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diff --git a/.gitattributes b/.gitattributes new file mode 100644 index 0000000..6833f05 --- /dev/null +++ b/.gitattributes @@ -0,0 +1,3 @@ +* text=auto +*.txt text +*.md text diff --git a/19825-8.txt b/19825-8.txt new file mode 100644 index 0000000..be188af --- /dev/null +++ b/19825-8.txt @@ -0,0 +1,4727 @@ +The Project Gutenberg EBook of Herself, by E. B. Lowry + +This eBook is for the use of anyone anywhere at no cost and with +almost no restrictions whatsoever. You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Herself + Talks with Women Concerning Themselves + +Author: E. B. Lowry + +Release Date: November 16, 2006 [EBook #19825] + +Language: English + +Character set encoding: ISO-8859-1 + +*** START OF THIS PROJECT GUTENBERG EBOOK HERSELF *** + + + + +Produced by Roger Frank and the Online Distributed +Proofreading Team at http://www.pgdp.net + + + + + +BY THE SAME AUTHOR + +HIMSELF +Talks with Men Concerning Themselves +$1.00 + +CONFIDENCES +Talks with a Young Girl Concerning Herself +50 cts. + +TRUTHS +Talks with a Boy Concerning Himself +50 cts. + +FALSE MODESTY +50 cts. + +TEACHING SEX HYGIENE +50 cts. + +THE HOME NURSE +$1.00 + +YOUR BABY +A Guide for Mothers +$1.00 + +------------------------------------------------------------------------ + +HERSELF + +TALKS WITH WOMEN CONCERNING THEMSELVES + +BY +E. B. LOWRY, M.D. + +Author of "Confidences," "Truths," etc. + +CHICAGO +FORBES & COMPANY +1917 + +------------------------------------------------------------------------ + +COPYRIGHT, 1911, BY +FORBES AND COMPANY + +------------------------------------------------------------------------ + + + + +PREFACE + + +A recent number of the Journal of the American Medical Association +contained this paragraph: + +"A correspondent asks for a good book describing the female generative +organs anatomically, physiologically and pathologically, treating also +of childbirth, written in language easily understood by a layman. He +desires to give copies to some of his young women patients. The editor +regrets there is no satisfactory book on the subject although there is +great need for one." + +It is a lamentable fact that the majority of women and girls are +ignorant of the structure of their most important organs. In the +majority of schools and colleges where physiology is taught, absolutely +nothing is mentioned about the reproductive organs. As far as books or +instruction are concerned, the girl is ignorant of their very existence. +If she knew something of the structure of such important organs and the +harmful results of many practices or acts of carelessness affecting +them, would she not be better prepared to take the proper care of +herself and more liable to develop into a strong, healthy woman? + +If a girl in the business world is intrusted with a delicate piece of +machinery she is taught the structure, use and care of it. Why is it not +just as necessary that the girl, who is intrusted with the care of +delicate organisms upon whose condition depends the health of the future +generation, be instructed regarding the care of these organs? Instead, +she is left in absolute ignorance and then blamed if she mars them. + +Every woman should have some knowledge of the structure and care of her +body, especially of those parts which are concerned so intimately in the +welfare of the future generation. Every woman, too, should receive some +instruction regarding the care of young children and the proper +management of the home. A woman who attempts to care for herself and her +children without proper knowledge of these subjects is like a man who +tries to run his business blindfolded. + +That thinking women are awakening to the fact that they have been +suffering unnecessarily and are realizing the necessity for more +knowledge concerning the hygiene and physiology of their own bodies is +shown by the fact that nearly every chapter in this book has been +written in answer to questions asked by women readers of the author's +magazine articles. With the hope that the plain facts herein set forth +will aid some women to have healthier and happier lives and healthier +and happier babies this series of talks has been written. + +------------------------------------------------------------------------ + + + + +CONTENTS + + +CHAPTER PAGE + +I ANATOMY AND PHYSIOLOGY OF THE FEMALE ORGANS 11 + +II MENSTRUATION--PUBERTY--MENOPAUSE 23 + +III DISEASES OF THE FEMALE ORGANS 33 + +IV CONSTIPATION--HEMORRHOIDS 47 + +V THE BLACK PLAGUES 55 + +VI FAKE MEDICAL ADVICE FOR WOMEN 65 + +VII THE MARRIAGE RELATION 71 + +VIII EMBRYOLOGY 81 + +IX ABORTIONS 89 + +X MATERNAL IMPRESSIONS--HEREDITY 97 + +XI CHILDLESS HOMES AND REAL HOMES 103 + +XII PREVENTION OF PREGNANCY 109 + +XIII SOME OF THE CAUSES OF DIVORCE 115 + +XIV THE NEED OF EARLY INSTRUCTION OF GIRLS 121 + +XV WHY GIRLS GO ASTRAY 131 + +XVI SELF-ABUSE 137 + +XVII EFFECTS OF IMMORAL LIFE 149 + +XVIII FLIRTATIONS AND THEIR RESULTS 157 + +XIX WHITE SLAVERY 163 + +XX THE NEED OF EARLY INSTRUCTION OF BOYS 171 + +XXI WHY BOYS GO ASTRAY 177 + +XXII HOW SHALL THE CHILD BE TOLD 183 + +XXIII WOMEN IN BUSINESS 189 + +XXIV NERVOUSNESS--A LACK OF CONTROL 195 + +XXV A WOMAN IS AS YOUNG AS SHE WANTS TO BE 203 + +------------------------------------------------------------------------ + + + + +HERSELF + +CHAPTER I + +ANATOMY AND PHYSIOLOGY OF THE FEMALE ORGANS + + +Before we can understand the care of anything we must have some +knowledge of its structure; so I think it well, in this our first talk, +that we should learn something of the structure of the female generative +organs. As I have told some of you in former talks, the womb is designed +as a nest for the babe during its process of development from the egg or +ovule. It lies in the center of the pelvis, or lower part of the body +cavity, in front of the rectum and behind and above the bladder. It is +pear-shaped, with the small end downward, and is about three inches +long, two inches wide and one inch thick. It consists of layers of +muscles enclosing a cavity which, owing to the thickness of the walls, +is comparatively small. This cavity is triangular in shape and has three +openings,--one at the lower end or mouth of the womb into the vagina and +one at each side, near the top, into the fallopian tubes. The womb, or +uterus as it sometimes is called, is not firmly attached nor adherent to +any of the bony parts. It is suspended in the pelvic cavity and kept in +place by muscles and ligaments. As the muscles and ligaments are +elastic, the womb slightly changes its position with different movements +of the body. Normally, it is inclined forward, resting on the bladder; +so you see, a full bladder will push it backward, while a full rectum +and intestines tend to push it forward and downward. + +[Illustration: GENERATIVE ORGANS.] + +The lower end or mouth of the womb opens into the vagina, a distensible +and curved muscular tube, which helps to support the womb and also +connects it with the external parts. The vagina is about three and a +half inches long. It often is called the birth canal because the baby +must pass through it on its way from the womb to the external world. + +The two upper openings of the womb lead into the fallopian tubes or +oviducts, which are two small muscular tubes leading from the ovaries to +the womb. Each one is about four inches long, but the opening through +the center in its largest portion is only about as large as a broom +straw, while near the womb it narrows down until it will admit only a +fine bristle. When the ovum or seed leaves the ovary it must pass +through one of these tubes to reach the womb, so you see how necessary +it is that they be kept in good condition. + +From the end of each tube, but not directly connected with it, is +suspended a small almond-shaped body called the ovary. Each ovary is +similar in shape and size to an almond, measuring about one and a half +inches in length, three-fourths of an inch in width and one-half an inch +in thickness. The function or work of the ovaries is to produce, develop +and mature the ova (eggs) and to discharge them when fully formed so +they may enter the tubes and so find their way to the womb. In every +ovary there are several hundred little ovules or eggs in various stages +of development. At irregular intervals one of these ovules ripens and +leaves the ovary. It passes along the fallopian tube to the womb. Here +it remains if it is impregnated or fertilized, and develops into the +babe. If not impregnated, it passes off with the menstrual flow. Every +twenty-eight days large quantities of blood are sent to the womb, +producing a natural congestion. The pressure of this extra blood in the +tiny capillaries of the womb stretches and weakens their walls. This +allows the blood, which is being sent to the womb to provide nourishment +for the ovum if it be impregnated, to pass into the cavity of the womb, +then out through the mouth into the vagina, thence to the external +parts. This flow is called the menstrual flow. When the flow ceases the +mucosa or lining assumes its former state. This process is repeated +every month. + +[Illustration: +1. Bladder +2. Urethra +3. Uterus +4. Vagina +5. Rectum +6. Peritoneum +7. Perineum +VERTICAL SECTION OF PELVIS] + +Lining the cavity of the abdomen and also folded over the womb, ovaries, +tubes and other organs is a thin membrane called the peritoneum. An +inflammation of this lining is called peritonitis. + +All these organs I have mentioned are situated inside the body out of +sight, but there are other organs that are external. You have noticed +two longitudinal folds of skin extending from the anus, or external +opening of the rectum, to the rounded eminence in front. Their outer +surface is covered with hair and their inner surface with glands that +secrete a lubricating material. These folds are called the labia majora. +Within the labia majora are two smaller folds called the labia minora. +These folds meet at their anterior (front) end. At the meeting point you +will notice a very small structure which is called the clitoris. This +clitoris is very similar in structure to the penis of the male, having a +tiny prepuce or foreskin which folds over to protect the sensitive end. +Sometimes the foreskin is bound down too tightly, so that instead of +being a protection to the parts, it becomes a source of irritation. Then +we say the clitoris is hooded and it is necessary to loosen or cut this +fold of skin. The operation is similar to that of circumcision in the +male. + +Just back of the clitoris, within the folds of the labia, is situated +the meatus urinarius, or opening leading to the bladder. This aperture +does not open directly into the bladder but is connected to it by a +tube, about an inch and a half long, called the urethra. + +The orifice or external opening of the vagina is situated just back of +the meatus urinarius, also within the folds of the labia. In the virgin +it is partly closed by a membranous fold called the hymen or maidenhead. +The shape and size of the hymen varies greatly in different individuals, +sometimes being entirely absent. After marriage it usually persists as +notched folds. The presence of an intact hymen is not necessarily a sign +of virginity, nor does its absence necessarily indicate defloration. Its +congenital absence or absence at the time of birth is known. It +sometimes is injured, or may be destroyed by an accident, as by falling +astride of an object; again violent exercise may rupture it (horseback +riding). Surgical operations or vaginal examinations, roughly conducted, +not infrequently cause rupture. Then, too, authentic cases are on record +in which prostitutes have had perfectly preserved hymens. It is well +known that the use of vaginal astringents may tone up and narrow the +vagina and even restore the hymen to a great degree. + +The surface between the vaginal orifice and the anus is called the +perineum (Do not confuse this with the peritoneum, for they are entirely +different). It is this perineum that sometimes becomes torn during +childbirth. The vaginal opening does not always stretch sufficiently to +allow the passage of the child's head and the great pressure being +exerted on the child by the uterine and abdominal muscles pushes it +through, causing the tear. (You will understand this better when I +explain about the development and birth of the child.) If this tear is +repaired immediately no inconvenience usually results but if it is +neglected it may produce a series of complications, some of which are +falling of the womb, inflammation and even sterility. + +Not directly connected with any of the other organs but still associated +with them are the breasts. They vary in size at different periods of +life, being usually of small size when the girl is young but increasing +in size as the generative organs develop. The breasts consist of fatty +tissue surrounding milk glands and ducts. During pregnancy they increase +in size and become filled with milk. After the menopause (change of +life) they ordinarily shrink in size. The ancient Greek statues, such as +the Venus de Medici, long regarded as a type of perfect beauty, the +Venus of Capua, regarded as the bust of a perfect form, show that the +Grecian ideal of the feminine form had small busts. The modern idea +seems to have wandered far from the Grecian ideal and many women devote +much time and money trying to develop their busts. Perhaps sometime we +will give up trying to be so artificial and conform to Nature's ideal. + +Nature has constructed the internal female organs so wisely that we +seldom need give them much thought. But the external organs do need our +attention every day. I told you that the labia secreted a lubricating +material which kept the parts moist, but this secretion must not be +allowed to accumulate. The scalp secretes an oil that is necessary to +the health of the hair but if this and the perspiration are allowed to +accumulate the hair has an offensive odor. So it is with the female +organs, the parts must be bathed carefully every day. I have been +surprised in the past to find how many intelligent women neglect these +parts. Women come for an examination, their clothing is scrupulously +clean, their bodies show recent care but in the folds of the labia, +especially near the clitoris, I find an accumulation of a cheesy-like +material which has an odor very offensive to any truly refined woman. +Sometimes in public gatherings, I have been seated near a woman with +this same offensive odor very noticeable, and I have longed to tell her +how to avoid it, for I am sure others must notice the same odor. But +even from a physician, in the privacy of the office, women resent any +suggestion that they are not thorough in matters of cleanliness. Daily +cleansing of these parts is a necessity. At least once a day these parts +should be sponged carefully. The labia should be separated and every +fold thoroughly cleansed. Occasional vaginal douches also are necessary, +for the various secretions often are retained in the folds of the vagina +and cause irritation. But in taking a douche one always should remember +to have the water warm. Cold water may produce congestion. The virtue of +douches (except when taken for medicinal purposes) lies in their +cleansing properties and warm water cleanses even better than cold. Many +women produce grave disorders by the use of cold douches under the +mistaken notion that they are of greater value than hot ones. A douche +should be taken at the close of the menstrual period especially. + +These female organs should not be the source of worry but they do +require as much or even more attention to cleanliness than we give to +our mouths or other parts of the body. + + + + +CHAPTER II + +MENSTRUATION--PUBERTY--MENOPAUSE + + +The subject of menstruation seems to be troubling several of you. I am +sorry that you did not all have the advantage of having this explained +at an early age. You might have been saved a great deal of suffering and +causeless worry. + +By menstruation, or "the monthlies" as it sometimes is called, is meant +the monthly hemorrhage that takes place in the uterus or womb during the +child-bearing period of the normal woman except during pregnancy and +lactation, when it nearly always is suspended. The child-bearing period +commences at the age of puberty and ends with the menopause (change of +life). + +Puberty is the period of maturing of the sexual organs. It occurs about +the age of twelve, although there may be considerable variation as to +this. It extends over a period of several years. As a rule, girls mature +earlier in warm climates than in cold and in cities than in country +districts. The signs of the approach of this period are the growth of +hair on the pubes and other parts of the body, the enlargement of the +breasts, a general rounding and increased grace of the body, the +development of the pelvis so that the hips become more prominent, and a +change in the mental qualities of the child, the girl naturally becoming +more retiring. The menstrual function usually is not established at +once, there being premonitory symptoms of a vague nature. There may be, +at first, only a slight discharge of mucus tinged with blood, later the +normal menstrual flow will be established. + +During this period of puberty there are great changes taking place in +the girl's internal organs. This change and development requires +considerable of the girl's strength and naturally influences her nervous +system. It is for this reason that a girl at this period of her life +should not be subjected to any great exertion, either physical or +mental. She should have plenty of light, healthful exercise in the open +air, but should not indulge in any very violent exercise. A little care +at this time often will save her years of suffering. As the nervous +system is greatly affected at this period there should be no great +mental strain. In fact, if the girl shows many nervous symptoms, it may +be wise to take her out of school for a year so that her strength may be +used as Nature requires it. As a rule, too much work is required in +school at this age. The school duties should be lessened and the girl +allowed to rest a day or two during her menstrual period. The girl at +this age should not attempt to accomplish as much work or study as the +boy does. Her time at this period might better be occupied in learning +the rudiments of housekeeping and home-making. Then, when her body has +become developed, her strength can be spared and can be well used in the +development of her mind. If the nervous strain too common at this age +could be relieved we would have fewer nervous women and a healthier and +happier posterity. + +As puberty approaches, a mother should give her daughter adequate +information so that she should not be frightened at the first appearance +of the menstrual flow, nor take any risks at this period. Menstruation +is the sign of the possibility of motherhood. If properly taught this +fact, every girl will be glad she menstruates and will want to be +careful during the period. On account of lack of early instruction, many +a girl obtains wrong ideas regarding this function and it produces in +her a feeling of repugnance. She should be taught the reasons for +observing prudence during the menstrual period. The possible lifelong +invalidism that may result should be pointed out. A woman owes it to +herself to take good care of herself during her menstrual periods. For +two or three days at least she should avoid any unnecessary strain, lie +down and rest as much as possible and not worry over school or other +duties. Especial attention should be paid to cleanliness during this +period. A sponge bath taken in a warm room is not injurious and +unpleasant odors can be avoided by sponging the parts with a warm +antiseptic solution upon changing the cloth. Every woman should be +provided with a circular girdle cut upon the bias so it may be elastic, +and provided with tabs to which to pin the folded cloth. She also should +have a supply of sanitary cloths made of absorbent cotton-fabric, or +pads made of absorbent cotton enclosed in gauze. The latter especially +are convenient for the girl who is obliged to room away from home, for +they may be burned and the cost of new ones is no greater than the +laundry of cloths. These pads or cloths should be changed at least twice +a day. It also is necessary that one should bathe the parts in warm +water with each change, as unpleasant odors can thereby be avoided. At +the close of each period she should take a bath and change all clothing. +One cannot be too careful about these matters so essential to +cleanliness. It is surprising how many women neglect these important +matters. The erroneous idea that bathing of any sort at this time may +have disastrous results accounts for much of this neglect. If proper +care is taken warm sponge baths cannot be injurious. + +A woman in normal health should not suffer at the menstrual period. She +normally will have a feeling of lassitude and disinclination for any +great mental or physical work, perhaps accompanied by a slight feeling +of uneasiness in the pelvic region. Because so many women do suffer at +these periods it often is considered as "natural" and allowed to +continue. + +The phenomena often noted at the menstrual period are,--pains in various +parts of the body, hot flashes, chilliness and various hysterical +symptoms. A few days before menstruation commences there may be various +nervous symptoms, as irritability and a disinclination for any exertion. +Dark circles often appear under the eyes and the breasts become enlarged +and painful. A sense of fullness and oppression may be felt in the head. + +Any severe pain or profuse flow during the period or a discharge between +periods indicates a weakened or diseased condition and should not be +neglected, for it sooner or later will affect the whole system. A woman +suffering from female diseases not only is unable to perform her work in +a normal manner but the pale skin, dark circles under the eyes and drawn +haggard look which accompany these conditions rob her of her charm of +physical excellence. + +The menstrual flow appears, as a rule, every twenty-eight days, although +the length of time varies with the individual. The average duration is +five days, but varies from three to seven. The flow consists of blood +from the uterine mucosa (lining of the womb) together with small +quantities of mucus. The color generally is dark at first while later it +becomes more pale. Women in poor health often have a pale discharge. +There always is a faint odor to the menstrual flow, which has been +likened to the odor of marigolds. The quantity varies with the +individual. Usually fleshy girls flow more than thin ones and dark +complexioned ones than light ones. The average quantity is four to six +fluid ounces. The time between the periods is required by the uterus or +womb to first restore the lining and then prepare it for the reception +of the ovum. Every month one or more ova (eggs) leave the ovary, pass to +the uterus and, if not impregnated, pass off with the menstrual flow. +The material prepared for the reception of the ovum is used to nourish +the new life if pregnancy occurs, but when it does not, this surplus +passes off in the form of the menstrual flow. + +The menopause or change of life is the end of the child-bearing period +of a woman's life. The average age at which it occurs is forty-six, +although there is a great difference as to this. In some women it has +been known to occur as early as the thirtieth year, while in others it +does not come until the fifty-fifth year. As a rule, a woman who +commences to menstruate at an early age continues to do so until a late +age, while with a woman who commences to menstruate late, the change +comes early. At this period of a woman's life, there are numerous +changes taking place in the body. The ovaries and uterus atrophy or +shrink in size, and cease to functionate. The nervous system is being +readjusted to meet the changed conditions. One symptom of the approach +of this period is irregularity in menstruation; sometimes several +periods are missed, then the menstrual flow appears normally for several +months and then disappears again. Often the woman complains of hot +flashes, cramps in the limbs and other parts of the body. These are +caused by the attempts to readjust the nervous system to the altered +conditions. A great many women worry unnecessarily, for there is no +especial danger at this time unless the body has been neglected +previously and a diseased condition is present. But the body needs a +little extra care, just as it did at puberty. So many women break down +their health by worrying at this period over what might happen. The best +plan for every woman, as soon as she perceives the approach of this +period, is to go to a reliable physician and have a thorough +examination. Then if there are any neglected tears or chronic +inflammations they can be corrected and danger removed. If a person +were to cross a deep lake and had any doubts regarding the worthiness of +the vessel provided for his use, he would be very foolish if he did not +have a trained boat-builder examine his vessel and repair any weak +places. It is just as important for a woman about to cross this period +of her life to go to a trained repairer of bodies and have him correct +any weak places. + +The various changes taking place consume so much of the woman's strength +that she requires an extra amount of rest and cannot use up as much +energy in working as at other periods of her life. The ordinary woman +does not realize the need of extra rest during this period and so +continues her usual work. Then the extra drain on her nervous system +shows itself in various forms. The disturbances sometimes are productive +of so much discomfort and so often are exaggerated beyond physiological +limits that the patient is impelled to seek relief and often requires a +physician's attention. Puberty or the period of development extends over +several years, so the menopause or period of atrophy extends over a +period of from three to five years. If a woman relaxes and allows the +changes to proceed naturally she need have no cause to worry, but she +must remember that rest from continual strain is necessary during this +period. Freedom from care, relaxation of physical and mental effort, +regular periods of complete rest once or twice a day, a reduction of the +diet and regulation of the bowels should be the first principles of +treatment. Then--do not worry but occupy the mind with happy thoughts. + + + + +CHAPTER III + +DISEASES OF THE FEMALE ORGANS + + +So much of the suffering among women is unnecessary, being due to the +neglect of the little things, so much ill health can be relieved by +attention to a few simple hygienic measures, that I think it wise to +describe some of the most common disorders of the female organs, and to +explain their symptoms so that you would not ignorantly neglect them, if +you should be so unfortunate as to contract any. + +The most common diseases of the female organs may be classed as +displacements, inflammations and tumors. + +On account of its lack of strong attachment, the womb is very easily +displaced. When from any cause the womb is congested and heavy the extra +weight stretches the supporting muscles and ligaments, which then allow +it to fall out of place. It also may be displaced by a sudden fall, by +jumping or other strenuous exercise. As the womb normally is heavier at +the menstrual period than at any other time and as there is a natural +congestion then, it is more easily displaced at that time than during +any other part of the month. This is one reason why one should be +careful not to take strenuous exercise at the menstrual period. + +The most common displacement, or the most common way for the womb to +tip, is backwards and at the same time it usually falls downward. You +remember, the rectum is directly back of the womb, so, if the womb is +tipped backwards, it presses against the rectum. This tends to prevent +the feces, or bowel movement, from passing out naturally and helps to +produce constipation. The womb, pressing against the rectum, also +presses on the blood vessels which are very numerous there. This +pressure on the blood vessels prevents the blood from leaving them. If +it is held there, it causes the blood vessels to dilate in order to be +large enough to contain it. We call this enlarged portion of the vein a +blood tumor. These tumors or dilated blood vessels of the rectum are +called hemorrhoids or piles. I will explain these more thoroughly when +I talk to you about constipation. + +The womb may tip forward, pressing on the bladder and causing a frequent +desire to urinate. More rarely it is tipped to one side. It then tends +to pull on the ovaries and produce pain and various nervous symptoms. + +The womb may fall downward, pressing against both the bladder and rectum +and dragging the ovaries and tubes out of their natural positions. +Sometimes it even protrudes from the vagina. Any falling or displacement +of the womb pulls on the tubes and ovaries, often producing an +inflammation. This inflammation should not be allowed to continue, as it +may become serious, even extending to the peritoneum and producing +peritonitis. The nerves of the uterus are very closely connected with +the spinal nerves, therefore, any displacement reacts through them and +may produce headache and backache, which are the common accompaniments +of any uterine disorder. + +[Illustration: KNEE-CHEST POSITION] + +One of the most simple and yet efficacious treatments to correct a +displacement downward and backward is to assume the knee-chest position +for a few moments morning and evening after the clothing has been +removed. In the knee-chest position, the patient kneels on the bed, then +bends forward until her chest touches the bed; the back slopes down and +the thighs should be at right angles with the bed. This position allows +the various organs to fall forward and toward the upper part of the +body, the pressure on the uterus is relieved and it assumes its natural +position. This treatment, persisted in, will relieve nearly every case +which has not some other disorder connected with it. If every woman +would assume this position for a few minutes once or twice a week, just +before retiring, she would be greatly benefited; for the majority of +women have a slight falling of the womb, which then presses on the +rectal and other nerves causing various nervous symptoms. + +The womb and ovaries are surrounded by a dense network of nerves and +blood vessels, making them very liable to congestion. Tight clothing or +improperly fitted clothing causes pressure and interferes with the +circulation. I believe that a large percentage of the objections to the +corset originated from women wearing improperly fitted corsets which +pushed the organs out of place. A corset fitted to the wearer is not +injurious and serves as a support. Overwork, catching cold and excesses +may produce a congestion which is one stage of inflammation. The most +common symptoms of inflammation of the womb are pain in the pelvic +region, a dull backache, especially across the hips, and a vaginal +discharge called leucorrhoea (whites). Any leucorrhoea shows a +disordered condition which should be corrected. It may be simply of a +catarrhal nature, due to pressure or cold, or it may indicate a more +serious condition, as the presence of one of the black plagues. Whenever +a woman notices a vaginal discharge, it is a wise plan to go at once to +a reliable physician, find out what is the cause and nature and then +take measures to correct it. In the beginning a very little treatment, +such as hot douches, may be all that is required, while if untreated the +condition may become serious, as you will understand when I explain +about the black plagues. + +Any disorder of the uterus or ovaries reacts through the nerves upon +other parts of the body and may produce various symptoms such as general +weakness, headaches and backaches. This drain on the system often is +shown by dark circles under the eyes, pale skin and a drawn, haggard +expression. All these tend to rob a woman of her charm of physical +excellence, and none of us wish to lose that; for it is natural for all +women to wish to appear attractive. + +One of the most common of the so-called female disorders, which seems to +be the lot of the majority of women, is dysmenorrhoea or painful +menstruation. This is not a disease in itself, but the symptom of +various disorders. A woman in normal health should not suffer at her +menstrual period; so if she does suffer it shows there is something +wrong. The natural thing for anyone to do who had dysmenorrhoea would +be first to find the cause of this pain and then take measures to +correct it. It may be due to displacements, inflammations or tumors; it +may be due to a contraction of the mouth of the womb which does not +dilate sufficiently to allow the menstrual discharge to flow freely. It +may be due to neuralgia or rheumatism of the uterus or ovaries. Pain +always indicates an unnatural condition. It is the cry of tortured +nerves. The cause should be determined by a competent physician and +then measures taken immediately to restore the normal condition. + +One who suffers from dysmenorrhoea should try to plan her work so that +she may rest the first day of her menstrual period, and, if possible, +the preceding day. Absolute rest in bed at this time is beneficial. A +hot sitz bath, hot foot bath or hot vaginal douche taken just previous +to the commencement of the period will aid in relieving the congestion +and thus lessen the pain. After the flow has started hot foot baths and +hot applications to the abdomen may be used. Hot drinks also may be +taken, but one should not get in the habit of using any drug at this +time. Hot ginger tea will do as much good as one prepared with some +habit-forming drug. Many of the remedies advertised as a cure for this +condition are composed chiefly of alcohol, and, although they may give a +temporary relief, the benefit is not permanent. Careful attention to +diet and exercise, with regular hours of sleep, are essential points to +be considered if one would be free from this disagreeable trouble. + +Another symptom which often causes much alarm to the patient is +amenorrhoea or deficient or scanty menstruation. This may result from +fear, worry, catching cold or to an enlargement of the womb. It also is +one of the first symptoms of pregnancy. Sometimes it indicates an +impoverished condition of the blood and shows the need of a general +building up of the system. This is true especially in young girls who +have what is called chlorosis or green sickness. These girls are pale, +weak, sometimes having a greenish cast to their complexions. They need +good care and nourishing food and plenty of light, outdoor exercise. + +In young girls I sometimes find an irritation of the vagina which causes +pain. This may be due to the retention of secretions in the vagina. The +general idea that only married women have leucorrhoea, or whites, is +fallacious. Virgins may have it. The usual cause is catching cold at the +menstrual period. Another delusion is that these girls should not take +douches for fear they might injure the hymen. This is erroneous, for +douches are necessary in the treatment of this condition and, except in +very rare cases, a douche can be taken with an especially small douche +point without injury to the parts. There normally must be a small +opening in the hymen to permit the passage of the menstrual flow. If a +small douche point is used no harm will result. + +When I talked to you about the structure of the external generative +organs, I mentioned the clitoris and explained that sometimes the +prepuce or foreskin is bound down, or is too tight, so that the natural +secretions are retained under it and produce an irritation; that the +operation for the unhooding of the clitoris is very similiar to that of +circumcision in the male and is performed for similar causes. Many a +woman who has been nervous all her life, owes her condition to a hooded +clitoris, which a very simple operation would correct. A hooded clitoris +also may have something to do with the immoral life of some girls. The +other day I received a letter from an aged physician who, in discussing +the tendency to immoral practices, says: "You say in one of your +articles, 'What is the remedy? Educate!' Well, perhaps, but if you would +let me circumcise the girl early in life, I believe it would be more +certain." There is considerable truth in his statement. A hooded +clitoris produces a constant irritation which tends to lead to habits of +self-abuse and perhaps immorality. + +The other common disorder which I named at first is a tumor. Tumors are +any unnatural growth. They may form in any part of the body, but just +now we will speak only of those affecting the internal female organs. +Tumors may form in the cavity of the womb, in its walls or on the +outside of it. The common symptoms are an enlargement of the abdomen +accompanied usually by pain due to pressure on the nerves. There also +may be some hemorrhage at other than the regular menstrual periods. + +Sometimes the ovaries are diseased and become enlarged, tender and +filled with fluid. Then they are spoken of as cystic tumors or as cysts. +The tubes may become inflamed and filled with pus. The most common cause +of these pus tubes is one of the black plagues. With all these tumors +the treatment usually is to remove the tumor and sometimes the entire +organ. In a few cases it is possible that the fluid or other contents of +the tumor may be absorbed, if the general health and circulation are +improved. In some cases we find what is called a phantom tumor. There +really is no tumor, although the symptoms may be such that even reliable +physicians are misled. The symptoms are due to a nervous condition. +These phantom tumors have given many a quack a reputation for removing +tumors without the use of the knife. + +A carcinoma or cancer is a malignant tumor, that is, one that tends to +grow worse and to reappear if it apparently is removed. The reappearance +may be in the same place or in an entirely different portion of the +body. Cancer of the uterus is not uncommon in women. It frequently +follows neglect of some injury. For example, it will appear on the site +of an unrepaired tear. It most commonly comes after the menopause. The +change that is undergone at that time seems to stir things up and bring +to light any neglected injury. This is another reason why every woman at +the menopause should undergo a thorough examination and have any defect +repaired, thus avoiding much of the possibility of trouble. A frequent +symptom of carcinoma of the uterus is hemorrhage at irregular times +after the menopause. Any woman who has such a condition would be wise if +she immediately repaired to a physician and determined the cause of the +hemorrhage. In the beginning it is possible to remove a cancer, but +later it becomes so involved in the surrounding structures that its +removal is impossible. + +You may think I am trying to increase business for the physicians but in +reality my advice, if taken, would lessen their practice. It is another +application of "a stitch in time saves nine." In the beginning almost +all these diseases can be corrected with very little trouble, while if +neglected the process is much slower. The probabilities are that the +doctor will have the case later, if not consulted early, but instead of +a few office treatments he will have an expensive operation. So, you +see, I really am trying to save you doctors' bills when I urge early and +thorough examinations. There is a peculiar thing about the human race. A +machine will get out of order and the owner will send for an expert +machinist to repair it--not attempting to patch it up himself. But when +these bodies of ours, the most wonderful and complicated of machines, +get out of repair we try to patch them up ourselves or try various +remedies recommended by those who know worse than nothing about the +physical machinery. Then we think we are saving doctors' bills, when at +the same time we are spending twice as much on questionable +repairs--patent medicines, which often do more harm than good. +Frequently they contain stimulants which produce a mythical improvement +but leave the system worse off than before. + + + + +CHAPTER IV + +CONSTIPATION--HEMORRHOIDS + + +A regular daily movement of the bowels is necessary to health. Much of +the illness in the world might have been avoided if the victims had +taken better care of the excretory organs. One of the first questions a +physician asks a patient is, "How are your bowels, do they move +regularly every day?" In some cases that is the first time the patient +has thought of them, and he has to think some time before he can +remember just when and how often his bowels did move. Then perhaps he is +not sure. In a great many cases it is a routine practice with physicians +to give a "good cleaning out," that is, to give a thorough laxative. +Many times this is all the treatment required and in other cases it only +is combined with a little intestinal antiseptic to further carry out the +cleaning process. + +The most common cause of constipation is irregularity in going to the +toilet. When the desire for defecation comes, we are too busy and +postpone it until some more convenient time, which time may be too late. +Nature is the best judge as to when the bowels are ready to be emptied. +If we do not obey her call, we must take the consequences. When the +waste material is ready to be voided, it is in a semi-fluid state, but, +if it remains in the intestines too long the water is absorbed and the +waste material is left in a hard mass which is expelled with difficulty. +Not only that, but the desire to expel it soon passes. Nature, finding +we do not respond to her call, ceases to notify us. + +If the waste material is allowed to remain in the bowels, not only the +water is absorbed but with it some of the poisons from the waste +material, which are taken up by the blood and carried to all parts of +the system, causing a great deal of trouble and pain. This absorption of +toxins (poisons) causes headache, loss of appetite, a sense of +depression and a lack of energy. + +The pressure of the hard material on the tender tissues of the rectum +causes hemorrhoids or piles, by irritating the tissues and causing a +congestion. Hemorrhoids are enlarged veins which have been so irritated +and filled with extra blood that they have lost their power to contract. +These enlarged veins may remain inside the rectum and then are known as +internal piles. Sometimes they protrude externally and then are known as +external piles. Frequently they become tender and cause a great deal of +pain. In some cases one of the little veins becomes so engorged with +blood that it bursts and allows the contained blood to escape. This is +known as bleeding piles. For mild cases of hemorrhoids (piles) the +treatment is to correct the accompanying constipation, then take an +enema or injection of warm water morning and evening, using the water as +hot as can be borne and allowing it to run in and out the rectum for +some time. Following this, an astringent and soothing lotion should be +applied. + +Constipation may be caused by retroversion of the uterus. If the uterus +is tipped backwards it presses on the rectum, preventing the passage of +the feces (bowel movement). This pressure also causes hemorrhoids. In +this case the treatment is to correct the displacement. In many cases +all that is necessary is to take the knee-chest position for a few +minutes night and morning. + +Always in the treatment of constipation, the first item is to discover +the cause. We have noted that the chief cause is irregularity in going +to the toilet, therefore, the first measure to be taken in the treatment +is regularity in going to the toilet. Choose a convenient hour, usually +right after breakfast, and always go to the toilet at that time no +matter if there is a desire or not. At first there may be no natural +movement but if you persist, your efforts will be rewarded. For the +first few days it is well to take an enema of warm, soapy water at this +time. Every day take exercise that will strengthen the muscles of the +abdomen. Bending forward and touching the toes with the fingers without +bending the knees is one valuable exercise. This should be done ten or +twelve times morning and evening. A daily brisk walk in the fresh air is +another good exercise. Fruit or figs eaten with the meals or a glass of +water taken before breakfast and upon retiring often proves very +beneficial in relieving a tendency to constipation. There is an old +saying, "An apple or two before going to bed, and the doctor will go +begging for his bread." This really is a practical idea and more nearly +true than many old sayings. + +Cathartics or laxatives should not be taken except for an occasional +dose or during illness upon the advice of a physician. So common is the +practice of taking daily laxatives that it has become a "national +curse"! People do not realize that they are slaves to this habit, so +they continue to take their daily doses of "teas" or "waters." In many +cases a patient will tell his physician that his bowels are "all right," +that they move every day. Further questionings reveal the fact that he +is in the habit of taking some laxative frequently. The bowels are not +"all right" if any laxative is required. + +Massage of the abdomen usually is very beneficial in treating +constipation. It acts by stimulating the muscles and should be given at +set times in the day but never until two hours after any meal. The +various vibrators act in the same manner as massage. In any massage of +the abdomen the thighs should be flexed, as this relaxes the abdominal +muscles. + +Enemas or injections of warm water may be taken occasionally and then +are beneficial, but if long continued are injurious by reason of their +irritating effect. At times, when the stomach and intestines have been +over-loaded with irritating material, an enema is one of the quickest +measures for relief. In obstinate constipation two or three ounces of +warm olive oil injected slowly into the rectum at night and allowed to +remain until morning will soften the waste material so it can be +evacuated easily in the morning. + +Constipation never should be neglected as it carries in its train a long +line of disorders, as hemorrhoids (piles), abscesses, and intestinal +obstruction. + +Indigestion and constipation frequently are bosom friends. How often +indigestion is a result of nervous strain is perhaps seldom realized. A +business man eats his lunch and other meals in a hurry, with his mind on +his business. His energies are being consumed by his brain and very +little is left to be used in the digestion of his food. One never should +eat when tired and nervous. Take a few moments' absolute rest before +meals. If possible lie down and relax all muscles for a few moments. +Then eat your meal slowly and if possible have some pleasant companion +who will talk with you on subjects not connected with your business +cares. You will be surprised to note the improvement in your digestion +and incidentally in your tendency to constipation. + +For the noon meal, office workers should eat only light and easily +digested food. Eat your heaviest meal after the work for the day is +finished and the blood which has been required by the brain can be +spared to the stomach. People doing manual labor that requires physical +strength need, and can digest, a heavy noonday meal but the requirements +of the brain workers are quite different. + +Many girls break down on account of lack of sufficient nourishment. +Coffee and rolls for breakfast, ice cream and rolls for lunch and a +sandwich and coffee for dinner is not sufficient food for any working +girl. And yet that is about the diet of hundreds of girls. Often it is +impossible for her to provide more, for when a girl must pay for her +board, room, clothes and laundry from her salary of five or six dollars +a week, sufficient food becomes an impossibility. Many girls actually +are slowly starving on this account. When the wheels of progress make +it possible for every working girl to have a comfortable home and +sufficient nourishing food many of the social problems will right +themselves. + + + + +CHAPTER V + +THE BLACK PLAGUES + + +I promised to explain to you what I meant by the black plagues. It is +strange when anything is as widely spread as are these diseases that so +few people know anything about them, or realize their importance. At one +time epidemics of typhoid fever were regarded as a revelation of the +wrath of God. Now we know they are due to carelessness and lack of +sanitation. It is the same with the sufferings of women. We used to +think it was a dispensation of Providence if a woman were compelled to +undergo an operation. Now we know it usually is due to someone's lack of +care, to a desecration of Nature's teachings. + +I remember when I was quite young hearing mention made of a "bad +disease." Concerning the nature of this disease I was ignorant but I +gathered the idea that it was some terrible disease which was contracted +only by the most depraved of mortals. How little I suspected its +widely-spread distribution, and how little I dreamed that among my +acquaintances might be any afflicted with these diseases! nor did I +dream of the danger of innocent contagion. Since then I have learned +what these diseases were. Now we call them the black plagues, because, +owing to the prejudice of the majority, we dare not use their correct +names generally. I have no doubt you will be as surprised and shocked as +I was at the things I am going to impart to you. + +By black plagues we mean the two diseases spoken of by physicians as the +venereal diseases, because they usually are contracted during sexual +intercourse. + +The most common of these diseases is gonorrhoea, or clap, as it often +is called by men. How common it is may be judged by a statement made by +a professor to his class in the medical college that at least eighty per +cent. of the men in the world have contracted it sometime during their +lives. Even the most conservative give the estimate as sixty per cent. + +The prevalent idea common among men that it is no worse than a cold--a +mere annoyance that all men must expect and endure sometime--is +lamentable. The persistence of the disease in the deeper structures long +after it outwardly is cured leads to unexpected communication of it to +women, among whom may be the young wife. As a result she enters upon a +period of ill-health that ultimately may compel the mutilation of her +body by a surgical operation to save her life. Much of the surgery +performed upon the female organs has been rendered necessary by disease +contracted from the husband. + +A few little germs of this disease left on even the external organs may +find their way up through the vagina to the uterus or womb. Here they +may produce an inflammation of the lining of the womb, causing severe +pain and other symptoms, such as profuse discharge. The germs may go +farther, or the inflammation may extend from the uterus to the tubes. +When we consider that the passage through the tubes is only about as +large as a broom straw, we see what serious trouble may result. The +tubes become enlarged and filled with pus. The opening from the tubes to +the uterus becomes closed, so there is no way for the pus to escape. The +accumulation of pus or the products of septic inflammation stretch the +walls of the tubes until the little nerves in the walls cry out in +rebellion. The pain becomes so great and the reflex symptoms are so +aggravated that finally the woman resorts to the only relief,--an +operation for the removal of the tubes. + +When we consider that the ovule, the human egg, must travel through +these tubes to reach the uterus and, if they are destroyed, has no other +way of reaching the womb and, if it cannot reach the womb and be +impregnated, cannot develop into the babe, then we realize how this +disease is dooming women to childless lives,--women whose natural +instincts and desires cry out for motherhood. When we consider the +factors that promote race suicide we must not forget this important one. +Even though the woman refuses an operation, or in a case in which the +inflammation is not so severe and is reduced until she is nearly free +from pain, the result may be the same, for the tubes may remain closed +permanently. + +The closure of the tubes is not the only result that may follow the +course of this disease. The infection may extend into the peritoneal +cavity causing peritonitis, which so often results in the untimely +death of the woman. Here let me say that not all cases of peritonitis or +of inflammation of the womb, tubes or ovaries are due to this infection. +There are other infections, other germs, that may produce similar +results. These germs may reach the organs in various ways. Sometimes the +woman herself is to blame and sometimes we can blame no one. +Inflammation of these organs may result from pressure of clothing, +colds, excitement, overwork, pregnancies, excesses or neglect. The +inflammation may spread to these organs from an inflamed appendix or +other neighboring organs. + +Supposing, though, following this disease the tubes are not entirely +closed and the woman becomes pregnant. There is still the danger that +during labor the baby's eyes will become infected and may become +permanently blind. It is estimated that seventy per cent. of the +blindness in the world has this cause. How does this produce blindness? +Some few germs of this disease have remained in the vagina or birth +canal and as the baby passes along the canal they enter its eyes. They +are so very strong and work so rapidly that they can cause total +blindness within three days. This fact is so well known by physicians +that at the present time all reliable physicians pay especial attention +to the newborn baby's eyes, cleansing them with an antiseptic solution +immediately after birth. This precaution doubtless has saved the eyes of +thousands of babies. This is one of the reasons why it is dangerous to +employ an uneducated person at the time of labor. Even though she may +have assisted at hundreds of births yet often she is ignorant of the +many dangers and of the precautions that should be taken in every case. + +Even adults may become blind from this infection. The disease is carried +to the eyes by polluted fingers or towels. In a few hours the eyes +become inflamed, pus forms, and unless heroic measures are taken, the +eyesight is soon destroyed. + +In female children the vagina may become infected through the use of +tainted sponges, wash cloths, etc. An innocent girl may thus carelessly +acquire the disease. For this reason, we see how necessary it is to +caution girls never to use public towels or wash cloths that have been +used by another person. Even in the home, every member of the family +should have his exclusive towel and wash cloth. + +The symptoms of gonorrhoea that often are noted first are a profuse +discharge from the vagina, usually creamy or yellowish in color. This +discharge is of such a nature that frequently it excoriates the external +parts so that they become very tender and inflamed. Backache, especially +across the hips, is a common accompaniment of this disease. There may be +general soreness in the pelvic region. If a woman suspects she has +contracted this disease, she should go immediately to some reliable +physician; for at first the disease may affect only the vagina but, if +neglected, may extend to the uterus and tubes. In its early stages it +may be cured by prompt treatment, but the majority of women postpone +treatment until it is too late. + +The other loathsome disease, syphilis, infects the blood and therefore +all parts of the body. While under proper treatment it is not dangerous +to life in the earlier years, yet the possibilities of conveying the +contagion are numerous. In the second stage, which lasts for a number of +weeks, the mucous patches in the mouth are a source of danger. In this +stage the disease may be conveyed by a kiss or through the medium of +the public drinking cup, towel, or anything that comes in contact with +the virus. It may be contracted by a babe from a wet-nurse or the nurse +may contract it from the babe. + +The most serious results of this disease appear years after its initial +appearance, when the individual has been lulled into a false sense of +security by long freedom from its outward symptoms. Many of the obscure +cases of stomach or nerve trouble may be traced to this disease. The +results not only affect the man, but, should he marry and have children, +his innocent babes may come into the world with an inherited taint. +These children seldom live to reach adult life and their lives usually +are burdensome and full of misery. They may be deformed or be +continually afflicted with ulcers or other horrible manifestations of +the disease. I will explain this more thoroughly when I speak of +heredity. + +Many of the disastrous effects of these diseases might have been +prevented if they had been properly treated in their early stages. +Ignorance as to the nature and probable disastrous effects, if +neglected, prevents many a person from procuring proper treatment. It is +a common practice among men afflicted with these diseases to try +various remedies recommended by their friends or by the druggist. It is +strange that a person who would not think of trying to treat himself for +smallpox or other contagious disease will do so with these diseases. +With women, the cause of their neglect is a failure to realize the +importance of the symptoms. Unfortunately women have grown to think that +various female ills are their lot in life which must be endured and +regarded as a dispensation of Providence instead of being considered an +error in living that must be corrected the same as any other disease. +Some commence treatment but neglect it as soon as the noticeable +symptoms have disappeared. It generally is considered among physicians +that the treatment of syphilis should be continued for at least three +years after contracting the disease in order to remove all traces from +the blood. + +It is a deplorable fact that the prevalence of these diseases might have +been prevented by proper instruction of young boys. No man ever +willfully contracted one of these diseases. Statistics tell us that the +majority of victims contract them before their twentieth year, before +the boy has learned anything of their dangers or perhaps of their +existence. If these patients received the right treatment immediately +and continued it until the disease had been eradicated the results would +have been less serious. Here, too, lack of early and proper instruction +is shown; for these immature boys do not realize the necessity for +prompt and wise treatment, or are misled by unscrupulous persons. I +shall talk to you again on this subject, for many of you will have sons +and you must know the dangers that beset them, so they can be prepared. + + + + +CHAPTER VI + +FAKE MEDICAL ADVICE FOR WOMEN + + +One young lady wrote me, "Recently I read that imperfectly developed +ovaries might be a reason why some women do not have children. I have +the symptoms which the article said indicated imperfect development. +Does this necessarily mean that I never can have a baby? I seem to be +healthy. I am twenty-one years old. I was to have been married in three +months but now I do not know what to do. 