor
de r s of pre gn an cy i s th e S O cal l e d m or n i n g sickn e ss
Thi s con si st s i n a fee lin g Of n au se a an d vomi tin g
Th e mo rn i n g
w hi ch come s on soon afte r ge ttin g u p
th e thi rd
sickn e s s make s i ts firs t app e ar an ce i n
fou r th or fifth we ek Of pre gn an cy an d lasts u su all y
I n some
u n til th e en d of th e thi rd or fou rth mon th
women h owe ve r th e mo rn in g si ckn e ss come s on i n
a f ew d ay s aft e r i mpr e gn ati on h as t ak en pl ac e an d
th o se women diagn o se th ei r con di ti on u n mi stakably
by th e fee lin g of sli ght n au sea which they expe ri
en ce on gettin g u p M e di cin e s ar e as a r u l e of littl e
“
Th e
u se in tr e at in g morn in g S ickn e ss
di sease
‘
Th e p ati en t sh ou l d
can be r eli eve d bu t n ot cu r e d
stay in be d lat e r than u su al sh o u ld have h e r bre ak
fast in bed an d then n ot get u p for abou t hal f an
hou r aft e rward If th e pati e n t is an emi c, a good
ir on p r ep ar ati on m ay prove u se fu l
n ot
n
e
a
t
y ;
d in the
.
.
'
-
.
,
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,
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,
,
,
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”
.
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.
ometim e s b ecome s so seve re an d u n con t rollabl e that
Th e pa
it has be en give n th e n ame p e rn i ci ou s
ti en t is u n abl e t o re tain an y kin d Of food n ot even
l i qu i ds, vomi ts alm o st in cessan tly, an d may b ecome
The vomited
ve ry mu ch r u n d ow n an d e xhau st ed
matte r may con tain bl ood For thi s con di tion a
s
.
,
.
.
SEX
64
KN OWLE DGE FOR WO M E N
mp e ten t phy si cian mu st b e co n su l ted for in some
case s th e p ati en t s life m ay b e i n dan ge r an d an
abor ti on h as t o be p e rf orme d
C apri ci ou s Appeti te A capr i ci ou s app etit e i s very
Th e capri ci ou sn e ss m ay e x
comm o n in pr e gn an cy
pre ss i t se lf in fou r di ff e ren t di recti on s : 1 ) Th e pa
ti en t m ay lo se h er app eti t e almo st altoge the r par
t ak i n g o n ly of ve ry li ttle food an d that wi th e f
Thi s con di ti on Of lo ss o f app etit e i s cal le d
f ort
n
T
i
m
2
h
e
e
e
p
a
t
t
a
d
e
v
lop
n
or
n
e
a
an or e xi a
( )
y
—
—
mou s appe ti t e what w e call bu limia e atin g sev
3
e r al t ime s as mu ch as sh e do e s ordi n a ri ly
( )
S h e m ay develop an ave r si on toward s ce rtain ar
Thu s man y women develop an ave r
ticl e s O f foo d
si on towa rd s m e at th e me re si gh t O f or talk abo u t
me at cau sin g in the m a sen sati on Of n au se a ( 4)
S h e m ay Sh ow a cravi n g f or th e mo st p e cu l iar ar
ti cl e s O f food an d f or arti cle s whi ch ar e n ot food at
Th e cravin g f or sou r p i ckl es or s ou r cabbage
al l
i s we ll kn own ; bu t some women w il l e at chal k, san d,
an d e ve n more p ecu li ar thi n gs ( for th e chal k th e re
may b e a reason : th e syste m n ee d s an extra am ou n t
of lime an d chal k i s carbon at e of l ime )
C on sti p ati on i s v e ry common
C on stipati on
am on g women in the n on pr e gn an t co n di ti o n ; bu t
in th e p r egn an t i t i s mu ch more comm on an d mu ch
m or e aggravat e d
C on stip ati on mu st be gu ar de d
co
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’
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-
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-
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THE
a ain s
P R E GNAN C Y
DIS O RD E RS OF
65
g
t bu t th e m e asu re s mu st b e of a m il d n atu r e
If w e can re li eve th e con sti p ati o n by di e tar y me as
Th e di e tar y me as
u re s alon e s o mu ch th e b e tte r
—
pru n e s
u re s shou ld con si st i n e ati n g pl e n ty O f fru i t
an d co ar s e bre ad an d br an
appl e s fig s d at e s e tc
C on stip atin g arti cle s su ch a s ch e e se or cofi e e
Whe r e di e t ary measu re s
Sho u ld b e e limi n at e d
th e p ati en t shou ld t ak e an
alo n e ar e i n su ffici e n t
—
—
twi ce or thr e e tim e s a
e n e ma
a r e ct al i n j ecti o n
we e k Th e e n ema shou ld con si st O f abou t 8 ou n ces
u
k
n
f
r
e
i
o
o
h
l
f
p
t
o
ld
l
w
a
rm
w
a
t
e
r
o
n
t
n
g
n
c
c
a
a
i
i
a
)
(
a p in ch of salt an d shou ld b e r e t ai n e d abou t ten
m i n u t e s In st e ad of wat e r We m ay advi se an oc
casi on al e n ema O f tw o to f o u r dr ams of glyce ri n
O r in ste ad of a glyce ri n e n ema a glyce rin su ppo si
t ory m ay be u sed I f in te rn al laxative s ar e to b e
on l y th e milde st an d n on gripin g pr ep ara
u se d
ti on s S hou ld b e e mploye d Th e b e st ar e : a good
—
min e ral oil on e or tw o t able spoon fu ls on goin g to
b ed or flu i d extr act O f cascar a sagr ada on e half
t o on e te a spoon fu l on goi n g to b ed It i s ve ry im
p ort an t wh at ev e r w e u se n ot to u se th e same thi n g
I f th e sam e dr u g or m easu r e i s
f or a lon g time
u se d wi tho u t an y ch an ge th e bowe l s g e t u se d to i t
an d ce ase to re spon d an d w e h ave to u se l arge r an d
large r do se s I n fighti n g con stip ati on w e mu st
the refor e con stan tly chan ge ou r we ap on s : on e n i ght
,
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,
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,
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-
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,
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-
S E X KN OWL E DGE F OR WO ME N
w e u se
m in
th e thi r d
n
e al oil ,
the
i gh t
en em a,
r
an
n ex
t
n
i ght
th e f ou
.
r
casca a sag rad a,
rth
n
i ght
gly
a
j ecti on or su ppo si tor y th e fif th n i gh t pe r
haps n othin g at al l th e si xth n i gh t a blu e mass pil l
th e se ve n th mo rn i n g a S e i dli tz powd e r the n a r e st
for a d ay or t w o th e n a re pe ti ti on O f th e sam e me as
B u t always r emembe r : fir st tr y to ge t alon g
u res
M an y ca se s can g et r e
w i thou t an y d r u gs at al l
li ev e d of th e i r con stipati o n by a p rope r chan ge in
di et al on e A n d whe r e thi s i s i mpo ssi ble th en u s e
m ild l axa ti ve s an d u se the m in te rchan ge ably
Toothach e is n ot u n common i n pre gn an cy an d a
n
h
e
r
fi
r
n
t
wom
n
ho
ld
h
v
t
ee
t
h
r
e
s
u
a
e
u
i
n
t
a
t
s
a
p g
p
cl as s con di ti o n
P re gn an t w omen often
Difl cu l ty i n Urin ati on
sn fi e r wi th fr e qu e n cy an d u rge n cy Of u ri n ati o n
S ome have to u ri n at e whi le they ar e on the i r fee t,
min u te s
Thi s i s d u e to the fact that
ev e r y f ew
du rin g th e fir st t w o or thre e mon th s O f p re gn an cy
th e u te ru s i s n ot on l y e n la rged bu t i s al so an te
ver te d that i s tu rn e d for w ar d an d p r e ss e s d ow n
Whe n th e woman is lyin g dow n
u p on th e bladd e r
th e p re ssu r e on th e bladde r i s r e li e ve d an d sh e
Thi s pre s
d oes n ot have to u rin at e fr e qu en tly
su re l a st s on l y th e fir st tw o O r thr e e mo n th s be
cau se af te r that th e growi n g womb li ft s i t se lf ou t
of th e pelvi s ri sin g i n to th e abdomin al cavi ty ; i t
cer in
in
,
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68
S EX
KN O WLE DG E F O R WO M E N
p il e s ( th e hemorrhoi d s ) ar e to b e we ll clean sed w ith
h ot wate r an d thi s O in tme n t i s t o b e we ll sme ar ed
ove r ; a li ttle i s pu sh e d i n t o th e rectu m an d a p i e ce of
co tton i s pu t ove r th e an u s T hi s prot ect s th e cl oth e s
from soilin g an d keep s th e m e di cin e in place f or
I n st e ad of Oin tmen t a co co a bu tte r
a lo n ge r t ime
A su ppo si t ory of th e f ol
su ppo si tory m ay b e u se d
lowin g compo si ti on i s good : p owde r ed n u tgalls 3
gr ai n s ; Oil of cade 3 drop s ; r e sor ci n 1 gr ain ; bi s
mu th su bn i trat e 5 gr ain s ; co co a bu tte r 20 gr ai n s
O n e su ch su ppo si tory to b e in se rt e d thr ee time s a
d ay Th e O in tm en t an d th e su ppo sitor y given above
i f u se d in con j u n cti on wi th th e prop e r r e gu lati on of
th e bowe l s will n ot on l y r e li ev e bu t wi ll cu r e mo st
n an cy
ca se s Of h e morrh oi d s cau s e d by pr eg
It chin g
I tchin g of th e V u l va P ru ri tu s V u l va
of th e e xt e r n al ge n i t al s du r in g pr e gn an cy i s n ot u n
Thi s m ay b e d u e to th e fact that th e vu l va
commo n
i s gen e r ally co n ge st e d an d sw olle n du ri n g pre gn an cy
or i t m ay b e cau se d by an in cr e a se d l eu corrhe a]
di scharge Th e i tchi n g i s sometim e s ve ry seve re,
an d i f th e p at i e n t scr at ch e s wi th h e r n ail s an d pro
du ce s ble e din g sh e m ay cau se an in fecti on Of th e
p art s Th e p ati e n t shou ld b e cau ti on ed agai n st
scr at chi n g ; sh e shou ld try S impl e me asu r e s to r e
li e ve th e itchin g A small towel or gau ze comp re ss
wru n g ou t of boil in g wat er an d appli e d to th e vu lv a
,
,
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.
THE DIS O RD E RS
OF
P R E GNA N C Y
69
r l tim e s a d ay followed by a fr ee appli cati on of
If i t i s
ste ar ate of zin c powd e r i s Oft e n e fi ci en t
n ot th e fol lowin g salve m ay b e tri ed : carbolic aci d,
1 0 gr ain s ; men thol 5 gr ai n s ; r e sorcin 1 5 grain s ;
zin c oxi d e 1 dr am ; an d w hi te vas el in e on e ou n ce
I n ve ry seve r e case s th e v u lva shou l d b e p ain t e d
w i th a s olu ti o n of sil ve r n i tr at e 25 gr ain s to 1 ou n ce
of di sti lle d wat e r
Vari cose V ein s I n most women du rin g pregn an cy
th e vein s in th e l e gs be come s omewhat e n large d
Thi s i s d u e to th e pre ssu re o f th e womb whi ch in
If th e vein s be come
ter f e r e s with th e cir cu lati o n
ve ry p romi n en t swollen an d tortu ou s they ar e
Thi s con di ti on sh ou ld b e pr e
call e d var i co se
ven t e d b ecau se it Oft en an d to some degre e always
i
n
e
e
e
n
e
h
e
r
t
p
r
n
t
ly
v
ft
p
r
g
n
n
y
e
a
r
e
e
s
s
s
m
a
t
a
c
i
s
p
ove r Th e b e st pr ecau ti on ary measu re i s for th e
woman to we ar a well fittin g abdomin al b elt or m a
te r n i ty cor se t whi ch su pport s th e womb an d do e s
n ot p e rmi t i t t o sin k too l ow
in t o th e p elvi s
If
vari co se vei n s have b e en p e rmi tt ed t o d evel op th e
woman sh ou l d we ar wel l fittin g r u bb e r st o ckin gs or
at l e ast h ave the l e gs ban dage d wi th woven e lasti c
ban dage s Th e b an dage mu st be appli e d by a com
n
e
e
e
n
s
n
an
n
t
t
p
r
o
formly
too
t
g
h
t
y
u
i
i
o
l
d
t
C on
p
stipati on h as al so a b ad c fi e ct in makin g v ari co se
v ein s wor se ; the bow el s sh ou ld the r e fore al so b e
se ve a
,
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,
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70
KN OWLE DGE F O R WO ME N
SEX
l ooke d af te r
In
ve re case s all measu re s ar e
of little val u e u n le ss th e p ati e n t at the sam e tim e
stays in b e d or on a co u ch f or a f ew d ays wi th th e
le gs e l evat e d
Swellin g of th e fee t shou ld b e at on ce atten de d
to It m ay be a trifl in g matte r d u e on l y to pre ssu re
of th e womb ; then again it m ay be du e to some
Th e physi ci an w il l det e rmi n e th e
ki dn e y trou ble
t ru e cau se an d pr e scribe th e appropriate treatmen t
Liver Spots Chl oasma In some cases ir r e gu l ar
brown i sh p atche s or splotche s develop on th e skin
aro u n d th e br e ast s on th e si d e s or on th e face
The se patches ar e k n own popu larly as li ve r sp ot s or
Nothin g can be
in me di cal lan gu age as chl oas ma
don e f or them bu t th ey gen e rally di sapp e ar afte r
A f ew patche s he re an d
th e p r e gn an cy i s ove r
the re m ay rem ain pe rman e n tly
.
s
ome
se
,
.
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,
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.