'My boy' loves children as I +do. It seems as though I cannot give him up, yet it surely is not +honorable to marry him if I find that I never will have a little one, +without telling him. Please tell me what to do." + +The probabilities are that this girl's ovaries are perfectly normal and +that the article mentioned was an advertisement of some medical house +which, by misleading statements, endeavors to induce women to take their +treatment. There are many women who suffer a great deal mentally, and +this in turn reflects on their physical health because of just such +articles. + +It has been said that we are a nation of dupes and the advertisements +carried in some of the papers would indicate the truth of this +statement. No manufacturer is going to advertise anything that does not +sell well and bring a considerable profit. Men are not so altruistic as +to be in business just for the good of humanity. The majority are in +business for the money to be obtained from it. Somehow, women are very +susceptible to the arts of these greedy manufacturers. A company +commences to make a patent medicine and then, in order to derive any +profits from the investment, large quantities of the preparation must be +sold. In order to accomplish this they must convince possible buyers of +their need of this particular treatment. The company employs an agent to +write an advertisement, perhaps in the shape of an article purporting to +be written by someone much interested in the human race. This +advertisement or article describes some disease which may be cured by +this one remedy. As there might not be enough people who know they have +this given disease to make a profit for the manufacturer, it becomes +his business to convince others that they have this disease. Therefore, +he proceeds to enumerate a great many symptoms which he says indicate +this disease. Perhaps they might! But they are just as likely to +indicate any one of half a dozen other things. He details enough +symptoms so that some are recognized by nearly every woman as relating +to her condition, so she jumps to the conclusion that she has that +certain disease and buys a bottle of the medicine. + +If you will study the large medical advertisements that appeal +especially to women you will notice that they all have certain symptoms +enumerated. No matter if the remedy advertised is for the kidneys, the +bowels, or exclusively for women, the same symptoms are claimed to +indicate the need of that certain remedy. One of the symptoms most +commonly given is backache. Of course! For nearly every person has a +backache at some time. It may be due to a strain, to rheumatism of the +lumbar muscles (lumbago), to constipation, to a displacement, or to +numerous other conditions. No one can tell the cause who is not properly +prepared to do so and who is not fully acquainted with the physical +condition. The sewing machine runs hard and perhaps makes a noise. It +requires a mechanic who is familiar with the mechanism of the machine to +find the cause of the trouble. So it is with the human body. It requires +a mechanic who is familiar with the structure of the body to discover +the cause of the trouble. And yet people will continue to pour into +their bodies drugs, harmless and otherwise, that are manufactured by +some enterprising firm and then advertised by an expert who knows +nothing of disease except a few symptoms common to almost all diseases. + +The patent medicine consumers seldom realize the nature of the medicine +they take. Because some man, desirous of selling his remedy, claims it +will be beneficial, they rush in and buy. To one who knows the true +nature of some of these remedies, many laughable instances are visible. +One man recently discovered that a temperance agitator was daily dosing +herself with a certain tonic which was known to contain a larger +percentage of alcohol than did the beverages she was denouncing so +ardently. + +Patent medicines may benefit some, but in the majority of cases, the +consumer is like a man who boards the nearest street-car hoping it will +take him to his destination. It may! But it is just as likely to take +him in the opposite direction. + +Some people become veritable drug fiends, slaves to certain drugs +without in the least realizing their condition. How many are slaves to +certain laxatives or headache powders! With them the daily dose of +"harmless" teas or waters or even of pills cannot be neglected. And yet +such a person would be indignant at the suggestion that she was the +victim of a drug habit. What are drugs, anyhow? The majority are simply +extracts of herbs and vegetables. And yet people imagine that they are +avoiding the use of drugs and medicines when they take "simple herb +remedies, prepared at home." + +Another lure of the advertiser is to state that all letters are +"strictly confidential and answered by women only." Perhaps they are! +But he neglects to add that the women who answer these letters are +simply stenographers with no medical knowledge, employed to write +according to dictation, that the letters are all written according to +certain forms which have been dictated by the manager. A short time ago +a young woman wrote me regarding her condition. Among other things, she +said she had written to a certain woman whose name is much advertised by +a patent medicine concern and that this woman had written her advice +that had caused her to worry over her condition. Poor, deluded girl! How +was she to know that the woman in question had been dead many years and +that the business was carried on by her son and other men. + +If you are ill do not be misled by these unscrupulous advertisers. Do +not waste your time and money on remedies that may be entirely unsuited +to your condition. + + + + +CHAPTER VII + +THE MARRIAGE RELATION + + +As several of you expect to be married soon I think it would be well to +talk briefly about the cause of so much unhappiness in marriage. + +It has been estimated that only about five per cent. of all marriages +are successful. Is this true, and if true, why? If five per cent. made a +success of marriage, why could not the other ninety-five? Marriage is a +science to be studied by the prospective bride and groom in order that +they may be ranked with the five per cent. and not make a failure of +their married life. Few would enter the marriage relation if convinced +that it would be a failure. The prospective bride looks around among her +acquaintances and sees the lack of true happiness, thinks that her case +will be an exception, that her marriage will turn out all right and then +goes blindly ahead into the new life without any preparation. + +A large percentage of the unhappiness among married couples comes +through a misunderstanding of the marital relations. A great deal of +this is due to ignorance on the part of the bride and thoughtlessness on +the part of the husband. This is partly due to defective education +during childhood in regard to the sexes. The training of boys and girls +in this matter is very different. Knowledge pertaining to the sexual +life is talked over very freely among boys, so that by the time the boy +is of a marriageable age he is pretty well posted. With girls it is +quite different. It would be considered very immodest for a girl to +discuss such matters. She does not feel free even to talk with her +mother or other adviser, and so she goes to the altar ignorant of many +things she should know. Then during the first few days of married life +this knowledge so overwhelms her and often gives her such a severe shock +that it leaves a lasting impression. She has no way of knowing that her +husband is just like other men. She is liable to regard him as a brute +and resent his attentions. + +Such a condition of affairs is altogether wrong, but the girl is not to +be blamed. Had she been taught what to expect, much of the unhappiness +of married life might have been avoided. If taught correctly, the girl +should regard the sexual act as the culmination of true love. It should +be regarded as something sacred, something that makes her and her +husband as one. Fortunate indeed is the girl whose husband realizes this +lack of knowledge and gently leads her to desire the fulfillment of +love. Unfortunate is the girl whose husband regards this act only as the +gratification of animal passions--something it is a wife's duty to +endure as such. + +Passion or sex sense is a sign of maturity. It is the calling for a +mate. All animals have this sense and nearly all animals have a mating +season. The billing and cooing of the birds in the springtime is an +expression of this sense--the love sense. It is possessed by every +little insect. Only by knowing their habits do we see the expression of +it. This sense is nothing of which one should be ashamed. It was +God-given for a divine purpose. + +In the study of plants we learn that the pollen or male element must +unite with the ovum or female element in order to produce the seed that +will develop into the new plant. The same fact is true of the human +race. Before pregnancy can take place there must be a meeting and fusion +of the vital elements of the two sexes. This fertilization of the ovum +or joining of the male and female elements is called conception. It is +brought about by coitus, by means of which the semen of the male is +deposited in the vagina of the female. This act is called insemination, +although conception does not follow unless the ovum and spermatozoon +(life-giving element of the semen) come together and unite. When this +occurs the woman conceives and enters upon a period of pregnancy. The +time at which conception is least likely to occur is from the +seventeenth to the twenty-third day after menstruation ceases. + +During the first year of married life couples are liable to abuse the +love sense by over-indulgence and thereby use up too much of their +energy. This affects their health, especially that of the young wife, +who finds herself always being tired and is unable to account for it. +Her daily tasks become a drudgery, for she is too exhausted to have the +strength to perform them. After the tasks finally are finished, she is +too tired to don the afternoon dress, and so easily falls into untidy +habits. This brings its train of results. The young husband, on his +return from work, fails to find his wife the bright, attractive girl he +married and gradually grows indifferent. + +The relation of intercourse to conception is a problem that each husband +and wife must settle for themselves. Some educators claim that only for +the one is the other allowable, that the bearing and raising of children +is the sole aim of married life. Naturally this is the fundamental end +of the sex instinct. But in the present-day, practical married life it +would be impossible to convince the majority that the impulse of sex +gratification was given to them for this one purpose only. + +The sense of well being and the increased capacity for work, that +follows a moderate exercise of this function, tends to convince us that +it has a beneficial effect upon the entire system if exercised +moderately. As to what constitutes moderation or temperance depends upon +the individual. What would be moderation to some would be excess to +others. It may be taken as a general rule that the after-effects will +indicate the amount. If the after-effects are irritability, extreme +lassitude or a diminution of the love or respect for the other then +there has been excess. If the after-effect is a sense of well-being so +that the next day one feels more inclined to take up the duties of life, +then it may be considered that moderation has been practiced. A certain +amount of energy is consumed in any act and, as in our present age we +need a great deal of energy to carry on our everyday business, in the +majority of cases fresh vitality cannot be spared for an expenditure +under several days or a week. Excess in anything tends to bring on +premature old age, for the nervous force is expended faster than it is +manufactured. + +Frequently women seem to be endowed with an excess of energy which +manifests itself in various forms. Besides this, the woman does not seem +to have control of her nervous energy but wastes it in numerous ways. +With many a woman the regularity and moderation attendant on a happy +married life seems to have a regulating effect upon her whole nervous +system, so that she becomes more calm and has greater control over her +energies. + +Wrong training or lack of training in matters pertaining to the +relationship of the sexes and to the management of a home may be given +as the cause of the majority of unhappy marriages. + +There must be something wrong with our system of education when the aim +of this education seems to be to prepare the girl for a temporary +position in an office or store or for a gay social life; and when there +is no preparation for the important work of home-making and the rearing +of children. A girl would not be expected to run a complicated and +delicate piece of machinery without having adequate instruction +concerning the necessary care of it. But the girl is allowed to go +blindly into marriage and is expected to manage her home and care for +her children with practically no preparation. Nowadays we require +experts for every position except that of motherhood, but we apparently +do not consider that of enough importance to waste any time preparing +for it. A man requires his gardener or office assistant to be trained, +but the mother of his children need know nothing regarding the +preparation for their coming. Too often her only preparation is that of +making numerous clothes. She takes no measures to insure a healthy +child. + +If girls would make a study of home-making and motherhood and enter into +marriage with a more definite realization of its obligations we would +have fewer unhappy marriages and fewer divorce cases. Some women, owing +to false education, wish to have all the advantages of marriage without +assuming its cares. Such a woman expects a man to be willing to provide +her with all the gifts of the gods, with all the luxuries of life, but +in return is not willing to become the mother of his children nor to +exert herself to make their mutual habitation a home and not merely a +house--a place in which to eat and sleep. + +A large part of the average woman's life is devoted to home-making and +the rearing of children. Usually she is poorly prepared for this work. +The early years of a girl's life are spent in the acquisition of a store +of general knowledge, especially that derived from books and related to +subjects generally considered necessary to "culture." During this +period, her time is so occupied with her studies that her mother thinks +it would be an imposition to ask her to do any housework, so the girl +grows up without much knowledge of the care of a home. True, she often +is enabled to do a few things. She learns to make cake and several +varieties of candy and perhaps can fashion a collar that is the envy of +her schoolmates. Sometimes she even helps her mother with the dishes or +the dusting, but it is easier for the mother to take the responsibility +of the housekeeping than it is to teach her daughter to do so, and +besides her daughter always is so busy with school affairs. She has no +time in which to learn the science of housekeeping. + +After the completion of her course in the common or high school, a few +months, sometimes, are devoted to the preparation for a certain line of +work which is to occupy her time for a few years. Very few girls, except +those who enter the professions, expect to continue their work after +marriage and nearly all look forward to marriage. If we place a girl at +a new occupation, for instance lace-making, and let her work out her own +salvation, we would not be surprised if she disliked her work and was +unable to accomplish any good results. But that is what we do in regard +to home-making. A girl upon marriage is expected to know by instinct +how to keep house, cook, and do the numerous other household duties; she +is expected to know how to care for herself before the birth of her baby +and how to care for the baby when it comes. Fortunately for the future +generation this fact has come to the realization of many of our +educators. During the last few years many schools have introduced into +their curriculum, courses in domestic science, including the purchasing, +preparation and serving of food. Very recently some of the more +progressive schools have introduced courses in nursing and the care of +young babies. Perhaps in a few years motherhood will take its proper +place as the most important of all sciences. + + + + +CHAPTER VIII + +EMBRYOLOGY--THE DEVELOPMENT OF LIFE + + +You remember I mentioned that at various times during the month an ovum +or egg leaves the ovary and passes along the tube to the uterus. Here it +remains if it is impregnated or fertilized by a union with the +spermatozoon or male element. The whole body of the babe is developed +from the ovum or female element after it has been fertilized by the +spermatozoon or male element. The union usually takes place in the tube. +The spermatozoon, after being deposited in the vagina, travels to the +mouth of the womb, then up through the womb into one of the tubes. Here +it meets the ovum and unites with it, then the impregnated ovum +continues on its way to the uterus. It attaches itself to the lining of +the womb by little thread-like filaments which it projects. The ovum +then begins to grow, dividing itself into portions that go to make the +different parts of the body. Before I continue, let me remind you that +the ovum in the beginning is only about as large as the point of a pin, +being about 1-125 of an inch in diameter, while the spermatozoon is so +tiny it cannot be seen without the aid of a miscroscope. Therefore, it +can be realized how much the ovum has to grow before it becomes a fully +formed babe. + +During the time the ovum is developing into the babe we speak of it +first as the embryo, then the foetus. It takes about nine calendar +months or ten lunar months before the foetus is fully developed and +ready to be expelled from the womb. During the process of development +the foetus resembles various animals. It seems it must pass through +about the same stages of evolution that our primitive ancestors did. + +By the end of the third week, the dividing has progressed so far that +the body is quite well indicated. By the end of the seventh week the +body and limbs are quite well defined. One peculiar thing is that, at +this time, the foetus has a tail which disappears during the next two +weeks. During the third month the foetus increases in size and weight +so that by the end of the month the weight is four ounces and the +length two and three-fourths inches. It now is not directly attached to +the lining of the womb but is attached by means of the cord to the +placenta or afterbirth which has been forming slowly. This placenta +consists of fatty tissue surrounding a great many little blood vessels. +The tiny blood vessels lie so close to the blood vessels of the lining +of the womb that the blood passes from one to the other. To do this, it +must pass through the walls of the blood vessels, as the vessels of the +mother and those of the placenta are not directly united. The blood +vessels of the placenta unite to form two veins and one artery which lie +very close to each other and are surrounded by a membrane. These three +blood vessels united together form what we call the cord. The other end +of the cord is attached to the foetus so that the blood can flow back +and forth between the foetus and placenta. + +By the end of the third month the limbs have definite shape, the nails +being almost perfectly formed. During the next month the sexual +distinctions of the external organs become well marked. + +By the last of the fifth month the weight has increased to one pound and +the length to eight inches. Active foetal movements begin, that is, +the foetus begins to move around and not lie quietly as before. This +is what is usually spoken of as "feeling life," or as "quickening." +There is life from the very beginning but during the first four or five +months the foetus does not move about and so the mother does not "feel +life." This has caused the erroneous idea that there is no life before +the fifth month. + +By the end of the sixth month the weight is two pounds and the length +twelve inches. The eyebrows and eyelashes have begun to grow and the +lobule of the ear is more characteristic. + +By the end of the seventh month the weight is three pounds and the +length fourteen inches. The surface of the body, which has appeared +wrinkled, now appears more smooth owing to the increase of fat +underneath. + +By the end of the eighth month the weight is four to five pounds and the +length twenty inches. The nails have grown to project beyond the finger +tips. Up to this time the body has been covered with a fine hair called +lanugo. This now has begun to disappear and the skin becomes brighter +and is covered with a white, cheesy material called the vernix caseosa. +This almost entirely disappears during the next month, but frequently +there are portions of it remaining on the body at the time of birth. The +foetus is fully developed by the end of the ninth month. Then its +average weight is six or seven pounds and the length twenty inches. + +If we could look into the womb just before the time of labor we would +find the foetus attached by the cord to the placenta and floating in a +sac of water. This sac is formed partly of the placenta and partly of +the membrane; the side of the placenta opposite to the child being +attached to the womb. Just before labor the child takes a position with +its head downward, its lower limbs flexed and its arms folded upon its +breast. This allows it to come in the usual way, head first. But +sometimes, for various reasons, it does not take this position and some +part other than the head, for instance, the feet, may be born first. + +Labor pains are caused by the contraction of the muscles of the womb in +an effort to expel the foetus. The muscles, contracting, push the +foetus downward to the mouth of the womb but push ahead of it a +portion of the membrane enclosing some of the water. This is called the +"bag of waters." As it presses against the mouth of the womb it causes +it to dilate so as to allow the foetus to pass through into the +vagina. The foetus, preceded by the bag of waters, then descends +through the vagina or birth canal until it comes to the external opening +of the vagina. This it must dilate before it can pass through it. The +bag of waters should rupture normally while it is being pushed through +the external opening. Sometimes the bag does not rupture directly in +front of the descending head but further up along the side. Then a +portion of the membrane may be over the face of the child when it is +born. This is what is called being "born with a veil" or "born with a +caul." + +The bag of waters helps dilate the parts much easier than the foetus +could do it alone. When the bag breaks the water lubricates the parts so +as to make the passage of the child easier. When it breaks, as it +sometimes does, at the beginning of labor we have what is termed a "dry +labor." This usually is much slower than it would be otherwise. The +majority of the cases of labor extend over a period of from twelve to +twenty-four hours. + +Sometimes the external opening of the vagina does not dilate enough to +allow the passage of the child. As the head presses hard against the +perineum it tears it. This tear should be repaired immediately after +completion of labor. + +When the baby is born it is fully formed but its lungs have never +contained air. At the first cry the air rushes into the lungs and +expands them. At birth there is a change in the circulation of the blood +of the baby. Before this time, the blood has passed to and from the +placenta through the cord but now this is stopped. Before birth there +was an opening between the right and left sides of the heart but this +closes during the first few days of the child's life. To assist in this +closure, it is wise to keep the child on its right side for a few days. +Rarely, this opening never closes and we have what is called a "blue +baby," which seldom lives very long. + +In a great many cases, painless childbirth could be a possibility by a +little attention to diet, exercise and other hygienic measures during +the last few months of pregnancy. Knowing this, it seems inconceivable +that any woman would neglect to so fully inform herself on these matters +that both she and her child could have all benefit of the investigations +of science. + + + + +CHAPTER IX + +ABORTIONS + + +Sometimes through an accident or on account of disease, the womb expels +the foetus before it is fully developed. If this occurs before the end +of the third month we call it an abortion; if it occurs between the +third and seventh months we call it a miscarriage; while if it occurs +after the seventh month but before the normal time of labor we call it a +premature labor. + +Formerly it was considered that there was no possibility of the child +living if it were born before the seventh month. Now, by the aid of +incubators, even those born at five months have a chance to live. By +that time the body is fully formed, so the chief requirements are a +steady temperature and proper care and food. Great care must be +exercised, as a slight cooling of the air may result in the death of the +babe. + +Abortions are either accidental, criminal, or justifiable, that is, +brought on to preserve the life of the mother. Accidental abortions may +follow a sudden fall or a sudden shock, either mental or physical, to +the mother. They may be due to some disease either of the mother or of +the foetus. Of the diseases responsible for abortions the one with the +largest percentage is syphilis. It is estimated that this disease is +responsible for forty per cent. of accidental abortions and +miscarriages. Whenever a physician has for a patient a woman who gives a +history of having had several abortions without any apparent cause and +all at about the same age of the foetus, he immediately becomes +suspicious of syphilis either of the father or the mother. It is a +peculiar fact with this disease that it may be transmitted to the +offspring without the mother ever actually having the disease. This is +an instance of "visiting the sins of the fathers upon the children unto +the third and fourth generation." Many a weak frame owes its condition +to a dissipated father, grandfather or even great-grandfather. It is +possible, though, for a man or woman who has had this disease to have a +healthy child if the disease has been properly treated. + +Under some circumstances, especially with a deformed pelvis, if +pregnancy were allowed to proceed normally it probably would result in +the death of the mother. Then, it is considered justifiable for the +physician in charge of the case to produce an abortion in order to save +the life of the mother. Those cases are rare and such a procedure never +is undertaken except in extreme cases. + +Criminal abortions are those brought on simply because the woman does +not desire to have a child. These often are produced by the woman +herself by means of drugs that set up uterine contractions (labor pains) +or by means of something introduced into the uterus. In either case it +is a dangerous procedure. Infections may be carried into the uterus by +means of whatever is introduced into it. This may set up an inflammation +that may result in the death of the woman. It is a dangerous procedure +to introduce anything into the womb. Some women are extremely foolish or +reckless and use anything that may be handy. Sometimes grave harm +results. Instances are on record of women who have punctured the walls +of the womb by the use of hatpins or other sharp instruments. If an +abortion is produced by either drugs or instruments there is danger that +all the products of conception may not come away. If even a small +portion remains in the uterus it may cause a hemorrhage or, becoming +decomposed, produce a poison that may result in the death of the woman. + +It would be impossible to estimate the number of abortions performed on +unmarried girls, as well as married women, during one year by midwives, +unscrupulous physicians and by many respected family physicians. We +never hear of one of these except through the occasional one who is so +unfortunate as to meet death. We cannot entirely blame the one who +performs the abortion. Sometimes it is performed because of the sympathy +of the physician. It is very hard to refuse some cases. Let me read you +a letter to illustrate my meaning. + +"I have just finished reading your article on 'Woman's Inhumanity to +Woman' and wish to say that every word impresses the truth as read. My +reason for writing you is because I am one of those who have sinned +through love, with one I have known all my life only to find too late +that he did not love me; and the sin is killing me. I do not want to +bring into this world a little child to have no father. I am not bad at +heart. My only hope is to get something that will bring me all right. If +you are a doctor you can give me medicine that will help me miscarry +this, as I have only missed two months. Nothing would please me more +than to be the mother of a little one, but, oh, not one born without a +name. Dear madam, if you can help me, or show me some way that my people +cannot suspect me of this sin, for the love you bear all girls, help me. +I am the only one at home to care for an aged father and one of the +dearest brothers that ever lived. If he knew I had sinned as I have, it +would break his heart. My God in heaven, help me! is my prayer, and +through his love you can help me. I am almost desperate and before I +will live and bear this sin I will take my own life, which will bar me +from heaven and my angel mother's face. Be gracious, kind doctor, and +help me. I will repay you if it takes the remainder of my life and give +my solemn promise that I will sin no more. Erring through the love of a +man is my only excuse and, oh, I am the one to bear the blame. He would +be forgiven. I am so nervous and ruined in mind that I hardly can go +about my duties and I cannot stand the strain much longer. Let me hear +from you at once and please help me, for I know it can be done, but I am +ignorant; I do not know what to get or what to do. It will be no sin to +try to get all right and not bear a child, but in my thoughts it is +something awful to have to have it. For the love of heaven help a +heartbroken girl at once and before it is too late for me to regain my +chance of heaven." + +Now suppose you were a physician and that girl, instead of being a +stranger, was a very dear friend who had come to you in your office, +would you not be tempted to grant her wishes? That is the position in +which every physician is placed a great many times. Some allow their +sympathies to rule and so break the laws of the land. They allow their +sympathies to overcome the moral truths that previously had been their +guide. They commit a crime by taking a life, even though that life were +not fully developed. + +Many women have the false idea that there is no life before the fifth +month and so think they are not destroying life if they have an +abortion at the end of the first, the second or even the third month. +This idea is entirely erroneous, for there is life from the very +beginning and it is just as wrong to destroy life the first few months +as it would be to do so later. + +Aside from this moral reason there is a very important reason for not +having abortions. You may regret it afterwards! Let me give you an +instance. One of my friends, a charming young woman, was married several +years ago. After her marriage she moved to a distant city and I did not +see her for about four years. Then she returned and called to see me. +During the course of our conversation I asked her if she had any +children. Her reply in a very sad tone was, "No, I guess I did too much +interfering at first, so now I cannot have any." Then she told me she +had the idea she did not wish to have children for several years after +she was married. So during the first year she had an abortion performed. +Now for two years she had been wanting a baby but none came. That is the +history of so many women. The regrets! + +All women naturally desire to have children. If they do not, they are +the victims of false ideas or of fear. Anything which is natural is the +best, so usually a woman who bears children is much healthier than one +who does not. Think of the women of your acquaintance and see if the +mothers are not happier and healthier than the women who are childless. + + + + +CHAPTER X + +MATERNAL IMPRESSIONS--HEREDITY + + +Every child has a right to be born well. An undesired child never should +be brought into the world. An undesired child or a child of parents who +are not in good bodily or mental condition comes into the world with an +inheritance that perhaps never is overcome. How can we expect children +of parents with criminal tendencies to become good citizens? + +Children born in circumstances under which the expectant mother has been +subjected to fright or to cruel treatment are handicapped in the very +beginning of life's race. Maternal impressions from fright or physical +violence undoubtedly are followed by the birth of individuals malformed +and in many respects with altered minds. Although some biologists try to +deny this, the coincidence is too widely observed to admit of doubt, +although the precise manner in which the effect is produced has not +been clearly demonstrated. Sufficient is known to make it of the utmost +importance that, in the interest of her offspring, the expectant mother +be not subjected to sudden or violent mechanical force or to any great +nervous shock. Equally important is it that she should be surrounded by +a harmonious environment in order to give the unborn child all possible +benefit of such surroundings. + +By many it is claimed that the mother's mental condition during this +period will be reflected in the child both mentally and physically. For +instance if the mother be calm, free from worry and happy in +anticipation of the coming event, her offspring will have a sound +nervous system, shown by a perfect digestion and an excellent +disposition: while if the mother be irritable and unhappy her child is +inclined to have various digestive ills, as well as to be cross and +restless. + +Great disturbances in the expectant mother's health also have their +effect upon the child. The erroneous idea that there is no life before +the third or fifth month allows many conscientious women to attempt +measures that will cause the discharge of the products of conception. +These measures not only are dangerous to the health or the life of the +woman but, in the event of their proving unsuccessful, may result in the +birth of a deformed or a mentally defective child. + +Parents who have become degenerate from the immoderate use of alcohol or +other stimulants or those who are afflicted with one of the black +plagues furnish further examples of the birth of deficient offspring. + +The question of heredity has received considerable attention during +recent years. As a result, many of our pet theories have undergone a +decided change. Many of the diseases which formerly were thought to be +acquired through inheritance we now know to be contracted through lack +of care or through association. The only inheritance is possibly a +tendency to the disease or a decrease in the power of resistance. It is +a law of pathology that the diseases of parents who suffer from certain +serious chronic maladies create in the offspring a condition of +defective life shown in malformations or in altered nutrition. The +hereditary influence of most diseases is shown in the transmission to +the child of a defective body shown by feebleness or a diminished power +of resisting disease. + +In tuberculosis and other diseases that once were considered hereditary, +this influence is shown probably only in a predisposition to the disease +which under favorable circumstances finds an easy condition of growth. +The child does not actually inherit the disease and if placed in +favorable surroundings will outgrow the tendency, will overcome the +feeble vitality. But such a child if allowed to remain with its parent, +to breathe the germs of disease cast off by the parent, readily +contracts the disease. For the sake of the child it must be separated +from its tubercular parent. It must be given fresh air and nourishing +food. + +There is one disease, though, that seems to be truly inherited: the +worst of the black plagues, syphilis. This may be inherited from either +parent, it frequently is inherited from the father even though the +mother does not contract the disease. This inheritance seems to manifest +itself chiefly in a disordered nutrition. Even during the first few +months of development, this may be so effective as to destroy life. You +remember, I mentioned this when I talked about abortions. If life is not +destroyed, the nutritional processes may be so affected that the +pregnancy will result in the birth of a defective child. These children, +perhaps fortunately, usually die during the first few months of their +lives. Seldom do they live to maturity. Many children who seem to have +escaped this inherited trait really have not done so, but their +inheritance is not recognized. Some people with defective generative +organs owe this to a diseased parent. Others suffering from a chronic +skin disorder, and many afflicted with epilepsy or some brain +malformation could trace their inheritance to the same source. This +disease seems truly to be an instance of "visiting the sins of the +fathers upon the children unto the third and fourth generation." + +There is no doubt that the general health of the child is affected by +the health of the mother especially during the period when the child is +nourished from the mother's blood. Attention to such matters as diet, +sleep and exercise certainly has a great influence upon the constitution +of the unborn child. The best heritage a mother can give her child is a +strong constitution, and in order to do this she must make motherhood a +science. + + + + +CHAPTER XI + +CHILDLESS HOMES AND REAL HOMES--CAUSES OF STERILITY + + +Whatever may be the motive that causes men and women to enter into +matrimony, the social reason is the perpetuation of the human race. +Herbert Spencer says, "The welfare of the family underlies the welfare +of society." Therefore those who marry for convenience or with the +avowed intention of not assuming the obligations of parenthood have not +the welfare of the human race at heart and are a menace to society in +its highest form. + +Childless homes are not the happy homes, anyhow! Their occupants usually +are dissatisfied; the women are nervous, irritable and unhappy; the men +are seeking happiness elsewhere. The homes childless from choice should +receive our condemnation, but the homes childless from necessity should +receive our commiseration. The latter are much more prevalent than many +of our race suicide agitators would admit. These are too prone to blame +the woman for what is not her choice. We hear so much about the higher +education of women promoting race suicide. A recent investigation +carried on by a well-known magazine has proven that such is not the +case. The college girls and the professional women desire children much +more than do the factory girls. But these college girls realize that +quality is as necessary as quantity. They do not desire to bring into +the world weak, puny offspring. These college girls are beginning to +make motherhood a science. What the results will be we can only +anticipate. + +A normal woman, who has not become imbued with false ideas and fear, +desires children. She realizes that motherhood, if rightly carried out, +is a privilege and not a curse; it is the woman who has been falsely +educated who dreads motherhood. This morning I received a letter which +shows the prevailing attitude of many girls. The writer says: + +"I am twenty-two years of age but strange to say I am ignorant as far as +knowledge about the origin of life, etc., is concerned. I am a business +girl, drawing a good salary, and have many gentleman and lady friends. I +am the oldest child of a large family of moderate means and have been +brought up under Christian principles and possess a goodly amount of +common sense. I long have been anxious in regard to this important +subject but never have asked anyone for advice, shuddering to do so, +feeling that if I had a chance to ask a lady with knowledge, as a nurse +or some such person, I would do so. But to tell the truth, I did not +care to find out such things, but I realize the fact that I must know in +order to guard myself; for that is something no one can do for me at a +critical moment. I have no less than three gentleman admirers, but I +have no desire to be a married woman for a long time to come, but I feel +that I must be armed with the knowledge of right and wrong. I shudder on +account of _fear_ to think of becoming a mother. I hear so much of +woman's pains and aches and the such, that I often think I would prefer +to remain single all my life, although I am perfectly healthy and a +happy, cheerful girl. My mother is, and always will be, too busy to tell +me about such matters, although I had a right to know long ago. As you +say, an ignorant, innocent girl would be guilty before the world if +something wrong should happen to her and in most cases it is not her +fault. Can you give me the desired information or can you recommend some +good book? If so, I assure you that your efforts will be greatly +appreciated." + +This letter certainly indicates that the writer has a good amount of +common sense. The trouble is she has become over-impressed with the +possibilities of pain, and never has been told the wonderful truths that +would overcome this fear. If love is the greatest thing in the world, +fear and its companion, worry, certainly are the greatest curses of +humanity. And the most pitiful part is that this fear and worry usually +result from ignorance which a little instruction at the right time could +dispel so easily. It is the unknown things that we fear. When any +trouble actually comes we find strength enough to meet it, and, anyway, +it usually is not half as bad in the reality as in the prospect. Young +girls hear so much about the pains of childbirth that this fear +overshadows the natural longings for motherhood. It is not until +motherhood is an actual fact that they realize the happiness is worth +all the cost. + +But this fear is not what actually makes many childless homes. They +often are unpremeditated. A large percentage of the sterility in the +world is due to the results of indiscretions that are the outcome of +ignorance. One great factor in childless homes is the prevalence of the +black plagues. It is estimated that forty-five per cent. of sterile +marriages are due to that seemingly mild disease which is regarded as no +worse than a cold and which has been contracted either by the man or the +woman. This disease does not disqualify the woman alone, as was formerly +thought, for recent investigations have proven that twenty-five per +cent. of the sterile marriages are due to sterility of the male. Oh, the +innumerable women who have submitted to unpleasant treatments and even +operations in the hope of overcoming sterility when all the time the +fault was elsewhere! The microscope has proven that even though a man +may seemingly be healthy and capable of sustaining the marriage +relation, yet his efforts are valueless; for the spermatozoa, the +life-giving element, are dead, due usually to an inflammation which +accompanied an attack of this seemingly mild disease,--gonorrhoea. + +This disease is responsible for many of the one child marriages. How +often we see a family with only one child, this child born during the +first year of married life, then there are no more pregnancies. The +woman probably has contracted a disease from her husband and, during the +period immediately following the birth of her baby when the entire +generative system is in a condition to easily become inflamed, the tubes +have become closed. Another pregnancy is very unlikely. + +Another factor in sterility is abortions. So many times we hear a young +married woman say, "I do not want a child the first year, but after that +I would like one." In order to carry out her desires it is not uncommon +for an abortion to be performed during the first few months. In many +cases an inflammation follows this interference and the tubes become +closed permanently. Then when the woman is ready to have a child it is +impossible. Girls about to enter marriage should be cognizant of this +possibility and not take any risks, for few women would do anything +voluntarily that would condemn them to childless lives. + + + + +CHAPTER XII + +PREVENTION OF PREGNANCY + + +This morning I received a letter which says in part, "I am a young +school teacher and do not know lots I should, but will come to you for +advice. Now I am engaged to the dearest boy in the world. I will do my +best to be a good wife and do my duty. But my health is not so very good +and I want to put off motherhood for awhile. Will you kindly tell me +some remedy that will keep me from becoming pregnant? I have long wanted +to ask someone but always was afraid. Mother never tells me anything." + +This is the type of question that is asked every physician many times. +Those who do not ask, wish to--and blame physicians for not telling the +things they want to know. What is my answer to such a question? Just +this: + +There is in effect a federal statute making it a felony punishable by +$5,000 fine and five years at hard labor to impart any information +_whatever_ relating to the preventing of conception. The information may +concern a thing, an instrument, or it need not be any material substance +at all--only a "method." I obey that law as I am not foolhardy enough to +walk into absolute danger. + +Every day we see examples of heart-breaking misery caused by lack of +knowledge of the proper means of prevention. The limitation of the +number of offspring has become an important problem to be considered. +There are thousands of families that would be perfectly happy if the +number of offspring could be limited. There are thousands of young men +who would be glad to get married but are afraid to do so for fear of +having a family larger than they could supply with the necessities of +life. These same young men, because they are not married, frequent +questionable houses and often contract one or more of the venereal +diseases. + +There are thousands of women who have become semi-invalids because of a +too prolific offspring. The babies came so fast the mother had no +opportunity to regain her health and strength. There are other thousands +of women who are made invalids because of attempts at abortion, or have +been driven into early graves by these attempts, while some have +actually killed themselves. + +There are thousands of children half starved because their parents are +unable to supply them the necessities of life. There are other thousands +of children below par mentally and physically because of the fact that +the mother was weak from too frequent child-bearing. There are other +thousands of children born of syphilitic, tubercular or epileptic +parents who never should have been born at all because they came into +life so handicapped and had to fight against such severe odds that they, +after a brief struggle, met an early death. There are children brought +into this world amidst cursing who never hear much else. + +We find it necessary to regulate the parentage of our domestic animals +in order to insure a good race. But children can come by chance. The +most degraded of men is allowed to beget children of his kind. There is +small chance for race improvement under such conditions. The same laws +hold true as to the future generation of humans as are true of animals +or plants. + +Human beings are not mere animals and they should be allowed to decide +how many children they should have. Furthermore, the present laws do not +attain their object. We all pretend to obey the laws but everyone knows +that in every city there are many women, and men also, who make an +excellent income from performing abortions. I would venture to say that +in Chicago alone there is at least one abortion performed every +hour--and Chicago is not so very different from other parts of the +country in this respect. The ways and means to prevent pregnancy are +sold and are bringing a rich reward to their manufacturers. But the +advertisements are so carefully worded that the law is not violated. But +the interested understand. If the manufacturer or his agent were accused +of selling anything to prevent pregnancy, he would simulate great +surprise and possible indignation. He doing such a thing! Impossible! +Why, he is selling a simple hygienic device or drug used in the +treatment of certain diseases. + +If we have laws, let us obey them; but if we do not intend to obey them, +let us stop being hypocrites and remove them from the statutes. If the +law remains let us make it far-reaching enough to include those who now +are so flagrantly violating it. But if means for the prevention of +pregnancy are necessary to the health and happiness of the human race, +let us change the laws so we can have the best of these preventives and +allow reputable physicians to give whatever information they can to +prevent this wholesale misuse of a law by the unscrupulous,--the +law-breakers. + +A recent investigation carried on by one magazine proved that the +knowledge of how to prevent conception would not mean race suicide, as +some fear. As reported in this magazine, the college girls and +professional women who no doubt had given these subjects careful +consideration, desired children more than did those whose experience had +been a poor home and a large family. The average number of children +desired by the well-informed woman was four. That would not mean +race-suicide! It would mean that children were given a fair start in +life by being desired and planned for before their conception. Every +true woman desires a home and children but she does not wish to be +driven into motherhood. Every true man desires a family but he does not +feel justified in bringing children into the world to be half starved +and with no advantages of education. + +What is the solution of the problem? + + + + +CHAPTER XIII + +SOME OF THE CAUSES OF DIVORCE + + +Until our marriage laws are so adjusted that there are no unequal +marriages, the question of divorce always will be eminent. The ever +present agitation about uniform divorce laws and the divorce problem +cannot be settled until there are more stringent marriage laws. Trying +to settle the divorce question without first settling the marriage +question is like trying to keep chickens in a small yard surrounded by +enticing fields without first constructing an adequate fence. + +Divorce is the concession of society to its inability to solve the +marriage problem. Anyone can get married! Mere children can meet on a +pleasure excursion and in a moment of fun or infatuation walk over to a +justice of the peace and be married. In some states not even a license +is necessary. A large proportion of the marriages in the world are +consummated without a proper consideration on the part of either bride +or groom as to the responsibilities of the marriage state. Many of the +marriages are made simply as a matter of convenience--in order to +inherit property, for social position or in a spirit of pique. Such +marriages are not natural marriages and are in violation of the right +spirit of the law of marriage. The much quoted saying, "What God hath +joined together, let no man put asunder," surely does not apply to these +marriages; for that very admission would be a condemnation of the wisdom +of God. He surely never would give his sanction to many of the marriages +contracted in a spirit of lust or of greed. + +It is as impossible to keep mismated people together as it is to keep +chemical incompatibles together. No chemist would try to keep chlorate +of potash and sulphur together even if they did, by some accident, +happen to be in the same locality. It is just as impossible to keep two +incompatible people together and not expect an explosion. The law may +keep such people legally bound, but it cannot keep them so mentally or +physically. A prominent reformer is reported to have said that fully +one-third of the married population of New York City is unfaithful to +the physical obligation. And New York is not so very different from +other parts of the country. Many who are not physically disloyal are +mentally so. The no-divorce law will not prevent this condition of +affairs. Whites and blacks cannot marry legally in the South and yet in +some of the Southern states which have a no-divorce system a large +proportion of the colored population is _mulatto_. + +Nature's laws tend to provide an indissoluble union, but divorce +represents the protest of the individual against the inharmonious +relations he ignorantly or thoughtlessly has assumed. + +Even those who are the loudest in their condemnation of divorce could +not sanction marriage under certain conditions. I wonder if these people +know that many of the divorces that are granted under the head of +cruelty really are granted because one of the parties has contracted one +of the loathsome black plagues. No humane person could condemn a woman +for refusing to live with a man and take the almost certain risk of +contracting a disease that would mean her death or mutilation, or for +refusing to bear children that would come into the world an object of +disgust and horror or which would die before being born. Some of these +reformers say, "Let her live separately from him but not marry again." +That would be condemning an innocent woman to a childless life because +she had been so unfortunate as to become bound to a dissipated man. + +Another underlying but often unknown factor in many of the divorce cases +is sterility. In some states the law says this is a just cause for +divorce, because the future of the nation depends on the production of +children. Because a woman, in her ignorance, has married a man who is +incapable of producing healthy offspring, due to his having "sown his +wild oats," should not be a reason why she should be condemned to forego +the pleasures of motherhood. Because a man has married a woman who is +sterile or who selfishly refuses to bear children should not be a reason +why he should be denied an heir. + +Again, it is unfair to the future generation to compel mismated couples +to live together. Children brought into the world under such conditions +are bequeathed a heritage that will have a demoralizing effect upon +their whole after life. Children, who every day hear quarrels and +strife between those they should honor, lose something of the beauty of +life; they become hardened and quarrelsome. Of course these divorces +must not be granted promiscuously; for in bringing children into the +world, parents assume an obligation that cannot be neglected. In +considering a separation, the parents' first thought should be, "What is +best for my children?" The duty to the children should be settled first. +Then the question comes, "What is my duty to my wife or my husband?" for +the act of making any contract imposes certain obligations. The +individual circumstances must settle what these obligations are. Last +comes the question, "What is my duty to myself? I was placed in this +world to make the best use of my life. Am I doing it or is it impossible +to do so unless I change my environment and associates?" The conscience +of the individual should be the guide now. + +Were there more frankness and sincerity in discussing the problems and +conditions of married life before marriage much unhappiness would be +avoided and there would be fewer divorces; for many engaged people would +thus discover they were mismated before the marriage ceremony. To reach +a complete understanding is the main purpose of the engagement period. +Marriage is not a lottery nor a game of chance to the man and woman +entering it with a knowledge of sex relations and with absolute mutual +honesty. + + + + +CHAPTER XIV + +THE NEED OF EARLY INSTRUCTION OF GIRLS + + +Dr. Charles W. Eliot, former president of Harvard University, recently +said: + +"The subject of reproduction and sexual hygiene should be more generally +presented to young people by parents and teachers. I am convinced that +the policy of silence has failed disastrously." + +That you may understand how widely spread is this desire on the part of +women for a better knowledge of themselves and of those things so +vitally important to the welfare of the future generation, I shall quote +a few extracts from letters I have received from women in various parts +of the country. These letters, too, will serve to show the woeful +ignorance along these lines among even the well educated women, and also +the need for some systematic instruction. + +A very intelligent girl from South Dakota writes this heart story: "My +mother died when I was a babe. After her death I was sent out among +strangers. While away from home and before I was _six_ years old a young +fellow about fifteen years old possessed me and threatened to do +something terrible to me if I told. I did not dare tell. Luckily I was +taken home at that time, as I now had a step-mother. But still more +horrible, it also happened that I had immoral relations with my brother. +When I found out that this was the way people got babies, I wished I +could get one. I was not very old before I understood that this was a +wrong and a shame and acted accordingly. My parents never mentioned +things of this nature to me. How much better it would have been if they +had done so when we were real young. How many things were spoken of by +schoolmates and told in the dirtiest possible way and things also were +said that I now know were entirely wrong." + +I cannot impress upon you too strongly the need of early talks with +young children on these matters. As soon as they enter school at the age +of six and even before this, in some cases, they are bound to hear these +things from their playmates. Usually the information is thrust upon the +child in a very vulgar manner, or entirely wrong impressions are given. +The very secrecy that always has surrounded these subjects makes them an +object of interest to children. The functions of the generative organs +are just as natural a process as the process of digestion. We make no +secret of the process of digestion, and children do not manifest any +morbid curiosity regarding it. If we would discuss the functions of the +generative organs in just as natural a way, many of our great problems +would right themselves. + +A woman in one of the western states writes, "Once I had a heated +argument upon that subject with another woman. She always had lived in a +small community. In her opinion all city girls were morally depraved. +She had two daughters of her own. Both girls gave birth to babies at the +age of fourteen and sixteen years. It transpired later that these girls +first began the evil practice at school. And I will state here, +regardless of contradiction, that the village school is often the +breeder of immoral characters among both boys and girls. + +"In a small farming community of California containing about forty +children of school age, it was discovered that immoral practices had +been carried on for years among the older children. One little girl, +being new to the school and also being in the habit of telling her +mother everything, repeated some of the sights she had seen during the +recess and noon hours, and also some of the conversation she had heard +among the children. The mother, being horrified at the child's +revelations and knowing the child must have some foundation for her +stories, told a friend about it. This woman told some of her friends who +were the mothers of the children the little girl had named to her +mother. Of course, the children were questioned and denied all knowledge +of things the child had mentioned. The mothers were indignant that their +children should be accused of anything like that. They unquestionably +believed the denial, making no effort to find out if there might be any +truth in the report. That mother and her little one were 'sent to +Coventry' with a vengeance. Later some of these mothers had cause to +repent of their carelessness in having neglected or disregarded the +warning. They found to their sorrow that the little girl was not telling +an untruth, after all. + +"The trouble with the mother in the small community is that she judges +her children by her own past. She, perhaps, had an entirely different +environment from that of her children and because she came out all +right, naturally sees no use in bothering about talking to her girls. +'They will learn these things soon enough,' she says when the subject is +mentioned. That they either already have learned them or may be learning +them in a manner of which she would be the last to approve, she does not +take into consideration. An attempt to warn such a mother often is +misunderstood." + +That young women realize their need and are anxious for any help is +shown by these letters. From New York a girl writes, "I am twenty-two +years of age and as yet know nothing about the mysteries of life, and I +am beginning to worry about it as I am keeping company with a young man +and expect to become engaged to him. I know nothing of what is expected +of me when I get married and I know there are a number of girls just +like me and that they are worried, too." + +From a girl in Seattle came this letter, "No one ever told me about this +wonderful body of ours and that God made it in his likeness for his +glorification. When I asked where the babies came from, I was told the +doctor brought them in his case. One day I saw a boy and girl about +eight years of age doing wrong, and thought nothing of it when my +brother, who was fourteen while I was six, proposed that we do likewise. +This was kept up until I was somewhere between eleven and thirteen, when +I was converted and it occurred to me that this was not the right thing +to do, but I never dreamed that I would suffer so these ten years, as I +am twenty-three now. Only in the last few years I have learned how God +made these organs for the marriage relation only and how life was +formed. I would go to my mother for this information but I know it would +break her heart and I am afraid she could not tell me what I want to +know. I would not write this but I am deeply in love with a Christian +man, and I could not marry anyone until I know about this matter. I +often have made a vow I never would marry anyone, but this love came to +me before I could help myself, and as he told me of his love I would not +allow myself to let him know I care as much as I do. Kindly tell me if +anyone who has abused her organs while so young could make a good wife +or become a mother, and can these marks of sin be removed?" + +Another young girl writes, "It is just as you say, ignorance is the root +of evil in many cases such as mine. I have come to you for help, +information and advice. I have taken that fatal mis-step you write +about, but no one knows it besides myself and this man. He dare not +speak of this. He is very wealthy and influential. After reading your +article I found that you were the one to go to and make a confession. I +never have been warned or told of these dangers and now it is too late. +I am a young girl, eighteen years old, and have a lot of men friends +because I am considered attractive, but none of them have ever said one +word out of the way to me except this one and I yielded to the tempter. +I know I have done wrong, and now am trying to atone for it by being +awfully good. Now, what I want to know and want you to tell me is this, +'Can I ever marry a decent, respectable man without him knowing of this +affair?' There is a young man very much devoted to me (and I can assure +you it is mutual) who several times has asked me to marry him. I am +afraid to give him an answer. I cannot ask anyone else this question for +the simple reason that I am not sure whether they will tell me the truth +or whether they really know." + +Both these girls were fortunate that they did not have any serious +consequences from their mis-step. Too many girls make only one mis-step +and as a result become pregnant or else contract one of the black +plagues. This week I have received several such letters. Laying aside +all moral points, it is too much risk for any girl to run. + +Unfortunately a great many girls in their ignorance do make a mis-step. +That is no reason why they should not marry. We must take into +consideration the fact that the young man in question probably has made +several of these mis-steps. He should not expect his prospective wife to +be any stronger to resist temptation than he has been. If this were an +ideal world, all men, as well as all women, would be pure, but until the +millennium comes we must take things as they are, and proceed from that +standpoint. But because a girl has erred through ignorance is no reason +why she should be doomed to everlasting punishment in the shape of +social ostracism or being denied the happiness of having a home and +children. + +These are only a few of the many letters I have received, but they serve +to show the great need of early instruction of girls on these much +neglected subjects. Every girl, soon after she enters school if not +before, learns where babies come from. She too often is led by older +children, both boys and girls, to do things she may regret later. It has +been said that "sin is but ignorance." This is true in the great +majority of cases of immoral practices among girls as well as among +boys. The remedy for these sins, then, is to do away with the ignorance +by proper instruction of children. Children are reasonable beings and if +they understood the _why_ would not do wrong. + +If girls go wrong through ignorance the parents are to blame; for at the +present time there is no excuse for a parent not giving the necessary +instruction. If, on account of her own lack of knowledge, the mother +feels incapable of instructing her daughter, there are others ready and +willing to aid her; also, there are books especially prepared for her +help, which will definitely point the way. + + + + +CHAPTER XV + +WHY GIRLS GO ASTRAY + + +Not long ago an estimable young woman in speaking of the unfortunate +girls in the world said, "I cannot see how any refined girl could get +into trouble. I cannot conceive of any circumstances which would permit +any self-respecting girl to allow the familiarities necessary for such a +condition." That is the attitude assumed by many intelligent women. +Because they grew up in an environment without temptations, because they +had no unsatisfied longings to be loved or to be popular, they are +incapable of understanding these feelings in any other person. + +In every girl there is an inborn longing to be loved and to have a home +of her own. It is a misunderstanding of this sense that is responsible +for the wrecked lives of many girls. In too many homes there is no +expression of the love sense. Frequently I have heard girls remark, +"Why, I never think of kissing my parents except, perhaps, when they or +I go away." In too many homes the only mention that is made of love is +that made in a bantering manner. A child has the right idea of love. She +loves everyone and is free in the expression of this love. As she grows +older she obtains wrong ideas of love and she too often obtains these +wrong ideas in her own home and from her own parents who instill false +ideas of love when indulging their habit of "teasing." Frequently we +hear parents talking about the small daughter's "beau." The child feels +pent-up emotions of love and, as there is no outlet at home in a natural +way, she acquires the idea that these emotions should be spent in a +childish love affair. + +In a recent address Professor Marx Lubine of the University of Berlin +said, "Motherhood, in all stages of civilization, has been strangely +ignorant of the fact that girls have as powerful a battery of emotions +as boys. It is my experience that a major portion of mothers understand +their sons better than their daughters. Why? The daughters are not given +credit for a power of emotion the sons are capable of. Yet, naturally, +in my long experience with both sexes, I have no hesitation in saying +that the emotions of a pure girl are usually deeper, more lasting, than +those of a boy, and that if we are to have a great improvement in +womanhood it must come through a recognition of this fact." + +It is strange but mothers seem to be blind to, or ignorant of the +emotions that are seething back of the clear eyes of their daughters. +The emotions of the girl have not been studied sufficiently. We expect a +boy to do things which serve as an outlet to his pent-up emotions but we +expect a girl to go on in a calm, uneventful manner with no outlet for +the overflow of emotions. Blessed are the "Tomboys." I would there were +more of them. It is a fact that the girl who runs, plays, climbs trees +and is given to outdoor sports generally during the early part of her +life develops into the truest woman. She has an outlet for her energies. +Her time is fully occupied with those things that promote health. She +has no time nor desires for those things that show a perverted taste. +Such a girl seldom becomes a victim of self-abuse. She is not inclined +to romantic love affairs. It is her sister who sits and sews who has +time and inclination for indulging in morbid longings and who becomes +the victim of pernicious habits. + +Curiosity is one of the prominent characteristics of both sexes. With +the boy this is satisfied without much pretence at secrecy. False +modesty prevents the girl from openly obtaining the desired information. +She obtains it secretly from her companions. Mothers do not give their +daughters credit for the instinct that compels the satisfaction of their +curiosity. Sometime during her life, nearly every mother is surprised +and shocked at the knowledge displayed by her daughter. She finds that +owing to her silence and neglect of opportunities her daughter has +obtained definite if entirely wrong ideas of sexual matters. + +In other matters, too, the policy of silence or of arbitrarily +forbidding the daughter to indulge in certain pleasures, coupled with +the natural curiosity of the girl, tends to develop in her the habit of +deceitfulness. If she is forbidden some harmless amusements she very +frequently learns these diversions at the homes of her friends. The +mother was brought up in one generation, the daughter in another; what +was considered wrong in the first generation is looked upon in an +entirely different manner now. Many mothers seem to be unable to +realize this. They were brought up in a puritanical environment. The +puritan fathers forbade all indulgence in mirth and happiness. Their +ideas of the perfect life were to wear a stern, unsmiling countenance +and do those things that were unpleasant. If anything was uncongenial, +then it was their duty to overcome their inclinations. These puritans +expected to develop by repression. We have changed our ideas radically +since then, but some of the puritanical ideas still cling to us in our +treatment of children. To develop the child's character she must be made +to do the things she does not want to do and to refrain from the things +she most desires. Is it right? + +We are most interested in those things that belong to us individually or +in which we have some share. If we wish a girl to remain at home then we +must see that she is interested in that home. The way to do this is to +make her feel that the home belongs to her in part and that some +portions of it are entirely hers. The majority of girls feel no real +interest in their homes. They are made to feel that it is their +parents' home and that they are only assistants. A girl to be interested +in her home must have some definite room that is hers alone and in which +she is allowed to exercise her individual tastes. She must have a place +in which she can entertain her friends without the feeling that whatever +she does and says is to be criticised afterwards. She should be assigned +to certain tasks and held responsible for them. She must have a certain +definite allowance out of which she is to buy certain things, otherwise +her desire for independence will arise and cause her to leave home. The +majority of girls have no income of their own. Perhaps their desires are +all fulfilled by an indulgent parent and yet the girls resent the +feeling of dependence. + +Girls are naturally just as ambitious as boys, and they need good, +honest work to keep them healthy and their minds occupied. If a girl +displays an interest in a certain line of work this interest must be +encouraged. Usually it is not. The girl is taught, either consciously or +unconsciously, that whatever occupation she takes up will be only +temporary, that to become engrossed in her work would mean no marriage. +Girls cannot do good work under such conditions. + + + + +CHAPTER XVI + +SELF-ABUSE + + +In one of my articles for one of the leading women's magazines I spoke +of mental self-abuse. This brought me so many inquiries regarding both +mental and physical self-abuse that I feel impelled to explain them to +you. + +To abuse means to use wrongly, or to injure. We have talked about the +uses of the female organs and also about the care of them. Sometimes, I +have watched children rub their eyes until they were quite red and +inflamed. I have seen children, thoughtlessly, stick pins and hairpins +in their ears and I even have had to remove a bean which a thoughtless +child had pushed up its nose. All these things did more or less harm to +the parts. In the same way, some girls play with their external +generative organs and even put things up in the vagina. Sometimes they +injure these organs greatly, and sometimes there is a more general and +serious effect. You know the nerves of the body all are very closely +connected like telegraph wires so that an irritation to one part will +sometimes be telegraphed to another entirely different part and cause +the nerves of that part to be irritated. When you have a toothache your +whole face and head and even your arms ache. That is because the nerves +are irritated. In the same way if one irritates the nerves of the female +organs, the whole body may be affected; only in this case it is more +serious than with the toothache; for these female organs are more +abundantly supplied with nerves. + +One who is guilty of such an unnatural practice as to deliberately +irritate any portion of her body, especially the very important +generative organs, always secretly despises herself. If persisted in, +the results of this vice are a ruined nervous system and a weakened +character. The victim realizes she is doing a disgraceful thing and +seldom acknowledges her habit even to her physician. + +If one has become a victim of such a habit she should determine to stop +it immediately and then take measures to restore her nervous system to +its original state. It never is too late to commence treatment. It is +the continued practice and the mental dwelling on the acts that does the +harm, not the few acts thoughtlessly performed. Of course the longer the +habit has continued, the more firmly it is fixed and the harder to +break. + +The treatment is first to absolutely stop the practice, then fill your +mind with other thoughts. Take considerable physical exercise in the +open air. Sleep on a hard bed in a well-ventilated room. Eat plain, +nourishing food without spices and stimulants. Take up some work or play +that will interest you and that will keep your mind occupied. Live in +the open air as much as possible. If you find yourself desiring to do +these harmful things, go immediately and busy your mind and hands with +something else and the desire will pass soon. In young children this +habit often has its origin in some irritation of the external organs, as +a hooded clitoris. So before taking severe measures to break the habit, +it is wise to have the child examined for such a condition. + +Now as to mental self-abuse, perhaps I can make my meaning more clear by +again quoting from some of my letters. A young woman from South +Carolina wrote me, "A few years ago I taught school and one of my +pupils, perfectly innocent of the grave results that would befall her, +committed three outrages upon herself, what is known in the medical +world as masturbation or self-abuse. The girl, as I know, was chaste and +a sweeter, nicer, brighter pupil I never taught. But she had the +misfortune to commit these abuses upon herself in all innocence and felt +no discomfort or ill health in any way until about three months +afterward. Then she began to lose interest in her work, to fall away in +her grades, in fact to take very little interest in anything. In this +condition she came to me and told me everything. Since then she has felt +no physical pain whatever, but her mind, though not really gone, is +visibly affected. In this way, she is constantly in dread lest something +dreadful will happen, feels as if a cloud were hanging over her, is not +capable of doing any mental work. At times, has a horror of being shut +up in any place, memory is poor, places and positions change, that is, a +place moves to some other position, for instance, the right side of the +street very often is in the opposite direction. To sum it all up, she +constantly is miserable. So far as being insane is concerned, she is +not that. She is perfectly conscious of her condition. She feels well +physically and appears to be so mentally, but says there is just a +befogged sensation in her head which gets no better nor worse, yet it is +there. The feeling came upon her very suddenly one morning in the spring +after the abuses had taken place in January and then it all flashed over +her the awful consequences of her innocent practices. Oh! what would she +not have given to be her old self again! If she only had known the awful +result, her mind sacrificed for a practice in which she indulged through +ignorance and for experiment, never dreaming the baneful effect it would +have on her mind. Now, this girl has gone on this way for the past eight +years getting no worse nor any better. Seemingly, she is the same but +she suffers untold miseries when alone, conscious that her mind is hazy +and not capable of enjoying books, society of others or anything that +interests young girls. Yet nobody ever would detect that she is not +feeling well. She told me all this in confidence and as the case puzzles +me, I write you feeling that perhaps you would advise me in some way the +treatment necessary to cure her. She is and has been perfectly moral +since the fateful abuses upon herself and I do not understand why her +mind does not return to its normal condition." + +I do! She will not give her mind a chance to get well. She constantly is +abusing it by dwelling on things that should have been forgotten long +ago. No one goes through life without making some mistakes. Everyone has +burned his finger many times. And yet he does not keep worrying about it +and wondering if it will have some dangerous after-effect. Of course, if +he deliberately burned his finger time and time again, it might remain +injured permanently. But if he, ignorantly or accidentally, has burned +it once or several times, he stops his careless ways, allows Nature to +restore the injured portion, and then forgets there ever was an injury. +It is the same with self-abuse, many children do things like this +thoughtlessly. But when a girl learns she is injuring herself, she +should stop the practice and allow Nature to repair the wound. Then +forget all about it. Do not worry, above all things. Go ahead and fill +your mind with work. + +There are many women in this world who are abusing themselves by +worrying over something that has occurred in the past. Whatever is in +the past cannot be undone. All we can do is to profit by our experience +and turn the energies, that would be wasted by worrying, to some good +use. Whenever thoughts of the past or desires for the wrong things +disturb you, crowd these worry thoughts and desires out of your mind by +putting in it good thoughts. Deliberately fill your mind and hands so +full of other things that there will be no room for these unwholesome +pests. Worry does more harm than smallpox ever did! + +This dwelling on past mistakes is only one of several methods of mental +self-abuse. Another way some abuse themselves is by continuing the +association with those who excite or irritate them. If in your work or +social life you find that a certain person has an effect upon you that +is not wholesome, that when you are in the company of that individual +you are incapable of doing your best, then it is time to make a change. +Keep away from that individual until such a time as you are strong +enough to resist his influence. Choose your friends from among those who +stimulate you mentally. If you stop to think, you must admit that you +accomplish more and better work when in the presence of certain people. +Those are the ones whose companionship you should seek. + +There are people living together or working together who are a continual +source of irritation to each other. It is just as impossible for such +people to work in harmony as it is for two incompatible chemicals, as +nitrogen and iodine. We do not try to over-ride the laws of Nature by +trying to force these chemicals to stay together. It is just as +impossible to force certain incompatible people to be harmonious. If +society or business throws two such people together it would be wise for +one to make a change before there is an explosion. It is impossible for +any person to do good work in an atmosphere of irritation. + +Another element in mental self-abuse is longing for the unattainable. +Sometimes a person sets her mind on a certain thing. If that goal is an +honorable one, she should make every effort to attain it but if +circumstances over which she has no control make that goal impossible of +attainment she should turn her thoughts in another direction. But that +is what many people do not do. If they cannot have just what they want +they sit and bemoan their fate and give up trying for other goals. Such +a person should choose a line of work or play that is especially +interesting to her and bend her energies in that direction. She will be +surprised how soon she will lose her intense interest in her former +longed-for goal. + +Lack of self-confidence is an evidence of mental self-abuse. A person +who has no confidence in herself cannot expect others to have. One who +keeps herself in the attitude of Uriah Heap, who continually asserts, "I +am a poor worm, I am unworthy of the blessings of life, I cannot expect +great reward," must expect to be taken at her word. In this age a man +(or woman) is valued, in a large measure, by the estimate he sets upon +himself. Honors are not thrust upon a man unless he shows the +self-confidence which commands confidence. Bacon said, "Some are born +great, some achieve greatness and some have greatness thrust upon them." +But those of the last class are very few. Our enemies are willing to +thrust upon us scandal and humiliation whenever there is a possible +chance, but our friends are very slow in thrusting honors upon us. If a +person wants anything in this world he must first convince himself of +his ability to attain that goal, then he may be able to convince others. +It is the man with confidence in himself who wins the day. + +After one has decided upon his goal he should keep that goal always +before him as the pillar of fire before the seekers for the promised +land. All our thoughts should be in that direction. Every wish or +thought we send out reaches someone and in time may bring us what we +wish. "By faith ye can accomplish all things." + +There is an explanation of "Who answers prayer" which describes a mother +kneeling by the bedside of her sick baby, and praying faithfully that +her baby might be restored to health. In a vision the author sees these +prayer thoughts radiating from the mother like invisible telegraph +wires, along which the message is carried to various parts of the city. +One wire reaches the home of a minister who, although willing, feels his +inability to answer. Another wire reaches the home of a wealthy banker +but he, too, is powerless to help. The next wire is connected with the +home of a prominent lawyer famous for his ability to win cases for the +needy, but in this case he cannot win, for Death is more powerful than +he. But a fourth wire reaches a physician who has just retired from a +hard day's fight with his enemy--disease. The physician awakens, grasps +the message and immediately arises, dresses and hastens to the home of +the poor woman. In a short time the little one's spasms are relieved and +the doctor gives a sigh of relief, as he says to the anxious mother, +"The crisis is past, your baby will live." The mother's prayer has been +answered. + +Every thought we entertain is being sent out along these invisible wires +and eventually will reach someone who responds to it. If we send out +worry thoughts or thoughts of self-depreciation we must expect others to +receive the message as we send it. So if we want to make the most of our +lives we continually must send out only thoughts that we wish others to +receive. We must value ourselves if we expect others to value us! + +Too much introspection and concern for self is often the cause of +nervous conditions that produce worry and ill-health. The best cure is +the cultivation of complete unselfishness. To be interested in the +happiness of others is the surest road to happiness for one's self;--if +you get feeling tired of yourself make a visit to some congenial +friend, and there forget self and your troubles. "It is more blessed to +give than receive" is a truth that all serene and great souls recognize +and practice throughout their lives. + + + + +CHAPTER XVII + +EFFECTS OF IMMORAL LIFE + + +Some time ago, the general public was shocked by a newspaper story of +the life led by many girl clerks in the department stores of a large +city. It seems a young girl from the country applied for a position in +one of the stores, but upon hearing of the small wages paid, said, "How +can I live on that? It would not provide even the most meager of board +and the smallest room." The employer asked in reply, "But have you not a +gentleman friend?" That reply, repeated to a social worker, started an +investigation which resulted in startling revelations. It was found that +many of the stores paid such small salaries that to live on them at all +was an impossibility for even the most economical. It was an understood +fact that each girl was expected to receive help from some "gentleman +friend." + +There must be something wrong in our whole system of living when girls +are compelled to work for salaries insufficient for even the necessities +and are taught to have tastes and desires for the beautiful which it is +impossible to gratify on their meager salaries. A young girl goes to +work in an office or store with a definite, if not expressed, +understanding of what should be the proper relations of the sexes. After +she has been at work a short time she notices that her companions are +much better dressed than it is possible for her to be with the resources +at her command. She notices that her friends have numerous invitations +to theatres and dinners. She wonders if she is less attractive than +they. After awhile she receives hints, more or less broad, from her male +associates. Gradually it dawns upon her why the other girls are more +attractive than she. + +One who has not been thrown in close contact with the girls of this age +cannot realize the extent of the immorality among them. Formerly it was +considered that only boys sowed their wild oats. Now we find that many +girls do so also. We hear very little about it except for the occasional +case of one who has to suffer for her sins. Usually this one is one of +the most innocent. Many of the girls of this generation are "wise." +They think they know how to "keep out of trouble," and yet reap the +rewards in the shape of a few dollars. + +Girls cannot afford to take the great risks incident to leading an +immoral life, aside from all moral reasons for not doing so. In the +first place there is the danger of becoming pregnant. Think what that +means! The majority of girls are led to take the first step by promises +of marriage. Real life has proved these promises seldom are kept. The +man "changes" his mind after the mis-step has been taken. He goes away +and forgets, the girl is left to bear the consequences of their mutual +sin. The men of the world like to take these girls out and enjoy +themselves but when it comes to marriage--the man wants a different kind +of a wife. There are three courses from which such an unfortunate girl +may choose. One course is an abortion with all its attendant dangers, +its risks to her life and the thoughts of having taken a life. Another +is to brave the world, bear her child and keep it. It takes a great deal +of courage to do this with our present social system. Often it is +impossible, as the girl is unable to care for the child and at the same +time support it and herself. She seldom finds very much encouragement in +this course. Those who should be her friends and aid her to make the +most of her life are now the ones who keep her down. They refuse to make +it possible for her to earn an honest living and lead a moral life. The +third course is to place herself under the care of a responsible +physician, live in seclusion for the last few months of her pregnancy, +then, after the birth of her baby, have it adopted. Considering +everything, this often is the best course. From the child's standpoint, +it is given a better start in life. It is much better to live as the +adopted, but honored, child in a home than it is to have to bear the +stigma of illegitimacy. As soon as the child enters school the latter +will become known among its playmates and will be the subject of many +cruel taunts. It is not fair to the innocent child to give it such a +heritage. But think how the mothers must feel to have to give up their +babies! That is the saddest part of the case. It is not fair that the +girl should be punished the remainder of her life for one mis-step when +the man goes absolutely free and without the sign of a stigma attached +to him. + +These cases of unfortunate girls are all too common. The rescue homes in +the large cities are full, and often a large percentage of their +occupants are from the country. Within the last week, I have received +letters from four girls, similar to the one I shall read you. This +letter is from a girl in Indiana who gives a rural delivery address. "In +one of your articles in ---- you speak of homes where unfortunate girls +are sheltered and taken care of and I should like to know if there is +such a home in Indianapolis. If there is, will you kindly give me the +street and number. I am in trouble and have nowhere to go, but knowing +you to be a friend to unfortunate girls who met their misfortune through +ignorance and with no desire to do wrong, I write you for advice." This, +as well as numerous other letters, show that these things are just as +prevalent in the country districts as in the cities. + +So many girls do not realize how easy it is to "get into trouble." A +short time ago I had a confinement case that was a little unusual; for +the young woman, who was unmarried, had an unruptured hymen, which +contained only one small opening barely large enough to insert a sound +the size of a slate pencil. At the first consultation several months +previous, when she had come to me on account of absence of menstruation +for three months, the girl had insisted that there was no possibility of +her being pregnant. Later she admitted that four months previously, just +after she menstruated, she was out with a young man who was very +insistent, that she did not consent, but in spite of her resistance +there was a discharge thrown against the labia (external organs). At the +time of this first examination she was about four months pregnant and +had not supposed such a condition of affairs possible. Fortunately in +this case there was an early marriage. + +Another grave danger to the girl who indulges in immoral practices is +the possibility of contracting one of the black plagues. You know what +that would mean. If you recall the prevalence of these diseases you will +see that the probabilities are that any girl indulging in immoral +relations will sooner or later contract one of these diseases. Indeed +she runs a big risk of contracting one at her first mis-step. + +After one has taken the first mis-step it is very easy to take the next. +One step often leads to another until the girl succumbs to a life of +prostitution. A result of prostitution that is important is the +unfitting for regular life. Whatever the effect of such a life may be +upon a man, a girl cannot lead such a life with impunity. Many a girl +tires of her immoral life and gladly would turn to something else but +the difficulties in her way are numerous. One is her inability to obtain +a position when it is known that she has led an immoral life. Another is +that she finds the duties and regular hours incident to any position +very irksome. The irregular life she has led has unfitted her for a +regular life. There seems to have been a general disturbance of the +whole nervous system, her will has become so weakened that it is very +hard for her to have the will power necessary to keep from returning to +the old life. This breaking of the will power also makes it difficult +for her to keep her mind on her work. Then, too, she resents any +supervision of her work. Of course, the longer the irregular life has +continued the harder it is to break away from it. + +Now, from another standpoint! No matter how dissipated a man may be he +wants his bride to be pure. Nearly all girls expect to marry sometime, +and so for the sake of the future--in order to keep the confidence of +her husband as well as for the sake of not taking any risks that might +prevent future motherhood, girls should not lead immoral lives. + + + + +CHAPTER XVIII + +FLIRTATIONS AND THEIR RESULTS + + +The greater social freedom of the present generation without adequate +preparation has resulted in an increasing tendency among young girls to +make chance acquaintances and perhaps clandestine engagements. That +these flirtations, entered into so innocently, may result in events that +will be the cause of lifelong regret is seldom realized by a young +girl. Yet very often such is the case! + +One letter I received says, "I will give you a short outline of my life +since last April when my troubles began, for which I blame my parents +partly, because I was not allowed to have my friends at my home or go +out with young men, as the other girls do, with my parents' knowledge of +it and because I was kept ignorant of the things I think every girl +should know. I was nineteen last March. The men say I am the kind that +looks good to men, that they cannot resist. As to this I do not know, +but I do know that I always attract their attentions and I am sorry that +I do. And yet I crave them. I have for years and I am lonesome without +them. I want their friendship and company. I do not know why it is but I +am more satisfied with the boys than the girls. Last April a young man, +somewhere in the thirties, I think, though he looked much younger, came +to our little country town. He was handsome, well educated, finely +dressed and always seemed to have plenty of money. I was very unhappy +about this time over my troubles at home and because my boy friend, who +always had been a friend through all, had for some cause unknown to me +stopped writing to me. So I met the young man first in company with +friends a couple of times, then he wished to make an appointment to meet +me alone and, through the kindness of my friends, I met him out at night +several times. On the third night before I half realized what I was +doing I had let him ruin me. I had never been told that this was wrong +and yet I seemed to know that it was. It worried me, but there was no +one I could go to for advice and my friend said that since what was done +already could never be undone I might as well keep it up, etc. Having +no advice but his, I followed it and for several weeks met him out any +and every where and time I could. I knew of the trouble that might come +from these meetings and asked my friend about it but he said that +everything was all right, that he would tend to that and that nothing +would happen. But it did happen. He was going away in a few days and +gave me some medicine to take, telling me I was only held back on +account of it being the first time. But I didn't believe him and went to +a married lady whom I had known but a short time but whom I thought I +could trust and who would help me. She invited my friend and me there +one evening and talked the matter over with us or rather with him. He +stayed over and helped me out of my trouble. But my health has never +been the same since. Now, what I want to ask you is this, do you think +it would be right for me to marry any man, with him thinking that I am +good or innocent? Do men expect that of the women they marry? But I do +not wish to marry if I can help it, but I must do something. I will go +crazy if I stay here at home from worrying over what I have done and for +fear my parents will find it out. What I wish to do is to go away to +work, but I have no one to go to and am afraid I cannot resist the +temptations that they say come to every working girl. I have given in +twice since my trouble, both times shortly afterwards. The first because +I could not help it and the second because I was afraid of being told +on, he having been told by the first man. But when I found out I could +not resist the teasing I quit going out and it has been months since I +have been out with a man and I am trying to lead a decent life but it is +hard and at times it seems that I must give in. Now, please write and +tell me just exactly what you think of my case. Has my whole life been +ruined by this man?" + +Unless this girl will "play soldier" and "right about face" she is in +danger of landing in a house of ill-fame. How common is her story! Girls +do not realize what are the possible results that may follow an innocent +flirtation. Young girls are not posted and they do not know men. They do +not realize the pressure that will be brought to bear upon them. Many +young girls grow to womanhood without any idea of the relations of the +sexes. To them, love is devoid of ideas of sex, practically the same as +their love for a brother or sister. It is not until they are thrown +alone in the company of some older man that they suddenly awaken to a +realization of what it all means. + +The girls who like to be petted, to be kissed and hugged can see no harm +in that and do not realize what a sleeping force may be aroused. The +man, when he finds a girl will allow these attentions, thinks that she +knows what they may lead to and naturally assumes that she is willing, +but only wishes to be coaxed. It is a clear case of misunderstanding on +both sides. But that does not make the consequences any less harmful. + +Girls do not realize what kind of an impression they make upon men by +their clothes, actions, etc. An eminent lawyer said to me recently, "Why +do you not tell girls what _real_ men think of them when they appear on +the streets with painted faces, peek-a-boo waists and thin, silk hose +worn with shoes more appropriate for the ball-room? If girls imitate the +demi-monde in their dress they must expect to be treated accordingly." +There is in every girl's nature a desire to appear attractive in the +eyes of those of the opposite sex and this desire leads them to extremes +of dressing. These extremes of dressing naturally attract the attention +of men, and the girls feel flattered and continue in their course, not +realizing what impression the men really get. Then, when the man makes +the advances that her manner of dressing has led him to believe he can +make, she feels insulted and resentful. + +The fault lies in the fact that the girl has not been properly educated +and has received exaggerated and entirely wrong ideas of life. + + + + +CHAPTER XIX + +WHITE SLAVERY + + +During the past few years the public has been much interested in the +prosecution of the white slave investigation. Every adult person had a +more or less definite idea that there were in existence immoral houses. +But the majority of women had no idea that their existence should be of +any especial interest to them. + +The Hon. Edwin Sims, U. S. District Attorney, Chicago, says: "There are +some things so far removed from the lives of normal, decent people as to +be simply unbelievable by them. The 'white slave' trade of to-day is one +of these incredible things. The calmest, simplest statements of its +facts are almost beyond the comprehension of belief of men and women who +are mercifully spared from contact with the dark and hideous secrets of +the 'under-world' of the big cities. + +"Naturally, wisely, every parent who reads this statement will at once +raise the question: 'What excuse is there for the open discussion of +such a revolting condition of things? What good is there to be served by +flaunting so dark and disgusting a subject before the family circle?' +Only one--and that is a reason and not an excuse! The recent examination +of more than two hundred 'white slaves' by the office of the U. S. +District Attorney at Chicago has brought to light the fact that +literally thousands of innocent girls from the country districts are +every year entrapped into a life of hopeless slavery and degradation +because parents in the country do not understand conditions as they +exist and how to protect their daughters from the 'white slave' traders +who have reduced the art of ruining young girls to a national and +international system. I sincerely believe that nine-tenths of the +parents of these thousands of girls who are every year snatched from +lives of decency and comparative peace and dragged under the slime of an +existence in the 'white slave world' have no idea that there is really a +trade in the ruin of girls as much as there is a trade in cattle or +sheep or other products of the farm. + +"I have no disposition to add a single word to what will open the eyes +of parents to the fact that white slavery is an existing condition--a +system of girl hunting that is national and international in its scope, +that it literally consumes thousands of girls--clean, innocent +girls--every year; that it is operated with a cruelty, a barbarism that +gives a new meaning to the word fiend; that it is an imminent peril to +every girl in the country who has a desire to get into the city and +taste its excitement and pleasures." + +One of the worst obstacles to be overcome in the work of protecting +innocent girls and restoring to useful lives those who have been +betrayed, is the blind incredulity on the part of a large percentage of +the public. There are thousands of women all over the country who know +as little about what is going on in the world as do so many children. +They are wonderfully ignorant of the terrible conditions that are in +existence all around them. Of course their blindness to these awful +conditions makes them more peaceful and contented for the time being +than they possibly could be if they realized the temptations and perils +that are lying in wait for their daughters and the daughters of their +friends. But this peace is not permanent and every year thousands of +mothers are rudely awakened from their sleep of peace to find that while +they were asleep to the perils of the world their daughters have been +drawn into the whirlpool. The awakening of such parents comes too late +usually to do any good. The recent agitation along this line has caused +many a mother to exclaim, "How terrible; I did not dream that such a +condition of affairs could exist in this country." + +If you possessed a rare jewel and knew you were surrounded by those who +would try to obtain possession of that jewel you would not entrust it to +a blind or a deaf watchman or one so ignorant of the wiles of the +robbers that he would trustingly allow it to pass into their possession. +There is nothing in the world so priceless to the father and mother as +the virtue and happiness of their daughter. And yet there are thousands +of parents who have been entrusted with the care of a daughter who are +trying to discharge that trust with their eyes blinded and their ears +closed. They insist upon keeping the childish belief that there is no +real danger threatening their daughter. These parents do not live in +the world. They fold their hands and raise their eyes towards heaven and +cry, "Peace! Peace!" and are unable to see the enemy slipping upon their +daughter to drag her down to a life of shame. + +In this age no young girl is beyond temptation. She needs all the +protection possible, and in order to protect her the parents must be +awake to the dangers and provided with the best means of protection. One +of the things hardest to make honest and trusting parents believe is +that there can be people in the world who make it their business to lead +girls into a life of shame. But such is the case whether we believe it +or not. The men and women who ply this trade lay their plans more +carefully and employ more artifices than can be conceived of by the +ordinary parent. The wonder is that not more are caught in the net. + +Another fact which the public finds it hard to believe is that the girls +who are lured into the life of shame find it impossible to escape from +such a life, that they are prisoners and slaves in every sense of the +word. + +The artifices employed by these slave-dealers to obtain their victims +are many and frequently are so adroitly formulated as to blind not only +the victim but her parents as well. + +One common trick of these slave procurers is the promise of a good +position. Many a girl has gone to the cities thinking she had obtained a +definite and desirable position. Perhaps she was to be met at the +station by the person who obtained the position for her. Too late she +finds her position is in a house of ill-fame. So common has this trick +become that in every large city there are organizations of social +workers who offer through the churches to look up the desirability of +any position which has been obtained by a girl so that should it prove +to be a lure of the destroyer she could be warned before it was too +late. + +Another favorite device of the white slaver for landing victims is the +runaway marriage trick. The alleged summer resorts and excursion centers +which are so widely advertised as Gretna Greens and as places where the +usual legal and official formalities preliminary to respectable marriage +are reduced to the minimum are star recruiting stations for the white +slave traffic. So common is this trick that a wise mother would refuse +to allow her daughter to visit one of these places or to go on one of +the pleasure excursions unless accompanied by some older member of the +family. Also, every mother should teach her daughter that any man who +proposed such a marriage was to be looked upon with suspicion, and +should not be trusted for an instant. + +Then there is the restaurant trick. The girl is induced to go to what +she thinks is a restaurant and then perhaps is taken into a private room +only to find that this room leads to her prison. Girls cannot be too +suspicious of going to unknown places with comparative strangers--either +men or women. + +The moving picture shows furnish to these slavers another opportunity of +misleading girls. These shows naturally attract children and very young +girls. Evidence has been procured which proves that many girls owe their +ruin to frequenting them. As an instance of this, three girls met as +many young men at a moving picture show and at the end of the +performance were induced to leave the theater by a side door which was +found to open into an adjoining building and all passed the night +together. + +The massage parlors and manicure parlors upon investigation proved to +have been used as a bait for these vile procurers. Many of these places +were found to be not equipped for their legitimate work but to be +nothing more than disorderly houses. + +The investigations of the United States courts have resulted in the +imprisonment of many of these panders but there are many more still +unconvicted and the danger to young girls is ever present. The parents +cannot be too watchful in their protection, and to be watchful they must +be cognizant of the dangers and of the methods in use. The daughters +must be so educated that they are prepared to cope with the enemy. +Remember, as Browning says, "Ignorance is not innocence, but sin." + + + + +CHAPTER XX + +THE NEED OF EARLY INSTRUCTION OF BOYS + + +I have made so emphatic the necessity of early and proper instruction of +girls and I have shown you that so much of the disease and unhappiness +in the world is due to this lack of instruction that I do not believe +any of your daughters ever will say, "Why was I not told these things +before it was too late?" But you women will have sons as well as +daughters and you are just as responsible for their future happiness as +you are for that of your daughters. Besides the future happiness of +another woman's daughter depends in a large measure upon the health of +your son. The boys need instruction as much if not more than do the +girls; at any rate they need it earlier than the girls do, because boys +talk more freely than girls and boys acquire their first impressions of +these subjects much earlier than girls. + +No boy ever willfully contracted a disease that would produce so much +future misery as that resulting from one of the venereal diseases. You +remember I made the remark that the large percentage of men contracted +these diseases before their twentieth year, before they had any adequate +knowledge of the possible consequences. If boys were warned there would +be no more of this innocent acquisition of disease. Many a man has had +cause to regret all his life a few moments of thoughtless dissipation. +Even though a boy has acquired one of these diseases that is no reason +why he should suffer from it the remainder of his life any more than +that he constantly should suffer from an attack of smallpox. One +difference at the present time is that the smallpox patient receives the +most scientific treatment procurable, but the victim of one of these +plagues is neglected. Boys are told these diseases are no worse than a +cold and so do not realize the necessity for prompt and adequate +treatment. The ordinary boy treats himself, following the advice of some +of his friends or some incompetent person. He has a feeling of shame +which prevents him from going to the family physician, who would give +him honest advice. If he goes to any physician he usually goes to some +advertising physician who claims to be a "men specialist." The main +speciality of these men is obtaining money from their ignorant dupes. +Their advertisements would make nearly every man in the world think he +were suffering from some grave disease. The young boy, at an +impressionable age, is a ready victim to their lures. He is treated for +a real or an imaginary disease until his money is all gone, then he is +discharged. + +Let me read you a letter I received from a young boy which will +illustrate my meaning: "I read your article 'A Father's Duty to His +Son,' in the ---- and take the liberty of writing to you. My father died +when I was but nine years old, so I was left to my own resources, the +result being I am now a nervous wreck at the age of nineteen. I have +doctored for nervous debility with four doctors for over a year and a +half. The result, they got every cent out of me but did not help me a +particle. If my mother ever found it out, it would worry her to death, +as she has hopes in me, fool that I was. My condition, I am always +nervous when in company, expecting somebody to accuse me any minute. My +eyes always are blurred and my hands shake as if I were an old man. I +have night losses, which bother me more than anything and if they +stopped I know I could fight my way back to health. If you could +possibly give me some recipe or advice it would be greatly appreciated. +Nobody but one in this condition can imagine the strain on the mind and +body. Although I feel well when alone, though awfully weak, I am a +nervous wreck when in the presence of others. I have written to you +because your article seems to tell facts which I know to be true." + +Now, if you will pardon me I will quote a portion of my reply: +"Evidently you have been the victim of unscrupulous doctors. +Unfortunately there are a number. They usually advertise themselves as +specialists in diseases of men. A reliable physician does not advertise. +If you had gone to a trustworthy family physician in the first place you +would have been saved much worry, and incidentally considerable money. + +"The chief advice you need is to _stop worrying_. The night losses you +mention are a natural condition. They occur with nearly every normal man +who is living a continent life. Even if they occur two or three times a +week they do not indicate any diseased condition. The more you worry +and think about such things the more often they will occur. I do not +know what your occupation is, but if it is indoor work you must plan to +take a great deal of outdoor exercise every day. If you could go out in +the country for awhile and do hard outdoor work it would be the best +thing for you. Eat only plain, easily digested food, but eat plenty. Do +not use any condiments nor stimulants. Sleep on a hard bed with plenty +of fresh air in the room. Bathe the external genitals with cold water +night and morning.... The fact that you have abused yourself in the past +need not prevent you from being a perfectly healthy person now if you +are not continuing the practice." + +Every boy desires to be a man but does not quite understand the meaning +of the word. He dislikes to be called a "greeny" or anything that +suggests that he is young and inexperienced. Often he pretends to know +things he does not. Nearly every boy, at an early age, is thrown in +contact with low-minded persons who think it amusing to persuade the +youth to prove he knows indecent things. He thinks it a test of manhood +to be acquainted with various vices and so in order to prove his +knowledge is led into various indiscretions, which result in the +contraction of vile habits or of loathsome diseases. + +If a boy at an early age were given the true idea of the meaning of +being a man or of manhood we would have fewer physical wrecks and +incompetent individuals. + + + + +CHAPTER XXI + +WHY BOYS GO ASTRAY + + + "What can a boy do, and where can a boy stay, + If he is always told to get out of the way? + He cannot sit here, and he must not stand there, + The cushions that cover that fine rocking chair + Were put there, of course, to be seen and admired; + A boy has no business to ever be tired. + The beautiful roses and flowers that bloom + On the floor of the darkened and delicate room + Are made not to walk on--at least, not by boys; + The house is no place, anyway, for their noise, + Yet boys must walk somewhere, and what if their feet, + Sent out of their houses, sent into the street, + Should step round the corner and pause at the door + Where other boys' feet have paused often before; + Should pass the gateway of glittering light, + Where jokes that are merry and songs that are bright + Ring out a warm welcome with flattering voice, + And temptingly say, 'Here's a place for the boys.' + + "Ah, what if they should? What if your boy or mine + Should cross o'er the threshold which marks out the line + 'Twixt virtue and vice, 'twixt pureness and sin, + And leave all his innocent boyhood within? + Oh, what if they should, because you and I + While the days and the months and the years hurry by, + Are too busy with cares and with life's fleeting joys + To make round our hearthstone a place for the boys? + There's a place for the boys. They'll find it somewhere; + And if our own homes are too daintily fair + For the touch of their fingers, the tread of their feet, + They'll find it, and find it, alas, in the street, + 'Mid the gilding of sin and the glitter of vice; + And with heartaches and longings we pay a dear price + For the getting of gain that our lifetime employs, + If we fail to provide a good place for the boys." + +This little poem, published anonymously in a country newspaper, seems to +me to tell the story of why boys go astray. They are not understood at +home and so naturally go where someone seems to understand and want +them. + +In a great many homes the boy's room is a very unattractive place, +merely a place in which to sleep. He is not allowed in the "parlor." He +always seems to be in the way. No one seems to take any interest in the +things that are closest to his heart. It is only natural that he should +gradually drift to the saloon, the billiard room, the questionable +houses, because he is made to feel that he is welcome there. Indeed his +tastes and desires are consulted there. + +A boy always is interested in sex problems. The vulgar delight in +feeding his fancy, in giving him exaggerated ideas of these much abused +subjects. He is lead on from one step to another. Often many of the +things he does are performed in a spirit of bravado, simply because he +does not wish to appear "green." + +From one of the reliable magazines comes this information: "Forty-one +families--'nice families,' as we call them--were last May thrown into +consternation and humiliation by being privately notified by the head +master of a boys' school that their boys would not be reëntered for +another term at his school. 