WHE N T O
E NGA GE
A
P HYSI C IAN
di sorde r s an d di stu rban ce s de scrib e d above
n i ci ou s vomi ti n g Of a
ar e wi th th e e xcepti o n O f p e r
min or n atu r e Th ey ar e an n oyi n g may cau se con
sid e r abl e di scomf ort an d sn fi e r i n g bu t th e y do n ot
Cc
en d an ge r th e l i fe of th e woman or Of th e chil d
th e
casi on all y howev e r fortu n at ely n ot v e ry Oft e n
ki dn e ys b e come aff e ct e d an d f or thi s con di ti on
tre atm en t by a physici an i s ab solu tely n ece ssary
I n fact th e corre ct an d safe thi n g f or a woman to
d o i s to con su lt a physi ci an a s soon as sh e kn ow s
S h e i s pr egn an t an d h ave h im t ak e car e Of h e r d u r
i n g th e e n ti r e pr egn an cy
Some women e n gage a
physi cian du ri n g th e e ighth or n i n th mon th an d
thi s i s d e ci de dly wr on g b ecau se i t m ay th en b e too
lat e to corr e ct ce rtain trou ble s which if t aken at
th e ou t set cou ld h ave be e n e asily cu re d ; while man y
trou ble s in th e han d s of a comp et en t physi ci an can
b e pr even t e d altoge th e r I mu st th e r e for e r ei t e r at e :
e ve r y woman
sho u ld e n gage a p hysi ci an from th e
be gin n in g of h er pr e gn an cy, or at le ast du ri n g the
TH E
,
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‘
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71
SE X
72
KN OWL E DGE FOR WO M E N
thi rd or fou rth an d ce rtain ly n ot lat e r than th e fifth
mon th He will examin e the u rin e eve r y mon th an d
make su r e that th e ki dn eys ar e i n
orde r h e will make su re that th e
chi ld i s in
a n ormal po si ti o n
an d
w ill pr eve n t a ho st Of oth e r i ll s
Thi s i s n ot a sp eci al tre ati se on
th e man ag e me n t of pre gn an cy an d
the r efore mi n u t e detail s ar e ou t of
place B e sid e s to th e de tai l s th e
physici an wi ll att en d B u t some hin ts
n
n
e
n
e
i
e
n
e
i
d
e
e
i
a
r
a
a
l
r
g
d
g
d
t
g
r
h
yg
n
m
n
m
po
o
o,
cm
m
i ll prove u se fu l
w
fi og
I f e ve rythi n g i s sati sfact o r y i f
th e re i s n o seve re v omi tin g ki dn ey t rou ble etc th e
Th e on ly ch an ge s I
u su al mi xe d di e t m ay con tin u e
wou ld mak e ar e th e fol lowin g : Drin k plen ty of hot
wat e r du rin g en ti r e cou r se of pr e gn an cy : a glass or
tw o in th e morn i n g two or thr ee glas se s i n th e aft e r
n oon
th e sam e at n i ght From six to t w elve gla sse s
m ay b e con su me d Al so plen ty of mi lk, bu tt e rmilk
Pl en ty of fru it an d ve getabl e s
an d fe rme n t e d mi lk
M e at on ly on ce a d ay F or th e te n den cy to con sti
i
n
e
e
e
e
e
w
h
ol
wh
t
br
d
r
br
d
br
d
b
k
d
o
a
a
a
t
e
ea
a
a
p
y
of bran or bran wi th cre am
A s to exe rci se ei th e r e xtr eme mu s t be avoi ded
S ome w omen thin k that as soon as the y become
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WHE N
TO E NGA G E A P HYSIC IAN
73
pre gn an t th ey mu st n ot move a mu scle ; they are t o
b e pu t in a gl ass case an d kept th e r e to th e d ay of
de live r y O th e r women on th e oth e r han d Of th e
u ltr amod e r n typ e i n du lg e i n str e n u ou s e xe rci se an d
l
n
k
n
i
u
n
i
h
o
lo
g
f
a
t
g
w
o
e
l
t
o
u
t
o
a
s
u
t
t
a
s
d
a
p
g
g
y
E i th e r e xtr eme i s in j u ri ou s
Th e right w ay is
mode rate e xe rci se an d short n on fatigu in g wal k s
B athin g m ay b e kept u p to th e d ay of delivery
B u t warm b ath s p arti cu l arly du rin g th e l ast tw o
or thr e e mon th s, ar e pr e fe r abl e to cold baths
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C HAP TE R
THE
ME N
T HI R TEE N
SI"E O F
THE
FE TU S
women ar e alway s I n t e re ste d to kn ow
how la rge th e fe tu s i s an d h ow far i t i s develop e d
du rin g th e vari ou s mon th s of pre gn an cy Ab solu tely
bu t th e fol
e xact me asu r emen t s can n ot b e giv e n
l owi n g approximat e m e asu r em en t s ar e corr ect
A t th e e n d of th e fi r st mon th ( lu n ar ) i t i s abou t
We igh s abou t 1 5 grain s
th e si z e o f a haz e ln u t
A t th e e n d of th e secon d mon th i t i s th e si z e o f a
Th e in t e rn al organ s ar e p arti ally
sm all h en s e gg
form ed it b e gin s to a ssu m e a hu man shap e bu t th e
U p to th e fifth or
sex can n o t ye t b e di ff e ren ti at e d
app e aran ce
sixth w e ek i t do es n ot difi e r mu ch in
from th e emb r yo s of o the r an im al s
A t th e e n d of th e thi rd mo n th i t i s th e si z e of a
l arge goo se e gg ; i t i s abou t tw o to thr e e an d a hal f
in che s lon g We igh s abou t on e ou n ce
A t th e e n d of th e f ou rth mon th th e fe tu s i s b e
twee n six an d seven in ches lo n g an d we igh s abou t
five ou n ce s
At th e e n d of th e fifth mon th th e fe tu s i s be twe en
d
an
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74
C HAP TE R
TH E A F T E RBIRTH
FOU R TEE N
P
D
E
A
C
LA
C
NT
AN
O
RD
(
)
WHATE V ER p ar t of the womb th e ovu m attache s
i t se lf to i s stimu l at e d to i n t e n se ac tivi ty in growth
Nu me rou s b l ood ve ssel s b egin to grow an d that p art
O f th e lin in g membr an e wi th i ts n u me rou s blood
v e ssel s con sti tu t e th e placen t a or as it is common l y
call e d afte r bi r th b ecau se i t come s ou t afte r th e bi r th
o f th e chi ld From th e pl acen ta the re i s al so r e
fle cte d a membr an e ove r th e ovu m so as to give i t
That m embr an e form s a
addi ti on al prot e cti on
compl e t e b ag ove r th e fe t u s ; thi s b ag b e come s fil l e d
wi th li qu i d so that th e fe tu s flo at s fr eel y in a bag
Of wat e r s ; thi s b ag bu r st s on ly du rin g chi ldbi rth
Th e f e t u s i s n ot attache d clo se to th e placen ta , bu t
i s so to say su spe n de d from i t by a cor d whi ch
i s cal l e d th e u m bil ical cor d Wh en th e child i s born
th e u mb ili cal cord i s cu t an d th e sca r or d epr e s
si o n in th e abdome n wh e r e th e u mb ili cal cord w as
attach e d con sti t u t e s th e n ave l or u mb ili cu s ( in sl an g
—
lan gu age bu tton or be lly bu tton ) Th e u mbili cal
cord con si st s Of two art e rie s an d on e ve in e mb e dd e d
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76
THE A FTE RBIRTH A N D C O RD
77
velope d by a me m
br an e an d i t i s th rou gh th e u mbilical cord that th e
blood from th e pl acen ta i s brou ght to an d carried
from th e fe tu s Th e blood of th e fetu s an d th e blood
of th e mothe r do n ot m i x ; th e b l ood ve s s e l s ar e se p
ar ated by thi n wall s an d i t i s throu gh th e se thin
wall s that th e fe tal blood r e ce ive s th e in gre di en t s
i t n ee d s from th e moth e r s blood I n oth e r word s
i t r e ce ive s i ts n ou ri shmen t from th e moth e r by
Th e blood from the pl a
or osm osi s
a bs or p ti on
cen t a al s o fu rn i sh e s th e fe t al bl ood wi th oxyge n
so
that th e fetu s br e athe s by th e ai d o f th e place n ta
a n d n ot thro u gh i ts ow n lu n gs
It i s we ll to r ememb e r that th e re i s ab solu t ely
n o n e rv ou s con n e cti on b e twe e n moth e r an d ch i ld
Th e r e ar e n o n e rve s whate ve r in th e u mbi lical cord
s o th at th e n e rvou s syst e m s of th e fe tu s an d O f th e
mothe r ar e e n ti r ely di stin ct an d sep arate A n d thi s
w i ll e xpl ai n why ce rt ai n n e rvo u s impr e ssi o n s an d
S ho ck s r e ce ive d by th e moth e r ar e n ot r e adily t r an s
It i s on l y thr ou gh chan ge s in
m i tt e d to th e chil d
th e moth er s blood that th e fe tu s can b e in flu e n ce d
A s w i ll b e se e n i n a lat e r ch apt er w e ar e S ke pti cal
“
”
mate rn al i mpr e ssi on s
abou t
in
a
l ti n lik e
a
e
g
su
b st an
ce an
d
en
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C HAP TER
LA C TA TI O N
EV
-E
FIE T E
N
O R NUR SING
—
if
chil d
mothe r shou l d n u r se h e r
sh e can
The r e i s n o p e rfect su b sti t u t e for mothe r s mi lk
The r e i s on ly on e excu se f or a mothe r n ot n u r sin g
that i s when she h as n o mi lk or wh en th e qu ali ty
of th e milk i s so poor tha t th e chi ld do e s n ot thr ive
i s threat
on i t, or w h en th e moth e r i s ru n dow n
e n e d wi th or i s su ffe r in g wi th tu b e r cu lo sis, e tc
In
su ch ca se s th e n u r sin g wo u ld p rove in j u ri ou s t o
both moth e r an d chil d
Whe n th e moth e r can n ot n u r se th e child i t shou l d
be brou ght u p artifici ally on modi fie d cow s milk
F ormu las f or modifie d mi lk have b een worke d ou t
for e ve ry mon th Of th e child s li fe an d if th e f orm u
l as are car e fu lly foll owe d an d th e bottl e an d n ip
pl e s ar e p rop erly ste rili ze d th e chi ld shou ld have
n o tro u ble bu t shou ld th r iv e an d grow lik e on good
moth e r s milk I f th e chi ld i s si ckly or d e li cate an d
do e s n ot thrive on modifie d cow s mi lk or on o the r
a rti fici al food s th en a w e t n u rse m ay b ecome n e c
B u t b e for e e n gagi n g a w et n u r se gr e at care
e ssary
shou l d b e t ake n t o mak e su r e that sh e i s h ealthy,
ER Y
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78
LA C TA TI O N
79
O R N URSING
ld i s ap proxim at ely th e same
as th e age of th e child whi ch Sh e i s ab ou t to n u r se
an d p art i cu larly th at S h e i s fr e e from an y syphil i ti c
tain t On e tw o or mor e Wasse rm an n t e st s shou l d
b e m ad e to se ttl e th e qu e sti on de fin i te ly
Moth e r s Sh ou ld b ear in mi n d tha t su cklin g th e
chi ld i s good n ot o n ly f or th e child b u t f or th e
mothe r as we ll Lactati on help s th e in volu ti on of
th e u t e ru s : th e u t e ru s of a n u r sin g mothe r re tu rn s
mor e qu i ckly an d mor e p e r fectly to its n ormal an t e
p r e gn an t con di ti on than th e u te ru s of th e mothe r
w h o can n ot or wi ll n ot n u r se h e r chi ld
That th e moth e r w h o n u r se s h e r child shou l d
p artake of su fli ci en t n ou ri shme n t goe s wi thou t say
in g B u t th e advi ce O ft en given to n u r sin g mothe r s
t o part ake O f b e e r al e or wi n e i s a bad on e It i s
a qu e sti on i f a moth er p art aki n g of co n si d e rable
qu an titi es of alcoh oli c b eve rage s m ay n ot tran smit
No alcoholi cs
th e t aste f or al cohol to h e r chi ldr e n
b u t milk eggs me at fru i t
sh ou l d b e l e ft alo n e
an d ve ge t able s sh ou l d b e p art ak e n o f i n abu n dan ce
Preparin g th e N ippl es For th e in fan t to b e ab l e
t o n u r se prop e rly th e n ipple s of th e br e ast mu st
If th e n ippl e s ar e su n ken ,
be in good co n di ti on
dep r e sse d, i t i s tortu re f or th e chil d to n u rse It
u se s u p a lot of e n e rgy u se l e ssly b e come s e xh au ste d
an d g et s v e ry li ttl e milk ; whil e if th e n ip p le s be
th at
th e
age of
her
chi
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80
SEX
KN OWL E DGE F OR W O ME N
ten de r or cracked th e process of n u rsin g is a tor
tu r e for th e moth er
It is the re for e n ece ssary to atten d t o th e n ippl es
—
in d u e time to b e g in at th e fifth or S i xth mon th i s
If th e n i pple s ar e su flici en tl y promi
n ot too e arly
n e n t li ttl e n e e d b e do n e for them e xcep t to was h
them wi th a li ttl e bori c acid solu ti on ( on e te aspoon
fu l o f bori c aci d to a gl ass O f wat e r ) occa si on ally,
an d n ow an d the n to r u b in a li t tl e p e trol atu m, p lain
or bor at e d B u t if th e n i pple s ar e su n ken so that
th e y are b elow th e su r face of th e breast or if they
ar e o n ly sli ghtly abov e th e su r face o f th e br e ast
th e y mu st b e tr e at ed Ge n tle tracti on mu st b e mad e
on them wi th th e fin ge r s thr e e or fou r tim e s a d ay
The re ar e on ly a f e w ca se s wh e re p e r si st e n t m an ipu
l at i on will n ot d evel op th e n ipple an d make i t stan d
ou t promi n en tly
If th e n i pple i s t en de r it sh ou ld b e washe d two or
thr ee time s a d ay wi th a mixtu r e of al cohol an d
wat e r ; on e p art of al cohol to thr e e p art s o f wate r
i s su fli ci en t I n washi n g th e n ippl e wi th thi s di l u t e d
al coh ol i t shou ld b e dri e d an d a li ttl e p e trolatu m
Thi s don e tw o or thr ee time s
or vase li n e ru bb e d in
a d ay du ri n g th e l ast mon th or t w o of th e pr e gn an cy
w ill gen e r ally produ ce a good h e althy n ippl e
Th e Treatmen t of C rack e d N ippl es If th e care of
th e n ipple h as be en n e gl e ct ed an d i t d eve lo p s cr acks
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LAC TA TIO N
fissu r e s
O R N URSIN G
81
tha t th e n u r sin g of th e chi ld cau se s
th e moth e r se ve re p ai n th e n u r sin g Shou l d be d on e
th rou gh a n ipple Shi e ld an d in th e mean time b e
twe en th e n u r sin gs th e n ipple shou ld b e ru bb e d with
th e followin g pr e p ar ati on whi ch i s e xcell e n t an d
which I can fu lly r e comme n d : thymol i odi de
d ram ; Olive oil ,
ou n ce Thi s shou l d b e appli e d
e v e ry hou r to th e n ippl e an d cove r e d wi th a l i ttl e
cotton ; b e fore e ach n u r si n g howev e r i t mu st b e
we ll washe d O ff wi th warm wat e r or warm bori c acid
When th e n ippl e s ar e cracke d th e in
solu ti on
fau t s l ip s shou ld al so be fore n u r sin g be car e fu lly
wi p e d ou t wi th boric aci d solu ti o n For th e baby s
mou th con tain s b acte ri a whi ch whi le harmle ss in
themselve s m ay if the y get in to th e cr acks of th e
“
m as
n ippl e se t u p an i n flam m ati on O f th e br e a st or
titi s an d cau se an ab sce ss If th e cracks ar e ex
it i s
as th ey s ome time s ar e
cr u ci atin gl y pai n fu l
n e ce ssary to give th e on e b re ast a re st f or twen ty
fou r hou r s an d h ave th e child n u r se at th e other
u n ti l th e cr ack s have p art i all y h e al e d
When I t Is N ecessary to Dry Up th e Breasts I n
case o f th e de ath O f th e chi ld or if the moth e r for
s om e o the r re as o n fin d s he r se l f u n abl e to n u r se
su ch as in case s w he r e the r e i s ab sol u t e ly n o n i pp le ,
in ste ad of th e p romin en ce of th e n ipple the re b ein g
a dee p d e pre ssi o n , i t b e come s n e ce ssary t o st op th e
or
so
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S EX KN OWLE DGE FOR WOMEN
82
of
se cr e ti on
the m i lk, or
it is
as
said
comm on
in
I n f ormer d ays,
pa rlan ce to d r y u p th e bre asts
n ot so ve r y lon g ago an d th e practice is still com
m on e n ou gh to ca ll att e n ti on to i t an d to con d em n
i t th e bre as t s u se d to b e ti ghtly ba n dage d or th ey
hou rs Th e fir st
u se d to b e p u mpe d ev e r y f e w
ca u se s u n n ece s s a r y p ai n an d trou bl e w hi l e th e sec
on d pr oced u r e th e p u mp in g do e s e xactl y th e re
ve rse to w ha t it is in te n de d to do In s tead of d ry
The
in g u p th e bre ast s i t k ee p s u p th e se cr e ti on
be st thin g to do in a case lik e tha t is to le av e the
breasts al on e n ot to p u m p them b u t j u s t gen tl y
su pport th em w i th a b an dage an d the n i n th ree or
fou r days th e secre ti on O f th e mi lk will g radu al l y
disapp ea r
Th e re i s some di scomf o r t the fir st
t w en ty fou r or forty e ight hou r s bu t if le ft al on e
th e di scomfort is les s th an i f th e br e ast s ar e man ipu
lated b an dag ed or pu mpe d
Men str u ati on or Pr egn an cy Wh il e N u rsin g Man y
w omen d o n ot m en s tru at e an d do n ot b e come pre g
n an t whil e th e y ar e n u r sin g
Some women wi ll n ot
con ce ive n o ma tt e r h ow lon g th e y m ay n u r se th e
—
An d s ome wome n
chil d
a year or t w o or l o n ge r
take ad van tage of thi s fact an d in orde r to avoid
an othe r chil d th ey will ke e p u p th e n u r si n g as l on g
I n E gyp t an d oth e r O ri e n t al cou n tr i e s
as p o ssible
whe re ou r me an s f or th e pr even ti on Of con cepti on
“
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C HAP TER S IxTEE N
A B O RTI O N A N D
TH E
MIS C A RR IA GE
word aborti on u se d somewhat loo sel y sig
n i fie s th e pr em atu r e exp u l si o n of th e fe tu s ; th e e x
pu l si on of th e fe tu s from th e womb b e fore it i s vi a
bl e , i e b e for e it i s cap abl e of livin g i n de p en de n tl y
U se d in a stricte r se n se th e word aborti on i s ap
pli ed to th e e xpu l si on O f th e fe tu s u p to th e e n d Of
th e l 6th wee k ; to th e e xp u lsi on of th e fetu s be
twe en th e l 6th an d th e 28th we ek th e t erm m i s
carr i age i s appli e d ; an d wh en th e exp u l si on of th e
fe tu s take s place aft e r th e 28th we ek, bu t before
fu l l t e rm w e u se th e t erm p re matu re labor Th e
laity do e s n ot like th e t e rm aborti on as i t i s u n de r
th e impr e ssi o n th at th e t e rm alway s sig n ifi e s cri mi
n al aborti o n ; i t th e r e for e pr e f e r s to u se th e te rm
mi sca rri age
re gardl e ss of th e ti me at
whi ch th e e xpu l si on of th e fe tu s t ake s place
When an abortion ( or mi scarri age ) take s place
by i t se lf wi thou t an y ou t si d e ai d w e call i t sp on
tan e ou s a bor ti on
Wh en i t i s brou ght on by arti
fici al m ean s whe th e r by th e w oman he r sel f or by
s om ebody e l se w e call i t i n du ce d aborti o n
Whe n
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84
AB O R TIO N AN D
MI S CARRIA GE
85
'
borti on i s in du ce d f or th e pu rpo se of savin g
th e woman s li fe w e call i t th e rap eu ti c abor ti on ;
thi s i s con sid e r e d p er fe ctly l e gal an d prop e r B u t
whe r e an aborti on i s in du ce d me re ly to save an n u
marri e d mothe r s r epu t ati on or b e cau se th e marri ed
moth e r i s too poor or too we ak to h ave an y more
or i s r e lu ct an t to h av e an y ( or an y mor e )
childr e n
for an y oth e r r e ason i t i s calle d cr im in al or i l l egal
aborti on an d if di scov e r e d su bj ect s th e moth e r a n d
th e p e r so n w h o pr odu ce d th e ab orti on to se ve r e
pu n i shm en t
When th e fe tu s f or som e re ason di es in i ts
mothe r s womb it i s gen e r ally e xp elle d wi thi n a
f ew hou r s or d ay s Som etime s t hi s i s n ot th e case ,
an d th e d e ad fe tu s i s r e t ai n e d f or se ve r al week s
or mon th s or e ven ye ar s ; to su ch a phen ome n on w e
Some women su f
apply th e t e rm m i ss e d aborti o n
f e r from wh at m I gh t b e cal le d th e ab orti o n hab it ;
the y can h ardly eve r carry a chi ld to fu ll te rm bu t
l o se it in th e same mon th or eve n in th e same we ek
of ge stati on du rin g e ach pre gn an cy ; w e call thi s h a
An d thi s hab i tu al aborti on m ay
bi t u al aborti o n
be in d ep e n de n t o f di sease su ch for in stan ce as
The te rm s th r e aten e d imm in en t an d i h
syp hil i s
evi ta bl e aborti o n r equ i re n o fu rthe r expl an ati o n
Th e C au ses of A borti on
Ou t si d e of th e ab ort ion
habit, whi ch m ay b e du e p artly to he redity or b e
an
a
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86
S E X KN OWLE DGE FOR WO ME N
d by a di se ase d con di ti on of th e lin i n g m em
bran e of th e u te ru s th e prin cip al cau se of ab orti on
An d when a w oman ha s
an d mi scarri age i s syp hili s
h ad tw o or thre e or fou r or mor e mi scarri ag es in
w e gen e r ally assu m e th e cau se to be
su cce ssi on
syphil is an d i n mo st cas e s th e assu mpti on w ill be
corr e ct
cau se
,
.
,
.
C HAP TER SEV E NTEE N
PRE NA TAL C AR
E
p re n atal car e w e u n der stan d th e care take n
du rin g pregn an cy be for e th e child i s born U se d in
a wi de r se n se th e t e rm i n clu d e s th e ca r e whi ch both
p ar en t s S hou ld t ake of themse lve s e ven be fore th e
chil d i s con ce i ve d
O f cou rse th e fathe r an d th e mothe r sh ou ld be in
th e b e st p o ssible phy si cal an d me n t al con di ti on d u r
in g th e ti me of con cepti on an d ev en be for e con cep
ti on an d the mothe r S hou ld t ak e th e ve r y b e st car e
—
of he r se l f sh e S hou l d b e in good he alth an d as calm
a sp i ri t as po ssi ble du rin g th e e n ti r e pe r i od of g e s
For th e gen e ral he alth an d con di ti on of th e
tati on
mothe r do e s in flu en ce th e child
I have se en so mu ch mi se ry cau se d by wron g pr e
n at al car e te achi n g an d by th e fooli sh e xagge rate d
i deas on th e su bj e ct, that I con side r i t my du ty to
say some thi n g i n ord e r to co u n t e r act tho se e rr o
n e ou s n oti o n s
I con side r i t my spe ci al mi ssi on to
de stroy e rr or mystici sm an d su p e r stiti on A n d th e
pren atal care t e achin g as imparte d by some u n f or
tu n ately par tak e s o f al l thr ee of th e above
BY
.