'A fearful condition of immorality,' wrote +the head master, 'has been unearthed at the school, and in order to set +an example to the rest of the boys, every boy concerned will be denied +reëntrance to this school.' + +"The 'fearful condition of immorality' discovered in the school was, as +the head master privately explained, traceable, as it generally is, 'to +one boy, the son of a family of unquestioned standing in its +community,' and he has involved the other boys. + +"The boy in question was not a vicious lad: on the contrary, he was a +boy possessed of more than ordinary good characteristics. When he was +brought up before the head master and the full result of his baneful +influence was explained to him the boy was panic stricken. + +"'Didn't you realize what you were doing?' asked the head master. + +"'No,' replied the boy, who was nineteen and really a young man: 'I knew +it was wrong, yes, but I didn't realize how wrong. As a matter of fact,' +said the boy, 'I didn't know what I was doing, and how I was getting the +boys into a thing that I now see is more serious than I had any idea +of.' + +"'Didn't your father and mother ever explain these things to you?' asked +the head master. + +"'Not a word,' answered the boy, and then as a grim look came on his +face he said: 'God! I wish they had!' + +"A pleasant realization must it be to the parents of this boy as they +read this sentence in the head master's letter to the father of this +boy: + +"'I cannot but feel that your criminal negligence in the most vital duty +that can come to a parent is the direct cause in this twofold calamity: +first, of the downfall of your own son; and second, of the downfall of +each of the other forty boys, and of the humiliation in which they and +their parents find themselves. These are hard words to say to you, but +they are true, and I say them not alone as the head master of this +school, but also as one father to another, and as one man to another.'" + +In the growing youth's mind there arise many questions that he would +like to talk over with his father, but he feels diffident about asking +him. Too often the boy grows up and goes away to college without ever +talking with his father about manhood. In all matters concerning his +business relations and success, the boy has received careful +instruction. He has not been left to work out those problems by himself +but is given the benefit of the experiences of those who have trodden +the road before. But in this matter so vital to his whole life, he has +been left to clear his own path through the woods. With no guide and +bewildered with the new ideas and experiences that crowd upon him, is +it any wonder he loses his way, wanders off the straight path, falls +ofttimes into some bog that perhaps was hidden from his sight by +surrounding flowers and to which he has been lured by siren music? + +The father's duty to his son is plain--and must not be neglected. In +some cases the mother must attend to this duty and for the future +welfare of her son she must see that he receives adequate instruction. + + + + +CHAPTER XXII + +HOW SHALL THE CHILD BE TOLD? + + +Every mother and every father realizes that there are certain things +incident to reproduction that must be learned by the child at an early +age. They realize, too, that it is preferable that this information +should be imparted by the parents. But, on account of their own lack of +instruction, they find two problems confronting them. How and when shall +I tell my child are the questions uppermost in many parents' minds. + +The answer to the first question must depend upon the individual case. +At a certain age a baby expresses a desire for something to bite. Before +that time we make no effort to force him to bite. Later he finds he can +help himself from one position to another by creeping. Then in a few +months he discovers he is able to use his feet and tries to walk. We do +not try to force any of these new ideas upon him but simply wait +patiently until he expresses a desire to acquire some new knowledge, +then we aid him and guide his efforts. + +There comes a time in the life of every child when he awakens to +knowledge of reproduction. Then is the time to give the information. +Some children commence to inquire as early as three years. At such an +early age it is not necessary to go into details, as a very little +information suffices to satisfy the child. + +Just how to tell the truths necessary must vary with the age of the +child. It is important to remember to be truthful to the child. When a +mother tells the child that the stork or the doctor brings the baby, she +sets a seal upon evasion. Some day he will learn that his mother has +deceived him and that behind her instruction lies an element of secrecy, +and secrecy with its companion curiosity is the cause of much unrest in +after life. The child gathers the idea that there must be something +shameful connected with the birth of a child or his mother would not be +ashamed to tell him the truth. + +Secondly, the child must be told scientifically that this knowledge may +form a basis for later studies in biology. He can be taught in a simple +manner that all nature comes from a seed; that the mother makes a tiny +nest for the seed and that with all seeds it is necessary for their +growth that the father gives them some pollen. + +Until these subjects are put before children and young people with some +degree of intelligence and sympathetic handling, it cannot be expected +that anything but the utmost confusion in mind and in morals should +reign in matters of sex. It seems incredible that our thoughts could be +so unclean that we find it impossible to give to our children the +information they need on these most sacred subjects, but instead we +allow them to obtain their information whenever and wherever they can +and in the most unclean manner. A child at the age of puberty is capable +of the most sensitive, affectional and serene appreciation of what sex +means and can absorb the teachings if properly given without any shock +to his sense of the fitness of things. Indeed whenever these subjects +are taught to the child correctly they induce a feeling of reverence for +the mother that could not otherwise be obtained. A little child when +told that she grew in a nest in mother's body right underneath mother's +heart at once becomes filled with a great love and wonder for that +mother. Then later to teach the relation of fatherhood and how the love +of parents for each other and their desire to have a child of their very +own was the cause of that child's existence--these things seem so +natural to the child mind that has not been polluted with vulgar ideas +that they excite in him no sense of unfitness, only a deep gratitude and +a kind of tender wonderment. + +The great point to remember in teaching these things to children is to +satisfy their present question and leave the understanding that mother +(or father) always stands ready and willing to explain any problems that +are bothering the child. + +So many girls have told me that when they were between six and fourteen +years of age they had heard some things about the land where the babies +grow and immediately went to their mothers and inquired as to the truth +of what they had heard. The invariable answer received was, "Little +girls must not talk about such things." That silenced the child and the +mother heaved a sigh of relief that the question had passed off so +smoothly and easily. That little sentence has been the cause of +innumerable mistakes and misery. That little sentence marked the +beginning of the failure of the child to confide in her mother, the +child never again would broach the subject to her mother. However, that +did not mean that the child would not receive the information requested; +for, as a rule, the girls who told of this incidence also remarked that +they had received the information very soon from some older girl and +frequently in a vulgar manner. If a mother wishes to retain the +confidence of her daughter, if a father wishes to retain the confidence +of his son they both must keep a keen lookout for the first questions +and be prepared to answer them at the time. + +Later on the special sexual needs of the boy or the girl can be +explained, the necessity of cleanliness and the danger of self-abuse. +The need of self-control and the possibility of deflecting physical +desire to other channels and the great gain resulting; all these things +the youth of either sex are capable of understanding and appreciating, +and the knowledge given early will prevent many physical and moral +wrecks. + +It is the duty of fathers and mothers to prepare themselves on these +subjects so as to have the answer ready when the child first inquires. +There is no excuse for not doing so, for educators all over the country +stand ready to help any parents who call upon them. It is possible for +every community to obtain the services of a lecturer or teacher who will +instruct the parents. The individual can obtain books which explain all +these things simply and plainly. There is no excuse for ignorance. + + + + +CHAPTER XXIII + +WOMEN IN BUSINESS + + +If all homes were ideal and all men likewise, there would be no question +of woman suffrage or woman in business. But this is not an ideal world; +all women who have kept their places and stayed at home, kept house and +taken care of their children have not led ideal lives. In too many +instances the home woman, the little wren, has been deserted for the gay +song-bird. The necessities of life have forced other women into the +business world--women whose preference would be for the ideal, quiet +home life. One must not think that because a woman is leading a public +life that she prefers it, that she has no desire for a home and little +ones. Often her choice has been the lesser of two evils,--more to be +desired than a life, married, but loveless; one in which she must slave +from morn till eve and then receive as recompense curses and +fault-finding. + +The woman who refuses to so demean the married life as to enter into +such a marriage, preferring instead the busy life of a bachelor maid, is +to be admired rather than condemned. That she makes a success of her +business life tends to show what some man has missed by not proving +himself worthy to be her husband. + +We hear so much about woman entering into business--just as though she +had not always been in business. Stop and think about our ancestors on +the farms. The woman shared the work equally with the man. He attended +to the heavier work, while she attended to that which required less +physical strength but more attention to details. The products of her +industry often brought as much ready cash as that derived from the sale +of the larger products of the farm. Many families depended for the +yearly supply of clothes and luxuries on the money thus obtained from +the sale of butter, eggs and chickens. In olden days, too, many a woman +derived an income from the sale of home-made rugs and counterpanes. + +Just how men have conceived the idea that it is only the modern woman +who is a money earner, I cannot understand, nor can I understand how +some men expect women to be happy in idleness. The most unhappy women +in the world are the women who have a great deal of leisure time. Many a +man objects to his wife taking up any outside work even though it would +not interfere with her household duties. This usually is due to false +pride on his part. He is afraid of what others will say; afraid his +friends will think he is not capable of supporting his wife. Some of +these men forget to take into account the possibility that an accident +or illness may take him away, business failures may sweep away his +accumulations and then his wife must face the necessity of earning her +living. Alas, how seldom is she prepared to do this! If, during the +leisure time of her protected life, she had been perfecting herself in +some branch of industry, her future would be easily solved. + +A woman can devote several hours a day to outside affairs and still not +neglect her home duties. Home-making does not necessarily mean that the +woman herself must do the washing, ironing, cooking, baking or sewing. +She must see that these are performed properly but the actual work may +all be done by others. A business man does not attempt to do all the +work of the office himself. He employs a bookkeeper, a clerk and a +stenographer to attend to the details while he directs. It is the same +way with a home, a woman may employ others to do the physical labor +while she directs. + +Then as to the married woman earning money. Let me give you an +illustration. A woman has spent the early part of her life perfecting +herself in some branch of work, for instance, book cover designing. She +marries a man in moderate circumstances and does not feel that she can +afford to be idle and employ someone else to do her house work. She is a +slenderly built woman and it would be a great tax on her strength to +perform all the household duties--for some parts of housekeeping require +such hard physical labor that even many men would not care to attempt +them. It certainly would seem a very reasonable thing for this woman to +devote several hours a day to book cover designing and use the money so +earned to employ a strong woman to do the heavy housework. This +arrangement would be better for all concerned; first, the woman would be +happier and more contented; next, the man would enjoy his home more, +for any man certainly would rather come home and find his wife contented +and happy and with leisure time to devote to him, than to come home and +find her all tired out, and consequently cross, with the housework so +unfinished she must devote her evening to some household task. + +If circumstances have given a woman home and children, they always must +come first, but this does not mean the woman must do housework if +conditions permit the employment of somebody to do it. She must do the +work for which she is best fitted both by nature and by training. + +In whatever occupation a woman is engaged she should endeavor to make a +success of that work, to do it a little better than anyone else could; +for in every field of endeavor there is joy and reward for always being +and doing one's best. The great secret of success is _concentration_. +Too many women waste their energies thinking and talking about the +things they would like to do. Every time you talk about the thing you +would like to do you waste just that much energy and make your goal less +possible of achievement. That which seems difficult before is usually +found easy to accomplish, once undertaken. If you wish to accomplish +anything _hold the thought_ in your mind and concentrate all your powers +in that direction. Do not scatter your energies like chaff to be blown +hither and thither. + + + + +CHAPTER XXIV + +NERVOUSNESS--A LACK OF CONTROL + + +How often do we meet women who complain of being nervous. What they +really mean is that they have not control of their nerves but let them +run away. A woman may be of a nervous temperament and yet have such good +control of her nerves that she never complains of being nervous. This +lack of nerve control manifests itself in various ways. Sometimes it +only is a tendency to cry at trivial things or an inclination to +despondency--to have "the blues," or to worry over real or fancied +slights. Many women waste so much time thinking over things that are +past and gone. A visit with a friend loses its joy in the afterthought, +for this victim of the nerves lives over again every moment of the +visit. She recalls everything that has been said and wonders if a +different meaning were meant. Things that were said as a joke and +originally taken that way now are brought up for criticism and pondered +over until the woman convinces herself of the presence of a hidden +meaning. She is not satisfied until she has bent and shapen the original +thoughtless sentence into an ugly sting. + +These nervous women are the ones who continually are tormented with the +demon of jealousy. If one of them should suddenly meet her husband on +the street walking with another woman, what a curtain lecture he would +receive that evening; or if not that, he finds his wife wearing the air +of one who considers herself much abused. The real facts of the case may +be that her husband met the other woman quite accidentally and, as they +were going in the same direction, he could not avoid walking with her +without being positively rude. In this age men must, of necessity, have +business transactions with women. It is a common occurrence for two men +to lunch together in order to have a chance to talk over some important +business without fear of interruption. There is no reason why a man and +woman might not do the same, and yet how impossible it would be to +convince the jealous woman that this was the case. To be jealous is to +acknowledge the superior charms of the other woman. "If I cannot hold +you against all women, then I do not want you." If you think some other +woman is attracting your husband, wake up and beat her at her own game. +Do not sit idly in the corner and complain. You only are making yourself +miserable and not trying to right the wrong. + +A woman who is nervous usually does not realize what is the cause of her +condition. When excitable and irritable and suffering from a nervous +headache, she takes various remedies to deaden the symptoms, instead of +looking the matter squarely in the face and going after the cause. + +Many women need a hobby to take up their spare time and to occupy their +minds. If their minds are occupied and their bodies kept in good +condition by proper care, they soon will gain control of their nerves. +If you find yourself getting nervous, make up your mind to overcome it +by filling your life so full of work and play that you will have no time +to give way to the nerves. When you feel an attack coming on, get busy +and "work it off." + +There is a class of women who possess comfortable homes, with a maid to +do the work, whose home duties are not confining and who find +themselves with a great deal of extra time on their hands. To these +women the days are long and they endeavor to pass away the time by doing +nerve racking fancy work or by "fussing" around the house. They are not +happy and contented, chiefly because their minds are being +neglected--are growing up to weeds like a neglected garden. For such a +woman club work is a boon. She should take up some especial kind of +work, and devote several hours a day to the study of it. At first this +will be hard, for a mind that has fallen into lazy ways is not easily +aroused to continual effort, the deeply rooted weeds are not easily +destroyed. + +Many half contented women realize this need of mental food but hesitate. +As one woman said, "Why, my husband would leave me if I started to +work!" Some men take a peculiar attitude towards women. They would like +to treat them as a woman treats her pet dog. The dog is provided with a +comfortable home, plenty of food, someone to bathe it and carry it +around. The dog is contented with this. It loves to sleep and eat the +livelong day; it comes when its mistress calls, and goes when she is +tired of it. Unfortunately, perhaps, all women cannot be contented with +such a life. The woman was given a brain which refuses to be dormant. If +it is not required to be used in a useful way, it occupies itself with +bad thoughts--it worries and becomes fault finding or gossiping. + +No woman should allow her mind to grow up to such weeds. If the +circumstances of her position, her education or her environment seem to +make it unwise that she take up any work that would bring a monetary +reward, she easily can find some charitable work that needs all the +energies she can devote to it. If such a woman would take up some +special branch of philanthropic work she would be amply rewarded, not +only by the consciousness of the good she had done, but by the +improvement in her own health and happiness. + +There is another phase to this lack of nerve control shown in a nervous +tension, an inability to relax and enjoy life. Some people go through +the day on such a nervous tension that they are unable to take +cognizance of their surroundings. Eventually this tension will manifest +itself in some disorder, as headache, nervous indigestion or complete +nervous prostration. In the latter case the nerves have been so abused, +so strained that at last they are worn out. A rest is imperative! + +A woman who, if she has a few spare moments, can lie down and relax +absolutely, perhaps even drop to sleep, has a better chance to stand the +stress and strain of business or of housekeeping than the one who finds +it impossible to do so. Try making it a point to lie down for two or +three minutes several times a day; lie flat on your back and relax every +muscle; put every worry or ugly thought out of your mind by thinking +some pleasant but soothing sentence as, "I am glad I can rest. I will be +happy when I arise." You will be surprised at the effect these few +moments a day will produce upon your health and happiness. + +Plenty of sleep is imperative for these women and yet so many of them +neglect this great restorer of the nervous system. Frequently these +women complain of an inability to go to sleep easily, and spend long +hours of the night lying awake and entertaining worry thoughts. This +symptom of disordered nerves should not be neglected. A warm bath +before retiring, followed by a gentle massage, especially along the +spine, will, by relaxing the nerves and muscles, produce very good +results. A hot foot-bath, by drawing the blood away from the brain, +often will be beneficial. A glass of hot milk or cocoa taken just before +retiring may have the same effect. If the sleeplessness is a result of +indigestion a plain diet will relieve. Sleeping upon a hard bed without +a pillow sometimes produces the desired effect. Always have plenty of +fresh air in the room. Keep the mind free from the cares of the day. If +they will intrude crowd them out by repeating some soothing sentence as: +"There is no reason why I should not sleep, therefore, I shall sleep. My +body is relaxed, my mind is at peace, sleep is coming, I am getting +sleepy, I am about to sleep." Never take any sleeping powders except +upon the advice of a physician, for the majority of these sleeping +powders contain some harmful drug, as morphine, codeine, phenacetin or +acetanilid. The latter especially is very depressing to the heart and +serves to weaken the nervous system. In fact many deaths may be laid at +the door of these drugs. Treatments to tone up the nervous system and +to improve the circulation often are indicated in these cases of +"nerves." Control your nerves, do not let them control you! + + + + +CHAPTER XXV + +A WOMAN IS AS YOUNG AS SHE WANTS TO BE + + +Have you ever thought why it is that some women are as young at forty as +others are at twenty-four? And I mean young not frivolous! It is every +woman's duty to keep young as long as possible, but, unfortunately, she +does not always know the best way to live up to that duty. Keeping young +means keeping your body in a perfectly healthy condition and your mind +in harmony. With attention to certain laws a woman can detract ten years +from her age. She can do this by treating herself as a friend and not as +a slave. Take ten minutes and think how you could improve yourself by a +little effort. Perhaps some of these suggestions will help you. + +Everyone needs exercise. Just what sort depends upon the occupation of +the individual. A woman doing housework exercises most of her muscles +during the day, and if she makes pleasure, and not drudgery out of her +work, this exercise is very beneficial. It is a pleasure to be able to +accomplish so much, but the housework is not sufficient exercise. This +woman needs exercise for her mind and for her beauty-loving soul. In her +spare time she should lie under the trees and enjoy nature or a good +book, or she should go to some gathering where she will meet those who +will refresh her intellectually. Keep the mind open to all the +impressions of nature. Love the open air. Fresh air is not a fad, it is +a necessity if one would keep young. Occasionally read a book of travel +or a biography of some well-known person. Keep mentally alert. An +intellectual back number adds years to her seeming age. Nothing makes +for youth as a young mind, save perhaps a young heart. + +If a woman wishes to retain her attractiveness and not grow dull and +uninteresting, she must be interested in the outside world. Make it a +point to go somewhere every day. If you cannot do anything else, put the +baby in the cart and walk a few blocks. Do not say you are too busy. It +is necessary for your health and you will find a few minutes' outing +will give you renewed energies and help you to see the silver lining. +If possible go to social affairs where you meet people. Invite others to +your home but do not tire yourself entertaining them. People who are +boarding enjoy a simple home-cooked meal. It is the "homey" air they +enjoy and not elaborate decorations or menu. + +A woman in an office needs different exercise. She needs to do something +that will stretch and strengthen the tired muscles. She also needs +plenty of fresh air. A brisk walk is one of the best exercises for her. +Walk part of the way to the office, if possible, and keep your eyes open +for interesting things you pass. Use your imagination in guessing the +life story of those you meet. Forget yourself by becoming interested in +others, and you will be surprised at the effect upon your outlook on +life. It is not work that makes the business girl grow old and careworn +as much as it is her inability to forget her work during her play or +rest time. A business man takes an occasional day off and goes hunting +or fishing, but the business girl seldom can afford the little trips +that would serve to break the monotony of work. But every day brings its +opportunities for little pleasures that are available. Remember it is +the small things of life that make up its enjoyment. Once in a while at +noon go to some especially nice lunch room where you will see well +dressed women, where the service is faultless and every mouthful and +every moment enjoyable. You will come away filled with such a sense of +well-being that you will be able to accomplish twice as much in the way +of work. Many business girls do not entertain themselves well enough. +They become so imbued with the spirit of economy that they deny +themselves the little pleasures that would make life enjoyable. This +reacts upon their work and ability. These people who continually stint +themselves never achieve great success. They repress themselves so much +that they quell all their best impulses. They never expand. + +Learn self-control. Anger is a rapid wrinkle bringer. The energy that is +wasted in useless worry and tirade against circumstances might be +conserved and diverted into other channels that would bring you abundant +reward, financially as well as in other ways. Avoid worry, hurry and +getting flustered. Plan your work in the morning, then take the little +interruptions coolly and quietly. You will not be half so tired at the +end of the day as you would be otherwise. Be temperate. Moderation does +not refer only to the stomach. Overdoing in any way makes for premature +age. + +Do not let yourself get sluggish and indifferent. Here is where the +benefits of massage, physical culture and a vital interest in life come +in. Youth is happiness! If you would be young, radiate happiness. Talk +happiness not ill-health. One certain symptom of advancing age is the +desire to talk about ill-health. Discussing operations you have +undergone or sickness you have experienced always attracts attention to +your age. Children seldom talk about ill-health. An illness once +conquered is forgotten. Another thing, do not whine. The American women +are noted for their unpleasant voices, which often are too high pitched, +showing lack of control. Cultivate a low, well-modulated voice. Recently +I met a young woman who had a deformed body and a plain face, but I +immediately was attracted to her because she had the most beautiful +speaking voice it ever was my privilege to hear. + +As we age in years we are liable to grow careless in our dress, to +select colors and styles that are not very becoming; we do not take as +much pains with our hair, our nails or our shoes as we should. We have +allowed age to manifest itself in the lack of care of the little things. + +Finally, if your work does not bring you happiness, you are in the wrong +place and the sooner you find the right place the better for you. It is +impossible to take a race horse and expect to make him a good plow +horse. We only would spoil the one without succeeding in obtaining the +other. There is a right place for everyone and each one is adapted to +certain things and in order to accomplish the most we must "find +ourselves." + +------------------------------------------------------------------------ + +INDEX + + +Abortions, 89 + Accidental, 90 + Criminal, 91 + Prevalence, 92, 112 + Sterility following, 95 + +Advertisements, misleading, 65 + +Advertising physicians, 173 + +After-birth, 83 + +Amenorrhoea, 40 + +Anatomy of generative organs, 11 + +Anus, 16 + +Atrophy of generative organs, 30 + +Backache, displacement causing, 36 + Fake advertisements concerning, 67 + Gonorrhoea causing, 61 + Lumbago, rheumatism, strain, 67 + +Bag of waters, 86 + +Birth canal, 13 + +Black plagues, see Gonorrhoea and Syphilis + Causing tumors, 42 + +Bladder, openings into, 17 + Position in relation to womb, 11 + +Blindness, due to gonorrhoea, 59 + Infection, prevalence of in new born, 60 + +Blue baby, 87 + +Blues, 195 + +Born with caul or veil, 86 + +Boys, need of instruction, 178 + Why boys go astray, 171 + +Breasts, after menopause, in pregnancy, 19 + At puberty, 24 + +Cancer, carcinoma, 43 + +Cathartics, 51 + +Cavity of pelvis, 11 + +Cavity of womb, openings into, 11, 12 + +Change of life, see Menopause + +Child bearing period, 23 + +Childless homes, 103 + +Chlorosis, 40 + +Circumcision in girls, 41 + +Clandestine engagements, 157 + +Clap, see Gonorrhoea. + +Clitoris, hooded, 17 + Causing nervousness and immorality, 41 + +Coitus, 74 + +Conception, 74 + Prevention of, 109 + +Congestion from tight clothing, 37 + +Constipation, 47 + Caused by retroversion, 34, 49 + Causes, 48 + +Cord, 83 + +Cramps during menopause, 30 + +Development of life, 81 + +Diseases of female organs, 33 + Influence on appearance, 28 + Venereal diseases, 56 + +Displacements, causes of, 33 + Backward, constipation caused by, 34 + Bladder, pressure on, 35 + Downward, side, 37 + Forward, 36 + Hemorrhoids caused by, 34 + Menstruation, relation to, 34 + Treatment, 35 + +Divorce, 115 + Black plagues as a factor, 117 + Sterility as a factor, 118 + +Douche, for cleanliness, at close of period, 21 + In irritation of vagina, 40 + +Drug habit, from patent medicines, 69 + In constipation, 51 + +Dry labor, 86 + +Dysmenorrhoea, 39 + +Education, lack of for girls, 77 + +Egg, see Ovum. + +Embryo, 82 + +Embryology, 81 + +Epilepsy due to syphilis, 101 + +Excesses + Cause of premature old age, 76 + Causing congestion, 38 + During early married life, 74 + +Exercise + For business woman, 205 + For home woman, 203 + +External generative organs, description, 16 + Care, 20 + +Fake advice, 65 + +Fallopian tubes, description, position, 14 + Effect of gonorrhoea on, 57 + Removal, effect of, sterility from removal, 58 + Tumors of, 42 + +Father's duty to son, 181 + +Fear, needless, 106 + +Fertilization of ovum, 74, 81 + +Flirtations and their results, 157 + +Foetal movements, 84 + +Foetus, 82 + +Gonorrhoea + Effect on female organs, 57 + Persistence of in later years, 57 + Prevalence of, 56 + + Prevention of in youth, 63 + Symptoms, 61 + +Green sickness, 40 + +Happiness necessary, 208 + +Headache, from constipation, 48 + From displacements, 37 + Powders, 69 + +Heart valves of baby, 87 + +Hemorrhage in cancer, 43 + +Hemorrhoids, 47 + Bleeding, external, internal, pain from, 49 + From constipation, 48 + Retrodisplacements causing, 34 + Treatment, 49 + +Herb remedies as drugs, 69 + +Heredity, inherited tendency to disease, 99 + Tuberculosis, syphilis, 100 + +Home-making a study, 78 + +Homes, childless, 103 + Girls not interested in parents' home, 135 + +Hot flashes during menopause, 30 + +Hymen, 18 + Not injured by douche, 40 + Opening in, 41 + Unruptured in pregnancy, 154 + +Illegitimacy, 152 + +Immorality, due to low wages, effects of, 149 + Among children, in country districts, in school, 123 + Due to hooded clitoris, 41 + +Indigestion, 52 + +Inflammation causing dysmenorrhoea, 39 + +Inherited syphilis, 62 + +Intercourse, 75 + +Insemination, 74 + +Jealousy, 196 + +Kiss conveying contagion, 61 + +Knee chest position, 37 + For constipation and hemorrhoids, 49 + +Labia majora and minora, 17 + +Labor, dry, 86 + Duration of, 87 + Pains, cause of, 85 + Premature, 89 + +Lanugo, 84 + +Law regarding prevention of pregnancy, 109 + +Laxatives, 51 + +Leucorrhoea, 38 + In young girls, 40 + +Life feeling, 84 + +Love, misunderstood, 132 + +Lumbago, backache in, 67 + +Lungs of newborn child, 87 + +Maidenhead, see Hymen. + +Malignant tumor, 43 + +Marriage, education necessary for, 72 + Fake marriages used to obtain white slaves, 168 + False promises leading to immorality, 151 + For convenience, natural, 116 + Laws not adequate, 115 + Relation, 71 + Science of, successful and otherwise, 71 + Social reasons for, 103 + +Massage, for constipation, 51 + +Mating, 73 + +Meatus urinarius, 17 + +Medical, fake advertisements, 67 + +Medicine, doubtful results from, 68 + Patent, 45 + +Membrane, 86 + +Menstruation, absence of, 40 + Bathing during, 27 + Care during, 26 + Color, odor, 29 + Composition of flow, 28 + Deficiency of, 40 + Description of, 23 + Duration of, frequency, 23, 28 + Lassitude during, 27 + Pain during, 27, 39 + Phenomena common to, 27 + Profuse flow, 28 + Quantity, time between periods, 29 + Sign of approach of period, 25 + Source of flow, 16 + +Menopause, age, 29 + Bowels in, 21 + Breasts after, 31 + Cancer at, 43 + Care during, symptoms of approach, 30 + Changes in body, nervous system, 30 + Duration, diet, 31 + End of child-bearing period, 23 + Hot flashes during, necessity for examination, 30 + Relaxation, rest, worry during, 31 + +Miscarriage, 89 + +Modesty, false, 134 + +Motherhood, accidental, a science, preparation for, 77 + Fear regarding, 106 + Natural desire of all women, 104 + +Mucous patches in syphilis, 61 + +Nerve trouble, due to syphilis, 62 + +Nervousness + A lack of control, 195 + Due to hooded clitoris, 41 + Overcoming, 197 + Relation to intercourse, 76 + +Neuralgia, backache, 67 + Causing dysmenorrhoea, 39 + +Ovary, description, function, position, 14 + Tumor, see Tumor. + +Oviduct, see Fallopian tube, 14 + +Ovum, 14 + Relation to menstruation, 29 + Division into portions, growth, 81 + Passage from ovary to uterus, impregnation, 81 + Size, 82 + +Passion or sex sense, 73 + +Parents' duty to daughters, 167 + To sons, 171 + +Patent medicine, 45 + Of doubtful benefit, 68 + +Pelvis, 11 + Deformed in abortions, 91 + +Peritoneum, 16 + +Peritonitis, 16 + From displacement and inflammation of womb, 37 + From gonorrhoea, 58 + From appendicitis, 59 + +Perineum, 18 + Tearing during labor, 19, 87 + +Physiology of female organs, 11 + +Piles, see Hemorrhoids. + +Placenta, 83 + +Position of foetus in utero, 85 + +Pregnancy, absence of menstruation, 40 + Among unmarried girls, 151 + Fertilization before, 74 + Prevention of, 109 + +Premature birth, labor, 89 + +Prostitution, result of, 155 + +Puberty, 23 + Change in nervous system, 24 + Hygiene during, school work during, 24 + Premonitory symptoms, signs of approach, 24 + Preparatory information, necessity for, 24 + +Public cup, 61 + +Pus tubes, see Fallopian tubes. + +Race improvement, 111 + +Race suicide, education in relation to, 104 + Not increased by knowledge of means of prevention, 113 + +Rectum, position in relation to womb, 11 + In retrodisplacement, 34 + +Regulation of number of children, 111 + +Relaxation, 199 + +Rest, 200 + +Rheumatism, backache, 67 + Dysmenorrhoea due to, 39 + +Sac, 85 + +Sanitary pads, 26 + +Self-abuse, 137 + Hooded clitoris as a cause, 139 + Mental, 139 + Nervous system injured, 138 + Treatment, 139 + +Self-confidence, 145 + +Self-control, 206 + +Semen, 74 + +Sex, education needed regarding, 72, 121 + Fundamental end of, over-indulgence, 74 + Instinct, 73 + Instruction for children, 183 + Organs formed fourth month, 83 + +Skin disease due to syphilis, 101 + +Sleep, sleeplessness, treatment, 200 + +Spermatozoon, 74 + Death due to disease, 107 + Union with ovum, 81 + Size, 82 + +Sterility + After one birth, 108 + Due to abortions, 95 + Due to gonorrhoea, 58 + Due to indiscretions, in male, 107 + +Stomach trouble due to syphilis, 62 + +Syphilis, 61 + Causing abortions, 90 + Causing epilepsy, brain and skin lesions, 101 + Contracted from wet nurse, 62 + Conveyed by kiss, by public cup, 61 + Inherited, 62, 100 + Late symptoms, 62 + Prevention in youth, treatment, 63 + +Tears of perineum, 19 + Necessity for repair, 30 + Relation to cancer, 43 + +Teas, laxative, 51 + +Tomboys, 133 + +Toxines from constipation, 48 + +Tubes, see Fallopian tubes. + +Tumor, abdominal, caused by black plagues, 42 + Absorption of, removal, 42 + Causing dysmenorrhoea, 39 + Hemorrhoidal, 34 + Malignant, 43 + Phantom, 43 + Symptoms of, hemorrhage, pain in, 42 + +Ulcers in syphilis, 62 + +Umbilical cord, 83 + +Urethra, 17 + +Urination, frequent, caused by displacement, 35 + +Uterus, see Womb. + +Vagina, description of, 13 + Discharge from, 38 + Infection from use of public towels, 60 + Irritation of, 40 + Orifice of, 17 + +Vein of cord, 83 + +Vernix caseosa, 85 + +Venereal diseases, 56 + +Vibrator for constipation, 51 + +Wet nurse in syphilis, 62 + +Womb, attachment, 13 + Cancer of, 43 + Congestion from tight clothing, 37 + Contraction of mouth, 39 + Inflammation from displacements, 37 + Position, size, structure, shape, 11 + Over work causing congestion, 38 + +Wild oats, sown by girls, 150 + +White slavery, 163 + +Women in business, 189 + +Worry, an abuse, 143 + +Youth, obtainable, 203 + +------------------------------------------------------------------------ + +BY E. B. LOWRY, M.D. + +HIMSELF + +TALKS WITH MEN CONCERNING THEMSELVES + +This is regarded by all authorities as the best book on sexual hygiene +for men. No man knowing its contents would be without this important +book. It tells plainly all of the facts about sex and leads to health, +happiness and success. A book that points the way to strong vitality and +healthy manhood. + +Every man ought to read this excellent, reliable book.--_Philadelphia +Telegraph._ + +The best book on sexual hygiene for men and we highly commend +it.--_Baltimore American._ + +The more widely this splendid book is read the better it will be for men +and women.--_Boston Globe._ + +Every youth and man who can read the English language should study this +book.--_Portland Oregonian._ + +A rare book that treats its subject in a common-sense +fashion.--_Pittsburgh Post._ + +This is a storehouse of knowledge that should be in the hands of every +man.--_United States Medical Journal._ + +It is utterly free from hysteria and sticks straight to the +unadulterated truth. A valuable addition to any man's library.--_Spokane +Chronicle._ + +It is as good a book as a physician could recommend.--_Northwest +Medicine._ + +Clear, accurate, easily understood.--_Chicago Journal._ + +_Illustrated. 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They are chaste and void of offense to the most +delicate natures.--_The Journal of Education, Boston._ + +_Cloth, 16mo._ + +Price, 50 cents net; by mail, 55 cents + +_For sale by all booksellers and the publishers,_ + +FORBES & CO., 443 S. Dearborn Street, CHICAGO + +------------------------------------------------------------------------ + +BY E. B. LOWRY, M.D. + +YOUR BABY + +A GUIDE FOR MOTHERS + +This book contains the latest and best approved methods for the care of +the mother and baby. It is a strong plea for better babies and every +doctor will welcome the circulation of this great help to mothers. + +"This book can be safely and heartily recommended to every prospective +mother."--_The Chicago Medical Recorder._ + +"The directions are clear and the advice is sensible."--_New York Sun._ + +"This helpful book is in keeping with Dr. Lowry's previously published +meritorious works."--_The Southern Clinic._ + +"A safe, sane and interesting book which it would be well for every +young woman to read. It deserves a wide circulation."--_The Wisconsin +Medical Journal._ + +_Cloth bound. 256 pages._ + +Price, $1.00; by mail, $1.10 + + * * * * * + +THE HOME NURSE + +This very useful book gives helpful directions for the care of the sick +in the home and tells how to co-operate with the physician in providing +for the comfort and cure of invalids. + +"A sensible book, and it should be in every home +book-shelf."--_Northwest Medicine, Seattle._ + +"Uniting practical common sense with the best medical knowledge, it +forms a safe guide."--_American Journal of Nursing, Baltimore._ + +"It serves a very useful purpose and is readily understood. Physicians +will welcome the circulation of this excellent book."--_Medical +Sentinel, Portland, Ore._ + +_Illustrated. Cloth, 12mo._ + +Price, $1.00; by mail, $1.10 + +_For sale by all booksellers and the publishers_, +FORBES & CO., 443 S. Dearborn Street, CHICAGO + + + + + +End of the Project Gutenberg EBook of Herself, by E. B. 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Thus, we do not necessarily +keep eBooks in compliance with any particular paper edition. + + +Most people start at our Web site which has the main PG search facility: + + http://www.gutenberg.org + +This Web site includes information about Project Gutenberg-tm, +including how to make donations to the Project Gutenberg Literary +Archive Foundation, how to help produce our new eBooks, and how to +subscribe to our email newsletter to hear about new eBooks. diff --git a/19825-8.zip b/19825-8.zip Binary files differnew file mode 100644 index 0000000..87dd720 --- /dev/null +++ b/19825-8.zip diff --git a/19825-h.zip b/19825-h.zip Binary files differnew file mode 100644 index 0000000..411417a --- /dev/null +++ b/19825-h.zip diff --git a/19825-h/19825-h.htm b/19825-h/19825-h.htm new file mode 100644 index 0000000..b02acfc --- /dev/null +++ b/19825-h/19825-h.htm @@ -0,0 +1,4843 @@ +<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" + "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd"> + +<html xmlns="http://www.w3.org/1999/xhtml"> + <head> + <meta http-equiv="Content-Type" content="text/html;charset=iso-8859-1" /> + <title> + The Project Gutenberg eBook of Herself, by E. B. Lowry, M.D.. + </title> + <style type="text/css"> +/*<![CDATA[ XML blockout */ + <!-- + p {margin-top: .75em; text-align: justify; margin-bottom: .75em;} + p.titleblock {margin-top: 0; margin-bottom: 0; text-indent: 0; text-align: center;} + h1,h2,h3,h4,h5,h6 {text-align: center; clear: both;} + table {margin-left: auto; margin-right: auto;} + body {margin-left: 10%; margin-right: 10%;} + .pagenum {display: inline; font-size: x-small; text-align: right; + position: absolute; right: 2%; border:1px solid white; + padding: 1px 3px; font-style: normal; + font-variant:normal; font-weight:normal; text-decoration: none; + color: #444; background-color: #EEE;} + .blockquot {margin-left: 5%; margin-right: 10%;} + .center {text-align: center;} + .smcap {font-variant: small-caps;} + td.pr {padding-right:10px;} + hr.full {width:100%; margin-top: 2em; margin-bottom: 2em;} + hr.major {width:75%; margin-top: 2em; margin-bottom: 2em;} + hr.minor {width:30%; margin-top: 0.5em; margin-bottom: 0.5em;} + .figcenter {margin: auto; text-align: center;} + .caption {font-size: 80%;} + a {text-decoration: none;} + // --> + /* XML end ]]>*/ + </style> + </head> +<body> + + +<pre> + +The Project Gutenberg EBook of Herself, by E. B. Lowry + +This eBook is for the use of anyone anywhere at no cost and with +almost no restrictions whatsoever. You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Herself + Talks with Women Concerning Themselves + +Author: E. B. Lowry + +Release Date: November 16, 2006 [EBook #19825] + +Language: English + +Character set encoding: ISO-8859-1 + +*** START OF THIS PROJECT GUTENBERG EBOOK HERSELF *** + + + + +Produced by Roger Frank and the Online Distributed +Proofreading Team at http://www.pgdp.net + + + + + + +</pre> + + +<div style='border: solid 1px; margin: auto; font-size: 90%; width: 300px;'> +<p class='center'><i>BY THE SAME AUTHOR</i></p> +<hr class='minor' /> +<p class='center'>HIMSELF<br /> +Talks with Men Concerning Themselves<br /> +$1.00</p> +<p class='center'>CONFIDENCES<br /> +Talks with a Young Girl Concerning Herself<br /> +50 cts.</p> +<p class='center'>TRUTHS<br /> +Talks with a Boy Concerning Himself<br /> +50 cts.</p> +<p class='center'>FALSE MODESTY<br /> +50 cts.</p> +<p class='center'>TEACHING SEX HYGIENE<br /> +50 cts.</p> +<p class='center'>THE HOME NURSE<br /> +$1.00</p> +<p class='center'>YOUR BABY<br /> +A Guide for Mothers<br /> +$1.00</p> +</div> + +<hr class='major' /> + +<table width='450' cellpadding='2' cellspacing='0' summary='' border='1'><tr><td> +<p class='titleblock' style=' font-size: 260%; margin-top: 30px; margin-bottom: 20px;'> HERSELF</p> +<p class='titleblock' style=' font-size: 140%;'> TALKS WITH WOMEN CONCERNING</p> +<p class='titleblock' style=' font-size: 140%; margin-bottom: 80px;'> THEMSELVES</p> +<p class='titleblock' style=' font-size: 120%; margin-bottom: 10px;'> BY</p> +<p class='titleblock' style=' font-size: 140%; margin-bottom: 20px;'> E. B. LOWRY, M.D.</p> +<p class='titleblock' style=' font-size: 80%;'> Author of</p> +<p class='titleblock' style=' font-size: 80%; margin-bottom: 120px;'> "Confidences," "Truths," etc. </p> +<p class='titleblock' style=' font-size: 110%;'> CHICAGO</p> +<p class='titleblock' style=' font-size: 110%;'> FORBES & COMPANY</p> +<p class='titleblock' style=' font-size: 90%; margin-bottom: 30px;'> 1917</p> +</td></tr></table> + +<hr class='major' /> + +<p class='center'> +<span class="smcap">Copyright, 1911, By<br /> +Forbes and Company</span> +</p> + +<hr class='major' /> + +<div> +<span class='pagenum'><a name="Page_5" id="Page_5">5</a></span> +<h3>PREFACE</h3> +</div> + +<p>A recent number of the Journal of the American Medical Association +contained this paragraph:</p> + +<p>"A correspondent asks for a good book describing the female generative +organs anatomically, physiologically and pathologically, treating also +of childbirth, written in language easily understood by a layman. He +desires to give copies to some of his young women patients. The editor +regrets there is no satisfactory book on the subject although there is +great need for one."</p> + +<p>It is a lamentable fact that the majority of women and girls are +ignorant of the structure of their most important organs. In the +majority of schools and colleges where physiology is taught, absolutely +nothing is mentioned about the reproductive organs. As far as books or +instruction are concerned, the girl is ignorant of their very existence. +If she knew something of the structure<span class='pagenum'><a name="Page_6" id="Page_6">6</a></span> of such important organs and the +harmful results of many practices or acts of carelessness affecting +them, would she not be better prepared to take the proper care of +herself and more liable to develop into a strong, healthy woman?</p> + +<p>If a girl in the business world is intrusted with a delicate piece of +machinery she is taught the structure, use and care of it. Why is it not +just as necessary that the girl, who is intrusted with the care of +delicate organisms upon whose condition depends the health of the future +generation, be instructed regarding the care of these organs? Instead, +she is left in absolute ignorance and then blamed if she mars them.</p> + +<p>Every woman should have some knowledge of the structure and care of her +body, especially of those parts which are concerned so intimately in the +welfare of the future generation. Every woman, too, should receive some +instruction regarding the care of young children and the proper +management of the home. A woman who attempts to care for herself and her +children without proper knowledge of these subjects is like a man who +tries to run his business blindfolded.</p> + +<p>That thinking women are awakening to the fact<span class='pagenum'><a name="Page_7" id="Page_7">7</a></span> that they have been +suffering unnecessarily and are realizing the necessity for more +knowledge concerning the hygiene and physiology of their own bodies is +shown by the fact that nearly every chapter in this book has been +written in answer to questions asked by women readers of the author's +magazine articles. With the hope that the plain facts herein set forth +will aid some women to have healthier and happier lives and healthier +and happier babies this series of talks has been written.<span class='pagenum'><a name="Page_8" id="Page_8">8</a></span></p> + +<p>[Blank Page]</p> + +<hr class='major' /> + +<h2><a name="Contents" id="Contents"></a>Contents</h2> +<div class="smcap"> +<table border="0" width="700" cellpadding="2" cellspacing="0" summary="Contents"> +<col style="width:20%;" /> +<col style="width:70%;" /> +<col style="width:10%;" /> +<tr> + <td class="pr" align="right">I</td> + <td align="left">ANATOMY AND PHYSIOLOGY OF THE FEMALE ORGANS</td> + <td align="right"><a href="#CHAPTER_I">9</a></td> +</tr> +<tr> + <td class="pr" align="right">II</td> + <td align="left">MENSTRUATION—PUBERTY—MENOPAUSE</td> + <td align="right"><a href="#CHAPTER_II">23</a></td> +</tr> +<tr> + <td class="pr" align="right">III</td> + <td align="left">DISEASES OF THE FEMALE ORGANS</td> + <td align="right"><a href="#CHAPTER_III">33</a></td> +</tr> +<tr> + <td class="pr" align="right">IV</td> + <td align="left">CONSTIPATION—HEMORRHOIDS</td> + <td align="right"><a href="#CHAPTER_IV">47</a></td> +</tr> +<tr> + <td class="pr" align="right">V</td> + <td align="left">THE BLACK PLAGUES</td> + <td align="right"><a href="#CHAPTER_V">55</a></td> +</tr> +<tr> + <td class="pr" align="right">VI</td> + <td align="left">FAKE MEDICAL ADVICE FOR WOMEN</td> + <td align="right"><a href="#CHAPTER_VI">65</a></td> +</tr> +<tr> + <td class="pr" align="right">VII</td> + <td align="left">THE MARRIAGE RELATION</td> + <td align="right"><a href="#CHAPTER_VII">71</a></td> +</tr> +<tr> + <td class="pr" align="right">VIII</td> + <td align="left">EMBRYOLOGY—THE DEVELOPMENT OF LIFE</td> + <td align="right"><a href="#CHAPTER_VIII">81</a></td> +</tr> +<tr> + <td class="pr" align="right">IX</td> + <td align="left">ABORTIONS</td> + <td align="right"><a href="#CHAPTER_IX">89</a></td> +</tr> +<tr> + <td class="pr" align="right">X</td> + <td align="left">MATERNAL IMPRESSIONS—HEREDITY</td> + <td align="right"><a href="#CHAPTER_X">97</a></td> +</tr> +<tr> + <td class="pr" align="right">XI</td> + <td align="left">CHILDLESS HOMES AND REAL HOMES—CAUSES OF STERILITY</td> + <td align="right"><a href="#CHAPTER_XI">103</a></td> +</tr> +<tr> + <td class="pr" align="right">XII</td> + <td align="left">PREVENTION OF PREGNANCY</td> + <td align="right"><a href="#CHAPTER_XII">109</a></td> +</tr> +<tr> + <td class="pr" align="right">XIII</td> + <td align="left">SOME OF THE CAUSES OF DIVORCE</td> + <td align="right"><a href="#CHAPTER_XIII">115</a></td> +</tr> +<tr> + <td class="pr" align="right">XIV</td> + <td align="left">THE NEED OF EARLY INSTRUCTION OF GIRLS</td> + <td align="right"><a href="#CHAPTER_XIV">121</a></td> +</tr> +<tr> + <td class="pr" align="right">XV</td> + <td align="left">WHY GIRLS GO ASTRAY</td> + <td align="right"><a href="#CHAPTER_XV">131</a></td> +</tr> +<tr> + <td class="pr" align="right">XVI</td> + <td align="left">SELF-ABUSE</td> + <td align="right"><a href="#CHAPTER_XVI">137</a></td> +</tr> +<tr> + <td class="pr" align="right">XVII</td> + <td align="left">EFFECTS OF IMMORAL LIFE</td> + <td align="right"><a href="#CHAPTER_XVII">149</a></td> +</tr> +<tr> + <td class="pr" align="right">XVIII</td> + <td align="left">FLIRTATIONS AND THEIR RESULTS</td> + <td align="right"><a href="#CHAPTER_XVIII">157</a></td> +</tr> +<tr> + <td class="pr" align="right">XIX</td> + <td align="left">WHITE SLAVERY</td> + <td align="right"><a href="#CHAPTER_XIX">163</a></td> +</tr> +<tr> + <td class="pr" align="right">XX</td> + <td align="left">THE NEED OF EARLY INSTRUCTION OF BOYS</td> + <td align="right"><a href="#CHAPTER_XX">171</a></td> +</tr> +<tr> + <td class="pr" align="right">XXI</td> + <td align="left">WHY BOYS GO ASTRAY</td> + <td align="right"><a href="#CHAPTER_XXI">177</a></td> +</tr> +<tr> + <td class="pr" align="right">XXII</td> + <td align="left">HOW SHALL THE CHILD BE TOLD?