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,
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871
S E X KN O WLE DGE FOR WO M E N
88
Of cou r se I r ep eat th e moth e r Shou ld try to be
in th e b e st po ssible con di ti on whi l e sh e i s carryi n g
Neverth el e ss it i s fool i sh to imagin e if
th e chi ld
th e mothe r i s n ot qu i t e well or i s worri e d abou t
som ethi n g or h as a fit of an ge r th at it i s in var i ably
goin g to b e r eflect e d on th e child Th e child as w e
kn ow ha s n o n e rvou s con n ecti on what ev e r wi th th e
mo th e r an d i t i s on l y ve ry vi olen t or prolon ge d
sho cks that ar e apt to have an in j u r i ou s i n flu e n ce
I kn ow of chi ldr en that we r e carri e d by the i r
mothe rs in an ge r an d in an gu i sh from th e d ay of
An d stil l the y
con ce pti o n to th e d ay of d e li ve ry
we r e born p e rfe ctly n ormal I kn ow of a chi ld who se
mothe r w as su ffe rin g th e mo st he llish t ortu r e s of
j e al ou sy du rin g th e e n ti re p eri od of pr egn an cy an d
sti ll th e chi ld w a s bor n p e r fe ctly h e althy p e rfectly
n ormal an d i s n ow a spl e n di d sp ecim e n of man h ood
I kn ow ch ildr en w ho se mothe r s wen t throu gh seve re
att ack s o f p n e u mon i a typhoi d feve r e tc
an d sti ll
they we re born p er fectly healthy an d p e rfe ctly n or
I kn ow chi ldr en who se moth e r s we re u sin g
m al
e ve ry me an s to abort th em took al l ki n d s o f i n t e r
n al m e di ci n e s u n ti l th e y we r e d e athly S i ck an d sti l l
the y we re born p e rfe ctly he althy an d n ormal I
kn ow chi ldre n who se moth e r s tri e d to abo r t the m
by mechan i cal m e an s who we n t to aborti on i st s w h o
made on e or mor e att empt s to in du ce th e aborti on
,
,
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,
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P R E NA TAL C A R E
89
I kn ow e ven case s whe re th e mothe r s ble d as a resu lt
—
of su ch att empt s an d n eve rthe le ss th e childre n
we re bo rn p e rfe ctly he althy de velope d n ormall y
physically an d m en t ally
O f cou r se the se a r e n ot thin gs that I wou ld advi se
w ome n to d o or to u n d e rg o
I wou ld n ot advi se
pr e gn an t wome n to wor r y to b e si ck to t ak e po ison
ou s me di cin e s or to mak e att e mpt s at ab ort i on bu t
I me r ely br in g u p th e se p oin t s to e mphasi z e to my
r e ade r s n ot to t ak e th e n ece ssity of pr en at al care in
too ab solu t e a se n se an d n ot to worry th emselve s
u n n e ce ssaril y i f th e con di t i on s du rin g th e i r p r e g
n an cy ar e n ot al l th at cou ld b e de si re d
Th e chil d
i s n ot n ece ssari ly go in g to b e affe cte d
Th e con di
ti on O f th e ge rm plasms i e the con di ti on of th e
ovu m an d th e sp e rm atozo a at th e time Of con cep
ti on i s more impo r tan t than al l su b se qu en t car e d u r
in g ge stati on
A s the re ar e fooli sh p e opl e who po sse ss a pecu
l i ar kn ack Of mi sin te rpre tin g an d mi su n d e r st an din g
eve ryt hin g I wi sh to emph asiz e th at hygi e n e du rin g
p r e gn an cy shou ld n ot be n eglect e d E ve rythin g pos
sibl e sho u ld be don e t o pu t th e moth e r in th e be st
i
n
i
i
A
n
o
i
b
l
e
h
y
s
d
m
e
t
a
l
o
n
d
t
o
n
ll
I
w
t
ca
l
a
c
n
s
s
a
p
p
to say i s tha t it i s bad to b e in san e on th e su bj ect
that i t i s b ad t o t ak e thi n g s in an ab solu t e sen se , an d
that it i s bad to e xagge rate
,
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C HAP TER E I GHTEEN
ST E RILITY
S TER ILI TY or b arren n e ss i s a con di ti on of in abili ty
to have chil dren I n forme r ye ar s th e opin i on pr e
vai le d gen e rally when eve r a cou pl e w as childl e ss
that th e fau lt w as exclu sively th e woman s
It
w asn t e ven thou ght that th e m an co u l d b e to bl ame
We n ow kn ow that in at le ast fifty pe r cen t Of case s
of ste ri lity or childle ss marr iages th e fau lt i s n ot
th e woman s bu t th e m an s It i s th e re fore ve r y n u
w i se in con di ti on s Of ste rili ty to su bj ect th e w if e t o
tre atmen t wi thou t fir st e xami n i n g th e hu sban d
Neve rthele ss thi s i s still Often th e case particu l arly
amon g th e lowe r cl a sse s or amo n g th e i gn oran t
The re ar e ca se s whe re th e woman goe s from on e
do ctor to an oth e r f or year s an d i s su bj ecte d to all
kin d s Of tr e atmen t whe n a simple exam in ati on O f
th e hu sb an d wou ld show that th e fau lt li e s wi th him
Some wom en have on e child an d ar e u n abl e afte r
ward s to gi ve bi rth to an y more Su ch a con diti on
i s call e d on e chi ld st e rili ty
It i s gen e ral l y d u e t o
an in fl am mati on Of th e F allop i an tu b e s whi ch cl o se s
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-
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90
SEX
92
th e
KN OWL E DGE F O R WO M E N
s er ma o z a
An o the r cau se i s a se ve re ben d
t o
in g or tu r n in g Of the u t e ru s e i the r forw ards or
b ackw ard s Th e Open in g Of th e n eck Of th e womb
th e os may al so be cl ose d or practi call y so f rom
u l ce ra ti on
from str on g appli cati on s e tc I n some
ca se s ste r ili ty may be du e t o se ve r e co n stitu ti on al
di se ase when th e pe rson i s ve r y mu ch r u n down an d
s o an emi c that m en st r u a ti on st op s
U n fortu n ate ly
thi s i s n ot al ways th e case for women e ven in th e
las t stage s Of con su mpti on may an d Often do be
come pre gn an t
Syphil i s u n fortu n atel y doe s n ot
cau se ste rili ty ; i t o n l y cau se s mi scarri age s u n til
con troll e d by tre atmen t
Th e tr e atmen t Of ste r ili ty can b e su cce ssfu lly car
r i e d ou t on l y by a comp e te n t physi ci an
p arti cu l arl y
by on e w h o i s devotin g hims el f sp e ci al l y t o thi s kin d
B u t I wan t on ce more to imme ss u p on
O f w o rk
e ve r y woman w h o i s ste ril e an d w h o w an ts to h ave
a chil d, n ot to have h e r se lf treate d or e ven e xami n e d
u n ti l h er hu sban d has been su bj cote d t o an exam in a
to
p
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C HAP TER
THE
NI N E TEE N
ME NOP A U SE O R C HAN GE O F
LIF E
h p te r on men stru ati on I r efe r red b ri efly
to th e men opau se I will con side r it he re some what
more in d e tail
Th e me n op au se al so call ed th e cli macte ric, an d
“
i s th e p e ri od
i n common lan gu age chan ge of li fe
Th e aver age
at whi ch woman ce ase s to me n stru ate
Bu t
ag e at whi ch thi s o ccu r s i s abou t forty e ight
whil e some w omen con tin u e to men stru at e u p to
th e age O f fifty fif ty two an d e ven fifty five othe rs
ce ase to me n stru ate at th e ag e O f forty five or e ve n
forty tw o Be twee n for ty fou r an d fifty tw o are th e
A n ythi n g b efor e or be yon d that i s
n o rmal limi t s
excep ti on al
Ju st as th e be gin n i n g of men stru ati on may set in
w i thou t an y t ro u bl e Of an y kin d an d j u st as some
w omen have n ot th e slighte st u n pl e asan t symptoms
du r in g th e e n ti r e pe ri od o f the i r men stru al lif e so
th e men opau se o ccu rs in som e women withou t an y
trou ble physi cal or p sychi c The p e ri ods be tween
the m en se s be com e pe rhap s a li ttle lon ge r, or a little
I N th e
c a
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”
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98
KN OWLE DGE
S EX
94
WO M E N
FOR
i r reg u la r , th e men st ru al
flow becom e s more an d
m o re scan ty, the n on e or se ve r al pe r i od s m ay be
skippe d al toge the r an d th e m e n opau se i s pe m
Man y women , howev e r th e ma
u e n tly e stab l i shed
r
i
n
s
i
an
o
p
ro
bly
fl
e
o
d
e
r
l
y
d
r
i
h
e
tr
b
a
r
c
a
b
u
n
t
su
t
j
y
g
Symptoms
si ti on al ye ar or year s of th e men op au se
ar e bo th of a physi cal an d O f a p sychi c cha racte r ,
bu t th e psychi c sym ptoms pre domin ate The re ma y
be he ad ache , capr ici ou s app e ti te or comple te loss of
appe tite , co n s i de rable l o ss of fle sh or on th e con
tr ar y very su dden an d r api d pu ttin g on of fat great
ir ri tabili ty, in somn i a, profu se pe r spi rati on ; hot
fla shes throu ghou t th e bod y an d p ar ti cu larl y in th e
“
face, whi ch make th e face blu shi n g an d con
ge ste d ar e p articu l arly frequ en t The n th e woman s
char acte r m ay be co m pl e tely chan ge d
From gen tle
,
.
,
,
.
.
,
,
,
,
”
’
,
.
.
qu ar r els ome
y wi thou t an y grou n ds for it
may be on e of th e di sagree able sym ptoms makin g
bo th th e wi fe an d the hu sban d ve r y u n happy I n
some except i on al cases a g en u in e n eu ro sis or psy
ch osi s m ay d eve lo p
C au se of Su fferi n g Dmi n g M en opau se It is my
con vi cti o n
an d I have ha d thi s con vi cti o n for man y
years that man y if n ot mo st of th e di stre ssin g
sym ptoms of th e me n op au se ar e d u e n ot to th e
m en op au se i tse lf bu t to the wron g i de as abou t thi s
.
Je alou
s
,
.
.
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,
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,
THE ME N OP AU S E
95
ri od that have p r evail e d for so man y cen tu rie s
We kn ow th e in flu en ce of th e mi n d over the body
an d th e pe rn ici ou s cfi e ct whi ch wron g i de as may
Th e gen e ral l y pre valen t
e xe rci se ove r ou r fe elin gs
opin i on am on g wome n , an d m en for that matte r,
an d n ot on l y O f th e l aity bu t u n fort u n ate ly o f th e
me di cal profe ssi on as well i s that the men opau se
’
i s th e en d of w oman s sex u al l if e E ve r y wom an i s
laborin g u n de r th e e rron e ou s impr e ssi on that wi th
th e e stabli shmen t o f th e me n op au se w i th th e ce s
an d
sati on of th e m en se s sh e ce as es t o b e a woman
sh e be come s some
as sh e do e s n ot b e com e a m an
thin g Of a n eu t er b ein g n eithe r woman n or m an
An d sh e ha s th e i de a th at aft e r the men op au se sh e
can have n o fu r the r attracti o n f or h e r hu sb an d or
f or o the r m en
Natu r all y su ch an i dea h as a ve r y
de pre ssin g e fi ect on an y hu man bein g A n y hu m an
be in g fights to th e l ast to re tain all its hu m an fu n c
ti on s e speci ally th e fu n cti on whi ch i s con sidere d as
im po r tan t as i s th e se xu al fu n cti on
e
p
.
,
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,
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,
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,
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,
.
R eprodu ctive Fu n cti on
an
d S exu al Fu n cti on N ot
on ymou s
Of cou rse wi th th e p erm an en t ces sa
ti on of the men se s th e woman s r epr odu cti ve fu n c
ti on i s at an e n d B u t th e reprodu ctive fu n cti on i s
I mu s t
n ot syn on ymou s wi th th e se x u al fu n ction
in si st agai n an d again an d n atu r al ly u n ti l thi s e r r o
n e ou s i de a i s di spel l ed mu ch u n n e ce ssa ry mi se r y w ill
Syn
.
’
.
,
,
96
S EX
KN OWL E DGE F OR WOME N
women in gen e ral wil l
l earn that w i th th e establishm e n t o f th e men op au se
the y do n ot ce ase to be women if they w i ll learn
tha t the se xu a l de si r e in wom en lasts lon g beyon d
th e ces sati on of th e men opau se man y wome n be in g
a s p as si on a te at six ty as at thi rty if the y w i ll l e arn
that thei r att racti ve n e ss or n on attractiven e ss to
th e mal e se x do e s n ot de pe n d u pon th e me n opau se
bu t u pon the i r gen e ral con di ti on if the y will learn
that man y women at fifty an d sixty ar e mu ch m ore
a tt r acti ve than s ome wome n at hal f that age the y
w i ll n ot t ake th e on se t o f th e me n op au se so tr agi
cally an d th e y will the re by avo i d th e gre at e r p ar t
O f th e i r me n tal an d e moti o n al su fl e r i n g
Th e actu al atrophy of th e ovarie s u te ru s e xt e r
n al ge n i tal s an d th e bre as t s can
of cou r se n ot be
preve n te d bu t tha t atrophy i s a slow an d gradu al
p roce ss an d is n ot in i tself th e cau se o f the var iou s
di stre ssin g symptom s th at w e have e n u me r ate d
The tre atmen t of th e me n opau se if th e symptoms
ar e at al l di sagr ee able or di str e ssin g shou l d b e in
th e han ds O f a compe te n t physician
A li ttl e whol e
some advi ce m ay be more e ffici en t than gall on s of
me di cin e an d bu shel s of p il l s In gen e ral th e w oman
shou l d tr y t o lead as cal m an d p e acefu l a li fe as pos
sibl e
Warm b ath s dail y ar e be n eficial con stipati on
sh ou l d b e g u ar de d ag ai n st h ot vagin al dou ch e s ar e
be th e l ot
of
ou r w
ome n
If
.
,
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-
,
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,
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THE
M E N OPA US E
97
often e flicien t ag ain st th e di sagree abl e flu she s an d
las t, bu t n ot le ast, the hu sban d shou l d du rin g thi s
cr i ti cal pe r i od be dou bly kin d an d dou bly con si de r
It i s du rin g th e ye ar s be twee n forty
ate O f hi s w if e
fiv e an d fif ty five th at th e wi fe i s mo st in n ee d of
h er hu sban d s symp athy an d su ppo r t
,
.
-
’
.
C HAP TER Tw
THE
EN TY
HABIT O F MA S TURBA TI O N
MAS TU R B ATI O N or self abu se i s a te r m applied to
a b ad hab i t whi ch con s i st s in han dlin g an d r u bbin g
th e gen i tal s It i s a bad habi t becau se i t i s apt to
in j u r e th e he alth an d fu tu r e developmen t o f th e
i
i
en
i
h
rl
Th
mor
e
fr
q
tly
s
pr
t
d
mor
i
ce
e
u
t
ac
e
e
t
e
g
in j u ri ou s i t i s It i s mor e in j u ri ou s than whe n pr ac
tice d by boys becau s e the e fi ects ar e u su ally more
p e rman e n t Gi rls wh o in du l ge i n th e habi t of m as
tu rb ati on t o ex ce s s n ot o n ly weaken thems el v e s b e
come an emi c an d ge t a di n gy p imply comple xi on
bu t they lo se the i r de si r e for n orma l se xu al rel a
ti on s when they grow u p an d ar e u n able to de rive
they get
an y ple asu re from th e se xu al act whe n
marri ed I n fact man y gi rls who mastu rb ate d ex
ce ssiv el y g et a stron g ave r si on to th e n ormal se xu al
Their
act an d th e i r mar rie d lif e i s an u n h appy on e
hu sban ds Often have t o ask for a divorce Fortu
n atel y th e h ab it i s mu ch le ss wi de spr e ad amon g
girls than it i s amon g boys Whil e abou t n i n ety
—
—
n
i
n
o
u
ll
e
f
n
O
t
of
b
oy
v
ry
r
e
a
s
t
e
e
n
m
e
c
t
e
as
p
tu rbate more or le ss on ly abou t ten or at mo st
-
.
.
,
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,
98
1 00
S EX
KN OWL E DGE F O R WO M E N
ome thin g te rrible that i t h as di sgraced th em an d
i t se lf ; an d they try to pe r su ad e it that u n l e ss i t
stop s imme d i ate ly th e mo st di r e fu l con se qu e n ce s
Th e r esu lt s of thi s mode of pro
ar e awai tin g i t
—
mu ch more S O than i s th e
ced u r e ar e di sastro u s
mastu rbati on i t se lf
Ofte n th e scoldin g an d th e e xpo su r e of th e child
Thi s implan ts
ar e don e i n th e pre sen ce of othe r s
i n th e poor gi rl a su l len r e se n tmen t that o n ly m ak e s
Wh en
i t mor e di flicu l t for i t to b re ak th e habi t
th e chi ld i s brou ght to th e physi ci an you can se e
by its behavi or by i ts down cast looks by its su l ki
n e ss by i ts attemp t t o re fr ain from t e ar s an d oth e r
sign s that i t r e gard s th e physi ci an in e xactly th e
sam e light as a yo u thf u l crimin al r e gard s th e j u dge
be fore whom h e h as b een brou ght f or trial
It i s time hi gh time th at thi s sil ly an d in j u r i ou s
at ti tu d e toward a pr acti ce whi ch i s ve ry com mo n
It i s time that p aren t s an d
be r adi cally chan ged
physici an s le arn that th e in j u ri ou sn e ss O f th e h ab i t
It i s time
h as b ee n gr e atly gro s sly e xagge rat e d
that the y kn ow th at th e vast maj ority o f boys an d
h
i
i
l
e
e
t
a
i
r
s
ov
r
e
h
b
t
w
tho
t
b
e
g
m
t
u
i
n
u
c
h
o
r
g
g
Th e kn owl ed ge Of thi s fact
an y th e wor se for i t
w il l n ot o n l y save them an d th e chi ldr e n mu ch n e e d
l ess an g u i sh an d sn fi er in g bu t w ill make i t mu ch
s
,
,
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‘
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‘
,
‘
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,
'
THE
e asie
1 01
HA BIT O F MA S T U RBA TIO N
de al wi th th e l atte r make i t mu ch e asie r
t o g e t them divorce d from the habit
If w e look at th e matte r in a sen sible commo n
sen se w ay an d d o n ot te ll th e child cau ght i n th e
pr act ice that it h as don e somethin g di sgrace fu l l y
vi ci o u s an d crimin al b u t sp e ak to it kin dly an d t ell
it that it i s do in g s ome thin g that m ay in j u r e i t
m
i
n
i
u
i
r
tly
t
h
a
t
a
t
e
rf
e
r
e
w
th
f
u
t
r
m
t
l
e
e
a
t
s
e
n
a
y
g
an d physi cal he alth an d dev elopme n t the n w e sh all
have f ar gre at e r su cce ss in ou r e n de avor s to bre ak
As
th e boy or th e gi rl of th e hab i t of ma stu rbati on
I have said in an othe r place
“
I n my opin i on st i gmati zin g e ve n th e mo st mo d
cr at e in du lge n ce i n mastu rb ati on as a vi ce h as a
de le te ri ou s e ffect u pon th e pe ople who so in du l ge
an d mak e s i t harde r for th em to br eak of th e h abi t
E ve ry thi n kin g physi ci an an d sexologi st can tell you
that p ictu rin g th e mast u rb atory habi t in too lu ri d
co l or s an d sti gmati z in g i t wi th too stron g e p ith et s
has as a r u le th e con trary e fi ect to th e on e ex
T
f
h
i
n
i
e
i
i
s
e
h
e
v
t
m
h
b
t
c
o
d
r
t
h
e
t
d
c
O
e
m
e
c
s
t
a
p
Th ey lo se thei r
se l ve s de gr ad ed i rre tri ev ably lo st
sel f re spe ct an d it i s on accou n t of th at hard e r f or
th em to br eak themselve s of th e h abit
I am n ot t ryin g t o mi n im i ze th e dan ge r of mas
t u rb ati on for if in du l ge d in from an early age
an d to gre at e xce ss th e re su l t s m ay be di sast ro u s
r
to
,
.