</td> + <td align="right"><a href="#CHAPTER_XXII">183</a></td> +</tr> +<tr> + <td class="pr" align="right">XXIII</td> + <td align="left">WOMEN IN BUSINESS</td> + <td align="right"><a href="#CHAPTER_XXIII">189</a></td> +</tr> +<tr> + <td class="pr" align="right">XXIV</td> + <td align="left">NERVOUSNESS—A LACK OF CONTROL</td> + <td align="right"><a href="#CHAPTER_XXIV">195</a></td> +</tr> +<tr> + <td class="pr" align="right">XXV</td> + <td align="left">A WOMAN IS AS YOUNG AS SHE WANTS TO BE</td> + <td align="right"><a href="#CHAPTER_XXV">203</a></td> +</tr> +</table> +</div> + +<hr class='major' /> + +<h2><a name="HERSELF" id="HERSELF"></a>HERSELF</h2> + +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_I" id="CHAPTER_I"></a> +<span class='pagenum'><a name="Page_11" id="Page_11">11</a></span> +<h2>CHAPTER I</h2><h3>ANATOMY AND PHYSIOLOGY OF THE FEMALE ORGANS</h3> +</div> + +<p>Before we can understand the care of anything we must have some +knowledge of its structure; so I think it well, in this our first talk, +that we should learn something of the structure of the female generative +organs. As I have told some of you in former talks, the womb is designed +as a nest for the babe during its process of development from the egg or +ovule. It lies in the center of the pelvis, or lower part of the body +cavity, in front of the rectum and behind and above the bladder. It is +pear-shaped, with the small end downward, and is about three inches +long, two inches wide and one inch thick. It consists of layers of +muscles enclosing a cavity which, owing to the thickness of the walls, +is comparatively small. This cavity is triangular in shape and has three +openings,—one at the lower end or mouth of the womb into the vagina and +one at each side, near the top, into the fallopian tubes. The womb, or +uterus as it sometimes is called, is not firmly attached nor adherent to +any of the bony parts. It is suspended in the pelvic cavity and kept in +place by muscles and ligaments. As the muscles and ligaments are +elastic, the womb slightly changes its position with different movements +of the body. Normally, it is inclined forward, resting on the bladder; +so you see, a full bladder will push it backward, while a full rectum +and intestines tend to push it forward and downward.<span class='pagenum'><a name="Page_12" id="Page_12">12</a></span></p> + +<div class='figcenter' style='width: 550px; padding-top: 1em; padding-bottom: 1em;'> +<a name="illus-001" id="illus-001"></a> +<img src='images/image012.jpg' alt='GENERATIVE ORGANS.' title='' width = '551' height = '336'/><br /> +<span class='caption'>GENERATIVE ORGANS.</span> +</div> + +<p><span class='pagenum'><a name="Page_13" id="Page_13">13</a></span>The lower end or mouth of the womb opens into the vagina, a distensible +and curved muscular tube, which helps to support the womb and also +connects it with the external parts. The vagina is about three and a +half inches long. It often is called the birth canal because the baby +must pass through it on its way from the womb to the external world.</p> + +<p>The two upper openings of the womb lead into<span class='pagenum'><a name="Page_14" id="Page_14">14</a></span> the fallopian tubes or +oviducts, which are two small muscular tubes leading from the ovaries to +the womb. Each one is about four inches long, but the opening through +the center in its largest portion is only about as large as a broom +straw, while near the womb it narrows down until it will admit only a +fine bristle. When the ovum or seed leaves the ovary it must pass +through one of these tubes to reach the womb, so you see how necessary +it is that they be kept in good condition.</p> + +<p>From the end of each tube, but not directly connected with it, is +suspended a small almond-shaped body called the ovary. Each ovary is +similar in shape and size to an almond, measuring about one and a half +inches in length, three-fourths of an inch in width and one-half an inch +in thickness. The function or work of the ovaries is to produce, develop +and mature the ova (eggs) and to discharge them when fully formed so +they may enter the tubes and so find their way to the womb. In every +ovary there are several hundred little ovules or eggs in various stages +of development. At irregular intervals one of these ovules ripens and +leaves the ovary. It passes along the fallopian tube to the womb. Here +it remains if<span class='pagenum'><a name="Page_15" id="Page_15">15</a></span> it is impregnated or fertilized, and develops into the +babe. If not impregnated, it passes off with the menstrual flow. Every +twenty-eight days large quantities of blood are sent to the womb, +producing a natural congestion. The pressure of this extra blood in the +tiny capillaries of the womb stretches and weakens their walls. This +allows the blood, which is being sent to the womb to provide nourishment +for the ovum if it be impregnated, to pass into the cavity of the womb, +then out through the mouth into the vagina, thence to the external +parts. This flow is called the menstrual flow. When the flow ceases the +mucosa or lining assumes its former state. This process is repeated +every month.</p> + +<div class='figcenter' style='width: 350px; padding-top: 1em; padding-bottom: 1em;'> +<a name="illus-002" id="illus-002"></a> +<img src='images/image015.jpg' alt='1. Bladder 2. Urethra 3. Uterus 4. Vagina 5. Rectum 6. Peritoneum 7. Perineum VERTICAL SECTION OF PELVIS' title='' width = '350' height = '439'/><br /> +<span class='caption'>1. Bladder<br />2. Urethra<br />3. Uterus<br />4. Vagina<br />5. Rectum<br />6. Peritoneum<br />7. Perineum<br />VERTICAL SECTION OF PELVIS</span> +</div> + +<p><span class='pagenum'><a name="Page_16" id="Page_16">16</a></span>Lining the cavity of the abdomen and also folded over the womb, ovaries, +tubes and other organs is a thin membrane called the peritoneum. An +inflammation of this lining is called peritonitis.</p> + +<p>All these organs I have mentioned are situated inside the body out of +sight, but there are other organs that are external. You have noticed +two longitudinal folds of skin extending from the anus, or external +opening of the rectum, to the<span class='pagenum'><a name="Page_17" id="Page_17">17</a></span> rounded eminence in front. Their outer +surface is covered with hair and their inner surface with glands that +secrete a lubricating material. These folds are called the labia majora. +Within the labia majora are two smaller folds called the labia minora. +These folds meet at their anterior (front) end. At the meeting point you +will notice a very small structure which is called the clitoris. This +clitoris is very similar in structure to the penis of the male, having a +tiny prepuce or foreskin which folds over to protect the sensitive end. +Sometimes the foreskin is bound down too tightly, so that instead of +being a protection to the parts, it becomes a source of irritation. Then +we say the clitoris is hooded and it is necessary to loosen or cut this +fold of skin. The operation is similar to that of circumcision in the +male.</p> + +<p>Just back of the clitoris, within the folds of the labia, is situated +the meatus urinarius, or opening leading to the bladder. This aperture +does not open directly into the bladder but is connected to it by a +tube, about an inch and a half long, called the urethra.</p> + +<p>The orifice or external opening of the vagina is situated just back of +the meatus urinarius, also<span class='pagenum'><a name="Page_18" id="Page_18">18</a></span> within the folds of the labia. In the virgin +it is partly closed by a membranous fold called the hymen or maidenhead. +The shape and size of the hymen varies greatly in different individuals, +sometimes being entirely absent. After marriage it usually persists as +notched folds. The presence of an intact hymen is not necessarily a sign +of virginity, nor does its absence necessarily indicate defloration. Its +congenital absence or absence at the time of birth is known. It +sometimes is injured, or may be destroyed by an accident, as by falling +astride of an object; again violent exercise may rupture it (horseback +riding). Surgical operations or vaginal examinations, roughly conducted, +not infrequently cause rupture. Then, too, authentic cases are on record +in which prostitutes have had perfectly preserved hymens. It is well +known that the use of vaginal astringents may tone up and narrow the +vagina and even restore the hymen to a great degree.</p> + +<p>The surface between the vaginal orifice and the anus is called the +perineum (Do not confuse this with the peritoneum, for they are entirely +different). It is this perineum that sometimes becomes torn during +childbirth. The vaginal opening<span class='pagenum'><a name="Page_19" id="Page_19">19</a></span> does not always stretch sufficiently to +allow the passage of the child's head and the great pressure being +exerted on the child by the uterine and abdominal muscles pushes it +through, causing the tear. (You will understand this better when I +explain about the development and birth of the child.) If this tear is +repaired immediately no inconvenience usually results but if it is +neglected it may produce a series of complications, some of which are +falling of the womb, inflammation and even sterility.</p> + +<p>Not directly connected with any of the other organs but still associated +with them are the breasts. They vary in size at different periods of +life, being usually of small size when the girl is young but increasing +in size as the generative organs develop. The breasts consist of fatty +tissue surrounding milk glands and ducts. During pregnancy they increase +in size and become filled with milk. After the menopause (change of +life) they ordinarily shrink in size. The ancient Greek statues, such as +the Venus de Medici, long regarded as a type of perfect beauty, the +Venus of Capua, regarded as the bust of a perfect form, show that the +Grecian ideal of the feminine<span class='pagenum'><a name="Page_20" id="Page_20">20</a></span> form had small busts. The modern idea +seems to have wandered far from the Grecian ideal and many women devote +much time and money trying to develop their busts. Perhaps sometime we +will give up trying to be so artificial and conform to Nature's ideal.</p> + +<p>Nature has constructed the internal female organs so wisely that we +seldom need give them much thought. But the external organs do need our +attention every day. I told you that the labia secreted a lubricating +material which kept the parts moist, but this secretion must not be +allowed to accumulate. The scalp secretes an oil that is necessary to +the health of the hair but if this and the perspiration are allowed to +accumulate the hair has an offensive odor. So it is with the female +organs, the parts must be bathed carefully every day. I have been +surprised in the past to find how many intelligent women neglect these +parts. Women come for an examination, their clothing is scrupulously +clean, their bodies show recent care but in the folds of the labia, +especially near the clitoris, I find an accumulation of a cheesy-like +material which has an odor very offensive to any<span class='pagenum'><a name="Page_21" id="Page_21">21</a></span> truly refined woman. +Sometimes in public gatherings, I have been seated near a woman with +this same offensive odor very noticeable, and I have longed to tell her +how to avoid it, for I am sure others must notice the same odor. But +even from a physician, in the privacy of the office, women resent any +suggestion that they are not thorough in matters of cleanliness. Daily +cleansing of these parts is a necessity. At least once a day these parts +should be sponged carefully. The labia should be separated and every +fold thoroughly cleansed. Occasional vaginal douches also are necessary, +for the various secretions often are retained in the folds of the vagina +and cause irritation. But in taking a douche one always should remember +to have the water warm. Cold water may produce congestion. The virtue of +douches (except when taken for medicinal purposes) lies in their +cleansing properties and warm water cleanses even better than cold. Many +women produce grave disorders by the use of cold douches under the +mistaken notion that they are of greater value than hot ones. A douche +should be taken at the close of the menstrual period especially.<span class='pagenum'><a name="Page_22" id="Page_22">22</a></span></p> + +<p>These female organs should not be the source of worry but they do +require as much or even more attention to cleanliness than we give to +our mouths or other parts of the body.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_II" id="CHAPTER_II"></a> +<span class='pagenum'><a name="Page_23" id="Page_23">23</a></span> +<h2>CHAPTER II</h2><h3>MENSTRUATION—PUBERTY—MENOPAUSE</h3> +</div> + +<p>The subject of menstruation seems to be troubling several of you. I am +sorry that you did not all have the advantage of having this explained +at an early age. You might have been saved a great deal of suffering and +causeless worry.</p> + +<p>By menstruation, or "the monthlies" as it sometimes is called, is meant +the monthly hemorrhage that takes place in the uterus or womb during the +child-bearing period of the normal woman except during pregnancy and +lactation, when it nearly always is suspended. The child-bearing period +commences at the age of puberty and ends with the menopause (change of +life).</p> + +<p>Puberty is the period of maturing of the sexual organs. It occurs about +the age of twelve, although there may be considerable variation as to +this. It extends over a period of several years. As a rule, girls mature +earlier in warm climates<span class='pagenum'><a name="Page_24" id="Page_24">24</a></span> than in cold and in cities than in country +districts. The signs of the approach of this period are the growth of +hair on the pubes and other parts of the body, the enlargement of the +breasts, a general rounding and increased grace of the body, the +development of the pelvis so that the hips become more prominent, and a +change in the mental qualities of the child, the girl naturally becoming +more retiring. The menstrual function usually is not established at +once, there being premonitory symptoms of a vague nature. There may be, +at first, only a slight discharge of mucus tinged with blood, later the +normal menstrual flow will be established.</p> + +<p>During this period of puberty there are great changes taking place in +the girl's internal organs. This change and development requires +considerable of the girl's strength and naturally influences her nervous +system. It is for this reason that a girl at this period of her life +should not be subjected to any great exertion, either physical or +mental. She should have plenty of light, healthful exercise in the open +air, but should not indulge in any very violent exercise. A little care +at this time often will save her years of suffering. As<span class='pagenum'><a name="Page_25" id="Page_25">25</a></span> the nervous +system is greatly affected at this period there should be no great +mental strain. In fact, if the girl shows many nervous symptoms, it may +be wise to take her out of school for a year so that her strength may be +used as Nature requires it. As a rule, too much work is required in +school at this age. The school duties should be lessened and the girl +allowed to rest a day or two during her menstrual period. The girl at +this age should not attempt to accomplish as much work or study as the +boy does. Her time at this period might better be occupied in learning +the rudiments of housekeeping and home-making. Then, when her body has +become developed, her strength can be spared and can be well used in the +development of her mind. If the nervous strain too common at this age +could be relieved we would have fewer nervous women and a healthier and +happier posterity.</p> + +<p>As puberty approaches, a mother should give her daughter adequate +information so that she should not be frightened at the first appearance +of the menstrual flow, nor take any risks at this period. Menstruation +is the sign of the possibility of motherhood. If properly taught this +fact,<span class='pagenum'><a name="Page_26" id="Page_26">26</a></span> every girl will be glad she menstruates and will want to be +careful during the period. On account of lack of early instruction, many +a girl obtains wrong ideas regarding this function and it produces in +her a feeling of repugnance. She should be taught the reasons for +observing prudence during the menstrual period. The possible lifelong +invalidism that may result should be pointed out. A woman owes it to +herself to take good care of herself during her menstrual periods. For +two or three days at least she should avoid any unnecessary strain, lie +down and rest as much as possible and not worry over school or other +duties. Especial attention should be paid to cleanliness during this +period. A sponge bath taken in a warm room is not injurious and +unpleasant odors can be avoided by sponging the parts with a warm +antiseptic solution upon changing the cloth. Every woman should be +provided with a circular girdle cut upon the bias so it may be elastic, +and provided with tabs to which to pin the folded cloth. She also should +have a supply of sanitary cloths made of absorbent cotton-fabric, or +pads made of absorbent cotton enclosed in gauze. The latter especially +are convenient for the girl who is obliged<span class='pagenum'><a name="Page_27" id="Page_27">27</a></span> to room away from home, for +they may be burned and the cost of new ones is no greater than the +laundry of cloths. These pads or cloths should be changed at least twice +a day. It also is necessary that one should bathe the parts in warm +water with each change, as unpleasant odors can thereby be avoided. At +the close of each period she should take a bath and change all clothing. +One cannot be too careful about these matters so essential to +cleanliness. It is surprising how many women neglect these important +matters. The erroneous idea that bathing of any sort at this time may +have disastrous results accounts for much of this neglect. If proper +care is taken warm sponge baths cannot be injurious.</p> + +<p>A woman in normal health should not suffer at the menstrual period. She +normally will have a feeling of lassitude and disinclination for any +great mental or physical work, perhaps accompanied by a slight feeling +of uneasiness in the pelvic region. Because so many women do suffer at +these periods it often is considered as "natural" and allowed to +continue.</p> + +<p>The phenomena often noted at the menstrual period are,—pains in various +parts of the body,<span class='pagenum'><a name="Page_28" id="Page_28">28</a></span> hot flashes, chilliness and various hysterical +symptoms. A few days before menstruation commences there may be various +nervous symptoms, as irritability and a disinclination for any exertion. +Dark circles often appear under the eyes and the breasts become enlarged +and painful. A sense of fullness and oppression may be felt in the head.</p> + +<p>Any severe pain or profuse flow during the period or a discharge between +periods indicates a weakened or diseased condition and should not be +neglected, for it sooner or later will affect the whole system. A woman +suffering from female diseases not only is unable to perform her work in +a normal manner but the pale skin, dark circles under the eyes and drawn +haggard look which accompany these conditions rob her of her charm of +physical excellence.</p> + +<p>The menstrual flow appears, as a rule, every twenty-eight days, although +the length of time varies with the individual. The average duration is +five days, but varies from three to seven. The flow consists of blood +from the uterine mucosa (lining of the womb) together with small +quantities of mucus. The color generally is dark at first while later it +becomes more pale. Women in poor health<span class='pagenum'><a name="Page_29" id="Page_29">29</a></span> often have a pale discharge. +There always is a faint odor to the menstrual flow, which has been +likened to the odor of marigolds. The quantity varies with the +individual. Usually fleshy girls flow more than thin ones and dark +complexioned ones than light ones. The average quantity is four to six +fluid ounces. The time between the periods is required by the uterus or +womb to first restore the lining and then prepare it for the reception +of the ovum. Every month one or more ova (eggs) leave the ovary, pass to +the uterus and, if not impregnated, pass off with the menstrual flow. +The material prepared for the reception of the ovum is used to nourish +the new life if pregnancy occurs, but when it does not, this surplus +passes off in the form of the menstrual flow.</p> + +<p>The menopause or change of life is the end of the child-bearing period +of a woman's life. The average age at which it occurs is forty-six, +although there is a great difference as to this. In some women it has +been known to occur as early as the thirtieth year, while in others it +does not come until the fifty-fifth year. As a rule, a woman who +commences to menstruate at an early age continues to do so until a late +age, while with a woman who<span class='pagenum'><a name="Page_30" id="Page_30">30</a></span> commences to menstruate late, the change +comes early. At this period of a woman's life, there are numerous +changes taking place in the body. The ovaries and uterus atrophy or +shrink in size, and cease to functionate. The nervous system is being +readjusted to meet the changed conditions. One symptom of the approach +of this period is irregularity in menstruation; sometimes several +periods are missed, then the menstrual flow appears normally for several +months and then disappears again. Often the woman complains of hot +flashes, cramps in the limbs and other parts of the body. These are +caused by the attempts to readjust the nervous system to the altered +conditions. A great many women worry unnecessarily, for there is no +especial danger at this time unless the body has been neglected +previously and a diseased condition is present. But the body needs a +little extra care, just as it did at puberty. So many women break down +their health by worrying at this period over what might happen. The best +plan for every woman, as soon as she perceives the approach of this +period, is to go to a reliable physician and have a thorough +examination. Then if there are any neglected tears or chronic +inflammations<span class='pagenum'><a name="Page_31" id="Page_31">31</a></span> they can be corrected and danger removed. If a person +were to cross a deep lake and had any doubts regarding the worthiness of +the vessel provided for his use, he would be very foolish if he did not +have a trained boat-builder examine his vessel and repair any weak +places. It is just as important for a woman about to cross this period +of her life to go to a trained repairer of bodies and have him correct +any weak places.</p> + +<p>The various changes taking place consume so much of the woman's strength +that she requires an extra amount of rest and cannot use up as much +energy in working as at other periods of her life. The ordinary woman +does not realize the need of extra rest during this period and so +continues her usual work. Then the extra drain on her nervous system +shows itself in various forms. The disturbances sometimes are productive +of so much discomfort and so often are exaggerated beyond physiological +limits that the patient is impelled to seek relief and often requires a +physician's attention. Puberty or the period of development extends over +several years, so the menopause or period of atrophy extends over a +period of from three to five years. If a woman relaxes and allows<span class='pagenum'><a name="Page_32" id="Page_32">32</a></span> the +changes to proceed naturally she need have no cause to worry, but she +must remember that rest from continual strain is necessary during this +period. Freedom from care, relaxation of physical and mental effort, +regular periods of complete rest once or twice a day, a reduction of the +diet and regulation of the bowels should be the first principles of +treatment. Then—do not worry but occupy the mind with happy thoughts.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_III" id="CHAPTER_III"></a> +<span class='pagenum'><a name="Page_33" id="Page_33">33</a></span> +<h2>CHAPTER III</h2><h3>DISEASES OF THE FEMALE ORGANS</h3> +</div> + +<p>So much of the suffering among women is unnecessary, being due to the +neglect of the little things, so much ill health can be relieved by +attention to a few simple hygienic measures, that I think it wise to +describe some of the most common disorders of the female organs, and to +explain their symptoms so that you would not ignorantly neglect them, if +you should be so unfortunate as to contract any.</p> + +<p>The most common diseases of the female organs may be classed as +displacements, inflammations and tumors.</p> + +<p>On account of its lack of strong attachment, the womb is very easily +displaced. When from any cause the womb is congested and heavy the extra +weight stretches the supporting muscles and ligaments, which then allow +it to fall out of place. It also may be displaced by a sudden fall, by<span class='pagenum'><a name="Page_34" id="Page_34">34</a></span> +jumping or other strenuous exercise. As the womb normally is heavier at +the menstrual period than at any other time and as there is a natural +congestion then, it is more easily displaced at that time than during +any other part of the month. This is one reason why one should be +careful not to take strenuous exercise at the menstrual period.</p> + +<p>The most common displacement, or the most common way for the womb to +tip, is backwards and at the same time it usually falls downward. You +remember, the rectum is directly back of the womb, so, if the womb is +tipped backwards, it presses against the rectum. This tends to prevent +the feces, or bowel movement, from passing out naturally and helps to +produce constipation. The womb, pressing against the rectum, also +presses on the blood vessels which are very numerous there. This +pressure on the blood vessels prevents the blood from leaving them. If +it is held there, it causes the blood vessels to dilate in order to be +large enough to contain it. We call this enlarged portion of the vein a +blood tumor. These tumors or dilated blood vessels of the rectum are +called hemorrhoids or piles. I will explain<span class='pagenum'><a name="Page_35" id="Page_35">35</a></span> these more thoroughly when +I talk to you about constipation.</p> + +<p>The womb may tip forward, pressing on the bladder and causing a frequent +desire to urinate. More rarely it is tipped to one side. It then tends +to pull on the ovaries and produce pain and various nervous symptoms.</p> + +<p>The womb may fall downward, pressing against both the bladder and rectum +and dragging the ovaries and tubes out of their natural positions. +Sometimes it even protrudes from the vagina. Any falling or displacement +of the womb pulls on the tubes and ovaries, often producing an +inflammation. This inflammation should not be allowed to continue, as it +may become serious, even extending to the peritoneum and producing +peritonitis. The nerves of the uterus are very closely connected with +the spinal nerves, therefore, any displacement reacts through them and +may produce headache and backache, which are the common accompaniments +of any uterine disorder.<span class='pagenum'><a name="Page_36" id="Page_36">36</a></span></p> + +<div class='figcenter' style='width: 547px; padding-top: 1em; padding-bottom: 1em;'> +<a name="illus-003" id="illus-003"></a> +<img src='images/image036.jpg' alt='KNEE-CHEST POSITION' title='' width = '547' height = '308'/><br /> +<span class='caption'>KNEE-CHEST POSITION</span> +</div> + +<p><span class='pagenum'><a name="Page_37" id="Page_37">37</a></span>One of the most simple and yet efficacious treatments to correct a +displacement downward and backward is to assume the knee-chest position +for a few moments morning and evening after the clothing has been +removed. In the knee-chest position, the patient kneels on the bed, then +bends forward until her chest touches the bed; the back slopes down and +the thighs should be at right angles with the bed. This position allows +the various organs to fall forward and toward the upper part of the +body, the pressure on the uterus is relieved and it assumes its natural +position. This treatment, persisted in, will relieve nearly every case +which has not some other disorder connected with it. If every woman +would assume this position for a few minutes once or twice a week, just +before retiring, she would be greatly benefited; for the majority of +women have a slight falling of the womb, which then presses on the +rectal and other nerves causing various nervous symptoms.</p> + +<p>The womb and ovaries are surrounded by a dense network of nerves and +blood vessels, making them very liable to congestion. Tight clothing or +improperly fitted clothing causes pressure and interferes with the +circulation. I believe that a large percentage of the objections to the +corset originated from women wearing improperly fitted corsets which +pushed the organs out of place. A<span class='pagenum'><a name="Page_38" id="Page_38">38</a></span> corset fitted to the wearer is not +injurious and serves as a support. Overwork, catching cold and excesses +may produce a congestion which is one stage of inflammation. The most +common symptoms of inflammation of the womb are pain in the pelvic +region, a dull backache, especially across the hips, and a vaginal +discharge called leucorrhœa (whites). Any leucorrhœa shows a +disordered condition which should be corrected. It may be simply of a +catarrhal nature, due to pressure or cold, or it may indicate a more +serious condition, as the presence of one of the black plagues. Whenever +a woman notices a vaginal discharge, it is a wise plan to go at once to +a reliable physician, find out what is the cause and nature and then +take measures to correct it. In the beginning a very little treatment, +such as hot douches, may be all that is required, while if untreated the +condition may become serious, as you will understand when I explain +about the black plagues.</p> + +<p>Any disorder of the uterus or ovaries reacts through the nerves upon +other parts of the body and may produce various symptoms such as general +weakness, headaches and backaches.<span class='pagenum'><a name="Page_39" id="Page_39">39</a></span> This drain on the system often is +shown by dark circles under the eyes, pale skin and a drawn, haggard +expression. All these tend to rob a woman of her charm of physical +excellence, and none of us wish to lose that; for it is natural for all +women to wish to appear attractive.</p> + +<p>One of the most common of the so-called female disorders, which seems to +be the lot of the majority of women, is dysmenorrhœa or painful +menstruation. This is not a disease in itself, but the symptom of +various disorders. A woman in normal health should not suffer at her +menstrual period; so if she does suffer it shows there is something +wrong. The natural thing for anyone to do who had dysmenorrhœa would +be first to find the cause of this pain and then take measures to +correct it. It may be due to displacements, inflammations or tumors; it +may be due to a contraction of the mouth of the womb which does not +dilate sufficiently to allow the menstrual discharge to flow freely. It +may be due to neuralgia or rheumatism of the uterus or ovaries. Pain +always indicates an unnatural condition. It is the cry of tortured +nerves. The cause should be determined by a competent physician and +then<span class='pagenum'><a name="Page_40" id="Page_40">40</a></span> measures taken immediately to restore the normal condition.</p> + +<p>One who suffers from dysmenorrhœa should try to plan her work so that +she may rest the first day of her menstrual period, and, if possible, +the preceding day. Absolute rest in bed at this time is beneficial. A +hot sitz bath, hot foot bath or hot vaginal douche taken just previous +to the commencement of the period will aid in relieving the congestion +and thus lessen the pain. After the flow has started hot foot baths and +hot applications to the abdomen may be used. Hot drinks also may be +taken, but one should not get in the habit of using any drug at this +time. Hot ginger tea will do as much good as one prepared with some +habit-forming drug. Many of the remedies advertised as a cure for this +condition are composed chiefly of alcohol, and, although they may give a +temporary relief, the benefit is not permanent. Careful attention to +diet and exercise, with regular hours of sleep, are essential points to +be considered if one would be free from this disagreeable trouble.</p> + +<p>Another symptom which often causes much alarm to the patient is +amenorrhœa or deficient or<span class='pagenum'><a name="Page_41" id="Page_41">41</a></span> scanty menstruation. This may result from +fear, worry, catching cold or to an enlargement of the womb. It also is +one of the first symptoms of pregnancy. Sometimes it indicates an +impoverished condition of the blood and shows the need of a general +building up of the system. This is true especially in young girls who +have what is called chlorosis or green sickness. These girls are pale, +weak, sometimes having a greenish cast to their complexions. They need +good care and nourishing food and plenty of light, outdoor exercise.</p> + +<p>In young girls I sometimes find an irritation of the vagina which causes +pain. This may be due to the retention of secretions in the vagina. The +general idea that only married women have leucorrhœa, or whites, is +fallacious. Virgins may have it. The usual cause is catching cold at the +menstrual period. Another delusion is that these girls should not take +douches for fear they might injure the hymen. This is erroneous, for +douches are necessary in the treatment of this condition and, except in +very rare cases, a douche can be taken with an especially small douche +point without injury to the parts. There normally must be a small +opening in the hymen to permit the passage<span class='pagenum'><a name="Page_42" id="Page_42">42</a></span> of the menstrual flow. If a +small douche point is used no harm will result.</p> + +<p>When I talked to you about the structure of the external generative +organs, I mentioned the clitoris and explained that sometimes the +prepuce or foreskin is bound down, or is too tight, so that the natural +secretions are retained under it and produce an irritation; that the +operation for the unhooding of the clitoris is very similiar to that of +circumcision in the male and is performed for similar causes. Many a +woman who has been nervous all her life, owes her condition to a hooded +clitoris, which a very simple operation would correct. A hooded clitoris +also may have something to do with the immoral life of some girls. The +other day I received a letter from an aged physician who, in discussing +the tendency to immoral practices, says: "You say in one of your +articles, 'What is the remedy? Educate!' Well, perhaps, but if you would +let me circumcise the girl early in life, I believe it would be more +certain." There is considerable truth in his statement. A hooded +clitoris produces a constant irritation which tends to lead to habits of +self-abuse and perhaps immorality.<span class='pagenum'><a name="Page_43" id="Page_43">43</a></span></p> + +<p>The other common disorder which I named at first is a tumor. Tumors are +any unnatural growth. They may form in any part of the body, but just +now we will speak only of those affecting the internal female organs. +Tumors may form in the cavity of the womb, in its walls or on the +outside of it. The common symptoms are an enlargement of the abdomen +accompanied usually by pain due to pressure on the nerves. There also +may be some hemorrhage at other than the regular menstrual periods.</p> + +<p>Sometimes the ovaries are diseased and become enlarged, tender and +filled with fluid. Then they are spoken of as cystic tumors or as cysts. +The tubes may become inflamed and filled with pus. The most common cause +of these pus tubes is one of the black plagues. With all these tumors +the treatment usually is to remove the tumor and sometimes the entire +organ. In a few cases it is possible that the fluid or other contents of +the tumor may be absorbed, if the general health and circulation are +improved. In some cases we find what is called a phantom tumor. There +really is no tumor, although the symptoms may be such that even reliable +physicians are misled. The symptoms<span class='pagenum'><a name="Page_44" id="Page_44">44</a></span> are due to a nervous condition. +These phantom tumors have given many a quack a reputation for removing +tumors without the use of the knife.</p> + +<p>A carcinoma or cancer is a malignant tumor, that is, one that tends to +grow worse and to reappear if it apparently is removed. The reappearance +may be in the same place or in an entirely different portion of the +body. Cancer of the uterus is not uncommon in women. It frequently +follows neglect of some injury. For example, it will appear on the site +of an unrepaired tear. It most commonly comes after the menopause. The +change that is undergone at that time seems to stir things up and bring +to light any neglected injury. This is another reason why every woman at +the menopause should undergo a thorough examination and have any defect +repaired, thus avoiding much of the possibility of trouble. A frequent +symptom of carcinoma of the uterus is hemorrhage at irregular times +after the menopause. Any woman who has such a condition would be wise if +she immediately repaired to a physician and determined the cause of the +hemorrhage. In the beginning it is possible to remove a cancer, but +later it becomes so involved in<span class='pagenum'><a name="Page_45" id="Page_45">45</a></span> the surrounding structures that its +removal is impossible.</p> + +<p>You may think I am trying to increase business for the physicians but in +reality my advice, if taken, would lessen their practice. It is another +application of "a stitch in time saves nine." In the beginning almost +all these diseases can be corrected with very little trouble, while if +neglected the process is much slower. The probabilities are that the +doctor will have the case later, if not consulted early, but instead of +a few office treatments he will have an expensive operation. So, you +see, I really am trying to save you doctors' bills when I urge early and +thorough examinations. There is a peculiar thing about the human race. A +machine will get out of order and the owner will send for an expert +machinist to repair it—not attempting to patch it up himself. But when +these bodies of ours, the most wonderful and complicated of machines, +get out of repair we try to patch them up ourselves or try various +remedies recommended by those who know worse than nothing about the +physical machinery. Then we think we are saving doctors' bills, when at +the same time we are spending twice as much on questionable<span class='pagenum'><a name="Page_46" id="Page_46">46</a></span> +repairs—patent medicines, which often do more harm than good. +Frequently they contain stimulants which produce a mythical improvement +but leave the system worse off than before.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_IV" id="CHAPTER_IV"></a> +<span class='pagenum'><a name="Page_47" id="Page_47">47</a></span> +<h2>CHAPTER IV</h2><h3>CONSTIPATION—HEMORRHOIDS</h3> +</div> + +<p>A regular daily movement of the bowels is necessary to health. Much of +the illness in the world might have been avoided if the victims had +taken better care of the excretory organs. One of the first questions a +physician asks a patient is, "How are your bowels, do they move +regularly every day?" In some cases that is the first time the patient +has thought of them, and he has to think some time before he can +remember just when and how often his bowels did move. Then perhaps he is +not sure. In a great many cases it is a routine practice with physicians +to give a "good cleaning out," that is, to give a thorough laxative. +Many times this is all the treatment required and in other cases it only +is combined with a little intestinal antiseptic to further carry out the +cleaning process.</p> + +<p>The most common cause of constipation is irregularity<span class='pagenum'><a name="Page_48" id="Page_48">48</a></span> in going to the +toilet. When the desire for defecation comes, we are too busy and +postpone it until some more convenient time, which time may be too late. +Nature is the best judge as to when the bowels are ready to be emptied. +If we do not obey her call, we must take the consequences. When the +waste material is ready to be voided, it is in a semi-fluid state, but, +if it remains in the intestines too long the water is absorbed and the +waste material is left in a hard mass which is expelled with difficulty. +Not only that, but the desire to expel it soon passes. Nature, finding +we do not respond to her call, ceases to notify us.</p> + +<p>If the waste material is allowed to remain in the bowels, not only the +water is absorbed but with it some of the poisons from the waste +material, which are taken up by the blood and carried to all parts of +the system, causing a great deal of trouble and pain. This absorption of +toxins (poisons) causes headache, loss of appetite, a sense of +depression and a lack of energy.</p> + +<p>The pressure of the hard material on the tender tissues of the rectum +causes hemorrhoids or piles, by irritating the tissues and causing a +congestion. Hemorrhoids are enlarged veins which have been<span class='pagenum'><a name="Page_49" id="Page_49">49</a></span> so irritated +and filled with extra blood that they have lost their power to contract. +These enlarged veins may remain inside the rectum and then are known as +internal piles. Sometimes they protrude externally and then are known as +external piles. Frequently they become tender and cause a great deal of +pain. In some cases one of the little veins becomes so engorged with +blood that it bursts and allows the contained blood to escape. This is +known as bleeding piles. For mild cases of hemorrhoids (piles) the +treatment is to correct the accompanying constipation, then take an +enema or injection of warm water morning and evening, using the water as +hot as can be borne and allowing it to run in and out the rectum for +some time. Following this, an astringent and soothing lotion should be +applied.</p> + +<p>Constipation may be caused by retroversion of the uterus. If the uterus +is tipped backwards it presses on the rectum, preventing the passage of +the feces (bowel movement). This pressure also causes hemorrhoids. In +this case the treatment is to correct the displacement. In many cases +all that is necessary is to take the knee-chest position for a few +minutes night and morning.<span class='pagenum'><a name="Page_50" id="Page_50">50</a></span></p> + +<p>Always in the treatment of constipation, the first item is to discover +the cause. We have noted that the chief cause is irregularity in going +to the toilet, therefore, the first measure to be taken in the treatment +is regularity in going to the toilet. Choose a convenient hour, usually +right after breakfast, and always go to the toilet at that time no +matter if there is a desire or not. At first there may be no natural +movement but if you persist, your efforts will be rewarded. For the +first few days it is well to take an enema of warm, soapy water at this +time. Every day take exercise that will strengthen the muscles of the +abdomen. Bending forward and touching the toes with the fingers without +bending the knees is one valuable exercise. This should be done ten or +twelve times morning and evening. A daily brisk walk in the fresh air is +another good exercise. Fruit or figs eaten with the meals or a glass of +water taken before breakfast and upon retiring often proves very +beneficial in relieving a tendency to constipation. There is an old +saying, "An apple or two before going to bed, and the doctor will go +begging for his bread." This really is a<span class='pagenum'><a name="Page_51" id="Page_51">51</a></span> practical idea and more nearly +true than many old sayings.</p> + +<p>Cathartics or laxatives should not be taken except for an occasional +dose or during illness upon the advice of a physician. So common is the +practice of taking daily laxatives that it has become a "national +curse"! People do not realize that they are slaves to this habit, so +they continue to take their daily doses of "teas" or "waters." In many +cases a patient will tell his physician that his bowels are "all right," +that they move every day. Further questionings reveal the fact that he +is in the habit of taking some laxative frequently. The bowels are not +"all right" if any laxative is required.</p> + +<p>Massage of the abdomen usually is very beneficial in treating +constipation. It acts by stimulating the muscles and should be given at +set times in the day but never until two hours after any meal. The +various vibrators act in the same manner as massage. In any massage of +the abdomen the thighs should be flexed, as this relaxes the abdominal +muscles.</p> + +<p>Enemas or injections of warm water may be<span class='pagenum'><a name="Page_52" id="Page_52">52</a></span> taken occasionally and then +are beneficial, but if long continued are injurious by reason of their +irritating effect. At times, when the stomach and intestines have been +over-loaded with irritating material, an enema is one of the quickest +measures for relief. In obstinate constipation two or three ounces of +warm olive oil injected slowly into the rectum at night and allowed to +remain until morning will soften the waste material so it can be +evacuated easily in the morning.</p> + +<p>Constipation never should be neglected as it carries in its train a long +line of disorders, as hemorrhoids (piles), abscesses, and intestinal +obstruction.</p> + +<p>Indigestion and constipation frequently are bosom friends. How often +indigestion is a result of nervous strain is perhaps seldom realized. A +business man eats his lunch and other meals in a hurry, with his mind on +his business. His energies are being consumed by his brain and very +little is left to be used in the digestion of his food. One never should +eat when tired and nervous. Take a few moments' absolute rest before +meals. If possible lie down and relax all muscles for a few moments. +Then eat your meal slowly and if possible<span class='pagenum'><a name="Page_53" id="Page_53">53</a></span> have some pleasant companion +who will talk with you on subjects not connected with your business +cares. You will be surprised to note the improvement in your digestion +and incidentally in your tendency to constipation.</p> + +<p>For the noon meal, office workers should eat only light and easily +digested food. Eat your heaviest meal after the work for the day is +finished and the blood which has been required by the brain can be +spared to the stomach. People doing manual labor that requires physical +strength need, and can digest, a heavy noonday meal but the requirements +of the brain workers are quite different.</p> + +<p>Many girls break down on account of lack of sufficient nourishment. +Coffee and rolls for breakfast, ice cream and rolls for lunch and a +sandwich and coffee for dinner is not sufficient food for any working +girl. And yet that is about the diet of hundreds of girls. Often it is +impossible for her to provide more, for when a girl must pay for her +board, room, clothes and laundry from her salary of five or six dollars +a week, sufficient food becomes an impossibility. Many girls actually +are slowly starving on this account. When the<span class='pagenum'><a name="Page_54" id="Page_54">54</a></span> wheels of progress make +it possible for every working girl to have a comfortable home and +sufficient nourishing food many of the social problems will right +themselves.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_V" id="CHAPTER_V"></a> +<span class='pagenum'><a name="Page_55" id="Page_55">55</a></span> +<h2>CHAPTER V</h2><h3>THE BLACK PLAGUES</h3> +</div> + +<p>I promised to explain to you what I meant by the black plagues. It is +strange when anything is as widely spread as are these diseases that so +few people know anything about them, or realize their importance. At one +time epidemics of typhoid fever were regarded as a revelation of the +wrath of God. Now we know they are due to carelessness and lack of +sanitation. It is the same with the sufferings of women. We used to +think it was a dispensation of Providence if a woman were compelled to +undergo an operation. Now we know it usually is due to someone's lack of +care, to a desecration of Nature's teachings.</p> + +<p>I remember when I was quite young hearing mention made of a "bad +disease." Concerning the nature of this disease I was ignorant but I +gathered the idea that it was some terrible disease which was contracted +only by the most depraved<span class='pagenum'><a name="Page_56" id="Page_56">56</a></span> of mortals. How little I suspected its +widely-spread distribution, and how little I dreamed that among my +acquaintances might be any afflicted with these diseases! nor did I +dream of the danger of innocent contagion. Since then I have learned +what these diseases were. Now we call them the black plagues, because, +owing to the prejudice of the majority, we dare not use their correct +names generally. I have no doubt you will be as surprised and shocked as +I was at the things I am going to impart to you.</p> + +<p>By black plagues we mean the two diseases spoken of by physicians as the +venereal diseases, because they usually are contracted during sexual +intercourse.</p> + +<p>The most common of these diseases is gonorrhœa, or clap, as it often +is called by men. How common it is may be judged by a statement made by +a professor to his class in the medical college that at least eighty per +cent. of the men in the world have contracted it sometime during their +lives. Even the most conservative give the estimate as sixty per cent.</p> + +<p>The prevalent idea common among men that it is no worse than a cold—a +mere annoyance that<span class='pagenum'><a name="Page_57" id="Page_57">57</a></span> all men must expect and endure sometime—is +lamentable. The persistence of the disease in the deeper structures long +after it outwardly is cured leads to unexpected communication of it to +women, among whom may be the young wife. As a result she enters upon a +period of ill-health that ultimately may compel the mutilation of her +body by a surgical operation to save her life. Much of the surgery +performed upon the female organs has been rendered necessary by disease +contracted from the husband.</p> + +<p>A few little germs of this disease left on even the external organs may +find their way up through the vagina to the uterus or womb. Here they +may produce an inflammation of the lining of the womb, causing severe +pain and other symptoms, such as profuse discharge. The germs may go +farther, or the inflammation may extend from the uterus to the tubes. +When we consider that the passage through the tubes is only about as +large as a broom straw, we see what serious trouble may result. The +tubes become enlarged and filled with pus. The opening from the tubes to +the uterus becomes closed, so there is no way for the pus to escape. The +accumulation of pus or the products<span class='pagenum'><a name="Page_58" id="Page_58">58</a></span> of septic inflammation stretch the +walls of the tubes until the little nerves in the walls cry out in +rebellion. The pain becomes so great and the reflex symptoms are so +aggravated that finally the woman resorts to the only relief,—an +operation for the removal of the tubes.</p> + +<p>When we consider that the ovule, the human egg, must travel through +these tubes to reach the uterus and, if they are destroyed, has no other +way of reaching the womb and, if it cannot reach the womb and be +impregnated, cannot develop into the babe, then we realize how this +disease is dooming women to childless lives,—women whose natural +instincts and desires cry out for motherhood. When we consider the +factors that promote race suicide we must not forget this important one. +Even though the woman refuses an operation, or in a case in which the +inflammation is not so severe and is reduced until she is nearly free +from pain, the result may be the same, for the tubes may remain closed +permanently.</p> + +<p>The closure of the tubes is not the only result that may follow the +course of this disease. The infection may extend into the peritoneal +cavity causing peritonitis, which so often results in the<span class='pagenum'><a name="Page_59" id="Page_59">59</a></span> untimely +death of the woman. Here let me say that not all cases of peritonitis or +of inflammation of the womb, tubes or ovaries are due to this infection. +There are other infections, other germs, that may produce similar +results. These germs may reach the organs in various ways. Sometimes the +woman herself is to blame and sometimes we can blame no one. +Inflammation of these organs may result from pressure of clothing, +colds, excitement, overwork, pregnancies, excesses or neglect. The +inflammation may spread to these organs from an inflamed appendix or +other neighboring organs.</p> + +<p>Supposing, though, following this disease the tubes are not entirely +closed and the woman becomes pregnant. There is still the danger that +during labor the baby's eyes will become infected and may become +permanently blind. It is estimated that seventy per cent. of the +blindness in the world has this cause. How does this produce blindness? +Some few germs of this disease have remained in the vagina or birth +canal and as the baby passes along the canal they enter its eyes. They +are so very strong and work so rapidly that they can cause total +blindness within three days.<span class='pagenum'><a name="Page_60" id="Page_60">60</a></span> This fact is so well known by physicians +that at the present time all reliable physicians pay especial attention +to the newborn baby's eyes, cleansing them with an antiseptic solution +immediately after birth. This precaution doubtless has saved the eyes of +thousands of babies. This is one of the reasons why it is dangerous to +employ an uneducated person at the time of labor. Even though she may +have assisted at hundreds of births yet often she is ignorant of the +many dangers and of the precautions that should be taken in every case.</p> + +<p>Even adults may become blind from this infection. The disease is carried +to the eyes by polluted fingers or towels. In a few hours the eyes +become inflamed, pus forms, and unless heroic measures are taken, the +eyesight is soon destroyed.</p> + +<p>In female children the vagina may become infected through the use of +tainted sponges, wash cloths, etc. An innocent girl may thus carelessly +acquire the disease. For this reason, we see how necessary it is to +caution girls never to use public towels or wash cloths that have been +used by another person. Even in the home, every member of the family +should have his exclusive towel and wash cloth.<span class='pagenum'><a name="Page_61" id="Page_61">61</a></span></p> + +<p>The symptoms of gonorrhœa that often are noted first are a profuse +discharge from the vagina, usually creamy or yellowish in color. This +discharge is of such a nature that frequently it excoriates the external +parts so that they become very tender and inflamed. Backache, especially +across the hips, is a common accompaniment of this disease. There may be +general soreness in the pelvic region. If a woman suspects she has +contracted this disease, she should go immediately to some reliable +physician; for at first the disease may affect only the vagina but, if +neglected, may extend to the uterus and tubes. In its early stages it +may be cured by prompt treatment, but the majority of women postpone +treatment until it is too late.</p> + +<p>The other loathsome disease, syphilis, infects the blood and therefore +all parts of the body. While under proper treatment it is not dangerous +to life in the earlier years, yet the possibilities of conveying the +contagion are numerous. In the second stage, which lasts for a number of +weeks, the mucous patches in the mouth are a source of danger. In this +stage the disease may be conveyed by a kiss or through the medium of +the<span class='pagenum'><a name="Page_62" id="Page_62">62</a></span> public drinking cup, towel, or anything that comes in contact with +the virus. It may be contracted by a babe from a wet-nurse or the nurse +may contract it from the babe.