,
,
,
,
,
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,
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,
,
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,
-
,
,
,
”
.
,
,
,
.
1 02
SEX
KN OWL E DGE F O R WO M E N
ven if I we r e to mi n imi z e th e evil con se
i
n
a
s
th
t
wo
ld
b
e
l
e
s
o
f
t
h
an
to
ex
s
u
a
u
e
a
e
n
c
s
g
q
n
i
een
m
an
s
e
s
o
t
th
m
b
do
for
y
h
h
a
e
e
w
a
t
t
e
r
a
e
y
g
ye ar s by so man y pe opl e in th e profe ssi on an d ou t
of it Th e evil re su lt s o f e xagge ratin g th e in flu
e n ce o f m ast u rb at i o n have b e e n s o g r e at in th e p ast
that if n ow th e p en du l u m we re to swin g to th e
othe r e xtre me I am su r e i t wou ld n ot b e a b ad thin g
B u t,
e
.
,
,
.
,
,
at all
.
bj e ct of th e tr eatm en t Of mas
tu rbation b elon gs t o a me di cal tre ati se B u t a f e w
remarks on how t o pre ven t chi ldr en from acqu i r
in g th e habi t of mastu r b ati on wi ll n ot b e ou t of
pl ace
Preven ti on of the Habit of Mastu rbati on
Th e
keyn ote of pr eve n tin g th e h abi t i s car e fu ll y to watch
th e chi ld from i ts e arlie st in f an cy We kn ow that
n ot in fre qu en tly s tu p i d or vi ci ou s n u r se mai ds w e t
n u r se s an d e ve n govern e sse s i gn oran tly or d e lib e r
at e ly in du ce th e habi t in chi ldr e n u n de r the i r ch arge
Thi s Of cou r se mu st b e pr even t ed E ven children
of th e age of n in e ten e l eve n ye ar s shou l d n ot be
l e ft alon e, bu t always b e u n de r su p e rvi si on
TOO
cl o se fri e n dship b e tw e e n boys or gi rl s p a rt i cu l arly
of di fi e r en t age s shou l d be looked u pon w i th su spi
ci o n
To deal
w
i th the
su
.
,
.
,
.
,
,
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,
,
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,
,
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,
,
.
1 04
KN OWLE DGE F OR W O M E N
S EX
de ve lop e d as ar e oth e r s Of thi rt een ) w e mu st
t ell th em that it i s b ad an d in j u ri ou s to h an dl e on e s
ge n i tal s an d w e mu st warn th em to S hu n an y com
p an ion s who wi sh to in itiate them in to an y m an ipu
l ati on s Of the se p arts or who show an in clin ati on to
t al k abou t th e sexu al organ s an d sex matte rs
Hot b ath s are ve ry in j u ri ou s f or you n g chi ldre n
Th e r e i s n o qu e s
in the i r i n flu e n ce in thi s di recti on
tI on th at a hot b ath h as a v e ry d e ci de d stimu l ati n g
c fi e ct u pon the se xu al d e si r e of adu lt s as we ll as o f
chi ldr en both mal e an d femal e ; in fact I h av e h ad
seve ral p ati e n t s O f e ith e r se x t e ll m e th at th e i r fir st
mastu rb atory act w as commi tt e d whil e th ey we r e i n
Of cou r se the sen sati on h avin g be en
a h ot b ath
pl e asu rable th ey kept on re pe at in g th e e xp e ri en ce
E ve ry factor li able to giv e r i se to th e h ab i t shou ld
b e re move d T hu s f or in st an ce e cz ema abou t th e
n
n
h
m
n
n
i
i
i
e
c
u
e
e
t
l
tro
gly
d
r
twor
e
s
a
s
a
s
d
t
a
s
a
g
Th at an yth in g
l ike Sh ou ld b e tr e at e d u n til cu r e d
havin g a t en den cy prem atu rely to awak en th e sexu al
in stin ct shou ld be ri gorou sly avo id ed go e s w i tho u t
ar e as
,
’
,
.
.
,
,
,
.
,
.
,
,
,
,
,
.
,
,
M en tal
or
Psychi c M astu rbati on
S ome gi rl s
.
an
d
wome n will ab st ain from han dlin g th emselve s w ith
thei r han d s ( man u al m astu rbati on ) bu t will pr ac
ti ce wh at w e call me n t al mastu rb ati on T hat i s th ey
w il l co n cen tr at e th e i r mi n d s on th e oppo si t e s ex
,
.
,
,
THE
HAB IT OF MA STU RBA TIO N
1 05
p ictu r e to th emselv e s vari ou s l ascivi ou s scen es,
Thi s me th od i s e x
u n til th ey fe el
sati sfie d
tr eme ly in j u ri ou s an d exh au stin g an d i s v e ry lik ely
to le ad to n eu r asthe n i a an d a n e rvou s br e akdown
Y ou shou ld br eak you r sel f of i t by all me an s i f you
F or it i s even more in j u ri ou s th an th e re gu lar
can
habit
w
ill
.
.
,
.
.
,
C HA P TE R
T WE N TY
-
—
LE U C O RRHE A THE
ON E
WHIT E S
LE U C OR R HEA
me an s li t e r al ly a whi t e ru n n i n g
an d i s appli e d by th e l ai ty t o an y wh it i sh di sch arge
Thi s i s wron g b e cau se
comin g from th e v agin a
som e whi t e d i scha rge s m ay b e O f li ttl e i mport an ce ;
othe r s m ay b e of a se ri ou s ch ar act e r an d n ot b e
leu corrhe a at al l
Le u corrh e a i s on e O f th e b on e s O f the mod e rn gi rl
I t i s ve ry fr e qu e n t P rob ably at le ast
an d woman
i
fi
f
twen ty five pe r ce n t ( some say ty or sev en ty fiv e
f
f
i
e
r
i
n
e
r
n
f
l
e
t
t
l
wom
w
i
th
gr
t
r
o
en
s
u
a
a
o
e
r
ce
a
)
p
l e sse r d e gr ee I n some ca se s i t i s on ly an an n oy
an ce n ece ssi t ati n g th e fr e qu en t ch an gin g O f n ap
ki n s bu t in oth e r s i t cau se s a g r e at d e al of we akn e ss
b ackache e ro si on s i tchi n g an d bu rn in g I t i s ve ry
r e si stan t to tr e atm en t p articu larly in girl s Th e
r e ason i t i s so r e si st an t to tr eatmen t i s b e cau se th e
di scharge whil e com i n g from th e v ag i n a d oe s n ot
u s u al l y or i g in a te i n th e v agin a ; i t or i gi n at e s i n th e
n e ck O f th e womb an d th e hu n dr e d s an d hu n dr e d s
of in j e cti o n s th at w o m en t ak e f or th e i r l e u corrhe a
on l y re ach th e vagi n a ; t h e y can n ot p en e tr ate in to
,
,
.
,
.
.
.
-
r
.
.
.
,
,
,
,
,
.
.
,
,
,
,
106
108
S EX
KN OWLE DGE F O R WO M E N
r e su l tan t leu corr hea A gen e r al ru n down con di
ti on worry ove rwork too h ard stu dy lack of fre sh
ai r an d a ge n e r al scro fu lou s co n di ti on al so favor the
deve lopmen t of catarrh of th e womb an d leu corrhea
It wi ll the r e fore b e seen that the tr e atmen t O f l eu
cor r h e a to be su cce ssfu l mu st b e ge n e r al an d local
Th e gen e ral tr e atmen t con
Gen eral Treatmen t
si sts i n ge n e r al hygi e n i c me asu r e s an d i n common
Th e p ati e n t shou ld n ot b e on h e r fee t mor e
sen se
than sh e can help an d sh e shou l d n ot walk u n til ex
It i s b e tt e r to t ak e seve ral
h au sted or fatig u e d
Th e cor se t S h e we ar s
short walk s th an on e lon g on e
i f sh e wear s an y at all sho u ld b e of th e mode rn
ki n d : n ot on e th at pr e sse s th e womb an d th e othe r
bu t on e that su pport s th e
abdomi n al organ s down
abdomi n al wall s an d r ath e r r ai se s th e abdomi n al
organ s u p Th e lacin g or bu tton in g mu st b e from
b elow u p an d n ot from abov e down That it sh ou ld
n ot in an y w ay i n t e r fe r e wi th th e fr e e dom O f r e sp i
r ati on go e s wi thou t sayi n g C on stip ati on if an y to
b e tr e ate d mu st b e tr e at e d i n te lli gen tly by mi ld
me asu r e s ( see C on stip ati on in th e chapt e r on P re g
n an cy ) an d car e mu st b e t aken th at th e bowe l s move
Wh e re th e leu corrhe a i s d u e to or
at r e gu l ar h ou r s
i s aggravate d by an emi a an d ge n e ral we akn e ss a
i
i
n
n
n
fi
ood
ro
pr
e
p
a
r
a
t
o
u
c
h
o
e
Bl
u
d
e
s
as
a
s
v
g
n
i
i
n
i
f
n
a
e
e
d
a
r
i
i
r
p
ll
thr
t
m
to
ro
e
a
c
o
u
i
a
s
o
q
y,
g
a
.
,
,
,
,
,
.
.
.
.
,
.
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,
,
,
,
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,
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,
,
,
,
,
,
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,
’
,
,
—
LE U C O RRH E A THE
10
9
WHITE S
trychn i n e will d o good A daily cold b ath
or cold spon ge followed by a bri sk dry r u b n g wi th
a ro u gh t owe l i s al so u se fu l
Local Treatmen t L o cal m e asu r e s con sis t of p ain t
in g or swabbin g th e vagin a an d ce r v ix with vari ou s
su ppo sitori e s an d dou ch e s
sol u ti o n s of tampon s
Lo ca l appli cati on to th e vagin a an d u t e ru s can be
don e sati sfactorily by th e physi ci an or n u r se on l y
Th e in se rti on o f a su ppo si tory or dou chi n g can b e
e asi ly don e by th e p at i en t h e r se lf
While it is alway s b e st an d safe st to con su lt a
physi ci an an d while self me di cati on i s gen e rally i n
advi sable th e re ar e o cca si on s wh e n a phy si ci an i s
n ot availab l e ; i n som e small pl ace s a woman m ay,
n
e
o
n
e
i
n
i
o
a
s
c
n
h
a
v
tro
g
obj
t
o
to
gy
a
r
e
o
v
a
u
re
s
s
r
s
f
an d
tre atmen t ; an d s ome
ool ogi cal exami n ati on
I n su ch
w om e n m ay b e t oo poor to pay th e do ctor
ci r cu m st an ce s se lf tr e atmen t i s j u stifie d an d the re
can b e n o Obj e cti on to i t if th e r eme di e s ar e harm
l e ss an d ar e su r e to do some good ; that i s to im
prov e th e con diti on whe re the y d o n ot e fi ect a com
e
e
e
l
t
c
r
u
p
On e of th e simpl e st thi n gs i s an al u m tampon
Y ou t ake a pie ce of ab sorb e n t cotton abou t the si z e
of a fist spr ead i t ou t pu t abou t a t abl e spoon fu l Of
powde r ed al u m on it fold i t u p tie a stri n g arou n d
th e ce n t e r in se rt i t i n th e vagin a as f ar as i t w i ll go ,
n in e an
d
s
.
,
,
.
,
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,
,
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,
-
,
,
,
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-
,
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,
,
,
,
,
,
110
S EX
KN OWLE DGE F O R W O M E N
le ave it in f or twe n ty fou r hou r s Th en pu l l i t
gen tly by th e stri n g an d syrin ge you r se lf wi th a
qu art or tw o qu art s O f warm wat e r Su ch a t am pon
m ay b e in se rt e d ev e ry othe r d ay or e ve ry thi rd d ay
an d I h ave kn own m an y cas e s wh e r e thi s S impl e
tr e atm e n t alon e produ ce d a cu r e I n some case s
howev e r dou che s work b ett e r an d th e tw o b e st thin g s
for dou chi n g ar e : tin ctu r e O f i odi n e an d l actic acid
B u y say fo u r ou n ce s O f ti n ctu r e of i odin e an d u se
two t e aspoon fu l s in tw o qu art s of h ot wate r i n a
dou che b ag Thi s in j e cti on shou ld b e u sed twi ce a
d ay morn in g an d n ight Of th e lacti c aci d you bu y
say a p in t an d u se two t abl e spoo n fu l s to two qu art s
O f wat e r Th e lacti c aci d h a s th e advan tage ove r th e
tin ctu r e of i odin e th at i t i s colorl e ss whi le th e i odin e
i s dark an d st ai n s what eve r i t come s in con t act wi th
Some time s I ord e r th e u se of th e tin ctu r e o f i odin e
an d th e l act i c aci d al t e rn at e ly : f or on e dou ch e th e
tin ctu r e O f i odin e for th e n e xt th e l acti c aci d an d
Wh en th e con dit i on im prov e s i t i s su ffici en t
so on
to u se on e t e aspoon fu l o f th e tin ctu r e O f i odin e an d
on e t able spoon fu l O f th e l acti c aci d to two qu art s
O f wat e r The se i n j e cti on s ar e qu i t e e ffici en t an d
have th e advan tage of b ein g p e r fe ctly harml e ss
On e po in t abou t th e in j e cti on s : th ey shou ld b e t ak e n
n ot in th e stan di n g or squ attin g po si ti o n
i
n
wh
i
h
c
(
p o siti on th e flu id come s right ou t ) bu t while lyin g
an
d
-
.
.
,
,
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,
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,
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,
.
.
,
THE V E NE R E A L
TH E
DISE AS E S
word ven e r e al me an s p e rt ain i n g to sex u al
—
i n t e r cou r se : ven e r e al e xce ss e xce s s in sexu al i n
—
te r cou r se ; ve n e r e al di se ase a di se ase acqu i re d from
Th e
in f ect e d p e r so n
s e xu al in t e r cou r se wi th an
—
word i s de rive d from V e n u s ( gen itive v en e ri s )
th e Roman godd e s s O f sprin g flowe r s an d Love
Th e re ar e thre e ven e r e al di se ase s : gon orrh ea
Of th e se gon orrh e a i s th e
syphi li s an d ch an cro i d
mo st wi de spr e ad syphi li s th e mo st se ri ou s Ch an
cr oi d i s of co m p ar ative ly l i ttl e import an ce
Whil e by f ar th e gr e at e st amou n t Of ven e r eal di s
—
—
n
e as e s
prob ably n i e ty pe r cen t o f th e total i s
i n te r co u r se it i s we ll to
co n tr act e d from i lli ci t
b e ar in min d that som e of it i s con tr acte d i n n ocen tly
e i th e r from a ki s s or from u sin g a spon ge or a towe l
whi ch h as b e en u se d by an in f ect ed p e r son etc
Whi l e th e gon orrheal ge rm i s ge n e rally tran smitte d
di re ctly th e syphi li tic poi son m ay b e t ran smi tted
throu gh vari ou s obj e ct s Syphi li s con tr acted n ot
du rin g in t e rcou r se bu t i n an in n o cen t man n e r, from
”
.
,
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,
I l l ici t—il l egal ,
n on
l
m
b
e
r
i
i
e
s
s
,
p
-
ou tsi de of
1 12
marriage
.
.
THE V E N E R EAL
113
toothbru sh a r azor etc i s call e d
In
syp hi li s of th e i n n o ce n t or syphil i s in son tiu m
forme r ye ar s do ctor s wou ld n ot ve ry r arely co n trac t
syphil i s from e x am in i n g syphi l i t i c wom e n wi th the i r
b ar e fin ge r s Now S in ce glove s have come in to u se
f or examin in g pu rpo se s th e n u m be r o f i n fe cti on s
h as co n si d e r ably dim in i sh e d A n d n o dou bt that as
th e p e opl e b e come mor e famili ar with th e dan ge r
of ven e r e al in fecti on from n on v en e re al sou rce s th e
n u mb e r O f in n o ce n t in fect i on s will g r e atly di mi n i sh
Th e d an ge rou s roll e r towel an d th e n o le s s d an ge r
ou s co mmo n dri n ki n g cu p ar e b e in g gr adu ally e li mi
n at e d as factor s of n on ven e r e al i n f ect i o n ; an d w e
m ay co n fid e n tly e xp e ct that in a de cad e or two th e
amou n t of ven e r e al di se ase from v e n e r e al in fe cti o n
wi l l b e gr e atly le ssen e d in all civi liz e d cou n tri e s
Th e g e n e ral in cr e ase in cl e an lin e ss i n al l str at a of
so ci e ty an d th e u n iv e r sal u se O f an ti s eptics af te r
su sp i ci ou s s e xu al r e l ati on s wi ll co n sti tu t e th e chie f
f actor s in thi s di mi n u ti on of ven e re al di se ase
a
ki ss,
a.
towel
DIS EA S E S
,
a
,
,
,
,
.
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,
.
-
,
.
-
.
.
C HAP TER
THE E XTE NT
Former Sil en ce
T WE N TY THR EE
-
OF
DIS E AS E
V E NE RE AL
On l y a very few years ago re
sp ectab l e wom en by whi ch I m e an al l wom e n ou t si d e
O f th e women calle d fallen
di d n ot kn ow O f th e
It w a s co n side r ed a
e xi st en ce of v e n e r eal di s e as e
prohibi te d di sgrace fu l su bj e ct n ot to b e men ti on e d
or e v e n hi n t e d at in co n ve r s at i on i n book s or m aga
zi n e s in l e ctu r e s or on th e st age Wh en I say tha t
they di d n ot kn ow of th e ex i s ten ce of su ch a thin g as
ven e r e al di sease th at th e ve ry word s gon orrhea an d
syp hi li s w e r e u n kn own to th em I u se th e se e xpre s
si on s n ot as figu r e s O f sp ee ch bu t in th e i r l it e r al
me an i n g A ll aven u e s of acqu i rin g su ch kn owle dge
—
be in g clo se d to th e m l ay p e ople don t u su ally n ow
pu rch as e an d r e ad
an d th ey su r ely d i dn t th e n
—
whe re cou ld the y Obtai n
stri ctly medi cal work s
th e i n form at i o n " Th e r e su lt w as th at wh en a
woman w as so u n for tu n at e as to con tract a ven e r e al
di se a se from h e r hu sb an d sh e d id n ot u n de r st an d
i ts ch aract e r an d d i d n ot su sp e ct i ts sou rce Which
—
w a s a r ath e r good thi n g
f or th e hu sb an d F amily
e
ce
w
mor
r
a
e
ec
u
e
a
s
s
p
.
,
’
‘
,
.
,
,
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SE X
1 16
KN OWLE DGE F O R WO M E N
man y r efo rme rs
h e p er mi tt e d hi s z e al t o r u n
a w ay wi th hi m o ccas i o n ally an d h e m ad e st ate me n t s
which cau se d an d ar e still cau sin g th e j u di ci ou s t o
gr i eve Th e stat emen t for in stan ce that the re i s
mo r e ven e r eal di se ase amon g in n o cen t vi rtu ou s
w i ve s than am o n g pro st itu t e s i s on e to cau se th e r e al
hon e st in ve sti gator to we ep ( ove r th e hu m an ten
den ey to exagge rati on ) or to bu rst ou t in u pro ar i ou s
l au ghte r Th e r i di cu lou sn e ss O f thi s stat emen t b e
comes e sp e ci ally e vi d en t wh en w e r ecoll ect th at th e
same ge n tl em an mad e th e stat eme n t that e ve ry pro s
titu te w i thou t exce pti on w as di se ase d at on e ti me or
I f v en e r e al di se ase exi st s amo n g pro sti
an othe r
tu te s to th e e xt en t of 1 00pe r cen t the n how can i t
ex i st to a gr e ate r e xt e n t amon g i n n ocen t vi r tu o u s
w i ve s " A n d to sti ll fu rth e r e mphasi z e th e ab su rdi ty
of th e above st at emen t I will t ell you that th e ex
t en t Of ven e r e al di sease am on g ma r r i ed women i s
b el i eve d by care fu l n on sen sati on al ven e re ologist s
n ot to e xce e d five pe r ce n t "
Y e s th e S il en ce O f forme r y e ar s h as give n place
to th e lu ri d exagge rati on of th e pr e se n t d ay Whi le
on th e whole th e f orme r w as wor se than th e l att e r
th e latt e r i s b ad e n o u gh b e cau se i t mak e s man y gi rl s
u n h appy sowi n g in th em th e se e d s O f su spi ci o n an d
cyn i ci sm t en d s to m ake th em an t agon i sti c to th e e n
ti r e male sex an d in o cu late s them wi th a sen seless
”
,
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O F VE NE R E AL DISE A S E
E XT E NT
1 17
fear of marri age A stu dy made by Mi riam C
Gou ld of th e d ep artmen t of p sych ology an d philo s
th e U n ive r sity of P i tt sbu rg ( S ocial Hy
Oph y i n
A
e
r
e
k
n
i
n
i
pr
i
l
orrobor
t
u
r
m
r
c
a
s
a
s
o
a
e
e
g
st r ik i n g man n e r
S h e h as h ad con fid en ti al chat s wi th 50you n g girl s,
wi th whom sh e h as h ad som e acqu ai n t an ce ; of the se
50 25 we r e colle ge stu d en t s an d 25 we r e n ot
She
a ske d th em a n u mb e r o f qu e st i on s th e pu rpo se of
whi ch w as to fin d ou t what p sychologic e fi ect if an y
th e i r kn owl edge of pro stitu t i on an d of ven er e al di s
S h e st at e s in h e r co n clu si on s
e ase h as h ad on th em
“
that th e hi stor ie s r eve al a large p e rcen tage of
harmfu l r e su lt s su ch as con diti on s borde rin g u pon
n e u r a sth en i a m e lan choli a p e s simi sm an d s e x c u
tag on i sm ( i t alics min e ) di rectly tr aceabl e to thi s
E l ev en of th e gi rl s in t e rv i ewe d d eve l
kn owl e dge
op e d a pro n ou n ce d r ep u l si o n for m en althou gh pri or
to thei r kn owle dge th ey h ad e n joy e d m en s com
p an y The y n ow avoi d asso ci ati on w i th the m an d
six h av e d e cl ar e d th at th ey h av e tot ally lo st fai th
E ight h av e alr e ady
in th e moral cl e an n e ss O f m en
r e fu se d to marry or in ten d to d o so b ecau se of their
b eli e f that th e ri sk of in fecti on w as too g r e at If i t
we r e n ot f or th e e xi st en ce of the se di sease s they say
th ey wou ld b e glad to marry A l l of the se say the i r
”
deci si on h as ren de r e d them more or l ess u n happy
.
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11 8
SEX
KN OWLE DGE F O R WO ME N
l au dable d e sir e to ke e p ou r you n g wome n
pu r e an d to prot e ct th em from in fecti on in th e e n
d e avor to make the m d em an d on e mor al s tan da rd
for both se xe s ou r e xagge ratin g r e fo r me rs ar e con
d e mn i n g th e m to li fe lon g ce lib acy whi ch in th e ca se
o f wome n O fte n me an s li felon g n eu rasthen ia an d
hypoch on dri a
Th e Tr u th of th e M atter Her e i s th e Tr u th abou t
—
ven e re al di se ase th e t ru th as I kn ow it wi thou t
co n ce al men t on th e on e h an d an d wi thou t e x agge r a
ti on on th e othe r E xact figu re s ar e of cou r se n u
obtain able an ywhe r e ; bu t r e su lt s Obtai n e d from u n
bia sed i n ve stigati on s Of diff e r en t clas se s of soci e ty
from ho spi tal r e port s from qu e sti on n ai re s amon g
tell u s th at prob ably abou t twen ty
stu de n t s e tc
n
i
a
r
n
a
e
u
a
e
t
o
f
d
lt
m
l
pop
l
t
o
h
v
t
m
er
t
h
e
a
u
e
i
i
ce
t
c
s
p
O f gon orrh e a at on e tim e or an othe r ; tha t prob ably
e ight or te n p er ce n t ar e n ot e n ti r e ly cu r e d whe n
the y e n t e r matrimon y ; an d fou r or five pe r ce n t
n
o
er
f
w
i
ce
o
om
wo
d
t
w
v
b
om
e
u
l
sa
t
e
e
s
i
n
s
c
e
(
p
y
)
T hi s I say i s te rrible
f e cted wi th gon orrhe a
e n ou gh an d mak e s th e grea t e st car e an d cau t i o n i m
n
if
e
e
i
i
f
r
o
u
ho
ld
b
o
O
f
e
v
c
t
m
O
f
s
h
u
i
r
e
o
t
s
e
a
t
v
;
y
p
th e two or five pe r cen t i t wou ld b e l i ttle con s ola
ti on to you that th e othe r n i n e ty e ight or n in ety five
e
n
i
e
e
ca
r
t
o
f
w
v
e
s
h
a
v
s
p
d
e
ce
p
Of cou r se th e p e rcen t ag e of ve n e re al di se ase
I n th e
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1 20
S EX
KN OWLE DG E
FOR
WO M E N
pe rce n tage d i fi e r s con side rabl e from th e 75 50or 25
n
i
n
x
e
r
ce
e
e
t
v
u
by
s
om
e
l
r
e
r
b
h
s
s
ec
t
u
s
t
w
hi
u
c
g
p
i s te rr ibl e en ou gh as it i s wi th ou t an y exaggera
,
.
,
,
C HAP TER T WE NTY FO U R
-
G O N ORRHE A
bj ect of gon orrh ea an d syphi li s i s tr e ate d
pr e tty fu lly from a layman s poin t o f vi ew in th e
I do n ot in t en d
au thor s S ea: K n ow l e dg e for M en
to d evot e mu ch space to a di scu ssi on o f th e det ail s
of th e se tw o di s e ase s h e r e b e cau se th e su bj e ct i s
n ot of su ch di r e ct i n te r e st to wome n
Re spe ctable
gi rl s an d wom en do n ot in du lge in illici t re l ati on s
th e sam e a s r e sp e ct abl e m en an d boys do an d th e i r
dan ge r o f con tractin g a ven e r e al di se ase i s in sign ifi
I wil l the re
can t as comp ar e d wi th m e n s l iabi li ty
fore tou ch u pon on ly a f ew poin t s p articu larly in
s o far as th e di s e ase s d i fi e r in th e i r cou r s e from th e
cou r se p u r su ed in m en
Gon orrhea i s an in fl ammati on cau se d by a ge rm
call e d th e go n o co ccu s di scove r e d by Dr A Ne i sse r ,
Ge rman y in 1 879 A n y mu cou s m em
of Br e sl au
bran e m ay b e th e se at of gon orrhea bu t it attacks
by pr efere n ce th e mu cou s m embran e of th e gen it al
—
organ s, an d of on e oth e r organ th e eye I ts prin
cipal sympt om s ar e : in flam mati o n , p ain , bu rn in g
TH E
su
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121
122
SEX
KN O WL E DGE F OR W O M E N
d di scharge
I n m en
it
.
,
ttacks
th e
r ethra ; i n
—
wom en it attack s th e ce rvix th e n e ck of th e womb
Th e vagin a i s seldom
th e u r e th r a an d th e vu lva
be cau se th e mu cou s m em
att ack ed i n adu lt wom e n
bran e of th e adu lt vagin a i s r ath e r tou gh an d doe s
n ot o ff e r a good so il f or th e d ev e lopm en t o f th e
gon ococcu s germ Th e di scharge th at a woman h as
when sh e h as gon orrhe a com e s prin cip ally or e x
cl u si v e l y fro m th e n e ck of th e
womb I n littl e girls howeve r
i n whom th e lin in g o f the v a
i
e
n
n
e
n
s
t
d
r
go
orrh
e
o
f
i
a
a
g
th e vagin a an d th e vu lva i s
V
u
l
S
e
h
pt
r
comm on
e
a
e
c
(
i n Little Gi rl s )
v ov agin i ti s
Gon on n n m n Gm s
Gon orrhe a i s a local di se as e
While in som e ca se s aft e r th e di se ase h a s la ste d for
p oi son i s gen e rate d by th e
som e tim e
a ce rtai n
ge rm s whi ch ci rcu l at e s i n th e bl ood an d whi le th e
ge rm s m ay occasi on ally wan de r in to di stan t organ s
sti ll i n 9 8 pe r cen t of al l ca se s gon orrh e a i s a lo cal
di se ase an d i f take n in tim e i s cu re d wi thou t l e av
i n g an y tr ace s on th e ge n e r al or gan i sm
Th e n gon orrhea i s
Gon orrhea N ot Heredi tary
Nob ody e ve r i n h e ri ts gon
n ot a h e re di t ary d i s ea se
A chi ld m ay b e b orn wi th a gon orrh e al in
or r h e a
flamm ati on of th e e ye s ( ophthalmi a n e on ator u m h
an
a
u
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S EX
1 24
KN OWLE DGE
F OR
WOME N
fu l di se ase in woman an d thi s i s a b ad thi n g
b e cau se sh e thu s n egle ct s tr e atme n t an d lo se s valu
E ven
abl e tim e p e rm i ttin g th e di s e a s e to d e v elop
when th e u r ethra i s aff e ct e d in wome n it do e s n ot
give as seve re symptom s a s in flammat i on of th e u r e
I f th e woman do e s h av e p ain s sh e
th ra in m en
o ft en p ays n o att en ti on to th e m b ecau se woman i s
u se d to p ain s ; as w e h ave se e n b e for e fifty pe r ce n t
o f al l wom en su ff e r more or le ss wi th dy smen orrhe a
M an y of them h ave a le u corrhe a] di scharge of
gr eate r or l e sse r d egr e e an d the r e fore i f th e re i s
an in cr ea se i n th e p ai n s or an in cr e ase i n th e di s
ch arge lit tl e att e n t i on i s p ai d to th e matt e r
In
fact a wom an m ay h ave a chron ic gon orrhe a for
mon ths or ye ar s wi thou t b ei n g awar e th at th e r e i s
I t i s import an t to
an ythin g th e matt e r wi th h e r
t e ach women to se ek m edi cal ai d as s oon as th ey
n oti ce an y i n cr e ase i n th e amou n t of th e di sch arge ,
or ch an ge in color p articu l arly if i t b e com e s gr e en
i sh or i f th e odor b e come s o ff en sive or if the re i s
ch afin g bu rn in g or i rri t ati o n aro u n d th e ge n i t al s
an d p arti cu l arly if th e r e i s an in cr e a se in th e f r e
qu en oy or u rgen cy of u rin ati on or if the r e i s a bu m
in g scaldin g or cu tti n g sen sati on du r in g th e act o f
A l so wh en ev e r th e sexu al act b ecome s
u ri n ati o n
p ain f u l If wome n co n su lt e d a phy si ci an as soon
as th e y n oti ce d an y o f th e sym ptom s r e f e rr e d to
i
n
a
p
,
,
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,
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.
G O N O RRHE A
1 25
bove they wou l d save mon th s an d ye ar s of sn fi e r
in g an d exp e n se b e cau se th e di sease wou ld o ften
b e t ake n i n han d whi le sti ll limit e d to th e ce rvi x an d
n ot a s i s n ow oft e n th e case aft e r th e in fl am mati on
ha s e xte n de d in t o th e u t eru s an d F al l op i an tu be s
S elf treatmen t I d o n ot b el i ev e in se lf tr e atmen t
b e cau se i t i s gen e r ally u n sati sfactory an d m ay often
e ve n b e com e d an ge r o u s an d I d e ci d e dly advi se e ve ry
woman w h o su sp e ct s that sh e h as con tract e d g on or
rhe a to apply at on ce to a comp eten t phy si ci an B u t
it h app e n s n ot in fr e qu en tly th at a woman i s so situ
A n d in
at e d th at sh e can n ot con su lt a phy si ci an
the m e an tim e th e r e i s dan ge r of th e gon orrh e a
I n su ch ca se s it i s
spr e adi n g fu rth e r an d fu rth e r
advi sable f or th e wo m an to u se an i n j ecti on u n ti l
Th e
su ch tim e wh e n sh e can co n su lt a phy si ci an
in j e cti o n I am goin g to advi se m ay in i t sel f produ ce
a cu r e ; an d if it d oe s n ot produ ce a co m ple t e cu r e
i t at an y r at e impr ove s th e con di ti on pr eve n t s th e
e xt e n si on
of th e di s e a se m ak e s su b se qu en t t re at
m en t e asi e r an d b e si de s i s pe rfe ctly harmle ss The
b e st i n j e cti on f or se lf u se in gon orrhea i s tin ctu r e of
i odin e ; th e proporti on i s two te a spoo n fu l s to a qu art
or two q u art s of wat e r If th e case i s v e ry b ad su ch
an i n j e cti on m ay b e t ak e n twi ce a d ay
If th e case i s
n ot v e ry b ad o n ce a d ay i s su ffici en t
A ft e r u sin g
th e tin ct u r e of i odin e f or fiv e days to a week, it i s
a
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S E X KN O WLE DGE F OR W O M E N
1 26
fi
B
o
i
u
i
n
n
ac
i
ac
ood
t
o
h
a
e
l
t
d
p
t
or
o
t
c
a
c
s
o
y
g
g
of l actic aci d in a dru g stor e an d u se on e table spoon
fu l t o a qu art o f wat e r It i s pr e fe r abl e to have th e
wate r h ot abou t 1 00 d og bu t whe re thi s i s i n con
Th e lac tic aci d
v en i e n t i t m ay b e u se d lu ke warm
in j e cti o n i s u se d for thr e e day s, then th e i odin e in
n
i
i
i
h
e
n
e
n
r
m
e
d
th
e
n
a
g
a
l
a
t
i
c
i
d
o
u
c
t
s
e
s
t
c
ac
a
d
j
,
I kn ow of man y case s th at we r e cu r e d by thi s
so on
tr eatmen t alon e An d I mi ght men ti on th at the se
i n j e cti on s ar e ge n e r ally al so ve r y e fli ci en t i n l eu cor
rhe a, as state d in th e chapt e r on L eu corrhe a
.
,
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.
S E X KN O WLE DGE FOR W O M E N
1 28
prin cip al sym ptom in li ttle gi rl s thu s afllicte d
th e di sch arge
T hi s di sch arge m ay b e ve ry pr o
fu se cove rin g th e vu l va vagi n a an d ce rvix
I n se ve r e case s the r e i s al so an in fecti on of th e
u r e thr a an d th e child m ay compla in of b u rn i n g at
i t chin g an d p ai n aro u n d th e vu l va an d
u rin at i on
an u s, an d sli ght p ain in th e abdome n
The r e m ay
b e a mode rat e ri se in t emp e r atu r e u p to 1 01 d eg F ,
an d in s om e in st an ce s th e att ack i s su fli ci e n tl y acu te
A mi ld in flam ma
to give r i se to a chi ll an d fe ve r
ti on o f th e join t s m ay se t in wi thin th e fir st weeks
of th e in fecti on al tho u gh as a u su al thin g i t come s
l at e r on
While as
Evi l S equ elae of V u l vovagin itis
stat e d vu lvovagi n i ti s i s a co m p ar ati vely mil d in fec
ti on as f ar as i ts sym ptom s ar e con ce rn e d i t n e ve r
th el e ss h a s a v e ry b ad e fi ect on th e chil d who i s n u
fortu n ate en ou gh to b e com e a vi ctim of th e di se ase
Fi r st o f al l it i s an extr emely lon g drawn p e r si ste n t
di se ase It u su ally t ake s m on th s an d th e se mon th s
m ay r u n in to y e ar s b e for e a compl e te cu r e i s e f
Thi rd
f e cte d S e con d r e lap se s ar e qu i t e common
th e tr e atm en t i s a di sagr ee abl e on e for th e child an d
i s o cca si on ally p ai n fu l F ou rth i t h as a di sastro u s
e ff e ct on th e chi ld s m or al e ; mo st p ar en t s thou gh
they m ay lov e the chi ld mo st aff ecti on at ely, l ook
som ewhat a skan ce at i t ; an d con tin u o u s v agin al
i s the
.
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V U LV
OV
A GINI T I S
IN
LI T T LE
GIRL S
129
t r eatmen t som ehow or othe r h as a hu mili atin g cfi e ct
on th e chi ld whi ch b e gi n s to con si d e r i t sel f a s an
ou tcast as some thin g ap ar t from othe r childre n
F ifth th e child s e du cati on i s v e ry fre qu en tly seri
ou sl y an d p e rman en tly i n te rf e r e d wi th b e cau s e i t
mu st o ft e n b e t ak en ou t of school whethe r pu bli c or
privat e an d privat e tu torin g i s o f cou r se fe asible
on ly f or th e f ew S ixth an d thi s i s a poin t n ot su f
fici en tl y appr eci ate d by th e pr of e ssi on an d th e lai ty
bu t i t i san im p ort an t po in t n e ve rth e le ss : v u l vovag
in i ti s in children h a s u n fortu n at ely a di sastrou s ef
,
.
,
’
,
,
,
,
,
.