</p> + +<p>The most serious results of this disease appear years after its initial +appearance, when the individual has been lulled into a false sense of +security by long freedom from its outward symptoms. Many of the obscure +cases of stomach or nerve trouble may be traced to this disease. The +results not only affect the man, but, should he marry and have children, +his innocent babes may come into the world with an inherited taint. +These children seldom live to reach adult life and their lives usually +are burdensome and full of misery. They may be deformed or be +continually afflicted with ulcers or other horrible manifestations of +the disease. I will explain this more thoroughly when I speak of +heredity.</p> + +<p>Many of the disastrous effects of these diseases might have been +prevented if they had been properly treated in their early stages. +Ignorance as to the nature and probable disastrous effects, if +neglected, prevents many a person from procuring proper treatment. It is +a common practice among<span class='pagenum'><a name="Page_63" id="Page_63">63</a></span> men afflicted with these diseases to try +various remedies recommended by their friends or by the druggist. It is +strange that a person who would not think of trying to treat himself for +smallpox or other contagious disease will do so with these diseases. +With women, the cause of their neglect is a failure to realize the +importance of the symptoms. Unfortunately women have grown to think that +various female ills are their lot in life which must be endured and +regarded as a dispensation of Providence instead of being considered an +error in living that must be corrected the same as any other disease. +Some commence treatment but neglect it as soon as the noticeable +symptoms have disappeared. It generally is considered among physicians +that the treatment of syphilis should be continued for at least three +years after contracting the disease in order to remove all traces from +the blood.</p> + +<p>It is a deplorable fact that the prevalence of these diseases might have +been prevented by proper instruction of young boys. No man ever +willfully contracted one of these diseases. Statistics tell us that the +majority of victims contract them before their twentieth year, before +the boy<span class='pagenum'><a name="Page_64" id="Page_64">64</a></span> has learned anything of their dangers or perhaps of their +existence. If these patients received the right treatment immediately +and continued it until the disease had been eradicated the results would +have been less serious. Here, too, lack of early and proper instruction +is shown; for these immature boys do not realize the necessity for +prompt and wise treatment, or are misled by unscrupulous persons. I +shall talk to you again on this subject, for many of you will have sons +and you must know the dangers that beset them, so they can be prepared.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_VI" id="CHAPTER_VI"></a> +<span class='pagenum'><a name="Page_65" id="Page_65">65</a></span> +<h2>CHAPTER VI</h2><h3>FAKE MEDICAL ADVICE FOR WOMEN</h3> +</div> + +<p>One young lady wrote me, "Recently I read that imperfectly developed +ovaries might be a reason why some women do not have children. I have +the symptoms which the article said indicated imperfect development. +Does this necessarily mean that I never can have a baby? I seem to be +healthy. I am twenty-one years old. I was to have been married in three +months but now I do not know what to do. 'My boy' loves children as I +do. It seems as though I cannot give him up, yet it surely is not +honorable to marry him if I find that I never will have a little one, +without telling him. Please tell me what to do."</p> + +<p>The probabilities are that this girl's ovaries are perfectly normal and +that the article mentioned was an advertisement of some medical house +which, by misleading statements, endeavors to induce women to take their +treatment. There are<span class='pagenum'><a name="Page_66" id="Page_66">66</a></span> many women who suffer a great deal mentally, and +this in turn reflects on their physical health because of just such +articles.</p> + +<p>It has been said that we are a nation of dupes and the advertisements +carried in some of the papers would indicate the truth of this +statement. No manufacturer is going to advertise anything that does not +sell well and bring a considerable profit. Men are not so altruistic as +to be in business just for the good of humanity. The majority are in +business for the money to be obtained from it. Somehow, women are very +susceptible to the arts of these greedy manufacturers. A company +commences to make a patent medicine and then, in order to derive any +profits from the investment, large quantities of the preparation must be +sold. In order to accomplish this they must convince possible buyers of +their need of this particular treatment. The company employs an agent to +write an advertisement, perhaps in the shape of an article purporting to +be written by someone much interested in the human race. This +advertisement or article describes some disease which may be cured by +this one remedy. As there might not be enough people who know they have +this given disease<span class='pagenum'><a name="Page_67" id="Page_67">67</a></span> to make a profit for the manufacturer, it becomes +his business to convince others that they have this disease. Therefore, +he proceeds to enumerate a great many symptoms which he says indicate +this disease. Perhaps they might! But they are just as likely to +indicate any one of half a dozen other things. He details enough +symptoms so that some are recognized by nearly every woman as relating +to her condition, so she jumps to the conclusion that she has that +certain disease and buys a bottle of the medicine.</p> + +<p>If you will study the large medical advertisements that appeal +especially to women you will notice that they all have certain symptoms +enumerated. No matter if the remedy advertised is for the kidneys, the +bowels, or exclusively for women, the same symptoms are claimed to +indicate the need of that certain remedy. One of the symptoms most +commonly given is backache. Of course! For nearly every person has a +backache at some time. It may be due to a strain, to rheumatism of the +lumbar muscles (lumbago), to constipation, to a displacement, or to +numerous other conditions. No one can tell the cause who is not properly +prepared to do so and who is not fully<span class='pagenum'><a name="Page_68" id="Page_68">68</a></span> acquainted with the physical +condition. The sewing machine runs hard and perhaps makes a noise. It +requires a mechanic who is familiar with the mechanism of the machine to +find the cause of the trouble. So it is with the human body. It requires +a mechanic who is familiar with the structure of the body to discover +the cause of the trouble. And yet people will continue to pour into +their bodies drugs, harmless and otherwise, that are manufactured by +some enterprising firm and then advertised by an expert who knows +nothing of disease except a few symptoms common to almost all diseases.</p> + +<p>The patent medicine consumers seldom realize the nature of the medicine +they take. Because some man, desirous of selling his remedy, claims it +will be beneficial, they rush in and buy. To one who knows the true +nature of some of these remedies, many laughable instances are visible. +One man recently discovered that a temperance agitator was daily dosing +herself with a certain tonic which was known to contain a larger +percentage of alcohol than did the beverages she was denouncing so +ardently.</p> + +<p>Patent medicines may benefit some, but in the<span class='pagenum'><a name="Page_69" id="Page_69">69</a></span> majority of cases, the +consumer is like a man who boards the nearest street-car hoping it will +take him to his destination. It may! But it is just as likely to take +him in the opposite direction.</p> + +<p>Some people become veritable drug fiends, slaves to certain drugs +without in the least realizing their condition. How many are slaves to +certain laxatives or headache powders! With them the daily dose of +"harmless" teas or waters or even of pills cannot be neglected. And yet +such a person would be indignant at the suggestion that she was the +victim of a drug habit. What are drugs, anyhow? The majority are simply +extracts of herbs and vegetables. And yet people imagine that they are +avoiding the use of drugs and medicines when they take "simple herb +remedies, prepared at home."</p> + +<p>Another lure of the advertiser is to state that all letters are +"strictly confidential and answered by women only." Perhaps they are! +But he neglects to add that the women who answer these letters are +simply stenographers with no medical knowledge, employed to write +according to dictation, that the letters are all written according to +certain forms which have been dictated by the<span class='pagenum'><a name="Page_70" id="Page_70">70</a></span> manager. A short time ago +a young woman wrote me regarding her condition. Among other things, she +said she had written to a certain woman whose name is much advertised by +a patent medicine concern and that this woman had written her advice +that had caused her to worry over her condition. Poor, deluded girl! How +was she to know that the woman in question had been dead many years and +that the business was carried on by her son and other men.</p> + +<p>If you are ill do not be misled by these unscrupulous advertisers. Do +not waste your time and money on remedies that may be entirely unsuited +to your condition.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_VII" id="CHAPTER_VII"></a> +<span class='pagenum'><a name="Page_71" id="Page_71">71</a></span> +<h2>CHAPTER VII</h2><h3>THE MARRIAGE RELATION</h3> +</div> + +<p>As several of you expect to be married soon I think it would be well to +talk briefly about the cause of so much unhappiness in marriage.</p> + +<p>It has been estimated that only about five per cent. of all marriages +are successful. Is this true, and if true, why? If five per cent. made a +success of marriage, why could not the other ninety-five? Marriage is a +science to be studied by the prospective bride and groom in order that +they may be ranked with the five per cent. and not make a failure of +their married life. Few would enter the marriage relation if convinced +that it would be a failure. The prospective bride looks around among her +acquaintances and sees the lack of true happiness, thinks that her case +will be an exception, that her marriage will turn out all right and then +goes blindly ahead into the new life without any preparation.<span class='pagenum'><a name="Page_72" id="Page_72">72</a></span></p> + +<p>A large percentage of the unhappiness among married couples comes +through a misunderstanding of the marital relations. A great deal of +this is due to ignorance on the part of the bride and thoughtlessness on +the part of the husband. This is partly due to defective education +during childhood in regard to the sexes. The training of boys and girls +in this matter is very different. Knowledge pertaining to the sexual +life is talked over very freely among boys, so that by the time the boy +is of a marriageable age he is pretty well posted. With girls it is +quite different. It would be considered very immodest for a girl to +discuss such matters. She does not feel free even to talk with her +mother or other adviser, and so she goes to the altar ignorant of many +things she should know. Then during the first few days of married life +this knowledge so overwhelms her and often gives her such a severe shock +that it leaves a lasting impression. She has no way of knowing that her +husband is just like other men. She is liable to regard him as a brute +and resent his attentions.</p> + +<p>Such a condition of affairs is altogether wrong, but the girl is not to +be blamed. Had she been taught what to expect, much of the unhappiness<span class='pagenum'><a name="Page_73" id="Page_73">73</a></span> +of married life might have been avoided. If taught correctly, the girl +should regard the sexual act as the culmination of true love. It should +be regarded as something sacred, something that makes her and her +husband as one. Fortunate indeed is the girl whose husband realizes this +lack of knowledge and gently leads her to desire the fulfillment of +love. Unfortunate is the girl whose husband regards this act only as the +gratification of animal passions—something it is a wife's duty to +endure as such.</p> + +<p>Passion or sex sense is a sign of maturity. It is the calling for a +mate. All animals have this sense and nearly all animals have a mating +season. The billing and cooing of the birds in the springtime is an +expression of this sense—the love sense. It is possessed by every +little insect. Only by knowing their habits do we see the expression of +it. This sense is nothing of which one should be ashamed. It was +God-given for a divine purpose.</p> + +<p>In the study of plants we learn that the pollen or male element must +unite with the ovum or female element in order to produce the seed that +will develop into the new plant. The same fact<span class='pagenum'><a name="Page_74" id="Page_74">74</a></span> is true of the human +race. Before pregnancy can take place there must be a meeting and fusion +of the vital elements of the two sexes. This fertilization of the ovum +or joining of the male and female elements is called conception. It is +brought about by coitus, by means of which the semen of the male is +deposited in the vagina of the female. This act is called insemination, +although conception does not follow unless the ovum and spermatozoon +(life-giving element of the semen) come together and unite. When this +occurs the woman conceives and enters upon a period of pregnancy. The +time at which conception is least likely to occur is from the +seventeenth to the twenty-third day after menstruation ceases.</p> + +<p>During the first year of married life couples are liable to abuse the +love sense by over-indulgence and thereby use up too much of their +energy. This affects their health, especially that of the young wife, +who finds herself always being tired and is unable to account for it. +Her daily tasks become a drudgery, for she is too exhausted to have the +strength to perform them. After the tasks finally are finished, she is +too tired to don<span class='pagenum'><a name="Page_75" id="Page_75">75</a></span> the afternoon dress, and so easily falls into untidy +habits. This brings its train of results. The young husband, on his +return from work, fails to find his wife the bright, attractive girl he +married and gradually grows indifferent.</p> + +<p>The relation of intercourse to conception is a problem that each husband +and wife must settle for themselves. Some educators claim that only for +the one is the other allowable, that the bearing and raising of children +is the sole aim of married life. Naturally this is the fundamental end +of the sex instinct. But in the present-day, practical married life it +would be impossible to convince the majority that the impulse of sex +gratification was given to them for this one purpose only.</p> + +<p>The sense of well being and the increased capacity for work, that +follows a moderate exercise of this function, tends to convince us that +it has a beneficial effect upon the entire system if exercised +moderately. As to what constitutes moderation or temperance depends upon +the individual. What would be moderation to some would be excess to +others. It may be taken as a general rule that the after-effects will +indicate the amount. If the after-effects<span class='pagenum'><a name="Page_76" id="Page_76">76</a></span> are irritability, extreme +lassitude or a diminution of the love or respect for the other then +there has been excess. If the after-effect is a sense of well-being so +that the next day one feels more inclined to take up the duties of life, +then it may be considered that moderation has been practiced. A certain +amount of energy is consumed in any act and, as in our present age we +need a great deal of energy to carry on our everyday business, in the +majority of cases fresh vitality cannot be spared for an expenditure +under several days or a week. Excess in anything tends to bring on +premature old age, for the nervous force is expended faster than it is +manufactured.</p> + +<p>Frequently women seem to be endowed with an excess of energy which +manifests itself in various forms. Besides this, the woman does not seem +to have control of her nervous energy but wastes it in numerous ways. +With many a woman the regularity and moderation attendant on a happy +married life seems to have a regulating effect upon her whole nervous +system, so that she becomes more calm and has greater control over her +energies.<span class='pagenum'><a name="Page_77" id="Page_77">77</a></span></p> + +<p>Wrong training or lack of training in matters pertaining to the +relationship of the sexes and to the management of a home may be given +as the cause of the majority of unhappy marriages.</p> + +<p>There must be something wrong with our system of education when the aim +of this education seems to be to prepare the girl for a temporary +position in an office or store or for a gay social life; and when there +is no preparation for the important work of home-making and the rearing +of children. A girl would not be expected to run a complicated and +delicate piece of machinery without having adequate instruction +concerning the necessary care of it. But the girl is allowed to go +blindly into marriage and is expected to manage her home and care for +her children with practically no preparation. Nowadays we require +experts for every position except that of motherhood, but we apparently +do not consider that of enough importance to waste any time preparing +for it. A man requires his gardener or office assistant to be trained, +but the mother of his children need know nothing regarding the +preparation for their coming. Too often her only preparation is that of +making numerous<span class='pagenum'><a name="Page_78" id="Page_78">78</a></span> clothes. She takes no measures to insure a healthy +child.</p> + +<p>If girls would make a study of home-making and motherhood and enter into +marriage with a more definite realization of its obligations we would +have fewer unhappy marriages and fewer divorce cases. Some women, owing +to false education, wish to have all the advantages of marriage without +assuming its cares. Such a woman expects a man to be willing to provide +her with all the gifts of the gods, with all the luxuries of life, but +in return is not willing to become the mother of his children nor to +exert herself to make their mutual habitation a home and not merely a +house—a place in which to eat and sleep.</p> + +<p>A large part of the average woman's life is devoted to home-making and +the rearing of children. Usually she is poorly prepared for this work. +The early years of a girl's life are spent in the acquisition of a store +of general knowledge, especially that derived from books and related to +subjects generally considered necessary to "culture." During this +period, her time is so occupied with her studies that her mother thinks +it would be an imposition to ask her to do any<span class='pagenum'><a name="Page_79" id="Page_79">79</a></span> housework, so the girl +grows up without much knowledge of the care of a home. True, she often +is enabled to do a few things. She learns to make cake and several +varieties of candy and perhaps can fashion a collar that is the envy of +her schoolmates. Sometimes she even helps her mother with the dishes or +the dusting, but it is easier for the mother to take the responsibility +of the housekeeping than it is to teach her daughter to do so, and +besides her daughter always is so busy with school affairs. She has no +time in which to learn the science of housekeeping.</p> + +<p>After the completion of her course in the common or high school, a few +months, sometimes, are devoted to the preparation for a certain line of +work which is to occupy her time for a few years. Very few girls, except +those who enter the professions, expect to continue their work after +marriage and nearly all look forward to marriage. If we place a girl at +a new occupation, for instance lace-making, and let her work out her own +salvation, we would not be surprised if she disliked her work and was +unable to accomplish any good results. But that is what we do in regard +to home-making. A girl upon marriage is expected<span class='pagenum'><a name="Page_80" id="Page_80">80</a></span> to know by instinct +how to keep house, cook, and do the numerous other household duties; she +is expected to know how to care for herself before the birth of her baby +and how to care for the baby when it comes. Fortunately for the future +generation this fact has come to the realization of many of our +educators. During the last few years many schools have introduced into +their curriculum, courses in domestic science, including the purchasing, +preparation and serving of food. Very recently some of the more +progressive schools have introduced courses in nursing and the care of +young babies. Perhaps in a few years motherhood will take its proper +place as the most important of all sciences.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_VIII" id="CHAPTER_VIII"></a> +<span class='pagenum'><a name="Page_81" id="Page_81">81</a></span> +<h2>CHAPTER VIII</h2><h3>EMBRYOLOGY—THE DEVELOPMENT OF LIFE</h3> +</div> + +<p>You remember I mentioned that at various times during the month an ovum +or egg leaves the ovary and passes along the tube to the uterus. Here it +remains if it is impregnated or fertilized by a union with the +spermatozoon or male element. The whole body of the babe is developed +from the ovum or female element after it has been fertilized by the +spermatozoon or male element. The union usually takes place in the tube. +The spermatozoon, after being deposited in the vagina, travels to the +mouth of the womb, then up through the womb into one of the tubes. Here +it meets the ovum and unites with it, then the impregnated ovum +continues on its way to the uterus. It attaches itself to the lining of +the womb by little thread-like filaments which it projects. The ovum +then begins to grow, dividing itself into portions that go to make the +different<span class='pagenum'><a name="Page_82" id="Page_82">82</a></span> parts of the body. Before I continue, let me remind you that +the ovum in the beginning is only about as large as the point of a pin, +being about 1-125 of an inch in diameter, while the spermatozoon is so +tiny it cannot be seen without the aid of a miscroscope. Therefore, it +can be realized how much the ovum has to grow before it becomes a fully +formed babe.</p> + +<p>During the time the ovum is developing into the babe we speak of it +first as the embryo, then the fœtus. It takes about nine calendar +months or ten lunar months before the fœtus is fully developed and +ready to be expelled from the womb. During the process of development +the fœtus resembles various animals. It seems it must pass through +about the same stages of evolution that our primitive ancestors did.</p> + +<p>By the end of the third week, the dividing has progressed so far that +the body is quite well indicated. By the end of the seventh week the +body and limbs are quite well defined. One peculiar thing is that, at +this time, the fœtus has a tail which disappears during the next two +weeks. During the third month the fœtus increases in size and weight +so that by the end of the month<span class='pagenum'><a name="Page_83" id="Page_83">83</a></span> the weight is four ounces and the +length two and three-fourths inches. It now is not directly attached to +the lining of the womb but is attached by means of the cord to the +placenta or afterbirth which has been forming slowly. This placenta +consists of fatty tissue surrounding a great many little blood vessels. +The tiny blood vessels lie so close to the blood vessels of the lining +of the womb that the blood passes from one to the other. To do this, it +must pass through the walls of the blood vessels, as the vessels of the +mother and those of the placenta are not directly united. The blood +vessels of the placenta unite to form two veins and one artery which lie +very close to each other and are surrounded by a membrane. These three +blood vessels united together form what we call the cord. The other end +of the cord is attached to the fœtus so that the blood can flow back +and forth between the fœtus and placenta.</p> + +<p>By the end of the third month the limbs have definite shape, the nails +being almost perfectly formed. During the next month the sexual +distinctions of the external organs become well marked.<span class='pagenum'><a name="Page_84" id="Page_84">84</a></span></p> + +<p>By the last of the fifth month the weight has increased to one pound and +the length to eight inches. Active fœtal movements begin, that is, +the fœtus begins to move around and not lie quietly as before. This +is what is usually spoken of as "feeling life," or as "quickening." +There is life from the very beginning but during the first four or five +months the fœtus does not move about and so the mother does not "feel +life." This has caused the erroneous idea that there is no life before +the fifth month.</p> + +<p>By the end of the sixth month the weight is two pounds and the length +twelve inches. The eyebrows and eyelashes have begun to grow and the +lobule of the ear is more characteristic.</p> + +<p>By the end of the seventh month the weight is three pounds and the +length fourteen inches. The surface of the body, which has appeared +wrinkled, now appears more smooth owing to the increase of fat +underneath.</p> + +<p>By the end of the eighth month the weight is four to five pounds and the +length twenty inches. The nails have grown to project beyond the finger +tips. Up to this time the body has been covered with a fine hair called +lanugo. This now has<span class='pagenum'><a name="Page_85" id="Page_85">85</a></span> begun to disappear and the skin becomes brighter +and is covered with a white, cheesy material called the vernix caseosa. +This almost entirely disappears during the next month, but frequently +there are portions of it remaining on the body at the time of birth. The +fœtus is fully developed by the end of the ninth month. Then its +average weight is six or seven pounds and the length twenty inches.</p> + +<p>If we could look into the womb just before the time of labor we would +find the fœtus attached by the cord to the placenta and floating in a +sac of water. This sac is formed partly of the placenta and partly of +the membrane; the side of the placenta opposite to the child being +attached to the womb. Just before labor the child takes a position with +its head downward, its lower limbs flexed and its arms folded upon its +breast. This allows it to come in the usual way, head first. But +sometimes, for various reasons, it does not take this position and some +part other than the head, for instance, the feet, may be born first.</p> + +<p>Labor pains are caused by the contraction of the muscles of the womb in +an effort to expel the fœtus. The muscles, contracting, push the +fœtus<span class='pagenum'><a name="Page_86" id="Page_86">86</a></span> downward to the mouth of the womb but push ahead of it a +portion of the membrane enclosing some of the water. This is called the +"bag of waters." As it presses against the mouth of the womb it causes +it to dilate so as to allow the fœtus to pass through into the +vagina. The fœtus, preceded by the bag of waters, then descends +through the vagina or birth canal until it comes to the external opening +of the vagina. This it must dilate before it can pass through it. The +bag of waters should rupture normally while it is being pushed through +the external opening. Sometimes the bag does not rupture directly in +front of the descending head but further up along the side. Then a +portion of the membrane may be over the face of the child when it is +born. This is what is called being "born with a veil" or "born with a +caul."</p> + +<p>The bag of waters helps dilate the parts much easier than the fœtus +could do it alone. When the bag breaks the water lubricates the parts so +as to make the passage of the child easier. When it breaks, as it +sometimes does, at the beginning of labor we have what is termed a "dry +labor." This usually is much slower than it would be<span class='pagenum'><a name="Page_87" id="Page_87">87</a></span> otherwise. The +majority of the cases of labor extend over a period of from twelve to +twenty-four hours.</p> + +<p>Sometimes the external opening of the vagina does not dilate enough to +allow the passage of the child. As the head presses hard against the +perineum it tears it. This tear should be repaired immediately after +completion of labor.</p> + +<p>When the baby is born it is fully formed but its lungs have never +contained air. At the first cry the air rushes into the lungs and +expands them. At birth there is a change in the circulation of the blood +of the baby. Before this time, the blood has passed to and from the +placenta through the cord but now this is stopped. Before birth there +was an opening between the right and left sides of the heart but this +closes during the first few days of the child's life. To assist in this +closure, it is wise to keep the child on its right side for a few days. +Rarely, this opening never closes and we have what is called a "blue +baby," which seldom lives very long.</p> + +<p>In a great many cases, painless childbirth could be a possibility by a +little attention to diet, exercise and other hygienic measures during +the last<span class='pagenum'><a name="Page_88" id="Page_88">88</a></span> few months of pregnancy. Knowing this, it seems inconceivable +that any woman would neglect to so fully inform herself on these matters +that both she and her child could have all benefit of the investigations +of science.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_IX" id="CHAPTER_IX"></a> +<span class='pagenum'><a name="Page_89" id="Page_89">89</a></span> +<h2>CHAPTER IX</h2><h3>ABORTIONS</h3> +</div> + +<p>Sometimes through an accident or on account of disease, the womb expels +the fœtus before it is fully developed. If this occurs before the end +of the third month we call it an abortion; if it occurs between the +third and seventh months we call it a miscarriage; while if it occurs +after the seventh month but before the normal time of labor we call it a +premature labor.</p> + +<p>Formerly it was considered that there was no possibility of the child +living if it were born before the seventh month. Now, by the aid of +incubators, even those born at five months have a chance to live. By +that time the body is fully formed, so the chief requirements are a +steady temperature and proper care and food. Great care must be +exercised, as a slight cooling of the air may result in the death of the +babe.</p> + +<p>Abortions are either accidental, criminal, or<span class='pagenum'><a name="Page_90" id="Page_90">90</a></span> justifiable, that is, +brought on to preserve the life of the mother. Accidental abortions may +follow a sudden fall or a sudden shock, either mental or physical, to +the mother. They may be due to some disease either of the mother or of +the fœtus. Of the diseases responsible for abortions the one with the +largest percentage is syphilis. It is estimated that this disease is +responsible for forty per cent. of accidental abortions and +miscarriages. Whenever a physician has for a patient a woman who gives a +history of having had several abortions without any apparent cause and +all at about the same age of the fœtus, he immediately becomes +suspicious of syphilis either of the father or the mother. It is a +peculiar fact with this disease that it may be transmitted to the +offspring without the mother ever actually having the disease. This is +an instance of "visiting the sins of the fathers upon the children unto +the third and fourth generation." Many a weak frame owes its condition +to a dissipated father, grandfather or even great-grandfather. It is +possible, though, for a man or woman who has had this disease to have a +healthy child if the disease has been properly treated.<span class='pagenum'><a name="Page_91" id="Page_91">91</a></span></p> + +<p>Under some circumstances, especially with a deformed pelvis, if +pregnancy were allowed to proceed normally it probably would result in +the death of the mother. Then, it is considered justifiable for the +physician in charge of the case to produce an abortion in order to save +the life of the mother. Those cases are rare and such a procedure never +is undertaken except in extreme cases.</p> + +<p>Criminal abortions are those brought on simply because the woman does +not desire to have a child. These often are produced by the woman +herself by means of drugs that set up uterine contractions (labor pains) +or by means of something introduced into the uterus. In either case it +is a dangerous procedure. Infections may be carried into the uterus by +means of whatever is introduced into it. This may set up an inflammation +that may result in the death of the woman. It is a dangerous procedure +to introduce anything into the womb. Some women are extremely foolish or +reckless and use anything that may be handy. Sometimes grave harm +results. Instances are on record of women who have punctured the walls +of the womb by the use of hatpins<span class='pagenum'><a name="Page_92" id="Page_92">92</a></span> or other sharp instruments. If an +abortion is produced by either drugs or instruments there is danger that +all the products of conception may not come away. If even a small +portion remains in the uterus it may cause a hemorrhage or, becoming +decomposed, produce a poison that may result in the death of the woman.</p> + +<p>It would be impossible to estimate the number of abortions performed on +unmarried girls, as well as married women, during one year by midwives, +unscrupulous physicians and by many respected family physicians. We +never hear of one of these except through the occasional one who is so +unfortunate as to meet death. We cannot entirely blame the one who +performs the abortion. Sometimes it is performed because of the sympathy +of the physician. It is very hard to refuse some cases. Let me read you +a letter to illustrate my meaning.</p> + +<p>"I have just finished reading your article on 'Woman's Inhumanity to +Woman' and wish to say that every word impresses the truth as read. My +reason for writing you is because I am one of those who have sinned +through love, with one I have known all my life only to find too late +that<span class='pagenum'><a name="Page_93" id="Page_93">93</a></span> he did not love me; and the sin is killing me. I do not want to +bring into this world a little child to have no father. I am not bad at +heart. My only hope is to get something that will bring me all right. If +you are a doctor you can give me medicine that will help me miscarry +this, as I have only missed two months. Nothing would please me more +than to be the mother of a little one, but, oh, not one born without a +name. Dear madam, if you can help me, or show me some way that my people +cannot suspect me of this sin, for the love you bear all girls, help me. +I am the only one at home to care for an aged father and one of the +dearest brothers that ever lived. If he knew I had sinned as I have, it +would break his heart. My God in heaven, help me! is my prayer, and +through his love you can help me. I am almost desperate and before I +will live and bear this sin I will take my own life, which will bar me +from heaven and my angel mother's face. Be gracious, kind doctor, and +help me. I will repay you if it takes the remainder of my life and give +my solemn promise that I will sin no more. Erring through the love of a +man is my only excuse and, oh, I am the one to bear the blame.<span class='pagenum'><a name="Page_94" id="Page_94">94</a></span> He would +be forgiven. I am so nervous and ruined in mind that I hardly can go +about my duties and I cannot stand the strain much longer. Let me hear +from you at once and please help me, for I know it can be done, but I am +ignorant; I do not know what to get or what to do. It will be no sin to +try to get all right and not bear a child, but in my thoughts it is +something awful to have to have it. For the love of heaven help a +heartbroken girl at once and before it is too late for me to regain my +chance of heaven."</p> + +<p>Now suppose you were a physician and that girl, instead of being a +stranger, was a very dear friend who had come to you in your office, +would you not be tempted to grant her wishes? That is the position in +which every physician is placed a great many times. Some allow their +sympathies to rule and so break the laws of the land. They allow their +sympathies to overcome the moral truths that previously had been their +guide. They commit a crime by taking a life, even though that life were +not fully developed.</p> + +<p>Many women have the false idea that there is no life before the fifth +month and so think they are not destroying life if they have an +abortion<span class='pagenum'><a name="Page_95" id="Page_95">95</a></span> at the end of the first, the second or even the third month. +This idea is entirely erroneous, for there is life from the very +beginning and it is just as wrong to destroy life the first few months +as it would be to do so later.</p> + +<p>Aside from this moral reason there is a very important reason for not +having abortions. You may regret it afterwards! Let me give you an +instance. One of my friends, a charming young woman, was married several +years ago. After her marriage she moved to a distant city and I did not +see her for about four years. Then she returned and called to see me. +During the course of our conversation I asked her if she had any +children. Her reply in a very sad tone was, "No, I guess I did too much +interfering at first, so now I cannot have any." Then she told me she +had the idea she did not wish to have children for several years after +she was married. So during the first year she had an abortion performed. +Now for two years she had been wanting a baby but none came. That is the +history of so many women. The regrets!</p> + +<p>All women naturally desire to have children. If they do not, they are +the victims of false ideas<span class='pagenum'><a name="Page_96" id="Page_96">96</a></span> or of fear. Anything which is natural is the +best, so usually a woman who bears children is much healthier than one +who does not. Think of the women of your acquaintance and see if the +mothers are not happier and healthier than the women who are childless.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_X" id="CHAPTER_X"></a> +<span class='pagenum'><a name="Page_97" id="Page_97">97</a></span> +<h2>CHAPTER X</h2><h3>MATERNAL IMPRESSIONS—HEREDITY</h3> +</div> + +<p>Every child has a right to be born well. An undesired child never should +be brought into the world. An undesired child or a child of parents who +are not in good bodily or mental condition comes into the world with an +inheritance that perhaps never is overcome. How can we expect children +of parents with criminal tendencies to become good citizens?</p> + +<p>Children born in circumstances under which the expectant mother has been +subjected to fright or to cruel treatment are handicapped in the very +beginning of life's race. Maternal impressions from fright or physical +violence undoubtedly are followed by the birth of individuals malformed +and in many respects with altered minds. Although some biologists try to +deny this, the coincidence is too widely observed to admit of doubt, +although the precise manner in which the effect is<span class='pagenum'><a name="Page_98" id="Page_98">98</a></span> produced has not +been clearly demonstrated. Sufficient is known to make it of the utmost +importance that, in the interest of her offspring, the expectant mother +be not subjected to sudden or violent mechanical force or to any great +nervous shock. Equally important is it that she should be surrounded by +a harmonious environment in order to give the unborn child all possible +benefit of such surroundings.</p> + +<p>By many it is claimed that the mother's mental condition during this +period will be reflected in the child both mentally and physically. For +instance if the mother be calm, free from worry and happy in +anticipation of the coming event, her offspring will have a sound +nervous system, shown by a perfect digestion and an excellent +disposition: while if the mother be irritable and unhappy her child is +inclined to have various digestive ills, as well as to be cross and +restless.</p> + +<p>Great disturbances in the expectant mother's health also have their +effect upon the child. The erroneous idea that there is no life before +the third or fifth month allows many conscientious women to attempt +measures that will cause the discharge<span class='pagenum'><a name="Page_99" id="Page_99">99</a></span> of the products of conception. +These measures not only are dangerous to the health or the life of the +woman but, in the event of their proving unsuccessful, may result in the +birth of a deformed or a mentally defective child.</p> + +<p>Parents who have become degenerate from the immoderate use of alcohol or +other stimulants or those who are afflicted with one of the black +plagues furnish further examples of the birth of deficient offspring.</p> + +<p>The question of heredity has received considerable attention during +recent years. As a result, many of our pet theories have undergone a +decided change. Many of the diseases which formerly were thought to be +acquired through inheritance we now know to be contracted through lack +of care or through association. The only inheritance is possibly a +tendency to the disease or a decrease in the power of resistance. It is +a law of pathology that the diseases of parents who suffer from certain +serious chronic maladies create in the offspring a condition of +defective life shown in malformations or in altered nutrition. The +hereditary influence of most diseases is shown in<span class='pagenum'><a name="Page_100" id="Page_100">100</a></span> the transmission to +the child of a defective body shown by feebleness or a diminished power +of resisting disease.</p> + +<p>In tuberculosis and other diseases that once were considered hereditary, +this influence is shown probably only in a predisposition to the disease +which under favorable circumstances finds an easy condition of growth. +The child does not actually inherit the disease and if placed in +favorable surroundings will outgrow the tendency, will overcome the +feeble vitality. But such a child if allowed to remain with its parent, +to breathe the germs of disease cast off by the parent, readily +contracts the disease. For the sake of the child it must be separated +from its tubercular parent. It must be given fresh air and nourishing +food.</p> + +<p>There is one disease, though, that seems to be truly inherited: the +worst of the black plagues, syphilis. This may be inherited from either +parent, it frequently is inherited from the father even though the +mother does not contract the disease. This inheritance seems to manifest +itself chiefly in a disordered nutrition. Even during the first few +months of development, this may be so effective<span class='pagenum'><a name="Page_101" id="Page_101">101</a></span> as to destroy life. You +remember, I mentioned this when I talked about abortions. If life is not +destroyed, the nutritional processes may be so affected that the +pregnancy will result in the birth of a defective child. These children, +perhaps fortunately, usually die during the first few months of their +lives. Seldom do they live to maturity. Many children who seem to have +escaped this inherited trait really have not done so, but their +inheritance is not recognized. Some people with defective generative +organs owe this to a diseased parent. Others suffering from a chronic +skin disorder, and many afflicted with epilepsy or some brain +malformation could trace their inheritance to the same source. This +disease seems truly to be an instance of "visiting the sins of the +fathers upon the children unto the third and fourth generation."</p> + +<p>There is no doubt that the general health of the child is affected by +the health of the mother especially during the period when the child is +nourished from the mother's blood. Attention to such matters as diet, +sleep and exercise certainly has a great influence upon the constitution +of the<span class='pagenum'><a name="Page_102" id="Page_102">102</a></span> unborn child. The best heritage a mother can give her child is a +strong constitution, and in order to do this she must make motherhood a +science.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_XI" id="CHAPTER_XI"></a> +<span class='pagenum'><a name="Page_103" id="Page_103">103</a></span> +<h2>CHAPTER XI</h2><h3>CHILDLESS HOMES AND REAL HOMES—CAUSES OF STERILITY</h3> +</div> + +<p>Whatever may be the motive that causes men and women to enter into +matrimony, the social reason is the perpetuation of the human race. +Herbert Spencer says, "The welfare of the family underlies the welfare +of society." Therefore those who marry for convenience or with the +avowed intention of not assuming the obligations of parenthood have not +the welfare of the human race at heart and are a menace to society in +its highest form.</p> + +<p>Childless homes are not the happy homes, anyhow! Their occupants usually +are dissatisfied; the women are nervous, irritable and unhappy; the men +are seeking happiness elsewhere. The homes childless from choice should +receive our condemnation, but the homes childless from necessity should +receive our commiseration. The<span class='pagenum'><a name="Page_104" id="Page_104">104</a></span> latter are much more prevalent than many +of our race suicide agitators would admit. These are too prone to blame +the woman for what is not her choice. We hear so much about the higher +education of women promoting race suicide. A recent investigation +carried on by a well-known magazine has proven that such is not the +case. The college girls and the professional women desire children much +more than do the factory girls. But these college girls realize that +quality is as necessary as quantity. They do not desire to bring into +the world weak, puny offspring. These college girls are beginning to +make motherhood a science. What the results will be we can only +anticipate.</p> + +<p>A normal woman, who has not become imbued with false ideas and fear, +desires children. She realizes that motherhood, if rightly carried out, +is a privilege and not a curse; it is the woman who has been falsely +educated who dreads motherhood. This morning I received a letter which +shows the prevailing attitude of many girls. The writer says:</p> + +<p>"I am twenty-two years of age but strange to say I am ignorant as far as +knowledge about the<span class='pagenum'><a name="Page_105" id="Page_105">105</a></span> origin of life, etc., is concerned. I am a business +girl, drawing a good salary, and have many gentleman and lady friends. I +am the oldest child of a large family of moderate means and have been +brought up under Christian principles and possess a goodly amount of +common sense. I long have been anxious in regard to this important +subject but never have asked anyone for advice, shuddering to do so, +feeling that if I had a chance to ask a lady with knowledge, as a nurse +or some such person, I would do so. But to tell the truth, I did not +care to find out such things, but I realize the fact that I must know in +order to guard myself; for that is something no one can do for me at a +critical moment. I have no less than three gentleman admirers, but I +have no desire to be a married woman for a long time to come, but I feel +that I must be armed with the knowledge of right and wrong. I shudder on +account of <i>fear</i> to think of becoming a mother. I hear so much of +woman's pains and aches and the such, that I often think I would prefer +to remain single all my life, although I am perfectly healthy and a +happy, cheerful girl. My mother is, and always will be, too busy to tell +me about such matters,<span class='pagenum'><a name="Page_106" id="Page_106">106</a></span> although I had a right to know long ago. As you +say, an ignorant, innocent girl would be guilty before the world if +something wrong should happen to her and in most cases it is not her +fault. Can you give me the desired information or can you recommend some +good book? If so, I assure you that your efforts will be greatly +appreciated."</p> + +<p>This letter certainly indicates that the writer has a good amount of +common sense. The trouble is she has become over-impressed with the +possibilities of pain, and never has been told the wonderful truths that +would overcome this fear. If love is the greatest thing in the world, +fear and its companion, worry, certainly are the greatest curses of +humanity. And the most pitiful part is that this fear and worry usually +result from ignorance which a little instruction at the right time could +dispel so easily. It is the unknown things that we fear. When any +trouble actually comes we find strength enough to meet it, and, anyway, +it usually is not half as bad in the reality as in the prospect. Young +girls hear so much about the pains of childbirth that this fear +overshadows the natural longings for motherhood. It is not until<span class='pagenum'><a name="Page_107" id="Page_107">107</a></span> +motherhood is an actual fact that they realize the happiness is worth +all the cost.</p> + +<p>But this fear is not what actually makes many childless homes. They +often are unpremeditated. A large percentage of the sterility in the +world is due to the results of indiscretions that are the outcome of +ignorance. One great factor in childless homes is the prevalence of the +black plagues. It is estimated that forty-five per cent. of sterile +marriages are due to that seemingly mild disease which is regarded as no +worse than a cold and which has been contracted either by the man or the +woman. This disease does not disqualify the woman alone, as was formerly +thought, for recent investigations have proven that twenty-five per +cent. of the sterile marriages are due to sterility of the male. Oh, the +innumerable women who have submitted to unpleasant treatments and even +operations in the hope of overcoming sterility when all the time the +fault was elsewhere! The microscope has proven that even though a man +may seemingly be healthy and capable of sustaining the marriage +relation, yet his efforts are valueless; for the spermatozoa, the +life-giving element, are dead, due usually to<span class='pagenum'><a name="Page_108" id="Page_108">108</a></span> an inflammation which +accompanied an attack of this seemingly mild disease,—gonorrhœa.</p> + +<p>This disease is responsible for many of the one child marriages. How +often we see a family with only one child, this child born during the +first year of married life, then there are no more pregnancies. The +woman probably has contracted a disease from her husband and, during the +period immediately following the birth of her baby when the entire +generative system is in a condition to easily become inflamed, the tubes +have become closed. Another pregnancy is very unlikely.</p> + +<p>Another factor in sterility is abortions. So many times we hear a young +married woman say, "I do not want a child the first year, but after that +I would like one." In order to carry out her desires it is not uncommon +for an abortion to be performed during the first few months. In many +cases an inflammation follows this interference and the tubes become +closed permanently. Then when the woman is ready to have a child it is +impossible. Girls about to enter marriage should be cognizant of this +possibility and not take any risks, for few women would do anything +voluntarily that would condemn them to childless lives.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_XII" id="CHAPTER_XII"></a> +<span class='pagenum'><a name="Page_109" id="Page_109">109</a></span> +<h2>CHAPTER XII</h2><h3>PREVENTION OF PREGNANCY</h3> +</div> + +<p>This morning I received a letter which says in part, "I am a young +school teacher and do not know lots I should, but will come to you for +advice. Now I am engaged to the dearest boy in the world. I will do my +best to be a good wife and do my duty. But my health is not so very good +and I want to put off motherhood for awhile. Will you kindly tell me +some remedy that will keep me from becoming pregnant? I have long wanted +to ask someone but always was afraid. Mother never tells me anything."</p> + +<p>This is the type of question that is asked every physician many times. +Those who do not ask, wish to—and blame physicians for not telling the +things they want to know. What is my answer to such a question? Just +this:</p> + +<p>There is in effect a federal statute making it a felony punishable by +$5,000 fine and five years<span class='pagenum'><a name="Page_110" id="Page_110">110</a></span> at hard labor to impart any information +<i>whatever</i> relating to the preventing of conception. The information may +concern a thing, an instrument, or it need not be any material substance +at all—only a "method." I obey that law as I am not foolhardy enough to +walk into absolute danger.</p> + +<p>Every day we see examples of heart-breaking misery caused by lack of +knowledge of the proper means of prevention. The limitation of the +number of offspring has become an important problem to be considered. +There are thousands of families that would be perfectly happy if the +number of offspring could be limited. There are thousands of young men +who would be glad to get married but are afraid to do so for fear of +having a family larger than they could supply with the necessities of +life. These same young men, because they are not married, frequent +questionable houses and often contract one or more of the venereal +diseases.</p> + +<p>There are thousands of women who have become semi-invalids because of a +too prolific offspring. The babies came so fast the mother had no +opportunity to regain her health and strength. There are other thousands +of women who are made<span class='pagenum'><a name="Page_111" id="Page_111">111</a></span> invalids because of attempts at abortion, or have +been driven into early graves by these attempts, while some have +actually killed themselves.</p> + +<p>There are thousands of children half starved because their parents are +unable to supply them the necessities of life. There are other thousands +of children below par mentally and physically because of the fact that +the mother was weak from too frequent child-bearing. There are other +thousands of children born of syphilitic, tubercular or epileptic +parents who never should have been born at all because they came into +life so handicapped and had to fight against such severe odds that they, +after a brief struggle, met an early death. There are children brought +into this world amidst cursing who never hear much else.</p> + +<p>We find it necessary to regulate the parentage of our domestic animals +in order to insure a good race. But children can come by chance. The +most degraded of men is allowed to beget children of his kind. There is +small chance for race improvement under such conditions. The same laws +hold true as to the future generation of humans as are true of animals +or plants.</p> + +<p>Human beings are not mere animals and they<span class='pagenum'><a name="Page_112" id="Page_112">112</a></span> should be allowed to decide +how many children they should have. Furthermore, the present laws do not +attain their object. We all pretend to obey the laws but everyone knows +that in every city there are many women, and men also, who make an +excellent income from performing abortions. I would venture to say that +in Chicago alone there is at least one abortion performed every +hour—and Chicago is not so very different from other parts of the +country in this respect. The ways and means to prevent pregnancy are +sold and are bringing a rich reward to their manufacturers. But the +advertisements are so carefully worded that the law is not violated. But +the interested understand. If the manufacturer or his agent were accused +of selling anything to prevent pregnancy, he would simulate great +surprise and possible indignation. He doing such a thing! Impossible! +Why, he is selling a simple hygienic device or drug used in the +treatment of certain diseases.</p> + +<p>If we have laws, let us obey them; but if we do not intend to obey them, +let us stop being hypocrites and remove them from the statutes. If<span class='pagenum'><a name="Page_113" id="Page_113">113</a></span> the +law remains let us make it far-reaching enough to include those who now +are so flagrantly violating it. But if means for the prevention of +pregnancy are necessary to the health and happiness of the human race, +let us change the laws so we can have the best of these preventives and +allow reputable physicians to give whatever information they can to +prevent this wholesale misuse of a law by the unscrupulous,—the +law-breakers.</p> + +<p>A recent investigation carried on by one magazine proved that the +knowledge of how to prevent conception would not mean race suicide, as +some fear. As reported in this magazine, the college girls and +professional women who no doubt had given these subjects careful +consideration, desired children more than did those whose experience had +been a poor home and a large family. The average number of children +desired by the well-informed woman was four. That would not mean +race-suicide! It would mean that children were given a fair start in +life by being desired and planned for before their conception. Every +true woman desires a home and children but she does not wish to be +driven into motherhood. Every<span class='pagenum'><a name="Page_114" id="Page_114">114</a></span> true man desires a family but he does not +feel justified in bringing children into the world to be half starved +and with no advantages of education.</p> + +<p>What is the solution of the problem?</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_XIII" id="CHAPTER_XIII"></a> +<span class='pagenum'><a name="Page_115" id="Page_115">115</a></span> +<h2>CHAPTER XIII</h2><h3>SOME OF THE CAUSES OF DIVORCE</h3> +</div> + +<p>Until our marriage laws are so adjusted that there are no unequal +marriages, the question of divorce always will be eminent. The ever +present agitation about uniform divorce laws and the divorce problem +cannot be settled until there are more stringent marriage laws. Trying +to settle the divorce question without first settling the marriage +question is like trying to keep chickens in a small yard surrounded by +enticing fields without first constructing an adequate fence.</p> + +<p>Divorce is the concession of society to its inability to solve the +marriage problem. Anyone can get married! Mere children can meet on a +pleasure excursion and in a moment of fun or infatuation walk over to a +justice of the peace and be married. In some states not even a license +is necessary. A large proportion of the marriages in the world are +consummated without a proper<span class='pagenum'><a name="Page_116" id="Page_116">116</a></span> consideration on the part of either bride +or groom as to the responsibilities of the marriage state. Many of the +marriages are made simply as a matter of convenience—in order to +inherit property, for social position or in a spirit of pique. Such +marriages are not natural marriages and are in violation of the right +spirit of the law of marriage. The much quoted saying, "What God hath +joined together, let no man put asunder," surely does not apply to these +marriages; for that very admission would be a condemnation of the wisdom +of God. He surely never would give his sanction to many of the marriages +contracted in a spirit of lust or of greed.</p> + +<p>It is as impossible to keep mismated people together as it is to keep +chemical incompatibles together. No chemist would try to keep chlorate +of potash and sulphur together even if they did, by some accident, +happen to be in the same locality. It is just as impossible to keep two +incompatible people together and not expect an explosion. The law may +keep such people legally bound, but it cannot keep them so mentally or +physically. A prominent reformer is reported to have said that fully +one-third of the married<span class='pagenum'><a name="Page_117" id="Page_117">117</a></span> population of New York City is unfaithful to +the physical obligation. And New York is not so very different from +other parts of the country. Many who are not physically disloyal are +mentally so. The no-divorce law will not prevent this condition of +affairs. Whites and blacks cannot marry legally in the South and yet in +some of the Southern states which have a no-divorce system a large +proportion of the colored population is <i>mulatto</i>.</p> + +<p>Nature's laws tend to provide an indissoluble union, but divorce +represents the protest of the individual against the inharmonious +relations he ignorantly or thoughtlessly has assumed.</p> + +<p>Even those who are the loudest in their condemnation of divorce could +not sanction marriage under certain conditions. I wonder if these people +know that many of the divorces that are granted under the head of +cruelty really are granted because one of the parties has contracted one +of the loathsome black plagues. No humane person could condemn a woman +for refusing to live with a man and take the almost certain risk of +contracting a disease that would mean her death or mutilation, or for +refusing to bear children<span class='pagenum'><a name="Page_118" id="Page_118">118</a></span> that would come into the world an object of +disgust and horror or which would die before being born. Some of these +reformers say, "Let her live separately from him but not marry again." +That would be condemning an innocent woman to a childless life because +she had been so unfortunate as to become bound to a dissipated man.</p> + +<p>Another underlying but often unknown factor in many of the divorce cases +is sterility. In some states the law says this is a just cause for +divorce, because the future of the nation depends on the production of +children. Because a woman, in her ignorance, has married a man who is +incapable of producing healthy offspring, due to his having "sown his +wild oats," should not be a reason why she should be condemned to forego +the pleasures of motherhood. Because a man has married a woman who is +sterile or who selfishly refuses to bear children should not be a reason +why he should be denied an heir.</p> + +<p>Again, it is unfair to the future generation to compel mismated couples +to live together. Children brought into the world under such conditions +are bequeathed a heritage that will have a demoralizing effect upon +their whole after life.<span class='pagenum'><a name="Page_119" id="Page_119">119</a></span> Children, who every day hear quarrels and +strife between those they should honor, lose something of the beauty of +life; they become hardened and quarrelsome. Of course these divorces +must not be granted promiscuously; for in bringing children into the +world, parents assume an obligation that cannot be neglected. In +considering a separation, the parents' first thought should be, "What is +best for my children?" The duty to the children should be settled first. +Then the question comes, "What is my duty to my wife or my husband?" for +the act of making any contract imposes certain obligations. The +individual circumstances must settle what these obligations are. Last +comes the question, "What is my duty to myself? I was placed in this +world to make the best use of my life. Am I doing it or is it impossible +to do so unless I change my environment and associates?" The conscience +of the individual should be the guide now.</p> + +<p>Were there more frankness and sincerity in discussing the problems and +conditions of married life before marriage much unhappiness would be +avoided and there would be fewer divorces; for many engaged people would +thus discover they<span class='pagenum'><a name="Page_120" id="Page_120">120</a></span> were mismated before the marriage ceremony. To reach +a complete understanding is the main purpose of the engagement period. +Marriage is not a lottery nor a game of chance to the man and woman +entering it with a knowledge of sex relations and with absolute mutual +honesty.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_XIV" id="CHAPTER_XIV"></a> +<span class='pagenum'><a name="Page_121" id="Page_121">121</a></span> +<h2>CHAPTER XIV</h2><h3>THE NEED OF EARLY INSTRUCTION OF GIRLS</h3> +</div> + +<p>Dr. Charles W. Eliot, former president of Harvard University, recently +said:</p> + +<p>"The subject of reproduction and sexual hygiene should be more generally +presented to young people by parents and teachers. I am convinced that +the policy of silence has failed disastrously."</p> + +<p>That you may understand how widely spread is this desire on the part of +women for a better knowledge of themselves and of those things so +vitally important to the welfare of the future generation, I shall quote +a few extracts from letters I have received from women in various parts +of the country. These letters, too, will serve to show the woeful +ignorance along these lines among even the well educated women, and also +the need for some systematic instruction.</p> + +<p>A very intelligent girl from South Dakota<span class='pagenum'><a name="Page_122" id="Page_122">122</a></span> writes this heart story: "My +mother died when I was a babe. After her death I was sent out among +strangers. While away from home and before I was <i>six</i> years old a young +fellow about fifteen years old possessed me and threatened to do +something terrible to me if I told. I did not dare tell. Luckily I was +taken home at that time, as I now had a step-mother. But still more +horrible, it also happened that I had immoral relations with my brother. +When I found out that this was the way people got babies, I wished I +could get one. I was not very old before I understood that this was a +wrong and a shame and acted accordingly. My parents never mentioned +things of this nature to me. How much better it would have been if they +had done so when we were real young. How many things were spoken of by +schoolmates and told in the dirtiest possible way and things also were +said that I now know were entirely wrong."</p> + +<p>I cannot impress upon you too strongly the need of early talks with +young children on these matters. As soon as they enter school at the age +of six and even before this, in some cases, they are bound to hear these +things from their playmates.<span class='pagenum'><a name="Page_123" id="Page_123">123</a></span> Usually the information is thrust upon the +child in a very vulgar manner, or entirely wrong impressions are given. +The very secrecy that always has surrounded these subjects makes them an +object of interest to children. The functions of the generative organs +are just as natural a process as the process of digestion. We make no +secret of the process of digestion, and children do not manifest any +morbid curiosity regarding it. If we would discuss the functions of the +generative organs in just as natural a way, many of our great problems +would right themselves.</p> + +<p>A woman in one of the western states writes, "Once I had a heated +argument upon that subject with another woman. She always had lived in a +small community. In her opinion all city girls were morally depraved. +She had two daughters of her own. Both girls gave birth to babies at the +age of fourteen and sixteen years. It transpired later that these girls +first began the evil practice at school. And I will state here, +regardless of contradiction, that the village school is often the +breeder of immoral characters among both boys and girls.</p> + +<p>"In a small farming community of California<span class='pagenum'><a name="Page_124" id="Page_124">124</a></span> containing about forty +children of school age, it was discovered that immoral practices had +been carried on for years among the older children. One little girl, +being new to the school and also being in the habit of telling her +mother everything, repeated some of the sights she had seen during the +recess and noon hours, and also some of the conversation she had heard +among the children. The mother, being horrified at the child's +revelations and knowing the child must have some foundation for her +stories, told a friend about it. This woman told some of her friends who +were the mothers of the children the little girl had named to her +mother. Of course, the children were questioned and denied all knowledge +of things the child had mentioned. The mothers were indignant that their +children should be accused of anything like that. They unquestionably +believed the denial, making no effort to find out if there might be any +truth in the report. That mother and her little one were 'sent to +Coventry' with a vengeance. Later some of these mothers had cause to +repent of their carelessness in having neglected or disregarded the<span class='pagenum'><a name="Page_125" id="Page_125">125</a></span> +warning. They found to their sorrow that the little girl was not telling +an untruth, after all.</p> + +<p>"The trouble with the mother in the small community is that she judges +her children by her own past. She, perhaps, had an entirely different +environment from that of her children and because she came out all +right, naturally sees no use in bothering about talking to her girls. +'They will learn these things soon enough,' she says when the subject is +mentioned. That they either already have learned them or may be learning +them in a manner of which she would be the last to approve, she does not +take into consideration. An attempt to warn such a mother often is +misunderstood."</p> + +<p>That young women realize their need and are anxious for any help is +shown by these letters. From New York a girl writes, "I am twenty-two +years of age and as yet know nothing about the mysteries of life, and I +am beginning to worry about it as I am keeping company with a young man +and expect to become engaged to him. I know nothing of what is expected +of me when I get married and I know there are a number<span class='pagenum'><a name="Page_126" id="Page_126">126</a></span> of girls just +like me and that they are worried, too."</p> + +<p>From a girl in Seattle came this letter, "No one ever told me about this +wonderful body of ours and that God made it in his likeness for his +glorification. When I asked where the babies came from, I was told the +doctor brought them in his case. One day I saw a boy and girl about +eight years of age doing wrong, and thought nothing of it when my +brother, who was fourteen while I was six, proposed that we do likewise. +This was kept up until I was somewhere between eleven and thirteen, when +I was converted and it occurred to me that this was not the right thing +to do, but I never dreamed that I would suffer so these ten years, as I +am twenty-three now. Only in the last few years I have learned how God +made these organs for the marriage relation only and how life was +formed. I would go to my mother for this information but I know it would +break her heart and I am afraid she could not tell me what I want to +know. I would not write this but I am deeply in love with a Christian +man, and I could not marry anyone until I know about this matter. I +often have made a vow I never would<span class='pagenum'><a name="Page_127" id="Page_127">127</a></span> marry anyone, but this love came to +me before I could help myself, and as he told me of his love I would not +allow myself to let him know I care as much as I do. Kindly tell me if +anyone who has abused her organs while so young could make a good wife +or become a mother, and can these marks of sin be removed?"</p> + +<p>Another young girl writes, "It is just as you say, ignorance is the root +of evil in many cases such as mine. I have come to you for help, +information and advice. I have taken that fatal mis-step you write +about, but no one knows it besides myself and this man. He dare not +speak of this. He is very wealthy and influential. After reading your +article I found that you were the one to go to and make a confession. I +never have been warned or told of these dangers and now it is too late. +I am a young girl, eighteen years old, and have a lot of men friends +because I am considered attractive, but none of them have ever said one +word out of the way to me except this one and I yielded to the tempter. +I know I have done wrong, and now am trying to atone for it by being +awfully good. Now, what I want to know and want you to tell me is this, +'Can I ever<span class='pagenum'><a name="Page_128" id="Page_128">128</a></span> marry a decent, respectable man without him knowing of this +affair?' There is a young man very much devoted to me (and I can assure +you it is mutual) who several times has asked me to marry him. I am +afraid to give him an answer. I cannot ask anyone else this question for +the simple reason that I am not sure whether they will tell me the truth +or whether they really know."</p> + +<p>Both these girls were fortunate that they did not have any serious +consequences from their mis-step. Too many girls make only one mis-step +and as a result become pregnant or else contract one of the black +plagues. This week I have received several such letters. Laying aside +all moral points, it is too much risk for any girl to run.</p> + +<p>Unfortunately a great many girls in their ignorance do make a mis-step. +That is no reason why they should not marry. We must take into +consideration the fact that the young man in question probably has made +several of these mis-steps. He should not expect his prospective wife to +be any stronger to resist temptation than he has been. If this were an +ideal world, all men, as well as all women, would be pure, but until the +millennium<span class='pagenum'><a name="Page_129" id="Page_129">129</a></span> comes we must take things as they are, and proceed from that +standpoint. But because a girl has erred through ignorance is no reason +why she should be doomed to everlasting punishment in the shape of +social ostracism or being denied the happiness of having a home and +children.</p> + +<p>These are only a few of the many letters I have received, but they serve +to show the great need of early instruction of girls on these much +neglected subjects. Every girl, soon after she enters school if not +before, learns where babies come from. She too often is led by older +children, both boys and girls, to do things she may regret later. It has +been said that "sin is but ignorance." This is true in the great +majority of cases of immoral practices among girls as well as among +boys. The remedy for these sins, then, is to do away with the ignorance +by proper instruction of children. Children are reasonable beings and if +they understood the <i>why</i> would not do wrong.</p> + +<p>If girls go wrong through ignorance the parents are to blame; for at the +present time there is no excuse for a parent not giving the necessary +instruction. If, on account of her own lack of knowledge, the mother +feels incapable of instructing<span class='pagenum'><a name="Page_130" id="Page_130">130</a></span> her daughter, there are others ready and +willing to aid her; also, there are books especially prepared for her +help, which will definitely point the way.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_XV" id="CHAPTER_XV"></a> +<span class='pagenum'><a name="Page_131" id="Page_131">131</a></span> +<h2>CHAPTER XV</h2><h3>WHY GIRLS GO ASTRAY</h3> +</div> + +<p>Not long ago an estimable young woman in speaking of the unfortunate +girls in the world said, "I cannot see how any refined girl could get +into trouble. I cannot conceive of any circumstances which would permit +any self-respecting girl to allow the familiarities necessary for such a +condition." That is the attitude assumed by many intelligent women. +Because they grew up in an environment without temptations, because they +had no unsatisfied longings to be loved or to be popular, they are +incapable of understanding these feelings in any other person.</p> + +<p>In every girl there is an inborn longing to be loved and to have a home +of her own. It is a misunderstanding of this sense that is responsible +for the wrecked lives of many girls. In too many homes there is no +expression of the love sense. Frequently I have heard girls remark, +"Why, I<span class='pagenum'><a name="Page_132" id="Page_132">132</a></span> never think of kissing my parents except, perhaps, when they or +I go away." In too many homes the only mention that is made of love is +that made in a bantering manner. A child has the right idea of love. She +loves everyone and is free in the expression of this love. As she grows +older she obtains wrong ideas of love and she too often obtains these +wrong ideas in her own home and from her own parents who instill false +ideas of love when indulging their habit of "teasing." Frequently we +hear parents talking about the small daughter's "beau." The child feels +pent-up emotions of love and, as there is no outlet at home in a natural +way, she acquires the idea that these emotions should be spent in a +childish love affair.</p> + +<p>In a recent address Professor Marx Lubine of the University of Berlin +said, "Motherhood, in all stages of civilization, has been strangely +ignorant of the fact that girls have as powerful a battery of emotions +as boys. It is my experience that a major portion of mothers understand +their sons better than their daughters. Why? The daughters are not given +credit for a power of emotion the sons are capable of. Yet, naturally, +in my<span class='pagenum'><a name="Page_133" id="Page_133">133</a></span> long experience with both sexes, I have no hesitation in saying +that the emotions of a pure girl are usually deeper, more lasting, than +those of a boy, and that if we are to have a great improvement in +womanhood it must come through a recognition of this fact."</p> + +<p>It is strange but mothers seem to be blind to, or ignorant of the +emotions that are seething back of the clear eyes of their daughters. +The emotions of the girl have not been studied sufficiently. We expect a +boy to do things which serve as an outlet to his pent-up emotions but we +expect a girl to go on in a calm, uneventful manner with no outlet for +the overflow of emotions. Blessed are the "Tomboys." I would there were +more of them. It is a fact that the girl who runs, plays, climbs trees +and is given to outdoor sports generally during the early part of her +life develops into the truest woman. She has an outlet for her energies. +Her time is fully occupied with those things that promote health. She +has no time nor desires for those things that show a perverted taste. +Such a girl seldom becomes a victim of self-abuse. She is not inclined +to romantic love affairs. It is her sister who sits and sews who has +time and inclination<span class='pagenum'><a name="Page_134" id="Page_134">134</a></span> for indulging in morbid longings and who becomes +the victim of pernicious habits.</p> + +<p>Curiosity is one of the prominent characteristics of both sexes. With +the boy this is satisfied without much pretence at secrecy. False +modesty prevents the girl from openly obtaining the desired information. +She obtains it secretly from her companions. Mothers do not give their +daughters credit for the instinct that compels the satisfaction of their +curiosity. Sometime during her life, nearly every mother is surprised +and shocked at the knowledge displayed by her daughter. She finds that +owing to her silence and neglect of opportunities her daughter has +obtained definite if entirely wrong ideas of sexual matters.</p> + +<p>In other matters, too, the policy of silence or of arbitrarily +forbidding the daughter to indulge in certain pleasures, coupled with +the natural curiosity of the girl, tends to develop in her the habit of +deceitfulness. If she is forbidden some harmless amusements she very +frequently learns these diversions at the homes of her friends. The +mother was brought up in one generation, the daughter in another; what +was considered wrong in the first generation is looked upon in an +entirely<span class='pagenum'><a name="Page_135" id="Page_135">135</a></span> different manner now. Many mothers seem to be unable to +realize this. They were brought up in a puritanical environment. The +puritan fathers forbade all indulgence in mirth and happiness. Their +ideas of the perfect life were to wear a stern, unsmiling countenance +and do those things that were unpleasant. If anything was uncongenial, +then it was their duty to overcome their inclinations. These puritans +expected to develop by repression. We have changed our ideas radically +since then, but some of the puritanical ideas still cling to us in our +treatment of children. To develop the child's character she must be made +to do the things she does not want to do and to refrain from the things +she most desires. Is it right?</p> + +<p>We are most interested in those things that belong to us individually or +in which we have some share. If we wish a girl to remain at home then we +must see that she is interested in that home. The way to do this is to +make her feel that the home belongs to her in part and that some +portions of it are entirely hers. The majority of girls feel no real +interest in their homes. They are made to feel that it is their<span class='pagenum'><a name="Page_136" id="Page_136">136</a></span> +parents' home and that they are only assistants. A girl to be interested +in her home must have some definite room that is hers alone and in which +she is allowed to exercise her individual tastes. She must have a place +in which she can entertain her friends without the feeling that whatever +she does and says is to be criticised afterwards. She should be assigned +to certain tasks and held responsible for them. She must have a certain +definite allowance out of which she is to buy certain things, otherwise +her desire for independence will arise and cause her to leave home. The +majority of girls have no income of their own. Perhaps their desires are +all fulfilled by an indulgent parent and yet the girls resent the +feeling of dependence.</p> + +<p>Girls are naturally just as ambitious as boys, and they need good, +honest work to keep them healthy and their minds occupied. If a girl +displays an interest in a certain line of work this interest must be +encouraged. Usually it is not. The girl is taught, either consciously or +unconsciously, that whatever occupation she takes up will be only +temporary, that to become engrossed in her work would mean no marriage. +Girls cannot do good work under such conditions.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_XVI" id="CHAPTER_XVI"></a> +<span class='pagenum'><a name="Page_137" id="Page_137">137</a></span> +<h2>CHAPTER XVI</h2><h3>SELF-ABUSE</h3> +</div> + +<p>In one of my articles for one of the leading women's magazines I spoke +of mental self-abuse. This brought me so many inquiries regarding both +mental and physical self-abuse that I feel impelled to explain them to +you.</p> + +<p>To abuse means to use wrongly, or to injure. We have talked about the +uses of the female organs and also about the care of them. Sometimes, I +have watched children rub their eyes until they were quite red and +inflamed. I have seen children, thoughtlessly, stick pins and hairpins +in their ears and I even have had to remove a bean which a thoughtless +child had pushed up its nose. All these things did more or less harm to +the parts. In the same way, some girls play with their external +generative organs and even put things up in the vagina. Sometimes they +injure these organs greatly, and sometimes there<span class='pagenum'><a name="Page_138" id="Page_138">138</a></span> is a more general and +serious effect. You know the nerves of the body all are very closely +connected like telegraph wires so that an irritation to one part will +sometimes be telegraphed to another entirely different part and cause +the nerves of that part to be irritated. When you have a toothache your +whole face and head and even your arms ache. That is because the nerves +are irritated. In the same way if one irritates the nerves of the female +organs, the whole body may be affected; only in this case it is more +serious than with the toothache; for these female organs are more +abundantly supplied with nerves.</p> + +<p>One who is guilty of such an unnatural practice as to deliberately +irritate any portion of her body, especially the very important +generative organs, always secretly despises herself. If persisted in, +the results of this vice are a ruined nervous system and a weakened +character. The victim realizes she is doing a disgraceful thing and +seldom acknowledges her habit even to her physician.</p> + +<p>If one has become a victim of such a habit she should determine to stop +it immediately and then take measures to restore her nervous system to<span class='pagenum'><a name="Page_139" id="Page_139">139</a></span> +its original state. It never is too late to commence treatment. It is +the continued practice and the mental dwelling on the acts that does the +harm, not the few acts thoughtlessly performed. Of course the longer the +habit has continued, the more firmly it is fixed and the harder to +break.</p> + +<p>The treatment is first to absolutely stop the practice, then fill your +mind with other thoughts. Take considerable physical exercise in the +open air. Sleep on a hard bed in a well-ventilated room. Eat plain, +nourishing food without spices and stimulants. Take up some work or play +that will interest you and that will keep your mind occupied. Live in +the open air as much as possible. If you find yourself desiring to do +these harmful things, go immediately and busy your mind and hands with +something else and the desire will pass soon. In young children this +habit often has its origin in some irritation of the external organs, as +a hooded clitoris. So before taking severe measures to break the habit, +it is wise to have the child examined for such a condition.</p> + +<p>Now as to mental self-abuse, perhaps I can make my meaning more clear by +again quoting from some of my letters. A young woman from<span class='pagenum'><a name="Page_140" id="Page_140">140</a></span> South +Carolina wrote me, "A few years ago I taught school and one of my +pupils, perfectly innocent of the grave results that would befall her, +committed three outrages upon herself, what is known in the medical +world as masturbation or self-abuse. The girl, as I know, was chaste and +a sweeter, nicer, brighter pupil I never taught. But she had the +misfortune to commit these abuses upon herself in all innocence and felt +no discomfort or ill health in any way until about three months +afterward. Then she began to lose interest in her work, to fall away in +her grades, in fact to take very little interest in anything. In this +condition she came to me and told me everything. Since then she has felt +no physical pain whatever, but her mind, though not really gone, is +visibly affected. In this way, she is constantly in dread lest something +dreadful will happen, feels as if a cloud were hanging over her, is not +capable of doing any mental work. At times, has a horror of being shut +up in any place, memory is poor, places and positions change, that is, a +place moves to some other position, for instance, the right side of the +street very often is in the opposite direction. To sum it all up, she +constantly<span class='pagenum'><a name="Page_141" id="Page_141">141</a></span> is miserable. So far as being insane is concerned, she is +not that. She is perfectly conscious of her condition. She feels well +physically and appears to be so mentally, but says there is just a +befogged sensation in her head which gets no better nor worse, yet it is +there. The feeling came upon her very suddenly one morning in the spring +after the abuses had taken place in January and then it all flashed over +her the awful consequences of her innocent practices. Oh! what would she +not have given to be her old self again! If she only had known the awful +result, her mind sacrificed for a practice in which she indulged through +ignorance and for experiment, never dreaming the baneful effect it would +have on her mind. Now, this girl has gone on this way for the past eight +years getting no worse nor any better. Seemingly, she is the same but +she suffers untold miseries when alone, conscious that her mind is hazy +and not capable of enjoying books, society of others or anything that +interests young girls. Yet nobody ever would detect that she is not +feeling well. She told me all this in confidence and as the case puzzles +me, I write you feeling that perhaps you would advise me in some way the +treatment necessary<span class='pagenum'><a name="Page_142" id="Page_142">142</a></span> to cure her. She is and has been perfectly moral +since the fateful abuses upon herself and I do not understand why her +mind does not return to its normal condition."</p> + +<p>I do! She will not give her mind a chance to get well. She constantly is +abusing it by dwelling on things that should have been forgotten long +ago. No one goes through life without making some mistakes. Everyone has +burned his finger many times. And yet he does not keep worrying about it +and wondering if it will have some dangerous after-effect. Of course, if +he deliberately burned his finger time and time again, it might remain +injured permanently. But if he, ignorantly or accidentally, has burned +it once or several times, he stops his careless ways, allows Nature to +restore the injured portion, and then forgets there ever was an injury. +It is the same with self-abuse, many children do things like this +thoughtlessly. But when a girl learns she is injuring herself, she +should stop the practice and allow Nature to repair the wound. Then +forget all about it. Do not worry, above all things. Go ahead and fill +your mind with work.</p> + +<p>There are many women in this world who are<span class='pagenum'><a name="Page_143" id="Page_143">143</a></span> abusing themselves by +worrying over something that has occurred in the past. Whatever is in +the past cannot be undone. All we can do is to profit by our experience +and turn the energies, that would be wasted by worrying, to some good +use. Whenever thoughts of the past or desires for the wrong things +disturb you, crowd these worry thoughts and desires out of your mind by +putting in it good thoughts. Deliberately fill your mind and hands so +full of other things that there will be no room for these unwholesome +pests. Worry does more harm than smallpox ever did!</p> + +<p>This dwelling on past mistakes is only one of several methods of mental +self-abuse. Another way some abuse themselves is by continuing the +association with those who excite or irritate them. If in your work or +social life you find that a certain person has an effect upon you that +is not wholesome, that when you are in the company of that individual +you are incapable of doing your best, then it is time to make a change. +Keep away from that individual until such a time as you are strong +enough to resist his influence. Choose your friends from among those who +stimulate you mentally. If you stop to think, you must<span class='pagenum'><a name="Page_144" id="Page_144">144</a></span> admit that you +accomplish more and better work when in the presence of certain people. +Those are the ones whose companionship you should seek.</p> + +<p>There are people living together or working together who are a continual +source of irritation to each other. It is just as impossible for such +people to work in harmony as it is for two incompatible chemicals, as +nitrogen and iodine. We do not try to over-ride the laws of Nature by +trying to force these chemicals to stay together. It is just as +impossible to force certain incompatible people to be harmonious. If +society or business throws two such people together it would be wise for +one to make a change before there is an explosion. It is impossible for +any person to do good work in an atmosphere of irritation.</p> + +<p>Another element in mental self-abuse is longing for the unattainable. +Sometimes a person sets her mind on a certain thing. If that goal is an +honorable one, she should make every effort to attain it but if +circumstances over which she has no control make that goal impossible of +attainment she should turn her thoughts in another direction. But that +is what many people do not do. If they cannot have just what they want +they sit and<span class='pagenum'><a name="Page_145" id="Page_145">145</a></span> bemoan their fate and give up trying for other goals. Such +a person should choose a line of work or play that is especially +interesting to her and bend her energies in that direction. She will be +surprised how soon she will lose her intense interest in her former +longed-for goal.</p> + +<p>Lack of self-confidence is an evidence of mental self-abuse. A person +who has no confidence in herself cannot expect others to have. One who +keeps herself in the attitude of Uriah Heap, who continually asserts, "I +am a poor worm, I am unworthy of the blessings of life, I cannot expect +great reward," must expect to be taken at her word. In this age a man +(or woman) is valued, in a large measure, by the estimate he sets upon +himself. Honors are not thrust upon a man unless he shows the +self-confidence which commands confidence. Bacon said, "Some are born +great, some achieve greatness and some have greatness thrust upon them." +But those of the last class are very few. Our enemies are willing to +thrust upon us scandal and humiliation whenever there is a possible +chance, but our friends are very slow in thrusting honors upon us. If a +person wants anything in this world he must first convince himself<span class='pagenum'><a name="Page_146" id="Page_146">146</a></span> of +his ability to attain that goal, then he may be able to convince others. +It is the man with confidence in himself who wins the day.</p> + +<p>After one has decided upon his goal he should keep that goal always +before him as the pillar of fire before the seekers for the promised +land. All our thoughts should be in that direction. Every wish or +thought we send out reaches someone and in time may bring us what we +wish. "By faith ye can accomplish all things."</p> + +<p>There is an explanation of "Who answers prayer" which describes a mother +kneeling by the bedside of her sick baby, and praying faithfully that +her baby might be restored to health. In a vision the author sees these +prayer thoughts radiating from the mother like invisible telegraph +wires, along which the message is carried to various parts of the city. +One wire reaches the home of a minister who, although willing, feels his +inability to answer. Another wire reaches the home of a wealthy banker +but he, too, is powerless to help. The next wire is connected with the +home of a prominent lawyer famous for his ability to win cases for the +needy, but in this case he cannot win, for Death is more powerful than +he. But a<span class='pagenum'><a name="Page_147" id="Page_147">147</a></span> fourth wire reaches a physician who has just retired from a +hard day's fight with his enemy—disease. The physician awakens, grasps +the message and immediately arises, dresses and hastens to the home of +the poor woman. In a short time the little one's spasms are relieved and +the doctor gives a sigh of relief, as he says to the anxious mother, +"The crisis is past, your baby will live." The mother's prayer has been +answered.</p> + +<p>Every thought we entertain is being sent out along these invisible wires +and eventually will reach someone who responds to it. If we send out +worry thoughts or thoughts of self-depreciation we must expect others to +receive the message as we send it. So if we want to make the most of our +lives we continually must send out only thoughts that we wish others to +receive. We must value ourselves if we expect others to value us!</p> + +<p>Too much introspection and concern for self is often the cause of +nervous conditions that produce worry and ill-health. The best cure is +the cultivation of complete unselfishness. To be interested in the +happiness of others is the surest road to happiness for one's self;—if +you get feeling tired of yourself make a visit to some congenial +friend,<span class='pagenum'><a name="Page_148" id="Page_148">148</a></span> and there forget self and your troubles. "It is more blessed to +give than receive" is a truth that all serene and great souls recognize +and practice throughout their lives.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_XVII" id="CHAPTER_XVII"></a> +<span class='pagenum'><a name="Page_149" id="Page_149">149</a></span> +<h2>CHAPTER XVII</h2><h3>EFFECTS OF IMMORAL LIFE</h3> +</div> + +<p>Some time ago, the general public was shocked by a newspaper story of +the life led by many girl clerks in the department stores of a large +city. It seems a young girl from the country applied for a position in +one of the stores, but upon hearing of the small wages paid, said, "How +can I live on that? It would not provide even the most meager of board +and the smallest room." The employer asked in reply, "But have you not a +gentleman friend?" That reply, repeated to a social worker, started an +investigation which resulted in startling revelations. It was found that +many of the stores paid such small salaries that to live on them at all +was an impossibility for even the most economical. It was an understood +fact that each girl was expected to receive help from some "gentleman +friend."</p> + +<p>There must be something wrong in our whole<span class='pagenum'><a name="Page_150" id="Page_150">150</a></span> system of living when girls +are compelled to work for salaries insufficient for even the necessities +and are taught to have tastes and desires for the beautiful which it is +impossible to gratify on their meager salaries. A young girl goes to +work in an office or store with a definite, if not expressed, +understanding of what should be the proper relations of the sexes. After +she has been at work a short time she notices that her companions are +much better dressed than it is possible for her to be with the resources +at her command. She notices that her friends have numerous invitations +to theatres and dinners. She wonders if she is less attractive than +they. After awhile she receives hints, more or less broad, from her male +associates. Gradually it dawns upon her why the other girls are more +attractive than she.</p> + +<p>One who has not been thrown in close contact with the girls of this age +cannot realize the extent of the immorality among them. Formerly it was +considered that only boys sowed their wild oats. Now we find that many +girls do so also. We hear very little about it except for the occasional +case of one who has to suffer for her sins. Usually this one is one of +the most innocent.<span class='pagenum'><a name="Page_151" id="Page_151">151</a></span> Many of the girls of this generation are "wise." +They think they know how to "keep out of trouble," and yet reap the +rewards in the shape of a few dollars.</p> + +<p>Girls cannot afford to take the great risks incident to leading an +immoral life, aside from all moral reasons for not doing so. In the +first place there is the danger of becoming pregnant. Think what that +means! The majority of girls are led to take the first step by promises +of marriage. Real life has proved these promises seldom are kept. The +man "changes" his mind after the mis-step has been taken. He goes away +and forgets, the girl is left to bear the consequences of their mutual +sin. The men of the world like to take these girls out and enjoy +themselves but when it comes to marriage—the man wants a different kind +of a wife. There are three courses from which such an unfortunate girl +may choose. One course is an abortion with all its attendant dangers, +its risks to her life and the thoughts of having taken a life. Another +is to brave the world, bear her child and keep it. It takes a great deal +of courage to do this with our present social system. Often it is +impossible, as the girl is unable to care<span class='pagenum'><a name="Page_152" id="Page_152">152</a></span> for the child and at the same +time support it and herself. She seldom finds very much encouragement in +this course. Those who should be her friends and aid her to make the +most of her life are now the ones who keep her down. They refuse to make +it possible for her to earn an honest living and lead a moral life. The +third course is to place herself under the care of a responsible +physician, live in seclusion for the last few months of her pregnancy, +then, after the birth of her baby, have it adopted. Considering +everything, this often is the best course. From the child's standpoint, +it is given a better start in life. It is much better to live as the +adopted, but honored, child in a home than it is to have to bear the +stigma of illegitimacy. As soon as the child enters school the latter +will become known among its playmates and will be the subject of many +cruel taunts. It is not fair to the innocent child to give it such a +heritage. But think how the mothers must feel to have to give up their +babies! That is the saddest part of the case. It is not fair that the +girl should be punished the remainder of her life for one mis-step when +the man goes absolutely<span class='pagenum'><a name="Page_153" id="Page_153">153</a></span> free and without the sign of a stigma attached +to him.</p> + +<p>These cases of unfortunate girls are all too common. The rescue homes in +the large cities are full, and often a large percentage of their +occupants are from the country. Within the last week, I have received +letters from four girls, similar to the one I shall read you. This +letter is from a girl in Indiana who gives a rural delivery address. "In +one of your articles in —— you speak of homes where unfortunate girls +are sheltered and taken care of and I should like to know if there is +such a home in Indianapolis. If there is, will you kindly give me the +street and number. I am in trouble and have nowhere to go, but knowing +you to be a friend to unfortunate girls who met their misfortune through +ignorance and with no desire to do wrong, I write you for advice." This, +as well as numerous other letters, show that these things are just as +prevalent in the country districts as in the cities.</p> + +<p>So many girls do not realize how easy it is to "get into trouble." A +short time ago I had a confinement case that was a little unusual; for +the<span class='pagenum'><a name="Page_154" id="Page_154">154</a></span> young woman, who was unmarried, had an unruptured hymen, which +contained only one small opening barely large enough to insert a sound +the size of a slate pencil. At the first consultation several months +previous, when she had come to me on account of absence of menstruation +for three months, the girl had insisted that there was no possibility of +her being pregnant. Later she admitted that four months previously, just +after she menstruated, she was out with a young man who was very +insistent, that she did not consent, but in spite of her resistance +there was a discharge thrown against the labia (external organs). At the +time of this first examination she was about four months pregnant and +had not supposed such a condition of affairs possible. Fortunately in +this case there was an early marriage.</p> + +<p>Another grave danger to the girl who indulges in immoral practices is +the possibility of contracting one of the black plagues. You know what +that would mean. If you recall the prevalence of these diseases you will +see that the probabilities are that any girl indulging in immoral +relations will sooner or later contract one of these diseases.<span class='pagenum'><a name="Page_155" id="Page_155">155</a></span> Indeed +she runs a big risk of contracting one at her first mis-step.</p> + +<p>After one has taken the first mis-step it is very easy to take the next. +One step often leads to another until the girl succumbs to a life of +prostitution. A result of prostitution that is important is the +unfitting for regular life. Whatever the effect of such a life may be +upon a man, a girl cannot lead such a life with impunity. Many a girl +tires of her immoral life and gladly would turn to something else but +the difficulties in her way are numerous. One is her inability to obtain +a position when it is known that she has led an immoral life. Another is +that she finds the duties and regular hours incident to any position +very irksome. The irregular life she has led has unfitted her for a +regular life. There seems to have been a general disturbance of the +whole nervous system, her will has become so weakened that it is very +hard for her to have the will power necessary to keep from returning to +the old life. This breaking of the will power also makes it difficult +for her to keep her mind on her work. Then, too, she resents any +supervision of her work. Of course, the<span class='pagenum'><a name="Page_156" id="Page_156">156</a></span> longer the irregular life has +continued the harder it is to break away from it.</p> + +<p>Now, from another standpoint! No matter how dissipated a man may be he +wants his bride to be pure. Nearly all girls expect to marry sometime, +and so for the sake of the future—in order to keep the confidence of +her husband as well as for the sake of not taking any risks that might +prevent future motherhood, girls should not lead immoral lives.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_XVIII" id="CHAPTER_XVIII"></a> +<span class='pagenum'><a name="Page_157" id="Page_157">157</a></span> +<h2>CHAPTER XVIII</h2><h3>FLIRTATIONS AND THEIR RESULTS</h3> +</div> + +<p>The greater social freedom of the present generation without adequate +preparation has resulted in an increasing tendency among young girls to +make chance acquaintances and perhaps clandestine engagements. That +these flirtations, entered into so innocently, may result in events that +will be the cause of lifelong regret is seldom realized by a young +girl. Yet very often such is the case!</p> + +<p>One letter I received says, "I will give you a short outline of my life +since last April when my troubles began, for which I blame my parents +partly, because I was not allowed to have my friends at my home or go +out with young men, as the other girls do, with my parents' knowledge of +it and because I was kept ignorant of the things I think every girl +should know. I was nineteen last March. The men say I am the kind that +looks good to men, that they cannot resist. As to<span class='pagenum'><a name="Page_158" id="Page_158">158</a></span> this I do not know, +but I do know that I always attract their attentions and I am sorry that +I do. And yet I crave them. I have for years and I am lonesome without +them. I want their friendship and company. I do not know why it is but I +am more satisfied with the boys than the girls. Last April a young man, +somewhere in the thirties, I think, though he looked much younger, came +to our little country town. He was handsome, well educated, finely +dressed and always seemed to have plenty of money. I was very unhappy +about this time over my troubles at home and because my boy friend, who +always had been a friend through all, had for some cause unknown to me +stopped writing to me. So I met the young man first in company with +friends a couple of times, then he wished to make an appointment to meet +me alone and, through the kindness of my friends, I met him out at night +several times. On the third night before I half realized what I was +doing I had let him ruin me. I had never been told that this was wrong +and yet I seemed to know that it was. It worried me, but there was no +one I could go to for advice and my friend said that since what was done +already could never be undone I might as<span class='pagenum'><a name="Page_159" id="Page_159">159</a></span> well keep it up, etc. Having +no advice but his, I followed it and for several weeks met him out any +and every where and time I could. I knew of the trouble that might come +from these meetings and asked my friend about it but he said that +everything was all right, that he would tend to that and that nothing +would happen. But it did happen. He was going away in a few days and +gave me some medicine to take, telling me I was only held back on +account of it being the first time. But I didn't believe him and went to +a married lady whom I had known but a short time but whom I thought I +could trust and who would help me. She invited my friend and me there +one evening and talked the matter over with us or rather with him. He +stayed over and helped me out of my trouble. But my health has never +been the same since. Now, what I want to ask you is this, do you think +it would be right for me to marry any man, with him thinking that I am +good or innocent? Do men expect that of the women they marry? But I do +not wish to marry if I can help it, but I must do something. I will go +crazy if I stay here at home from worrying over what I have done and for +fear my parents will<span class='pagenum'><a name="Page_160" id="Page_160">160</a></span> find it out. What I wish to do is to go away to +work, but I have no one to go to and am afraid I cannot resist the +temptations that they say come to every working girl. I have given in +twice since my trouble, both times shortly afterwards. The first because +I could not help it and the second because I was afraid of being told +on, he having been told by the first man. But when I found out I could +not resist the teasing I quit going out and it has been months since I +have been out with a man and I am trying to lead a decent life but it is +hard and at times it seems that I must give in. Now, please write and +tell me just exactly what you think of my case. Has my whole life been +ruined by this man?"</p> + +<p>Unless this girl will "play soldier" and "right about face" she is in +danger of landing in a house of ill-fame. How common is her story! Girls +do not realize what are the possible results that may follow an innocent +flirtation. Young girls are not posted and they do not know men. They do +not realize the pressure that will be brought to bear upon them. Many +young girls grow to womanhood without any idea of the relations of the +sexes. To them, love is devoid of ideas of<span class='pagenum'><a name="Page_161" id="Page_161">161</a></span> sex, practically the same as +their love for a brother or sister. It is not until they are thrown +alone in the company of some older man that they suddenly awaken to a +realization of what it all means.</p> + +<p>The girls who like to be petted, to be kissed and hugged can see no harm +in that and do not realize what a sleeping force may be aroused. The +man, when he finds a girl will allow these attentions, thinks that she +knows what they may lead to and naturally assumes that she is willing, +but only wishes to be coaxed. It is a clear case of misunderstanding on +both sides. But that does not make the consequences any less harmful.</p> + +<p>Girls do not realize what kind of an impression they make upon men by +their clothes, actions, etc. An eminent lawyer said to me recently, "Why +do you not tell girls what <i>real</i> men think of them when they appear on +the streets with painted faces, peek-a-boo waists and thin, silk hose +worn with shoes more appropriate for the ball-room? If girls imitate the +demi-monde in their dress they must expect to be treated accordingly." +There is in every girl's nature a desire to appear attractive in the +eyes of those of the opposite sex and this desire leads them to extremes +of dressing. These<span class='pagenum'><a name="Page_162" id="Page_162">162</a></span> extremes of dressing naturally attract the attention +of men, and the girls feel flattered and continue in their course, not +realizing what impression the men really get. Then, when the man makes +the advances that her manner of dressing has led him to believe he can +make, she feels insulted and resentful.</p> + +<p>The fault lies in the fact that the girl has not been properly educated +and has received exaggerated and entirely wrong ideas of life.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_XIX" id="CHAPTER_XIX"></a> +<span class='pagenum'><a name="Page_163" id="Page_163">163</a></span> +<h2>CHAPTER XIX</h2><h3>WHITE SLAVERY</h3> +</div> + +<p>During the past few years the public has been much interested in the +prosecution of the white slave investigation. Every adult person had a +more or less definite idea that there were in existence immoral houses. +But the majority of women had no idea that their existence should be of +any especial interest to them.</p> + +<p>The Hon. Edwin Sims, U. S. District Attorney, Chicago, says: "There are +some things so far removed from the lives of normal, decent people as to +be simply unbelievable by them. The 'white slave' trade of to-day is one +of these incredible things. The calmest, simplest statements of its +facts are almost beyond the comprehension of belief of men and women who +are mercifully spared from contact with the dark and hideous secrets of +the 'under-world' of the big cities.</p> + +<p>"Naturally, wisely, every parent who reads this<span class='pagenum'><a name="Page_164" id="Page_164">164</a></span> statement will at once +raise the question: 'What excuse is there for the open discussion of +such a revolting condition of things? What good is there to be served by +flaunting so dark and disgusting a subject before the family circle?' +Only one—and that is a reason and not an excuse! The recent examination +of more than two hundred 'white slaves' by the office of the U. S. +District Attorney at Chicago has brought to light the fact that +literally thousands of innocent girls from the country districts are +every year entrapped into a life of hopeless slavery and degradation +because parents in the country do not understand conditions as they +exist and how to protect their daughters from the 'white slave' traders +who have reduced the art of ruining young girls to a national and +international system. I sincerely believe that nine-tenths of the +parents of these thousands of girls who are every year snatched from +lives of decency and comparative peace and dragged under the slime of an +existence in the 'white slave world' have no idea that there is really a +trade in the ruin of girls as much as there is a trade in cattle or +sheep or other products of the farm.<span class='pagenum'><a name="Page_165" id="Page_165">165</a></span></p> + +<p>"I have no disposition to add a single word to what will open the eyes +of parents to the fact that white slavery is an existing condition—a +system of girl hunting that is national and international in its scope, +that it literally consumes thousands of girls—clean, innocent +girls—every year; that it is operated with a cruelty, a barbarism that +gives a new meaning to the word fiend; that it is an imminent peril to +every girl in the country who has a desire to get into the city and +taste its excitement and pleasures."