,
,
f e ct in h as ten in g th e s exu al m atu ri ty of th e chi l d
Whe the r thi s i s d u e to th e con ge sti on of th e organ s
.
produ ce d by th e i n flammati on or to th e sp e cu lu m
e xami n ati on s p ain ti n g s d ou ch e s applicat i on s, tam
pon s , su ppo sitori e s e tc th e fact remain s that girl s
who su ff e r from vu lvovagin i ti s in childh ood b ecome
se xu ally m atu r e co n si d e rably e arlie r than
n ormal
gi rls of th e sam e class st ratu m an d climate , an d
th ei r deman d for sexu al sati sfacti on i s mu ch mor e
i n si st en t
S eve n th a mi ld vu l vovag in i ti s m ay be
th e cau se of p e rman en t s te r i l i ty
It will the re for e b e se en that vu l vovagin i ti s i s a
cal ami ty an d e v e rythin g po ssibl e sh o u ld b e do n e to
gu ard female childr en from con tractin g it A l l chil
dr en sho u ld alw ays sl eep al on e U n de r n o ci rcu m
stan ce s sho u ld a chi ld sl e e p wi th an ybody e l se , b e i t
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1 30
S EX
KN OWLE DGE F O R WO ME N
mothe r a f ri e n d a gove rn e ss or a se r van t
gi rl P e ople shou l d be ve ry car e fu l in sen d in g the i r
children to sp en d a n i ght or two wi th some fri en ds
Th e fr i en d s m ay b e all r ight bu t still a fri e n d of
th e fri e n d s or a r ela ti ve o f th e fri e n ds m ay n ot b e
I have kn own se ve ral case s whe re th e o rigin o f th e
vu lvovagin i ti s co u ld b e tr ace d t o li ttle gi rls spen d
in g a we ek at th e hou se of some fr ie n d s whe re a
bo arde r or r e lative w as in fecte d wi th gon orrhe a
That children sh ou ld b e kept away from associati n g
or playin g wi th adu lt s or o the r chil dr en who ar e
kn ow n to h ave gon orrh e al in fecti on go e s wi th ou t
Th e child s gen i t al s shou ld b e fr equ en tly
sayi n g
i n sp e ct ed by th e moth e r an d scr u pu lou s cle an li n e ss
by fre qu en t bathin g spon gin g wi th war m solu ti on s
an d powde ri n g shou ld b e m ain tain ed
Th e to il e t
se at s in
school shou ld r ece ive sp e cial att en ti on
Th e wooden se at i s a m en ace b e cau se i t o ften h ar
bor s gon orrh e al pu s from e ithe r th e female or mal e
gen i t al s whil e th e on ly prop e r se at i s on e of th e
so call ed U shap e d styl e that i s on e i n whi ch th e
fron t i s e n ti re ly op en , lik e the le tt e r U
t r
a si s e
a
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SEX
1 32
KN OWLE DGE F O R W O M E N
develop s a sore ( at th e spot whe r e th e ge rm s go t in )
Thi s sore i s calle d chan cr e or p r i m a ry l esi on B u t
wh en thi s sore make s i ts app ea ran ce th e sp i ro che ta
an d th e poi so n whi ch th e y e labor at e ar e alr eady ci r
Th e di s
cu l atin g i n th e blood al l ove r th e sy st em
ease i s alr e ady sy st e m i c or co n sti tu ti o n al an d th e
ch an cr e i s th e lo cal e xpr e s si on of a co n sti tu ti on al
di se ase C u ttin g ou t th e chan cre will n ot cu r e th e
di se ase b ecau se as st at e d th e ge rm s ar e alr e ady in
th e sy st em Th e t ime b e twe e n th e con tr acti o n of th e
di se ase ( th e in fe cti ou s in t e r cou r se ) an d th e app e ar
an ce o f th e ch an cr e i s ca ll e d th e I n cu ba ti on P e ri od
Th e tim e b etwe en th e app e ar an ce o f th e chan cr e an d
th e app e ar an ce of th e r ash on th e body ( th e r ash
look s like a me a sl es rash an d i s call e d ro se ol a whi ch
me an s a ro se col or e d r ash ) i s calle d th e P r i ma ry
S tage It l ast s abou t six week s Wi th th e app e ar
an ce of th e r ash co mm e n ce s th e S e con d ar y S tag e
T hi s stage i s char acte riz e d by al l sort s of er u p ti on s
mi ld an d seve re by whi t e little p atch e s ( cal le d m u
co u s p at ch e s ) in th e thro at mo u th to n si l s vag in a
by fallin g ou t o f th e h ai r e tc Th e le n gth of thi s
se con d ary st ag e d ep en d s a good d e al u pon th e s ort
Im prop e rly tr e ate d,
of tr e atme n t th e p ati e n t ge t s
or n ot tr e at e d at al l i t m ay l ast tw o or thr e e ye ar s
or mor e P rop e rly tr e at e d i t m ay b e cu t short at
on ce, in a f ew days, so that th e p ati en t m ay n eve r
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133
SY P HIL IS
The thi rd
h er life ge t an e ru pti on
or Te r tiary S tag e i s charact e ri z ed by u l ce ration s in
vari ou s p art s of th e body an d by sw el li n gs or tu
agai n
in hi s
or
.
mor s Th e n ame of a syp hi li ti c swelli n g or tu mor i s
gu mm a ( plu ral gu mmata ) Th e t ertiary st age is
th e mo st t e rribl e st age an d i t u sed to b e th e t e rror
of syphili ti c p atien ts B u t at th e pr e sen t tim e u n
d e r ou r mod e rn me thod s of tr e atmen t p ati en t s if
prope rly t reate d n eve r have a ter tiary s tag e We
have se en man y p atien t s who con si de re d syphili s a
triflin g di se ase b ecau se al l the y kn ew o f thei r d is
i e th e
e ase w as th e ch an cr e an d th e fi r st e ru p ti on
ro se ola, an d p erhap s a slight fallin g ou t of th e hai r
Th ey then pu t themselve s u n d e r e n e rgetic tre atme n t,
th e acti vi ty of th e di se ase w a s ch ecked an d they
n e ve r h ad an oth e r symptom afte rward s thou gh a
Was se rman n te st sh owe d that th e di sease w as n ot
e n ti re ly e r ad i cat e d
It w as me rely held in check
which i s th e secon d b e st thi n g
A s stat e d b efor e syphili s i s the mo st h e re ditary
of all d i se ase s
Fortu n ately if th e di se ase i s st ill
ve ry act ive i n th e p aren t s particu l arly in th e
moth e r th e chil d i s gen e ral ly aborte d Some syphi
l i ti c mothe r s wi ll have hal f a doze n or mor e m i scar
r i age s in su cce ssi on
When th e di sease h a s become
ei th e r by t r e atmen t or by i t sel f
atte n u at e d,
—
i
l
man y di se ases l o se their v ru en ce in time th e child
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KN OWLE DGE FOR WO ME N
SEX
1 34
rrie d to t e rm It then may be born dead
or i t m ay b e born stron gly syphili ti c an d di e i n a
f ew days or we ek s or it m ay b e born w i thou t an y
si gn s o f syp hil i s an d b e app ar e n tly h e althy an d th e n
deve lop th e di sease at th e age of ten twelve fou r
t e en or lat e r, or it m ay be b orn h ealthy an d r emai n
he althy B u t n o w oman who h ad syphili s, or who se
hu sb an d h ad syphil i s shou ld d ar e to con ce ive or t o
give b irth to a chi ld u n le ss sh e h as b e en give n pe r
mi ssi on by a comp eten t physician I me an j u st what
I say It i s n ot a pe r son al matt e r A woman has
a r i ght to marry a syp hi li ti c hu sb an d if sh e wan t s
t o an d ru n th e ri sk o f con tractin g syp hil i s He r
body i s h er ow n an d if sh e do e s it wi th h er eye s open
it i s h e r afi ai r B u t a woman h as n o right to brin g
i n to th e world syphil i ti c or syphi liti call y tai n t ed chil
dr en H ere so ciety has a right t o i n te rfe re
Syphi li s ru n s a mil de r cou r se in women than i t
doe s i n m en B u t thi s mi lde r cou r se is n ot an u n
mixe d bl e ssin g ; it m ay be con si de red a mi sfortu n e
b ecau se the same as gon o r rhea in women syphili s
i s o fte n pr e se n t for mo n th s an d ye ar s u n ti l i t h as
made su ch in ro ad s that it i s bu t little amen able to
treatme n t I n man y women th e di se ase r u n s su ch
a mil d cou r se , as f ar a s de fin i te symp t oms ar e con
ce rn ed , that the y ar e su r e the y n e ve r had an ythi n g
the matte r with th em, an d the y ar e p e rfe ctly sin ce re
m ay be
ca
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CH
AP TE R
THE C U RAB I LI TY
T W N TY
E
OF
-
S EV E
N
DI S E A S E
V E NE RE AL
l st at eme n t s in re gard to th e e x
te n t of ven e re al dise ase have b e en fou n d u n tru e or
gre atly e xagge r ate d so d o th e stat emen t s r egardin g
th e cu r ab i li ty or r ath e r in cu r ab ili ty of v en e r e al d i s
Th e p i ctu r e u su ally
e ase n ee d ca r e fu l r evi si o n
pai n t e d of th e hop ele ssn e ss of gon orrh e a an d syphi
li s i s too sombr e too black an d con tr ar y to th e as
se r ti on s m ad e by l aym en an d l ayw om en an d phy si
ci an s who d o n ot sp e ci ali z e i n
th e tr e atme n t of
ven e r e al di se ase , I wi sh to mak e th e st at emen t th at
withou t an y e x cep
e ve ry case o f gon orrh e a i n m an
ti on if prope rly tre ate d can b e p e rfe ctly cu re d as
n
i
n
l
o
r
r
e
o
e
r
a
d
r
r
t
c
u
s
s
a
e
c
c
d
I
d
t
h
e
ac
a
e
a
as
p p
p
f
last phrase b ecau se th e cu r e m ay n ot b e p e rfect in
th e sci e n tific se n se of the word ; th at i s th e m an m ay
n ot b e bro u ght b ack in to th e con di ti on i n whi ch h e
B u t f or all pr acti cal
w as be for e h e got th e di s ea se
pu rpo se s as f ar as h e hi mse lf i s con ce rn ed as f ar
as hi s wi fe i s con ce rn e d an d as f ar a s th e fu tu re
chi ldre n ar e con ce rn e d, e ve ry case m ay b e cu re d
An d I say thi s, basi n g myself
w i th ou t an y dou bt
Ju
sr a s
th e
u su a
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136
C URA B I LITY
OF
DI S E A S E
V E NE R E AL
1 37
varie d pr ofe ssi on al exp e ri en ce exten din g
n e arly a qu art e r o f a cen tu ry
A s to go n orrh ea in w om en that de p en d s to a great
th e vi ru l e n ce o f th e d i se ase an d th e
e xt e n t u p on
promptn e ss wi th wh ich tre atme n t i s in stitu te d If
th e go n orrh e a i s l imi t e d on ly to th e ce rvix th e v u l va
an d th e u r e thr a the n prompt tr e atm e n t w ill u su al ly
brin g ab ou t a cu r e in a comp ar atively short tim e
B u t if th e gon orrh eal in flamm ati on h as e xt en d ed to
th e body o f th e u t e ru s or st ill wor se t o th e tu be s
the n th e tr e atm en t m ay b ecome a v e ry t edi ou s on e
an d s ome ca se s m ay n ot b e cu r abl e wi thou t an op e r a
ti on
Wi th syp hi li s th e matt e r i s di fl e r en t S in ce th e
i n t rodu cti o n by E hrli ch o f th e vari ou s a r se n i c pr ep
ar ati on s w e h ave mu ch b e tt e r su cce s s i n th e tre at
men t of syphili s an d w e can po si tively r en de r eve ry
B u t as to gu ar
case n on i n fe cti ou s to th e pa rtn e r
an te e i n g a po sit iv e cu r e that i s g u ar an t e e in g that
th e pat ien t will n eve r h ave an ou tbr e ak or re l ap se
of hi s di se ase in th e fu tu re an d th at th e chil dre n
wi ll b e p e rfectly fr e e from an y t ai n t, thi s w e can do
n o m or e n ow th an w e co u ld b e for e th e mode rn t r eat
men t of syphili s w as in trodu ced Th e de cisi on ,
the r e for e a s to whe th e r w e m ay or m ay n ot p e rmi t
a o n ce syphi li t i c p at i e n t to m arry w ill dep en d a gr e at
de al u pon whe ther or n o th e hu sb an d or the wi fe or
pon
ove r
u
a
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138
SEX
KN OWLE DGE FOR WO ME N
both de si r e t o have chi ldre n If thi s i s th e case, w e
mu st often wi thhold ou r p e rmi ssi on ; bu t if th e m an
an d wom an agre e t o ge t m arri e d an d to get al o n g
wi th ou t childr en , w e will gran t p e rmi ssi on t o th e
marri age in th e vast majority of ca se s The su bj e ct
of ven e re al disease an d marriage w ill be fu rther
di scu sse d in separ ate chapte rs
V en e r e al di seas e I h ave to r epe at , i s t e rri ble
e n o u gh i n i t self wi th ou t an y e xagge r ati on , wi thou t
pict u rin g it in too black colors An d i t i s n ece ssary
that p e ople shou ld n ot have too bl ack an i dea of i t
It i s n ece ssary that th e y kn ow that the re ar e thou
san ds an d ten s of thou san d s of p ati en ts wh o su fi e r ed
wi th go n orrhe a or syphi li s an d w h o we r e p e rfe ctly
cu r e d, who m arri e d an d who se wi ve s r emai n e d
e
r
p
f ectl y w el l an d who gave bi rth to pe r fe ctly healthy,
u n tai n te d chil dre n
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1 40
KN OWL E DGE F O R W O M E N
S EX
In ste ad of th e dou che an an ti septic j elly i n a col
l ap sibl e ti n tu b e with a lo n g n ozzl e m ay be u se d
B u t b e si d e s th e ve n e r e al sou r ce s of i n fecti o n th e
w oman mu st gu ard again st th e n on ve n e r e al s ou r ce s
Do n ot eve r if you can avoi d it u se a pu bli c toil et
If you ar e force d to u se i t prot e ct you r se lf by pu t
tin g s ome p ape r ove r th e se at
Do n ot u se a pu bli c drin ki n g cu p If you have to
On e
u se on e ke e p you r lip s away fr om th e r im
can l e arn t o dri n k wi thou t tou chi n g th e r im o f th e
h
i
i
e
l
or
cu
w
t
h
t
l
p
s
s
a
s
p
g
Do n ot u n de r an y ci rcu m stan ce s u se a pu bli c
t owel Th e roll e r towel i s a m en ace to he alth an d
sh o u l d b e forb i dden in e v e ry p art o f th e cou n try
If you have t o sl ee p in a hote l or in a st ran ge b ed
make su r e that th e lin en i s cle an an d fre sh Neve r
sl e e p on b e d lin en whi ch h as b e en u se d by 9 atm
.
-
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r
e
g
.
Ne ve r u se a pu blic bru sh or comb
B e su r e that you r d e n ti st i s a car e fu l u p t o dat e
m an an d st e rili z e s hi s in st r u men t s ca r e fu lly Man y
a case of syp hi li s h as b ee n tran smi t t e d by a d en ti st s
A syphi li ti c who go e s to a den ti st t o
in st r u men t
be t r e at e d ge n e ral ly con ce al s h i s di se ase an d if th e
den ti st i s n ot in th e h abi t of ste rili zi n g hi s in stru
men t s aft e r e ach p ati en t di sast e r m ay r e su lt
B e su r e th at you r m an i cu ri st i s n ot syphi liti c, or
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V E NE R E A L P R OP H YLA XI S
1 41
least that h er han ds ar e he althy cl ean an d free
from an y e ru pti on
A n d last bu t n ot le ast do n ot i n du lge in promi s
Thi s i s a p arti cu larly importan t in
cu cu s ki ssi n g
j u n cti o n for you n g gi rl s Thi s i s a r e al p e ril an d
the re ar e thou san ds of case s of syphilis th at are
kn own to hav e b een co n t r acte d di r ectly from ki ssin g
P e opl e su ff e ri n g wi th syphi li s oft en h ave li ttle whi te
sor e s ( mu co u s p at ch e s ) on the i r lip s ton gu e an d
r e v e ry i n fe cti o u s
in si d e of ch eek s Th ese sores a
an d by ki s si n g th e di se ase i s r e adil y t r an smi tt ed
Ki ssin g game s hav e b e en re spon sible in mor e than
on e cas e for th e spr e ad of syphili s to man y p e r son s
I have n ow u n de r treatm en t a gi rl of n in ete en wh o
from
co n tr act e d syphili s on h e r su mm e r vacati on
havin g ki sse d a m an on ce A voi d promi scu ou s ki ss
i n g " It i s a bad pr acti ce for more than on e r e as on
at
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C HAP TER T WE NTY NI NE
-
O R TH E L IMITA TI O N OF
O FFS P RING
B IR TH C O N T R OL
No girl an d n o m an for that matte r , shou ld en ter
th e bon d s of mat rimon y wi thou t l earn in g th e l at est
me an s of p re ven tin g con ce pti on of re gu latin g th e
n u m be r of o ffsprin g
Wi th p e opl e wh o con si de r an y
attemp t at re gu l atin g th e n u mb e r o f child r en a sin ,
w e h ave n o thin g to argu e , thou gh w e b el i e ve th at
th e r e are ve r y f ew pe ople exce p t amon g th e lowe st
dre gs of soci e ty wh o d o n ot u se some measu res of
O the r w i se w e wou l d se e mo st fami l ie s
re gu l ati on
with ten to twen ty chi ldr en in stead of tw o or three
Nor do I in te n d to devo te thi s chapt e r to a de tail e d
pr e sen tati on of th e a rgu m e n t s in favor of th e r a
ti on al re g u l ati on of ofi sprin g It w ou l d have to be
me rely a re pe titi on of th e argu men t s that I have pr e
“
B u t a few poin ts may well be
se n t e d e l se wh e r e
t ou che d u pon he re
I n sp ite of the fact that th e su bj e ct of bi rth con
trol i s mu ch be tte r kn ow n n ow than i t w as w hen
w e fir st starte d to p r op agat e i t still i t can n o t b e
m en ti on e d too often for th e mi sapprehen si on s con
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The Li mi tati on of Ofl sprin g b y th e P r even ti on of Con
IQ
ception
.
SE X
144
bo th
KN OWLE DGE F OR W O M E N
r tly di smi ssed It i s n ot tru e o f
B u t e ven if i t
an y of th e mode rn co n tr ace pt iv e s
we re tr u e th e amou n t of in j u r y that can b e don e by
con t r ace pt ive s wou ld b e lik e a drop of wat e r in com
p ari so n wi th th e in j u r i e s re su ltin g from e xce ssive
pre gn an ci e s an d chi ldbi rth s Some of th e con tra
ceptiv e m e asu r e s r e qu i r e s ome tro u ble t o u se s ome
ar e u n e sth eti c bu t th e s e ar e tr ifl e s an d con sti tu t e a
small pri ce t o pay f or th e pri vi le ge of b e in g abl e
t o r egu late th e n u mb e r o f on e s ofi sprin g accordin g
to on e s in te lli gen t de sire s
Th e com mo n e st argu m en t n ow made again st con
tr aceptives i s that the y ar e n ot ab solu t ely saf e that
i s ab solu t ely to b e r eli e d u po n th at th ey will n ot
pre ven t in ab solu tely eve ry case Thi s i s t r u e ; bu t
th e re ar e thre e an swe r s whi ch ren de r thi s obj ecti on
in vali d F i r st m an y of th e ca se s o f failu re ar e to
be ascrib e d n ot t o th e co n trace ptives themse lve s bu t
t o th e i r imprope r car ele ss an d u n i n t elli ge n t u se
Th e b e st m ethod s in th e world wi ll fai l if u se d im
p rop e rly S e con d i f th e me asu re s ar e eflici en t in
98 or 99 pe r cen t an d f ail in on e or tw o pe r ce n t
then they ar e a ble ssin g Some women wou l d b e th e
happ ie st women i n th e world i f they cou l d ren de r
98 pe r cen t o f the i r co n j u gal r el ati on s u n fr u i tfu l
Thi rd th e impe rfe cti on s of ou r con traceptive me as
u r e s are d u e to th e se cre cy w i th whi ch th e en ti re
m ay b e
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BIRTH
C O NTR OL
1 45
bj e ct mu st n e ce ssarily b e su rrou n de d If the su b
s
b
m
e
d
s
e
u
i
s
e
i
n
of
b
i
h
o
trol
o
u
l
d
f
lly
d
d
r
n
c
c
u
c
t
t
c
e
j
i cal books the r e i s n o dou bt th at in a short time w e
w ou l d have me asu r e s that wou ld b e ab solu te ly ce r
tain an d wou l d l e ave n othin g to b e de sir e d B u t
e ve n su ch a s they ar e th e m easu r e s ar e b ette r th an
n o n e an d a s sai d in th e b e gin n in g of thi s ch apte r
i t i s th e du ty of eve ry you n g w om an t o acqu i re a s
on e o f th e i t ems of h e r s ex e du cati on th e kn owl e dge
of how to avoi d too fr equ en t pre gn an ci e s I n fact
I con si de r this the mo st import an t i tem in a woman s
an d if sh e h as le arn e d n o thin g e l se
sex e du cati on
thi s For thi s in fo rma ti on i s
sh e sho u ld le arn
a bs ol u te ly n e ce ssary t o h er fu tu re heal th an d happi
su
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n e ss
.
my t w en ty years work for th e cau se of rati on al
bir th con trol I have come in con tact w ith thou san ds
an d tho u san d s of ca se s whi ch de mon st rat e in th e
mo st con vin cin g man n e r po ssible th e tragic resu l ts
o f f o rce d or u n de si re d moth e rhood, an d of th e fear
of forced or u n de si re d mothe rhood
Some of the case s w e re in my ow n practice some
we re r elated t o m e by brothe r physician s, some we r e
de scribed to m e by th e vi ctims li vin g in all p art s of
In
.
,
SEX
146
KN OWLE DGE
WO M E N
FOR
thi s vast cou n try We re I to coll e ct an d rep o rt all
th e case s that came to my n oti ce du rin g tho se tw en ty
ye ar s, they wou ld wi thou t exagge rati on mak e a
volu me th e si ze of th e l ate st e diti on of th e S tan da rd
Dicti on a ry prin t e d in th e same smal l typ e Some
of them ar e po sitively h eartbre aki n g Th ey mak e
i
u
f
n
h
k
i
e
di
o
t
h
e
a
c
a
h
s
t
p
ty
h
u
m
r
ace
o
u
s
t
t
t
t
a
e
y
B u t I do
stu p i di ty an d bru t ali ty o f th e l awgive r s
n ot w i sh t o app e al to you r e moti on s
I do n ot wi sh
to take ext reme an d u n i qu e cases I w ill th e refor e
briefly relat e a f ew eve r yday ca se s whi ch will d em
on str ate to you th e b en e ficen ce o f con tr acept ive
kn owle dge an d th e trage dy an d mi se ry cau se d by
th e lack o f su ch kn owl e dge
C as e 1
Thi s cla ss of case i s so common that I al
mo st fe e l lik e apologiz in g for refe rrin g to i t S he ,
whom I will call by th e forb e ari n g n ame of M r s
Smi th h ad b e en mar ri e d a li ttle ove r n in e year s
S h e w as an ex
an d h ad gi v en b i rth to fiv e childr en
c l l en t moth e r n u r se d th e m h e r self too k good care
e
o f them, an d all th e five we r e livi n g an d healthy
B u t in cari n g f or them an d f or th e hou seh old all
al on e f or the y co u l d n ot aff ord a se rv an t or a n u r se
gi rl all h er vi tal i ty had b e en sapp e d al l h e r orig
in all y su p e rb e n e rgy h ad dwin dl e d down t o n othin g ;
h e r n e rv e s we r e worn t o a frazzl e an d sh e b e came
bu t a shadow of h er forme r self An d th e fear of
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SEX
1 48
KN OWLE DGE F OR W O M E N
ome te r ribly in su lte d when a poor woman who can
on l y pay ten or fifte en dollar s asks to b e reli eve d of
t th e
th e f ru i t of h e r womb will u su all y di scove r tha
woman wh o can aff ord to pay on e hu n dre d dolla rs
i s b adl y in n ee d o f a cu r e tt eme n t Oh n o He doe s
H e m e rely cu r ets th e
n ot p e rform an
abort i on
u te r u s
B u t to come b ack to M r s Smi th S h e w en t away
from th e in di gn an t adaman t do ctor B u t sh e w as
d e te rmi n e d n ot t o give bi rth to an oth e r chil d S h e
con fide d h e r trou bl e to a n e i ghbor w h o sen t h e r to
Th e mi dwi fe w a s n ei the r ve ry e xp e rt
a mi dwi fe
n or ve r y cl e an
M r s Smi th h ad to go to h e r tw o
or thre e time s A ft e r bl e e din g for abou t ten days
sh e d ev elop e d bl ood po i so n in g fr om whi ch sh e di e d
days late r at th e e arly age of twen ty n i n e
a fe w
le avin g a di scon sol ate fath e r wh o in time to come
w ill prob ably fin d con s olati on wi th an othe r woman ,
an d fiv e mothe rl e s s ch il d r e n who will n eve r fin d con
On e m ay fin d a su b sti tu t e for a w i fe th e r e
s ol ati o n
i s n o su b sti tu te f or a mothe r
A n d su ch trage di es ar e of dai ly o ccu rren ce M ay
th e L ord have me r cy on th e so u l s of th o se wh o ar e
re spon sible f or them
B efor e I pro cee d fu rth e r I wi sh t o say that it i s
th e t e rribl e pr eval e n ce of th e aborti on evil wi th i ts
ill h e alth chron i c in
co n comi tan t e vi l s of i n fe cti on
c
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B I RTH C O NTR OL
val i d i sm an
1 49
d e ath that mo r e than an y othe r sin gle
facto r u rge s u s in ou r bi rth con t r ol prop agan da
n t to f orb i d th e di sse min ati o n o f
A n d tho se w h o wa
an y in f o r mati o n abou t th e pr e ven ti o n o f con ce pti o n
ar e pl ayin g d i r e ctly i n to th e h an d s of th e pr of es
T he y cou ld n ot act an y more
si on al abort i o n i st s
z ealou sly i f the y we re in le agu e wi th the latt e r an d
we re p ai d by th em A n d havi n g men ti on e d th e su b
i
n
f
i
n
f
i
o
bort
o
I
w
h
t
o
u
t
t
e
r
a
n
ot
o
w
a
r
n
g
ec
t
a
s
e
j
I n ou r b i rth con trol p r op agan da w e mu st b e ve r y
of th e preve n ti on of
car e fu l to k ee p th e qu e sti on
Th e
co n ce pti o n an d of aborti on se p arat e an d ap art
stu pi d l aw p u t s th e tw o in th e sam e p ar agr aph s ome
i gn or an t l ayme n an d e qu ally i gn oran t physi ci an s
tr eat th e tw o as if they we r e th e same thin g bu t w e
in ou r sp e eche s an d ou r wr i tin gs mu st keep th e tw o
sep ar ate w e mu st show th e p e opl e th e e ssen ti al dif
fe re n ce b e twe en p r even ti on an d aborti on b etween
re frain i n g f rom cr eatin g li fe an d de stroyin g l ife al
r e ady cre ated ; w e mu st show th e vi ci ou sn e ss of me t
in g ou t th e sam e pu n i shmen t f or tw o thin gs which
ar e fu n dam en t ally d i fi e r en t di fi e r en t n ot on l y in d e
—
gre e bu t in kin d an d it i s o n ly by thu s ke ep in g th e
tw o thi n gs ap art by showi n g that w e stan d for on e
—
—
—
thi n g pr even ti on an d n ot for th e othe r aborti on
t hat w e can e ve r gain th e gen e r al symp athy of the
pu bli c an d th e cc op e rati on of th e l e gislators I d o
d
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1 50
S EX
KN OWLE D GE FOR WO ME N
tha t the re are n ot man y case s in w hi ch th e
in du cti on o f aborti on i s n ot on l y j u stifiable bu t im
u
v
b
i
s
fi
e
r
n
es
i
d
i
n
r
a
e
th
a
t
a
e
t
q
t
i
o
n
d
e
h
t
u
t
a
e
t
;
p
two i ssu e s mu st n ot b e con f u sed A n d w e w ou l d an d
sho u ld resen t an y att emp t on th e p ar t of e ithe r
en emy or fri en d to so con fu se th em
C as e 2 Mr A an d Mi ss B ar e in love w i th e ach
B u t the y can n o t get mar r i e d for hi s sal ar y
oth e r
They mi ght ri sk gettin g marrie d if
i s too sm al l
th e specte r of an in defin i t e n u mb e r of chil dren d i d
S he come s
n ot stre tch ou t i ts re strain i n g han d
from a good fami ly sh e w a s brou ght u p if n ot in th e
l ap of lu x u r y in th e l ap of comfo r t an d co zin ess
an d i t i s th e am b iti on of eve r y good Am e r i can to
fu rn i sh hi s wi fe at l east as good a home as he r
fath e r gave he r He r fathe r by th e w ay, died pre
matu re ly from ove r w ork in tr yin g to gi ve all pos
sible comfo r ts an d advan ta ge s to a bevy of six n u
marri e d an d marri ageabl e dau ghte r s
A s I sai d th e fe ar of chil dr en ke p t them back
E ach ye ar the hope revive d that in an other yea r
thei r u n i on in matrimon y wou l d be con su mm ate d
B u t th e ye a rs p asse d Mr A s hai r b e came thin an d
grayi sh Mi ss B b egan to l ook haggard an d pin che d
—an d still th e marri age cou l d n ot take pl ace Mi ss
B w as ve ry reli gi ou s an d ve r y prope r, an d w ou l d
n ot d o an ythin g tha t w as imp ro pe r
A w as n ot
n ot say
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S EX KN O WLE DGE F O R WO M E N
1 52
pe ri odi c fits of in san i ty E very year or tw o h e wou ld
b e tak en to th e lu n ati c a sylu m f or a f e w we ek s or
mon ths an d the n di sch arge d An d eve r y time on
hi s di scharge h e wou l d ce l ebrate hi s lib e rty by im
h
h
S
e
i
m
n
r
i
n
hi
w
i
f
e
h
t
d
lo
th
d
n
t
e
a
s
a
a
d
e
e
a
g
p g
“
bu t co u l d n ot prote ct he r se lf again st hi s
em
br ace s
A n d sh e h ad to se e he r self givin g b i r th to
on e abn o rm al chi ld aft e r an oth e r
S he b e gge d h e r
do ctor to give h e r som e me an s of preven ti on bu t
th at boob cl aime d i gn or an ce an d th e il l e gali ty o f
Th e woman fin ally commi tte d su i ci de
th e thin g
bu t n ot b e for e sh e h ad gi ve n bi rth t o six abn o rm al
who will prob ably grow u p dru n kar ds
chil dr e n
cr imin al s or in san e
A n d b ecau se w e obj e ct to su ch kin d o f br e e di n g
w e ar e accu se d of b e i n g e n e mi e s of th e hu m an r ace
o f advo catin g r ace su i ci d e of vi ol atin g th e laws o f
Oh f or a mi gh ty S ampson to str ike
God an d m an
th e imb e ci le s wi th th e jaw of an ass f or a men tal
He rcu l e s to loo sen th e fon tan ell e s o f thei r petrifie d
sk u ll s an d pu t som e s en se in to th em "
C as e 4 Thi s ob se r vati on con ce r n s a cou pl e bo th
of whom h ad a ve ry b ad he re dity Th e blood of e ach
Th e do ctor who h ad tre at e d th e
w as b adly t ain t e d
hu sb an d cau ti on e d them an d told them that th ey h ad
B u t he r e th e tabl e s we re
n o ri ght to h av e childr e n
tu rn ed The do ctor wan t e d to give the m th e mean s
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B I RTH C O N T R OL
1 53
preven ti on bu t th e hu sb an d an d wi fe p i ou s
R oman C atholi cs wo u ld n ot go again st th e i r r e li
n
f
n
i
o
d
i
G
a
e
f
o
w
t
d
world
f
a
n
G
as
o
d
a
d
u
ll
i
m
o
(
g
b ecil e s ) an d r e fu se d to e mploy an y pr ecau ti on s
They hav e h ad fou r chil dr en so f ar On e of the m
se em s fai rly n ormal e x cept th at h e i s sill y in whi ch
r e sp ect h e i s m e re ly like h i s p aren ts ; tw o ar e deaf
an d bli n d in on e e ye ; th e f ou rth i s a cr e tin , pr ac
tical ly an i di ot
Thi s case b rin gs u s face to face wi th an other
phase of th e p r obl em What shou ld w e do when th e
p ar en ts stu p i d an d i gn oran t refu se to stop br e e d
in g wo rthl e ss mat e r i al " E u gen i o agi tati on e du ca
ti on wi ll b r in g abou t su ch a stron g pu bl i c Opin i on
that n on e bu t i di ot s w h o will b e vase ctomiz e d or
se gr e gat e d w i ll d ar e to br in g in to th e world chil dr en
that ar e phy sical ly an d men tally han di capp e d
C as e 5 Thi s co u pl e h ad b e en mar r i e d ei ght year s,
A n d th e wife sai d sh e co u l d
an d h ad fiv e chi ld r e n
—
A n oth e r chi ld n o sh e pre
n ot stan d i t an y mor e
fe rr e d death They p r actice d coi tu s in t e rru p tu s for
a whi l e wi th mu tu al di sg u st b u t wh en th e wi fe w as
“
sh e sai d :
N o more " An d sh e
cau ght again
wou ld n ot l e t h e r hu sb an d come n e ar h e r He cou l d
—
do what h e ple ase d sh e d i d n ot ca r e Af te r a f ew
—
mon th s h e b egan to go el sewh e r e co n tr act e d syph
ili s h ad to give u p hi s po si ti on th e home w a s broken
f or
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SEX
1 54
KN OWLE DGE F O R WO ME N
hil dren ar e sen t
e ar e t old i s th e
fou n dati on of ou r soci e ty i s broken u p an d the r e i s
—
mi se r y an d wre t ch e dn e ss all arou n d an d all f or
th e l ack of a little timely in fo rm ati on
M r A an d Mi ss B tw en ty ei gh t an d
C as e 6
twen ty fiv e years old re sp e ctiv ely have kn own on e
an oth e r f or s ev e r al y ear s an d in spi t e o f the ir oc
cu pati on
whi ch i s su ppo se d to make p e ople bl as"
—
an d cyn i cal
h e b e in g a r e port e r an d sh e a spe ci al
—
sto r y w r i t e r
ar e qu i te in
love wi th e ach othe r
B u t th e i r o ccu p ati o n an d i n come ar e su ch that the y
can n ot po s sibly aff ord to hav e an d to brin g u p an y
chi ldr en
T hey wou ld love to ge t marri e d bu t th e
—
—
sp e ct e r of a chi ld
o r rathe r of chi ldr en
fri ghten s
them ; an d th ey rem ain sin gl e to th e gre at physi cal
A cciden tally they le arn
an d m en ta l i n j u r y of both
of appropr i at e m e an s of re gu l atin g co n ce pti on , ge t
—
marr i e d an d live h appily eve r afte r tha t i s, u n til
th ey fin d themselve s in a po siti on to have chil dr en
an d to brin g th em u p prop e r ly
I n what w ay w a s so ci e ty in j u re d by thi s you n g
cou ple acqu i r i n g co n trace ptiv e i n f o rm ation "
C as e 7 Mr C an d M i ss D ar e in love wi th e ach
o the r U n fortu n ately the re i s a stron g he re ditar y
t ain t o f in san i ty on both sid e s T hey ar e too high
min de d to thin k of givin g bi rth to chil dre n The y
h
k
n
t
e
o
u
e
w
f
w
t
t
o
wor
e
i
e
t
h
t
,
p,
—
te r ed in short, a home , whi ch w
u
c
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SEX
1 56
KN OWL E DGE F O R W O M E N
ci
de to sep arate an d a trage dy i s in sight For
tu n ately the y le arn that con cepti on can b e p r eve n t e d
an d th e y co n tin u e to li v e toge th e r wi th b e n efit to
th em selve s an d harm to n on e
I n wh at w ay h a s so ci e ty b e e n in j u r ed by those
p e opl e acqu i rin g con trace ptive in fo rmati on "
M r an d M r s F h ave b e e n m arr i e d six
C as e 9
ye ars an d i n the se six ye ar s th ey have b e en bl e sse d
wi th fou r chi ldren Wh en h e m a rri e d h e w a s get
tin g tw en ty tw o d oll ar s a week an d that i s e xactly
what h e i s ge ttin g n ow I n th e me an tim e th e co st o f
livin g h as gon e u p tw en ty fiv e pe r cen t an d the re
ar e f ou r e xtra mou th s to fe e d an d fo u r e xtr a bodi e s
to clothe
What d ifi e r en ce thi s has ma de in that
li ttle hou sehold can be tte r b e imagin ed than state d
Th e li ttle mothe r h as age d sixtee n ye ar s in tho se
si x ye ar s an d th e re i s n ot a t race l e ft of h e r g ir li sh
n es s an d you thfu ln e s s
S h e love s h e r chi ldr en an d
do e s n ot wan t to g e t r i d of the m S he wo u ld n ot
t ake a mi lli on dollar s f or on e of th em bu t sh e wou ld
n ot give five ce n ts f or an oth e r
B u t thi s i s j u st what
te r r ifie s th em ; th e po ssibili ty of an oth e r A n d that
po ssibili ty mak e s h e r i r r i tabl e, mak e s h e r rep el h e r
hu sban d s slighte st advan ce s mak e s h e r move hi s
b e d to an othe r room S h e even tell s hi m to sati sfy
hi s sex u al de si r e s el sew h e r e an d at th e same tim e
sh e i s in f ea r an d tr e mblin g that h e mi ght f ollow
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b
BI RTH C O NTR OL
1 57
dvi ce I n short a n i ce you n g h ome i s abou t
Fortu n ately h e re ads somewhe re
to b e di sru pt e d
an a rt i cle on th e su bj e ct of volu n t ary limi ta tion o f
ofi spr in g h e b e gin s to in v esti gat e ; hi s physi ci an
ple ad s i gn oran ce bu t h e i s pe r si st en t, th e physi cian
in vest i gates an d obtai n s th e de si re d in formati on
whi ch h e shar e s with th e p ati en t H ar mon y i s re
stor e d an d a h appy home i s r e e st ab l i sh e d
Wh o w as in j u re d by th e cou pl e obtain in g thi s in
fo rm ati o n " A n d if n obo d y w as in ju r e d an d eve r y
body con cern e d w as b en efit e d then why shou ld th e
i mp art in g o f su ch i n f ormati on b e con si d e r e d a f el
on y pu n i shable lik e th e mo st atro ci o u s o f cri me s "
C as e 1 0 Mr an d M r s G h ave b een m ar ri e d fif
te en ye ar s
T hey we re th e p aren ts of seven chil
dr en a la rge en ou gh n u mb e r f or an y fam ily Tho se
we re bo rn du rin g th e fir st e leven
s eve n
chil dr e n
ye ar s of the i r mar r i e d li fe Du r in g th e p ast fiv e
year s afraid of havi n g an y more they fir st ah
adopte d a m e thod whi ch e ve ry
st ai n e d an d the n
mod e rn sexologi st kn ow s i s i n j u r i ou s to th e n er vou s
Th e m an
sy st e m of bo th th e m an an d th e wom an
b e came a wr eck ; fir st n eu rasthen i c then impoten t
cran ky an d grou ch y u n abl e to ge t alon g in th e of
fice con stan tly squ abblin g wi th hi s w ife , who b e
Thei r econ omi c con diti on
came j u st as b ad a wre ck
plu s too man y small chi ldre n preven te d th e p aren ts
h er
a
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SE X
1 58
KN O WLE DGE F O R WO M E N
parati on
Th ey r ema in e d l ivin g togethe r, bu t
they live d like a cat an d a d og ti e d in a bag E ach
sil en tly p raye d t o b e r i d o f th e oth e r
B u t a con
ve r sati on ove rheard at a Tu rki sh b aths establi sh
men t pu t him on th e ri ght trail an d on e year l ate r
w e fin d th e cou ple recon ci l e d, bo th i n good he alth an d
livin g a p eace fu l an d fai rly harmon i ou s lif e An d
tho se wh o have b en efite d mo st by th e chan ge ar e th e
In what w ay w as so ci e ty in j u r e d " An d
chi ldr en
stil l i f th e do ct or w h o gave Mr G th e in formati on
sh ou l d have b e en cau ght an d con vi cte d h e wo u l d
have be en sen t to p ri son for a y e ar or tw o or five
W ou l d h e have de se rve d i t " H e re w e have several
pl ai n sim pl e u n varn i she d an d u n emb elli she d case s
whi ch are typical of milli on s o f simil ar case s an d
w hi ch prove co n clu sively that th e l aw
again st im
p artin g i n fo rmati on abou t preven tin g con cepti on is
bru tal , vici ou s an ti so ci al Shou l d n ot su ch a l aw be
re p e aled, wipe d ofi th e statu t e books "
O f cou r se , i t sh ou l d
se
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1 60
S EX
KN OWLE DGE
F OR
l o w in g
WO M E N
page s I w ill e n de avor as stated be fore to
poin t ou t some o f the r ock s an d sh o als on which th e
matrimon ia l bark i s so o ften sha tt e r e d an d to ofi e r
th e w ive s some su gge stion s whi ch w i ll he lp the m to
re tai n the i r hu sban ds
afi ecti on s an d pe rh ap s e v e n
al s o the i r fide li ty
Whi le th e advice i s in ten de d prima r ily for w iv e s
the re w ill be fou n d he re an d the re a salu tar y pi ece
o f advice for hu sban ds Some o f th e advi ce i s ap
pli cable to both p ar tn e rs an d as to those su gge s
—
ti on s whi ch con ce rn th e hu sban d on l y i t wil l be a
n
i
l
h
e
a
s
hi
n
ood
g
f
or
w
i
v
e
s
to
l
th
r
h
b
d
t
e
u
s
t
ca
g
atte n ti on to them
Th e first f e w we e ks or the fir st f ew mon ths ar e
th e mo st importan t in th e li fe o f a ma rri e d cou ple
The st abili ty o f th e ma rri age th e fu t u r e happin e ss
o ften de pen d u pon th e thi n gs whi ch are don e or le ft
A
u n d on e du r in g th e in i ti al we e ks o f marri e d lif e
ce rtain
u n de r sta n di n g mu st b e r e ach e d fr om th e
ve ry be gin n in g
If you r hu sb an d doe s ce rtain
thi n gs w hi ch di sple ase you an d whi ch you kn ow
shou ld n ot be don e i t i s b e s t to say s o at th e v e r y
sta rt
It is e as i e r to pre ven t th e e stablishmen t of
a ha bi t than
to bre ak a habi t afte r i t has be en
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R etai n Y ou r I n di vi d u al ity
vi ce
I have to give
u
o
y
is :
.
Th e firs t
p i ece o f ad
R e ta in you r i n d i vidu a l
A DV I C E
To
TH E
MA RRI E D
1 61
It i s a trite bu t p e rf e ctly tru e ob se rvati on that
altoge th e r too man y m en w h o du rin g cou rt shi p we r e
chi valry p e rso n ifie d a ssu m e a d i ct atori al ton e as
s oon as th e kn ot h a s b e e n ti e d
They thi n k that th e
wi fe h as actu ally ce ase d to e xi st as a sep ar ate hu man
b e in g that sh e h as b ee n ab sorb e d an d wi th th e lo ss
of h e r n am e sh e h as l ost all ri ght to hav e h e r ow n
op in i o n s h e r ow n t aste s an d o f co u rse h er ow n
fri en d s Frie n d s w h o ar e obn oxi ou s to on e of th e
mari tal partn e rs on e mu st give u p sometime s ; bu t
do n ot p e rmi t you r en ti re p er son ali ty to b e ob scu re d
E xpl ain to yo u r hu sb an d th at you ar e still an in d e
p en den t livin g hu man be in g I d o n ot say you
Nothin g i s mor e o ff en
sho u ld at o n ce sta rt a fight
th e m ili tan t p u gn ac i ou s woman
sive to m e th an
w h o we ar s a chi p on th e shou ld e r an d i s con ti n u ally
“
B u t with gen tle
r e ady t o i n si st on h e r rights
An d
n e ss an d firmn e ss mu ch can b e accompl i sh e d
n
e
n
e
b
e
n
h
o
u
w
t
to
r
m
m
r
th
t
m
y
h
u
s
b
a
d
s
t
a
a
a
a
c
e
t
y
w ay th e y do n ot b e cau se th e y ar e vi ci o u s bu t be
Some tim e s it i s
cau se th ey ar e stu p i d or ch il di sh
me re thou g htl essn e ss They have b een b r ou ght u p
w ron gly an d some of th em sin ce r e ly imagin e th at
by re pre ssin g th e wife s pe r son ality by blottin g i t
ou t they ar e actin g in h e r in t e r e st
It i s for h er
A se ri ou s t al k with a hu sb an d will
ow n good
I t m ay som e
some time s h ave a w o n d e r fu l e ff e ct
i ty
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16 2
SEX
KN O WLE DGE F O R W O ME N
ti mes chan ge e n ti r e ly th e cu rren t of hi s thou ghts
O f cou r se if th e hu sban d i s a cad a con ce i te d fool ,
or a br u te you can do n o thin g with hi m ; bu t f ortu
n ataly n ot all hu sban ds b e l on g to tho se cate gori e s
Wif e s Behavi or Tow ard Sex u al R el ati on s I am
n ow
B u t d eli cate
comi n g t o a d e l icate su bj ect
th ou gh i t i s i t mu st be de al t w ith u n fli n chin gl y
becau se i t i s prob ably re spon sible for mo re male
in fid eli ty than al l othe r cau se s comb in e d
I sp e ak
of th e r elati on of th e wi fe to h e r mar ital du ti e s in
othe r words to sexu al re lati on s T oo man y women
re gard the se xu al act as a n u i san ce as an ordeal,
a s some thin g di sagr e e abl e to g e t throu gh wi th as
qu ickly as po ssible ; th ey regar d th e hu sban d s d e
man ds in thi s lin e a s an impo siti on as u n fai r or
e ve n a s br u tal ; an d the i r be h avi or pr eli min ary to
an d du rin g th e act i s su ch as to cool th e ardor of
Th e r e ason s f or thi s
an y re fin e d an d sen si tive m an
be havi or on th e p art of man y wive s ar e man i fold ;
I
thi s i s n ot th e pl ace to con sid e r th em in d e t ail
will all u de to the m briefly On e gr e at cau se i s con
gen i t al fri gidity Th e woman i s cold frigi d h as n o
de si re for sex relati on s an d e xp e ri en ce s n o pl e asu re
S u ch women ar e n ot to
n o se n sati o n from th em
blame ; they ar e to b e pitie d B u t even th ey can
behave so as n ot to repe l thei r hu sb an d s
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SEX
1 64
KN OWLE DG E F O R WO ME N
me dy i s simple : give h e r fu ll i n stru cti on in th e
O the r cau se s are :
u se of con tr acepti ve me a su r e s
vagin i smu s l ocal ma lf or
e xce ssive mas tu rb ati o n
mati on in flammati on e tc B u t wha teve r th e cau se s
“
of th e wif e s b ad be ha vi or m ay b e the y ar e all
Some n e e d me di cal tr e at
am en able to tre atm en t
men t some p sychi c tr eatmen t an d some n othi n g bu t
j u st a common se n se he art to he ar t talk
An d I wou ld emphas iz e : Do n ot r ep e l you r hu s
—
b an ds when they ask for se xu al favor s at le ast do
Hou se holds in whi ch r e
n ot r e p el them too ofte n
l n ti cu a ar e h ad r athe r fr equ en tly an d in whi ch th e
w i ve s l en d thei r fu l l an d e age r parti ci p ati on
ar e
happ ie r hou seholds than tho se in whi ch th e sexu al
act i s in du l ge d i n r are l y an d wi th gru m blin g an d
si de r e marks on th e p art of th e wi fe
B u t of cou r se you shou ld n ot go to th e othe r e x
tr eme e ithe r Y ou shou l d n ot mak e too fre qu en t
deman ds u pon you r hu sban d With a m an th e act
me an s a good deal mor e than i t do e s wi th a woman ;
i t e n t ail s a gre at de al mor e of phy sical an d men tal
an d a wi fe who i s u n r e a so n abl e in thi s
e xhau sti o n
r e spe ct i s sowin g th e se e d s o f di scord an d u n happi
n e ss
S h e i s sacrificin g th e fu tu r e to th e pre sen t
The hu sban d i s apt to b ecome affli cte d w i th sati ety
—
or impoten ce an d th e wife m ay have to l ead a l i fe
of con tin en ce for mu ch lon ger than sh e wou l d have
re
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A DV
IC E T O
THE
MA RRIE D
h ad
1 65
to i f sh e h ad b e en mode rat e I n n o de p ar tmen t
o f li fe i s moder ati on so impo r tan t as in sex life
Nou u se in su fficien t u se an d e xcessive u se ar e al l
b ad A mu tu al ly joyfu l e age r an d mode rat e ly f r e
qu e n t partici pati on in th e sex u al act wi ll con tribu te
mo st to a happy an d lon g lif e
Dain ty U n d er w ear
Thi s m ay b e con si d ere d too
deli ca t e or t oo trifli n g a su bj ect to di scu ss in an
importan t sex book B u t n othi n g i s too d eli ca te or
too trifli n g that con ce rn s hu man happin e ss an d you
wi ll b eli e ve m e if I te ll you that n ice u n de rw e ar or
dai n ty lin ge rie plays a ve r y im por tan t r ole in mari
tal li fe An d e ve ry m arrie d woman shou l d have as
fin e an d as dai n ty u n de rw e ar as sh e can po ssibly
A fin e or e l abor at e n i ghtgown m ay b e more
afi or d
i mportan t th an an e xp en sive ski rt or h at U n f or tu
E xte rn ally
n ate l y too man y women i gn ore thi s fact
th ey wil l b e well dr e ssed whil e thei r p ettico at s
drawe r s an d u n de r shi rt s wil l b e of th e com mon est
qu ali ty an d of qu e sti on abl e fr e shn e ss an d imm ac u
lat en e ss A n d i f an ythi n g in a woman s toil e t shou l d
b e imm acu lat e ly fr e sh an d cl ean i t i s, I emph asiz e
h e r u n de rwear
Do N ot Ofl en d Again st Esth etics Some women
thi n k that be cau se th ey ar e mar ri ed to th ei r hu s
ban ds they ow e the l att er n o e sthetic con si de rati on
Thin gs that they w ou l d be horrifie d t o l et a stran ger
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1 66
S EX
KN O WL E DGE FOR WO ME N
they do be for e thei r hu sban d s e ye s w ithou t
he sit ati on For in stan ce n ot to be at ab ou t th e bu sh,
thou gh th e su bj e ct i s n ot a ple asan t on e the y w i l l
u rin a te in th e i r hu sb an ds pr e sen ce or the y w i ll l e t
him se e the i r soil e d me n s tru al n apkin s e tc
Some
hu sb an ds m ay n ot min d i t ; bu t some m en ar e ve ry
—
m e n on th e whole ar e mor e e sthe ti c than
se n si t ive
—
wome n an d an in d i fi e r en ce towards th e wife may
h ave i ts origin in some vu lgar or u n e sthe ti c pro
Th e se xu al act as m en
ce d u r e on th e wi fe s p art
ti on ed be for e i s a ve ry d e lica t e me ch an i sm, an d i t
i s ve r y e asy to di sarran ge i t Th e act o f mi ctu r i ti on
be for e th e m an i s kn own in man y in stan ce s to have
in stan tly aboli she d th e m an s se xu al de si re whi ch
A n d a man tol d m e that be
w as pr e se n t b e f or e
cau se h e n oti ce d in a clo se t a l ot of r ags s oi le d w i th
m en st ru al blood h e w as u n able to e n joy re lati on s
wi th hi s wi fe for se ve ral mon ths Y ou m ay thin k
that the se ar e all smal l thin gs bu t lif e i s made u p
of li ttle thin gs an d ma n y a marr i ed li fe w en t smas h
on acco u n t of di sr e gardi n g th e li ttl e thin gs
I kn ow of n o other
B ad Od or fr om th e M on th
phy si cal ai l men t which i s so dan ge rou s so fatal to
th e pre gn an cy of th e l ove r el ati on as i s a stron g,
A s a n oxi ou s gas
ofi e n siv e odor from th e mou th
bli ghts a deli cate plan t so w ill a stron g b ad odo r
bli ght th e deli cate pl an t of l ove Y e s a stron g mal
’
s ee
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S EX
1 68
we ll
th e
e flici en
F OR
KN OWLE DG E
followi n g powde r
.
It
is
WO ME N
si mp e , c e a
l
h p
an
d
t:
dram
on e o u n ce
two ou n ce s
fou r ou n ce s
on e
aci
Bori c
Dri e d
A li ttle
d
alu m
powder shou l d b e shaken in to th e
sto ckin gs e ve r y morn i n g an d th e sto ckin gs shou ld
b e chan ge d ve ry fr e qu e n tly o n ce or twi ce a day
Thi s powde r i s also eflici en t agai n st p e r spi r ati on
an d b ad odor from th e armp i t s
I am n ot givin g an y treatmen t for b ad odor from
th e mou th for thi s co n di ti on m ay b e d u e to a gr e at
vari e ty o f cau se s Th e cau se m ay r e si de in th e
n o se ; i t m ay r e si de in
th e mou th d e cayin g t ee th
thro at ton si ls I t m ay b e d u e to a b ad st omach to
Some time s it i s d u e
s ome di se ase of th e lu n g s e tc
to ove re ati n g Wh at wo u ld b e o f valu e in on e con
di ti on mi ght b e u se le ss in an oth e r Th e r ight thin g
the r e for e i s to go to a compe t en t physi ci an have
hi m fin d th e cau se of yo u r trou ble an d ou tlin e th e
pr op e r tre atmen t
Leu corrh ea
Some m en fin d th emselve s en ti r el y
u n a bl e t o have se xu al r el ati on s wi th a woman whom
they kn ow i s su ff e rin g wi th l eu corrhe a Th e m e re
of
th e
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ADVI C E TO THE MAR RIE D
1 69
owl edge of th e fact t ak e s away thei r abi li ty t o
p e rform th e act It r en de r s them impoten t It di s
gu st s th em an d di sgu st i s fatal to se xu al powe r
O n ly to d ay I saw in my office a woman w h o au x
S h e h ad
i ou sl y be gge d for advi ce an d treatmen t
b ee n marri e d five ye ar s S h e h as al way s h ad l eu
corr h e a from h er fift e en th y e ar as f ar a s sh e re
memb e r s O the rwi se sh e di d n ot su ff er For the
fir st th r e e year s or so h e r marri e d li fe h as b e en a
happy on e Th en in an u n f ortu n ate momen t she
told h e r hu sban d abou t h e r profu se l eu corrhea an d
i n stan tly sh e n oti ce d a chan ge in hi m He cou l d n ot
fu l ly hi de th e expre ssi on on hi s face A n d sin ce
then h e cease d to have in te rcou r se wi th h e r He
made a few att empt s bu t they tu rn e d ou t u n sati s
facto r y to both, an d sh e n otice d that h e w as f orcin g
hi m se lf doin g i t agai n st hi s wi ll Sh e took some
p aten t medi cin e s an d we n t to on e doctor bu t with
Now u n l e ss sh e cou l d be cu re d
ou t an y r e su lt s
sh e fe ar e d h e r hu sb an d wou ld de man d a se p ar ati o n
If you have leu corrhe a tr e at it An d
or a di vor ce
re memb e r you n e e d n ot i n i ti ate you r hu sban d in all
yo u r u n e sthe ti c ailm en t s
Do n ot fli rt M en ar e apt to m i su n d er
Fli rtin g
an d you ar e apt to ge t th e r ep u tati o n of
stan d you
a l oo se woman wi tho u t in an y w ay h avin g de se rve d
i t I do n ot say that you shou ld al way s we ar a for
kn
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1 70
KN O WLE DGE FOR WOME N
S EX
xpressi on , an d shou l d scowl at pe ople w ho
dare to smi le at you or othe r w i se pay homage to
e
B
e
n
c
i
n
fl
e
e
r
e
m
i
n
u
e
d
i
r
r
m
o
f
h
t
h
r
e
i
u
c
a
s
t
a
s
y
betw een a frien dl y ex p re ssi on an d fli rtin g How
eve r whe n you r hu sb an d begi n s to n e gl ect you , then
It will al w ays
a mil d fli r ta ti o n may be j u s tifiabl e
d o you r h u sban d goo d t o kn ow that the re ar e othe r
al e s i n the wo rl d b e sid e s hi m an d that some of
m
these mal e s fin d in tere st in th e femal e wh om h e con
si de r s hi s pe rman e n t an d exclu si ve prop e rty
S l oven l y Hus ban d s D on t l et you r hu sb an d be
That i s j u st what I me an It i s n o
come a sl ob
Some hu sban ds n eve r acqu ir e
u se mi n ci n g wor ds
—
th e habi t or if the y have ac qu i re d it they qu i ckl y
—
S he
l ose i t of regar din g thei r wi ve s as l ad i e s
i s n ot a l ad y, she is on l y my w ife
i s a w el l
kn ow n joke bu t some me n take i t n ot as a j e st
S ome m e n thi n k that before th eir w ives they can be
Give you r
as sl ov en ly an d u n cl e an as they p l e ase
hu sban d to u n de rstan d that cl ean l in e ss an d fre sh
“
e
i
e
x
i
d
r
s
n
an
i
m
t
t
b
t
e
j
t
o
l
i
t
u
u
s
a
a
e
s
t
s
d
a
s
s
a
n
hu sban d wan ts hi s wif e to be cl e an an d dai n ty an d
w ell groome d, so a w i fe m ay en j oy th e sam e qu ali
ti e s in he r hu sb an d S ome wome n ar e ver y fas ti di
ou s an d whil e the y may say n othi n g to thei r hu s
ban ds for fear of i rri tatin g them, they may thin k a
l
e
ood
d
a
g
bi ddin g
e
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