</p> + +<p>One of the worst obstacles to be overcome in the work of protecting +innocent girls and restoring to useful lives those who have been +betrayed, is the blind incredulity on the part of a large percentage of +the public. There are thousands of women all over the country who know +as little about what is going on in the world as do so many children. +They are wonderfully ignorant of the terrible conditions that are in +existence all around them. Of course their blindness to these awful +conditions makes them more peaceful and contented for the time being +than they possibly could be if they realized the temptations and perils +that are lying in wait for their daughters and the daughters<span class='pagenum'><a name="Page_166" id="Page_166">166</a></span> of their +friends. But this peace is not permanent and every year thousands of +mothers are rudely awakened from their sleep of peace to find that while +they were asleep to the perils of the world their daughters have been +drawn into the whirlpool. The awakening of such parents comes too late +usually to do any good. The recent agitation along this line has caused +many a mother to exclaim, "How terrible; I did not dream that such a +condition of affairs could exist in this country."</p> + +<p>If you possessed a rare jewel and knew you were surrounded by those who +would try to obtain possession of that jewel you would not entrust it to +a blind or a deaf watchman or one so ignorant of the wiles of the +robbers that he would trustingly allow it to pass into their possession. +There is nothing in the world so priceless to the father and mother as +the virtue and happiness of their daughter. And yet there are thousands +of parents who have been entrusted with the care of a daughter who are +trying to discharge that trust with their eyes blinded and their ears +closed. They insist upon keeping the childish belief that there is no +real danger threatening their daughter. These<span class='pagenum'><a name="Page_167" id="Page_167">167</a></span> parents do not live in +the world. They fold their hands and raise their eyes towards heaven and +cry, "Peace! Peace!" and are unable to see the enemy slipping upon their +daughter to drag her down to a life of shame.</p> + +<p>In this age no young girl is beyond temptation. She needs all the +protection possible, and in order to protect her the parents must be +awake to the dangers and provided with the best means of protection. One +of the things hardest to make honest and trusting parents believe is +that there can be people in the world who make it their business to lead +girls into a life of shame. But such is the case whether we believe it +or not. The men and women who ply this trade lay their plans more +carefully and employ more artifices than can be conceived of by the +ordinary parent. The wonder is that not more are caught in the net.</p> + +<p>Another fact which the public finds it hard to believe is that the girls +who are lured into the life of shame find it impossible to escape from +such a life, that they are prisoners and slaves in every sense of the +word.</p> + +<p>The artifices employed by these slave-dealers to obtain their victims +are many and frequently are<span class='pagenum'><a name="Page_168" id="Page_168">168</a></span> so adroitly formulated as to blind not only +the victim but her parents as well.</p> + +<p>One common trick of these slave procurers is the promise of a good +position. Many a girl has gone to the cities thinking she had obtained a +definite and desirable position. Perhaps she was to be met at the +station by the person who obtained the position for her. Too late she +finds her position is in a house of ill-fame. So common has this trick +become that in every large city there are organizations of social +workers who offer through the churches to look up the desirability of +any position which has been obtained by a girl so that should it prove +to be a lure of the destroyer she could be warned before it was too +late.</p> + +<p>Another favorite device of the white slaver for landing victims is the +runaway marriage trick. The alleged summer resorts and excursion centers +which are so widely advertised as Gretna Greens and as places where the +usual legal and official formalities preliminary to respectable marriage +are reduced to the minimum are star recruiting stations for the white +slave traffic. So common is this trick that a wise mother would refuse +to allow her daughter to visit one of these places or to go on one<span class='pagenum'><a name="Page_169" id="Page_169">169</a></span> of +the pleasure excursions unless accompanied by some older member of the +family. Also, every mother should teach her daughter that any man who +proposed such a marriage was to be looked upon with suspicion, and +should not be trusted for an instant.</p> + +<p>Then there is the restaurant trick. The girl is induced to go to what +she thinks is a restaurant and then perhaps is taken into a private room +only to find that this room leads to her prison. Girls cannot be too +suspicious of going to unknown places with comparative strangers—either +men or women.</p> + +<p>The moving picture shows furnish to these slavers another opportunity of +misleading girls. These shows naturally attract children and very young +girls. Evidence has been procured which proves that many girls owe their +ruin to frequenting them. As an instance of this, three girls met as +many young men at a moving picture show and at the end of the +performance were induced to leave the theater by a side door which was +found to open into an adjoining building and all passed the night +together.</p> + +<p>The massage parlors and manicure parlors upon<span class='pagenum'><a name="Page_170" id="Page_170">170</a></span> investigation proved to +have been used as a bait for these vile procurers. Many of these places +were found to be not equipped for their legitimate work but to be +nothing more than disorderly houses.</p> + +<p>The investigations of the United States courts have resulted in the +imprisonment of many of these panders but there are many more still +unconvicted and the danger to young girls is ever present. The parents +cannot be too watchful in their protection, and to be watchful they must +be cognizant of the dangers and of the methods in use. The daughters +must be so educated that they are prepared to cope with the enemy. +Remember, as Browning says, "Ignorance is not innocence, but sin."</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_XX" id="CHAPTER_XX"></a> +<span class='pagenum'><a name="Page_171" id="Page_171">171</a></span> +<h2>CHAPTER XX</h2><h3>THE NEED OF EARLY INSTRUCTION OF BOYS</h3> +</div> + +<p>I have made so emphatic the necessity of early and proper instruction of +girls and I have shown you that so much of the disease and unhappiness +in the world is due to this lack of instruction that I do not believe +any of your daughters ever will say, "Why was I not told these things +before it was too late?" But you women will have sons as well as +daughters and you are just as responsible for their future happiness as +you are for that of your daughters. Besides the future happiness of +another woman's daughter depends in a large measure upon the health of +your son. The boys need instruction as much if not more than do the +girls; at any rate they need it earlier than the girls do, because boys +talk more freely than girls and boys acquire their first impressions of +these subjects much earlier than girls.</p> + +<p>No boy ever willfully contracted a disease that<span class='pagenum'><a name="Page_172" id="Page_172">172</a></span> would produce so much +future misery as that resulting from one of the venereal diseases. You +remember I made the remark that the large percentage of men contracted +these diseases before their twentieth year, before they had any adequate +knowledge of the possible consequences. If boys were warned there would +be no more of this innocent acquisition of disease. Many a man has had +cause to regret all his life a few moments of thoughtless dissipation. +Even though a boy has acquired one of these diseases that is no reason +why he should suffer from it the remainder of his life any more than +that he constantly should suffer from an attack of smallpox. One +difference at the present time is that the smallpox patient receives the +most scientific treatment procurable, but the victim of one of these +plagues is neglected. Boys are told these diseases are no worse than a +cold and so do not realize the necessity for prompt and adequate +treatment. The ordinary boy treats himself, following the advice of some +of his friends or some incompetent person. He has a feeling of shame +which prevents him from going to the family physician, who would give +him honest advice. If he goes to any physician he usually goes to some<span class='pagenum'><a name="Page_173" id="Page_173">173</a></span> +advertising physician who claims to be a "men specialist." The main +speciality of these men is obtaining money from their ignorant dupes. +Their advertisements would make nearly every man in the world think he +were suffering from some grave disease. The young boy, at an +impressionable age, is a ready victim to their lures. He is treated for +a real or an imaginary disease until his money is all gone, then he is +discharged.</p> + +<p>Let me read you a letter I received from a young boy which will +illustrate my meaning: "I read your article 'A Father's Duty to His +Son,' in the —— and take the liberty of writing to you. My father died +when I was but nine years old, so I was left to my own resources, the +result being I am now a nervous wreck at the age of nineteen. I have +doctored for nervous debility with four doctors for over a year and a +half. The result, they got every cent out of me but did not help me a +particle. If my mother ever found it out, it would worry her to death, +as she has hopes in me, fool that I was. My condition, I am always +nervous when in company, expecting somebody to accuse me any minute. My +eyes always are blurred and my hands shake as if I were an old<span class='pagenum'><a name="Page_174" id="Page_174">174</a></span> man. I +have night losses, which bother me more than anything and if they +stopped I know I could fight my way back to health. If you could +possibly give me some recipe or advice it would be greatly appreciated. +Nobody but one in this condition can imagine the strain on the mind and +body. Although I feel well when alone, though awfully weak, I am a +nervous wreck when in the presence of others. I have written to you +because your article seems to tell facts which I know to be true."</p> + +<p>Now, if you will pardon me I will quote a portion of my reply: +"Evidently you have been the victim of unscrupulous doctors. +Unfortunately there are a number. They usually advertise themselves as +specialists in diseases of men. A reliable physician does not advertise. +If you had gone to a trustworthy family physician in the first place you +would have been saved much worry, and incidentally considerable money.</p> + +<p>"The chief advice you need is to <i>stop worrying</i>. The night losses you +mention are a natural condition. They occur with nearly every normal man +who is living a continent life. Even if they occur two or three times a +week they do not indicate any diseased condition. The more you worry +and<span class='pagenum'><a name="Page_175" id="Page_175">175</a></span> think about such things the more often they will occur. I do not +know what your occupation is, but if it is indoor work you must plan to +take a great deal of outdoor exercise every day. If you could go out in +the country for awhile and do hard outdoor work it would be the best +thing for you. Eat only plain, easily digested food, but eat plenty. Do +not use any condiments nor stimulants. Sleep on a hard bed with plenty +of fresh air in the room. Bathe the external genitals with cold water +night and morning.... The fact that you have abused yourself in the past +need not prevent you from being a perfectly healthy person now if you +are not continuing the practice."</p> + +<p>Every boy desires to be a man but does not quite understand the meaning +of the word. He dislikes to be called a "greeny" or anything that +suggests that he is young and inexperienced. Often he pretends to know +things he does not. Nearly every boy, at an early age, is thrown in +contact with low-minded persons who think it amusing to persuade the +youth to prove he knows indecent things. He thinks it a test of manhood +to be acquainted with various vices and so in order to prove his +knowledge is led into various indiscretions,<span class='pagenum'><a name="Page_176" id="Page_176">176</a></span> which result in the +contraction of vile habits or of loathsome diseases.</p> + +<p>If a boy at an early age were given the true idea of the meaning of +being a man or of manhood we would have fewer physical wrecks and +incompetent individuals.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_XXI" id="CHAPTER_XXI"></a> +<span class='pagenum'><a name="Page_177" id="Page_177">177</a></span> +<h2>CHAPTER XXI</h2><h3>WHY BOYS GO ASTRAY</h3> +</div> + +<p> +"What can a boy do, and where can a boy stay,<br /> +If he is always told to get out of the way?<br /> +He cannot sit here, and he must not stand there,<br /> +The cushions that cover that fine rocking chair<br /> +Were put there, of course, to be seen and admired;<br /> +A boy has no business to ever be tired.<br /> +The beautiful roses and flowers that bloom<br /> +On the floor of the darkened and delicate room<br /> +Are made not to walk on—at least, not by boys;<br /> +The house is no place, anyway, for their noise,<br /> +Yet boys must walk somewhere, and what if their feet,<br /> +Sent out of their houses, sent into the street,<br /> +Should step round the corner and pause at the door<br /> +Where other boys' feet have paused often before;<br /> +Should pass the gateway of glittering light,<br /> +Where jokes that are merry and songs that are bright<br /> +Ring out a warm welcome with flattering voice,<br /> +And temptingly say, 'Here's a place for the boys.'<br /> +<br /> +"Ah, what if they should? What if your boy or mine<br /> +<span class='pagenum'><a name="Page_178" id="Page_178">178</a></span>Should cross o'er the threshold which marks out the line<br /> +'Twixt virtue and vice, 'twixt pureness and sin,<br /> +And leave all his innocent boyhood within?<br /> +Oh, what if they should, because you and I<br /> +While the days and the months and the years hurry by,<br /> +Are too busy with cares and with life's fleeting joys<br /> +To make round our hearthstone a place for the boys?<br /> +There's a place for the boys. They'll find it somewhere;<br /> +And if our own homes are too daintily fair<br /> +For the touch of their fingers, the tread of their feet,<br /> +They'll find it, and find it, alas, in the street,<br /> +'Mid the gilding of sin and the glitter of vice;<br /> +And with heartaches and longings we pay a dear price<br /> +For the getting of gain that our lifetime employs,<br /> +If we fail to provide a good place for the boys."<br /> +</p> + +<p>This little poem, published anonymously in a country newspaper, seems to +me to tell the story of why boys go astray. They are not understood at +home and so naturally go where someone seems to understand and want +them.</p> + +<p>In a great many homes the boy's room is a very unattractive place, +merely a place in which to sleep. He is not allowed in the "parlor." He +always seems to be in the way. No one seems to take any interest in the +things that are closest to his heart. It is only natural that he should +gradually drift to the saloon, the billiard room, the<span class='pagenum'><a name="Page_179" id="Page_179">179</a></span> questionable +houses, because he is made to feel that he is welcome there. Indeed his +tastes and desires are consulted there.</p> + +<p>A boy always is interested in sex problems. The vulgar delight in +feeding his fancy, in giving him exaggerated ideas of these much abused +subjects. He is lead on from one step to another. Often many of the +things he does are performed in a spirit of bravado, simply because he +does not wish to appear "green."</p> + +<p>From one of the reliable magazines comes this information: "Forty-one +families—'nice families,' as we call them—were last May thrown into +consternation and humiliation by being privately notified by the head +master of a boys' school that their boys would not be reëntered for +another term at his school. 'A fearful condition of immorality,' wrote +the head master, 'has been unearthed at the school, and in order to set +an example to the rest of the boys, every boy concerned will be denied +reëntrance to this school.'</p> + +<p>"The 'fearful condition of immorality' discovered in the school was, as +the head master privately explained, traceable, as it generally is, 'to +one boy, the son of a family of unquestioned standing<span class='pagenum'><a name="Page_180" id="Page_180">180</a></span> in its +community,' and he has involved the other boys.</p> + +<p>"The boy in question was not a vicious lad: on the contrary, he was a +boy possessed of more than ordinary good characteristics. When he was +brought up before the head master and the full result of his baneful +influence was explained to him the boy was panic stricken.</p> + +<p>"'Didn't you realize what you were doing?' asked the head master.</p> + +<p>"'No,' replied the boy, who was nineteen and really a young man: 'I knew +it was wrong, yes, but I didn't realize how wrong. As a matter of fact,' +said the boy, 'I didn't know what I was doing, and how I was getting the +boys into a thing that I now see is more serious than I had any idea +of.'</p> + +<p>"'Didn't your father and mother ever explain these things to you?' asked +the head master.</p> + +<p>"'Not a word,' answered the boy, and then as a grim look came on his +face he said: 'God! I wish they had!'</p> + +<p>"A pleasant realization must it be to the parents of this boy as they +read this sentence in the head master's letter to the father of this +boy:<span class='pagenum'><a name="Page_181" id="Page_181">181</a></span></p> + +<p>"'I cannot but feel that your criminal negligence in the most vital duty +that can come to a parent is the direct cause in this twofold calamity: +first, of the downfall of your own son; and second, of the downfall of +each of the other forty boys, and of the humiliation in which they and +their parents find themselves. These are hard words to say to you, but +they are true, and I say them not alone as the head master of this +school, but also as one father to another, and as one man to another.'"</p> + +<p>In the growing youth's mind there arise many questions that he would +like to talk over with his father, but he feels diffident about asking +him. Too often the boy grows up and goes away to college without ever +talking with his father about manhood. In all matters concerning his +business relations and success, the boy has received careful +instruction. He has not been left to work out those problems by himself +but is given the benefit of the experiences of those who have trodden +the road before. But in this matter so vital to his whole life, he has +been left to clear his own path through the woods. With no guide and +bewildered with the new ideas and experiences that<span class='pagenum'><a name="Page_182" id="Page_182">182</a></span> crowd upon him, is +it any wonder he loses his way, wanders off the straight path, falls +ofttimes into some bog that perhaps was hidden from his sight by +surrounding flowers and to which he has been lured by siren music?</p> + +<p>The father's duty to his son is plain—and must not be neglected. In +some cases the mother must attend to this duty and for the future +welfare of her son she must see that he receives adequate instruction.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_XXII" id="CHAPTER_XXII"></a> +<span class='pagenum'><a name="Page_183" id="Page_183">183</a></span> +<h2>CHAPTER XXII</h2><h3>HOW SHALL THE CHILD BE TOLD?</h3> +</div> + +<p>Every mother and every father realizes that there are certain things +incident to reproduction that must be learned by the child at an early +age. They realize, too, that it is preferable that this information +should be imparted by the parents. But, on account of their own lack of +instruction, they find two problems confronting them. How and when shall +I tell my child are the questions uppermost in many parents' minds.</p> + +<p>The answer to the first question must depend upon the individual case. +At a certain age a baby expresses a desire for something to bite. Before +that time we make no effort to force him to bite. Later he finds he can +help himself from one position to another by creeping. Then in a few +months he discovers he is able to use his feet and tries to walk. We do +not try to force any of these new ideas upon him but simply wait +patiently<span class='pagenum'><a name="Page_184" id="Page_184">184</a></span> until he expresses a desire to acquire some new knowledge, +then we aid him and guide his efforts.</p> + +<p>There comes a time in the life of every child when he awakens to +knowledge of reproduction. Then is the time to give the information. +Some children commence to inquire as early as three years. At such an +early age it is not necessary to go into details, as a very little +information suffices to satisfy the child.</p> + +<p>Just how to tell the truths necessary must vary with the age of the +child. It is important to remember to be truthful to the child. When a +mother tells the child that the stork or the doctor brings the baby, she +sets a seal upon evasion. Some day he will learn that his mother has +deceived him and that behind her instruction lies an element of secrecy, +and secrecy with its companion curiosity is the cause of much unrest in +after life. The child gathers the idea that there must be something +shameful connected with the birth of a child or his mother would not be +ashamed to tell him the truth.</p> + +<p>Secondly, the child must be told scientifically that this knowledge may +form a basis for later<span class='pagenum'><a name="Page_185" id="Page_185">185</a></span> studies in biology. He can be taught in a simple +manner that all nature comes from a seed; that the mother makes a tiny +nest for the seed and that with all seeds it is necessary for their +growth that the father gives them some pollen.</p> + +<p>Until these subjects are put before children and young people with some +degree of intelligence and sympathetic handling, it cannot be expected +that anything but the utmost confusion in mind and in morals should +reign in matters of sex. It seems incredible that our thoughts could be +so unclean that we find it impossible to give to our children the +information they need on these most sacred subjects, but instead we +allow them to obtain their information whenever and wherever they can +and in the most unclean manner. A child at the age of puberty is capable +of the most sensitive, affectional and serene appreciation of what sex +means and can absorb the teachings if properly given without any shock +to his sense of the fitness of things. Indeed whenever these subjects +are taught to the child correctly they induce a feeling of reverence for +the mother that could not otherwise be obtained. A little child when +told that she grew in a nest in mother's body right underneath mother's<span class='pagenum'><a name="Page_186" id="Page_186">186</a></span> +heart at once becomes filled with a great love and wonder for that +mother. Then later to teach the relation of fatherhood and how the love +of parents for each other and their desire to have a child of their very +own was the cause of that child's existence—these things seem so +natural to the child mind that has not been polluted with vulgar ideas +that they excite in him no sense of unfitness, only a deep gratitude and +a kind of tender wonderment.</p> + +<p>The great point to remember in teaching these things to children is to +satisfy their present question and leave the understanding that mother +(or father) always stands ready and willing to explain any problems that +are bothering the child.</p> + +<p>So many girls have told me that when they were between six and fourteen +years of age they had heard some things about the land where the babies +grow and immediately went to their mothers and inquired as to the truth +of what they had heard. The invariable answer received was, "Little +girls must not talk about such things." That silenced the child and the +mother heaved a sigh of relief that the question had passed off so +smoothly and easily. That little sentence has been the cause of<span class='pagenum'><a name="Page_187" id="Page_187">187</a></span> +innumerable mistakes and misery. That little sentence marked the +beginning of the failure of the child to confide in her mother, the +child never again would broach the subject to her mother. However, that +did not mean that the child would not receive the information requested; +for, as a rule, the girls who told of this incidence also remarked that +they had received the information very soon from some older girl and +frequently in a vulgar manner. If a mother wishes to retain the +confidence of her daughter, if a father wishes to retain the confidence +of his son they both must keep a keen lookout for the first questions +and be prepared to answer them at the time.</p> + +<p>Later on the special sexual needs of the boy or the girl can be +explained, the necessity of cleanliness and the danger of self-abuse. +The need of self-control and the possibility of deflecting physical +desire to other channels and the great gain resulting; all these things +the youth of either sex are capable of understanding and appreciating, +and the knowledge given early will prevent many physical and moral +wrecks.</p> + +<p>It is the duty of fathers and mothers to prepare themselves on these +subjects so as to have the answer<span class='pagenum'><a name="Page_188" id="Page_188">188</a></span> ready when the child first inquires. +There is no excuse for not doing so, for educators all over the country +stand ready to help any parents who call upon them. It is possible for +every community to obtain the services of a lecturer or teacher who will +instruct the parents. The individual can obtain books which explain all +these things simply and plainly. There is no excuse for ignorance.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_XXIII" id="CHAPTER_XXIII"></a> +<span class='pagenum'><a name="Page_189" id="Page_189">189</a></span> +<h2>CHAPTER XXIII</h2><h3>WOMEN IN BUSINESS</h3> +</div> + +<p>If all homes were ideal and all men likewise, there would be no question +of woman suffrage or woman in business. But this is not an ideal world; +all women who have kept their places and stayed at home, kept house and +taken care of their children have not led ideal lives. In too many +instances the home woman, the little wren, has been deserted for the gay +song-bird. The necessities of life have forced other women into the +business world—women whose preference would be for the ideal, quiet +home life. One must not think that because a woman is leading a public +life that she prefers it, that she has no desire for a home and little +ones. Often her choice has been the lesser of two evils,—more to be +desired than a life, married, but loveless; one in which she must slave +from morn till eve and then receive as recompense curses and +fault-finding.<span class='pagenum'><a name="Page_190" id="Page_190">190</a></span></p> + +<p>The woman who refuses to so demean the married life as to enter into +such a marriage, preferring instead the busy life of a bachelor maid, is +to be admired rather than condemned. That she makes a success of her +business life tends to show what some man has missed by not proving +himself worthy to be her husband.</p> + +<p>We hear so much about woman entering into business—just as though she +had not always been in business. Stop and think about our ancestors on +the farms. The woman shared the work equally with the man. He attended +to the heavier work, while she attended to that which required less +physical strength but more attention to details. The products of her +industry often brought as much ready cash as that derived from the sale +of the larger products of the farm. Many families depended for the +yearly supply of clothes and luxuries on the money thus obtained from +the sale of butter, eggs and chickens. In olden days, too, many a woman +derived an income from the sale of home-made rugs and counterpanes.</p> + +<p>Just how men have conceived the idea that it is only the modern woman +who is a money earner, I cannot understand, nor can I understand how +some<span class='pagenum'><a name="Page_191" id="Page_191">191</a></span> men expect women to be happy in idleness. The most unhappy women +in the world are the women who have a great deal of leisure time. Many a +man objects to his wife taking up any outside work even though it would +not interfere with her household duties. This usually is due to false +pride on his part. He is afraid of what others will say; afraid his +friends will think he is not capable of supporting his wife. Some of +these men forget to take into account the possibility that an accident +or illness may take him away, business failures may sweep away his +accumulations and then his wife must face the necessity of earning her +living. Alas, how seldom is she prepared to do this! If, during the +leisure time of her protected life, she had been perfecting herself in +some branch of industry, her future would be easily solved.</p> + +<p>A woman can devote several hours a day to outside affairs and still not +neglect her home duties. Home-making does not necessarily mean that the +woman herself must do the washing, ironing, cooking, baking or sewing. +She must see that these are performed properly but the actual work may +all be done by others. A business man does not<span class='pagenum'><a name="Page_192" id="Page_192">192</a></span> attempt to do all the +work of the office himself. He employs a bookkeeper, a clerk and a +stenographer to attend to the details while he directs. It is the same +way with a home, a woman may employ others to do the physical labor +while she directs.</p> + +<p>Then as to the married woman earning money. Let me give you an +illustration. A woman has spent the early part of her life perfecting +herself in some branch of work, for instance, book cover designing. She +marries a man in moderate circumstances and does not feel that she can +afford to be idle and employ someone else to do her house work. She is a +slenderly built woman and it would be a great tax on her strength to +perform all the household duties—for some parts of housekeeping require +such hard physical labor that even many men would not care to attempt +them. It certainly would seem a very reasonable thing for this woman to +devote several hours a day to book cover designing and use the money so +earned to employ a strong woman to do the heavy housework. This +arrangement would be better for all concerned; first, the woman would be +happier and more contented; next, the man would enjoy his<span class='pagenum'><a name="Page_193" id="Page_193">193</a></span> home more, +for any man certainly would rather come home and find his wife contented +and happy and with leisure time to devote to him, than to come home and +find her all tired out, and consequently cross, with the housework so +unfinished she must devote her evening to some household task.</p> + +<p>If circumstances have given a woman home and children, they always must +come first, but this does not mean the woman must do housework if +conditions permit the employment of somebody to do it. She must do the +work for which she is best fitted both by nature and by training.</p> + +<p>In whatever occupation a woman is engaged she should endeavor to make a +success of that work, to do it a little better than anyone else could; +for in every field of endeavor there is joy and reward for always being +and doing one's best. The great secret of success is <i>concentration</i>. +Too many women waste their energies thinking and talking about the +things they would like to do. Every time you talk about the thing you +would like to do you waste just that much energy and make your goal less +possible of achievement. That which seems difficult before is usually +found easy to accomplish, once undertaken. If you wish to accomplish<span class='pagenum'><a name="Page_194" id="Page_194">194</a></span> +anything <i>hold the thought</i> in your mind and concentrate all your powers +in that direction. Do not scatter your energies like chaff to be blown +hither and thither.</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_XXIV" id="CHAPTER_XXIV"></a> +<span class='pagenum'><a name="Page_195" id="Page_195">195</a></span> +<h2>CHAPTER XXIV</h2><h3>NERVOUSNESS—A LACK OF CONTROL</h3> +</div> + +<p>How often do we meet women who complain of being nervous. What they +really mean is that they have not control of their nerves but let them +run away. A woman may be of a nervous temperament and yet have such good +control of her nerves that she never complains of being nervous. This +lack of nerve control manifests itself in various ways. Sometimes it +only is a tendency to cry at trivial things or an inclination to +despondency—to have "the blues," or to worry over real or fancied +slights. Many women waste so much time thinking over things that are +past and gone. A visit with a friend loses its joy in the afterthought, +for this victim of the nerves lives over again every moment of the +visit. She recalls everything that has been said and wonders if a +different meaning were meant. Things that were said as a joke and +originally taken that way now<span class='pagenum'><a name="Page_196" id="Page_196">196</a></span> are brought up for criticism and pondered +over until the woman convinces herself of the presence of a hidden +meaning. She is not satisfied until she has bent and shapen the original +thoughtless sentence into an ugly sting.</p> + +<p>These nervous women are the ones who continually are tormented with the +demon of jealousy. If one of them should suddenly meet her husband on +the street walking with another woman, what a curtain lecture he would +receive that evening; or if not that, he finds his wife wearing the air +of one who considers herself much abused. The real facts of the case may +be that her husband met the other woman quite accidentally and, as they +were going in the same direction, he could not avoid walking with her +without being positively rude. In this age men must, of necessity, have +business transactions with women. It is a common occurrence for two men +to lunch together in order to have a chance to talk over some important +business without fear of interruption. There is no reason why a man and +woman might not do the same, and yet how impossible it would be to +convince the jealous woman that this was the case. To be jealous is to +acknowledge the superior<span class='pagenum'><a name="Page_197" id="Page_197">197</a></span> charms of the other woman. "If I cannot hold +you against all women, then I do not want you." If you think some other +woman is attracting your husband, wake up and beat her at her own game. +Do not sit idly in the corner and complain. You only are making yourself +miserable and not trying to right the wrong.</p> + +<p>A woman who is nervous usually does not realize what is the cause of her +condition. When excitable and irritable and suffering from a nervous +headache, she takes various remedies to deaden the symptoms, instead of +looking the matter squarely in the face and going after the cause.</p> + +<p>Many women need a hobby to take up their spare time and to occupy their +minds. If their minds are occupied and their bodies kept in good +condition by proper care, they soon will gain control of their nerves. +If you find yourself getting nervous, make up your mind to overcome it +by filling your life so full of work and play that you will have no time +to give way to the nerves. When you feel an attack coming on, get busy +and "work it off."</p> + +<p>There is a class of women who possess comfortable homes, with a maid to +do the work, whose<span class='pagenum'><a name="Page_198" id="Page_198">198</a></span> home duties are not confining and who find +themselves with a great deal of extra time on their hands. To these +women the days are long and they endeavor to pass away the time by doing +nerve racking fancy work or by "fussing" around the house. They are not +happy and contented, chiefly because their minds are being +neglected—are growing up to weeds like a neglected garden. For such a +woman club work is a boon. She should take up some especial kind of +work, and devote several hours a day to the study of it. At first this +will be hard, for a mind that has fallen into lazy ways is not easily +aroused to continual effort, the deeply rooted weeds are not easily +destroyed.</p> + +<p>Many half contented women realize this need of mental food but hesitate. +As one woman said, "Why, my husband would leave me if I started to +work!" Some men take a peculiar attitude towards women. They would like +to treat them as a woman treats her pet dog. The dog is provided with a +comfortable home, plenty of food, someone to bathe it and carry it +around. The dog is contented with this. It loves to sleep and eat the +livelong day; it comes when its mistress<span class='pagenum'><a name="Page_199" id="Page_199">199</a></span> calls, and goes when she is +tired of it. Unfortunately, perhaps, all women cannot be contented with +such a life. The woman was given a brain which refuses to be dormant. If +it is not required to be used in a useful way, it occupies itself with +bad thoughts—it worries and becomes fault finding or gossiping.</p> + +<p>No woman should allow her mind to grow up to such weeds. If the +circumstances of her position, her education or her environment seem to +make it unwise that she take up any work that would bring a monetary +reward, she easily can find some charitable work that needs all the +energies she can devote to it. If such a woman would take up some +special branch of philanthropic work she would be amply rewarded, not +only by the consciousness of the good she had done, but by the +improvement in her own health and happiness.</p> + +<p>There is another phase to this lack of nerve control shown in a nervous +tension, an inability to relax and enjoy life. Some people go through +the day on such a nervous tension that they are unable to take +cognizance of their surroundings. Eventually this tension will manifest +itself in some<span class='pagenum'><a name="Page_200" id="Page_200">200</a></span> disorder, as headache, nervous indigestion or complete +nervous prostration. In the latter case the nerves have been so abused, +so strained that at last they are worn out. A rest is imperative!</p> + +<p>A woman who, if she has a few spare moments, can lie down and relax +absolutely, perhaps even drop to sleep, has a better chance to stand the +stress and strain of business or of housekeeping than the one who finds +it impossible to do so. Try making it a point to lie down for two or +three minutes several times a day; lie flat on your back and relax every +muscle; put every worry or ugly thought out of your mind by thinking +some pleasant but soothing sentence as, "I am glad I can rest. I will be +happy when I arise." You will be surprised at the effect these few +moments a day will produce upon your health and happiness.</p> + +<p>Plenty of sleep is imperative for these women and yet so many of them +neglect this great restorer of the nervous system. Frequently these +women complain of an inability to go to sleep easily, and spend long +hours of the night lying awake and entertaining worry thoughts. This +symptom of disordered nerves should not be neglected.<span class='pagenum'><a name="Page_201" id="Page_201">201</a></span> A warm bath +before retiring, followed by a gentle massage, especially along the +spine, will, by relaxing the nerves and muscles, produce very good +results. A hot foot-bath, by drawing the blood away from the brain, +often will be beneficial. A glass of hot milk or cocoa taken just before +retiring may have the same effect. If the sleeplessness is a result of +indigestion a plain diet will relieve. Sleeping upon a hard bed without +a pillow sometimes produces the desired effect. Always have plenty of +fresh air in the room. Keep the mind free from the cares of the day. If +they will intrude crowd them out by repeating some soothing sentence as: +"There is no reason why I should not sleep, therefore, I shall sleep. My +body is relaxed, my mind is at peace, sleep is coming, I am getting +sleepy, I am about to sleep." Never take any sleeping powders except +upon the advice of a physician, for the majority of these sleeping +powders contain some harmful drug, as morphine, codeine, phenacetin or +acetanilid. The latter especially is very depressing to the heart and +serves to weaken the nervous system. In fact many deaths may be laid at +the door of these<span class='pagenum'><a name="Page_202" id="Page_202">202</a></span> drugs. Treatments to tone up the nervous system and +to improve the circulation often are indicated in these cases of +"nerves." Control your nerves, do not let them control you!</p> + +<hr class="major" /> +<div style='margin: auto; text-align: center; padding-top: 1em; padding-bottom: 1em;'> +<a name="CHAPTER_XXV" id="CHAPTER_XXV"></a> +<span class='pagenum'><a name="Page_203" id="Page_203">203</a></span> +<h2>CHAPTER XXV</h2><h3>A WOMAN IS AS YOUNG AS SHE WANTS TO BE</h3> +</div> + +<p>Have you ever thought why it is that some women are as young at forty as +others are at twenty-four? And I mean young not frivolous! It is every +woman's duty to keep young as long as possible, but, unfortunately, she +does not always know the best way to live up to that duty. Keeping young +means keeping your body in a perfectly healthy condition and your mind +in harmony. With attention to certain laws a woman can detract ten years +from her age. She can do this by treating herself as a friend and not as +a slave. Take ten minutes and think how you could improve yourself by a +little effort. Perhaps some of these suggestions will help you.</p> + +<p>Everyone needs exercise. Just what sort depends upon the occupation of +the individual. A woman doing housework exercises most of her muscles +during the day, and if she makes pleasure,<span class='pagenum'><a name="Page_204" id="Page_204">204</a></span> and not drudgery out of her +work, this exercise is very beneficial. It is a pleasure to be able to +accomplish so much, but the housework is not sufficient exercise. This +woman needs exercise for her mind and for her beauty-loving soul. In her +spare time she should lie under the trees and enjoy nature or a good +book, or she should go to some gathering where she will meet those who +will refresh her intellectually. Keep the mind open to all the +impressions of nature. Love the open air. Fresh air is not a fad, it is +a necessity if one would keep young. Occasionally read a book of travel +or a biography of some well-known person. Keep mentally alert. An +intellectual back number adds years to her seeming age. Nothing makes +for youth as a young mind, save perhaps a young heart.</p> + +<p>If a woman wishes to retain her attractiveness and not grow dull and +uninteresting, she must be interested in the outside world. Make it a +point to go somewhere every day. If you cannot do anything else, put the +baby in the cart and walk a few blocks. Do not say you are too busy. It +is necessary for your health and you will find a few minutes' outing +will give you renewed energies and<span class='pagenum'><a name="Page_205" id="Page_205">205</a></span> help you to see the silver lining. +If possible go to social affairs where you meet people. Invite others to +your home but do not tire yourself entertaining them. People who are +boarding enjoy a simple home-cooked meal. It is the "homey" air they +enjoy and not elaborate decorations or menu.</p> + +<p>A woman in an office needs different exercise. She needs to do something +that will stretch and strengthen the tired muscles. She also needs +plenty of fresh air. A brisk walk is one of the best exercises for her. +Walk part of the way to the office, if possible, and keep your eyes open +for interesting things you pass. Use your imagination in guessing the +life story of those you meet. Forget yourself by becoming interested in +others, and you will be surprised at the effect upon your outlook on +life. It is not work that makes the business girl grow old and careworn +as much as it is her inability to forget her work during her play or +rest time. A business man takes an occasional day off and goes hunting +or fishing, but the business girl seldom can afford the little trips +that would serve to break the monotony of work. But every day brings its +opportunities for little pleasures that<span class='pagenum'><a name="Page_206" id="Page_206">206</a></span> are available. Remember it is +the small things of life that make up its enjoyment. Once in a while at +noon go to some especially nice lunch room where you will see well +dressed women, where the service is faultless and every mouthful and +every moment enjoyable. You will come away filled with such a sense of +well-being that you will be able to accomplish twice as much in the way +of work. Many business girls do not entertain themselves well enough. +They become so imbued with the spirit of economy that they deny +themselves the little pleasures that would make life enjoyable. This +reacts upon their work and ability. These people who continually stint +themselves never achieve great success. They repress themselves so much +that they quell all their best impulses. They never expand.</p> + +<p>Learn self-control. Anger is a rapid wrinkle bringer. The energy that is +wasted in useless worry and tirade against circumstances might be +conserved and diverted into other channels that would bring you abundant +reward, financially as well as in other ways. Avoid worry, hurry and +getting flustered. Plan your work in the morning, then take the little +interruptions coolly and quietly.<span class='pagenum'><a name="Page_207" id="Page_207">207</a></span> You will not be half so tired at the +end of the day as you would be otherwise. Be temperate. Moderation does +not refer only to the stomach. Overdoing in any way makes for premature +age.</p> + +<p>Do not let yourself get sluggish and indifferent. Here is where the +benefits of massage, physical culture and a vital interest in life come +in. Youth is happiness! If you would be young, radiate happiness. Talk +happiness not ill-health. One certain symptom of advancing age is the +desire to talk about ill-health. Discussing operations you have +undergone or sickness you have experienced always attracts attention to +your age. Children seldom talk about ill-health. An illness once +conquered is forgotten. Another thing, do not whine. The American women +are noted for their unpleasant voices, which often are too high pitched, +showing lack of control. Cultivate a low, well-modulated voice. Recently +I met a young woman who had a deformed body and a plain face, but I +immediately was attracted to her because she had the most beautiful +speaking voice it ever was my privilege to hear.</p> + +<p>As we age in years we are liable to grow careless in our dress, to +select colors and styles that are not<span class='pagenum'><a name="Page_208" id="Page_208">208</a></span> very becoming; we do not take as +much pains with our hair, our nails or our shoes as we should. We have +allowed age to manifest itself in the lack of care of the little things.</p> + +<p>Finally, if your work does not bring you happiness, you are in the wrong +place and the sooner you find the right place the better for you. It is +impossible to take a race horse and expect to make him a good plow +horse. We only would spoil the one without succeeding in obtaining the +other. There is a right place for everyone and each one is adapted to +certain things and in order to accomplish the most we must "find +ourselves."<span class='pagenum'><a name="Page_209" id="Page_209">209</a></span></p> + +<hr class='full' /> + +<h3>INDEX</h3> + +<p> +Abortions, <a href="#Page_89">89</a><br /> +<span style="margin-left: 1em;">Accidental, <a href="#Page_90">90</a></span><br /> +<span style="margin-left: 1em;">Criminal, <a href="#Page_91">91</a></span><br /> +<span style="margin-left: 1em;">Prevalence, <a href="#Page_92">92</a>, <a href="#Page_112">112</a></span><br /> +<span style="margin-left: 1em;">Sterility following, <a href="#Page_95">95</a></span><br /> +<br /> +Advertisements, misleading, <a href="#Page_65">65</a><br /> +<br /> +Advertising physicians, <a href="#Page_173">173</a><br /> +<br /> +After-birth, <a href="#Page_83">83</a><br /> +<br /> +Amenorrhœa, <a href="#Page_40">40</a><br /> +<br /> +Anatomy of generative organs, <a href="#Page_11">11</a><br /> +<br /> +Anus, <a href="#Page_16">16</a><br /> +<br /> +Atrophy of generative organs, <a href="#Page_30">30</a><br /> +<br /> +Backache, displacement causing, <a href="#Page_36">36</a><br /> +<span style="margin-left: 1em;">Fake advertisements concerning, <a href="#Page_67">67</a></span><br /> +<span style="margin-left: 1em;">Gonorrhœa causing, <a href="#Page_61">61</a></span><br /> +<span style="margin-left: 1em;">Lumbago, rheumatism, strain, <a href="#Page_67">67</a></span><br /> +<br /> +Bag of waters, <a href="#Page_86">86</a><br /> +<br /> +Birth canal, <a href="#Page_13">13</a><br /> +<br /> +Black plagues, see Gonorrhœa and Syphilis<br /> +<span style="margin-left: 1em;">Causing tumors, <a href="#Page_42">42</a></span><br /> +<span class='pagenum'><a name="Page_210" id="Page_210">210</a></span></p> + +<p> +Bladder, openings into, <a href="#Page_17">17</a><br /> +<span style="margin-left: 1em;">Position in relation to womb, <a href="#Page_11">11</a></span><br /> +<br /> +Blindness, due to gonorrhœa, <a href="#Page_59">59</a><br /> +<span style="margin-left: 1em;">Infection, prevalence of in new born, <a href="#Page_60">60</a></span><br /> +<br /> +Blue baby, <a href="#Page_87">87</a><br /> +<br /> +Blues, <a href="#Page_195">195</a><br /> +<br /> +Born with caul or veil, <a href="#Page_86">86</a><br /> +<br /> +Boys, need of instruction, <a href="#Page_178">178</a><br /> +<span style="margin-left: 1em;">Why boys go astray, <a href="#Page_171">171</a></span><br /> +<br /> +Breasts, after menopause, in pregnancy, <a href="#Page_19">19</a><br /> +<span style="margin-left: 1em;">At puberty, <a href="#Page_24">24</a></span><br /> +<br /> +Cancer, carcinoma, <a href="#Page_43">43</a><br /> +<br /> +Cathartics, <a href="#Page_51">51</a><br /> +<br /> +Cavity of pelvis, <a href="#Page_11">11</a><br /> +<br /> +Cavity of womb, openings into, <a href="#Page_11">11</a>, <a href="#Page_12">12</a><br /> +<br /> +Change of life, see Menopause<br /> +<br /> +Child bearing period, <a href="#Page_23">23</a><br /> +<br /> +Childless homes, <a href="#Page_103">103</a><br /> +<br /> +Chlorosis, <a href="#Page_40">40</a><br /> +<br /> +Circumcision in girls, <a href="#Page_41">41</a><br /> +<br /> +Clandestine engagements, <a href="#Page_157">157</a><br /> +<br /> +Clap, see Gonorrhœa.<br /> +<br /> +Clitoris, hooded, <a href="#Page_17">17</a><br /> +<span style="margin-left: 1em;">Causing nervousness and immorality, <a href="#Page_41">41</a></span><br /> +<br /> +Coitus, <a href="#Page_74">74</a><br /> +<br /> +Conception, <a href="#Page_74">74</a><br /> +<span style="margin-left: 1em;">Prevention of, <a href="#Page_109">109</a></span><br /> +<br /> +Congestion from tight clothing, <a href="#Page_37">37</a><br /> +<span class='pagenum'><a name="Page_211" id="Page_211">211</a></span></p> + +<p> +Constipation, <a href="#Page_47">47</a><br /> +<span style="margin-left: 1em;">Caused by retroversion, <a href="#Page_34">34</a>, <a href="#Page_49">49</a></span><br /> +<span style="margin-left: 1em;">Causes, <a href="#Page_48">48</a></span><br /> +<br /> +Cord, <a href="#Page_83">83</a><br /> +<br /> +Cramps during menopause, <a href="#Page_30">30</a><br /> +<br /> +Development of life, <a href="#Page_81">81</a><br /> +<br /> +Diseases of female organs, <a href="#Page_33">33</a><br /> +<span style="margin-left: 1em;">Influence on appearance, <a href="#Page_28">28</a></span><br /> +<span style="margin-left: 1em;">Venereal diseases, <a href="#Page_56">56</a></span><br /> +<br /> +Displacements, causes of, <a href="#Page_33">33</a><br /> +<span style="margin-left: 1em;">Backward, constipation caused by, <a href="#Page_34">34</a></span><br /> +<span style="margin-left: 1em;">Bladder, pressure on, <a href="#Page_35">35</a></span><br /> +<span style="margin-left: 1em;">Downward, side, <a href="#Page_37">37</a></span><br /> +<span style="margin-left: 1em;">Forward, <a href="#Page_36">36</a></span><br /> +<span style="margin-left: 1em;">Hemorrhoids caused by, <a href="#Page_34">34</a></span><br /> +<span style="margin-left: 1em;">Menstruation, relation to, <a href="#Page_34">34</a></span><br /> +<span style="margin-left: 1em;">Treatment, <a href="#Page_35">35</a></span><br /> +<br /> +Divorce, <a href="#Page_115">115</a><br /> +<span style="margin-left: 1em;">Black plagues as a factor, <a href="#Page_117">117</a></span><br /> +<span style="margin-left: 1em;">Sterility as a factor, <a href="#Page_118">118</a></span><br /> +<br /> +Douche, for cleanliness, at close of period, <a href="#Page_21">21</a><br /> +<span style="margin-left: 1em;">In irritation of vagina, <a href="#Page_40">40</a></span><br /> +<br /> +Drug habit, from patent medicines, <a href="#Page_69">69</a><br /> +<span style="margin-left: 1em;">In constipation, <a href="#Page_51">51</a></span><br /> +<br /> +Dry labor, <a href="#Page_86">86</a><br /> +<br /> +Dysmenorrhœa, <a href="#Page_39">39</a><br /> +<br /> +Education, lack of for girls, <a href="#Page_77">77</a><br /> +<span class='pagenum'><a name="Page_212" id="Page_212">212</a></span></p> + +<p> +Egg, see Ovum.<br /> +<br /> +Embryo, <a href="#Page_82">82</a><br /> +<br /> +Embryology, <a href="#Page_81">81</a><br /> +<br /> +Epilepsy due to syphilis, <a href="#Page_101">101</a><br /> +<br /> +Excesses<br /> +<span style="margin-left: 1em;">Cause of premature old age, <a href="#Page_76">76</a></span><br /> +<span style="margin-left: 1em;">Causing congestion, <a href="#Page_38">38</a></span><br /> +<span style="margin-left: 1em;">During early married life, <a href="#Page_74">74</a></span><br /> +<br /> +Exercise<br /> +<span style="margin-left: 1em;">For business woman, <a href="#Page_205">205</a></span><br /> +<span style="margin-left: 1em;">For home woman, <a href="#Page_203">203</a></span><br /> +<br /> +External generative organs, description, <a href="#Page_16">16</a><br /> +<span style="margin-left: 1em;">Care, <a href="#Page_20">20</a></span><br /> +<br /> +Fake advice, <a href="#Page_65">65</a><br /> +<br /> +Fallopian tubes, description, position, <a href="#Page_14">14</a><br /> +<span style="margin-left: 1em;">Effect of gonorrhœa on, <a href="#Page_57">57</a></span><br /> +<span style="margin-left: 1em;">Removal, effect of, sterility from removal, <a href="#Page_58">58</a></span><br /> +<span style="margin-left: 1em;">Tumors of, <a href="#Page_42">42</a></span><br /> +<br /> +Father's duty to son, <a href="#Page_181">181</a><br /> +<br /> +Fear, needless, <a href="#Page_106">106</a><br /> +<br /> +Fertilization of ovum, <a href="#Page_74">74</a>, <a href="#Page_81">81</a><br /> +<br /> +Flirtations and their results, <a href="#Page_157">157</a><br /> +<br /> +Fœtal movements, <a href="#Page_84">84</a><br /> +<br /> +Fœtus, <a href="#Page_82">82</a><br /> +<br /> +Gonorrhœa<br /> +<span style="margin-left: 1em;">Effect on female organs, <a href="#Page_57">57</a></span><br /> +<span style="margin-left: 1em;">Persistence of in later years, <a href="#Page_57">57</a></span><br /> +<span style="margin-left: 1em;">Prevalence of, <a href="#Page_56">56</a></span><br /> +<span class='pagenum'><a name="Page_213" id="Page_213">213</a></span></p> + +<p> +<span style="margin-left: 1em;">Prevention of in youth, <a href="#Page_63">63</a></span><br /> +<span style="margin-left: 1em;">Symptoms, <a href="#Page_61">61</a></span><br /> +<br /> +Green sickness, <a href="#Page_40">40</a><br /> +<br /> +Happiness necessary, <a href="#Page_208">208</a><br /> +<br /> +Headache, from constipation, <a href="#Page_48">48</a><br /> +<span style="margin-left: 1em;">From displacements, <a href="#Page_37">37</a></span><br /> +<span style="margin-left: 1em;">Powders, <a href="#Page_69">69</a></span><br /> +<br /> +Heart valves of baby, <a href="#Page_87">87</a><br /> +<br /> +Hemorrhage in cancer, <a href="#Page_43">43</a><br /> +<br /> +Hemorrhoids, <a href="#Page_47">47</a><br /> +<span style="margin-left: 1em;">Bleeding, external, internal, pain from, <a href="#Page_49">49</a></span><br /> +<span style="margin-left: 1em;">From constipation, <a href="#Page_48">48</a></span><br /> +<span style="margin-left: 1em;">Retrodisplacements causing, <a href="#Page_34">34</a></span><br /> +<span style="margin-left: 1em;">Treatment, <a href="#Page_49">49</a></span><br /> +<br /> +Herb remedies as drugs, <a href="#Page_69">69</a><br /> +<br /> +Heredity, inherited tendency to disease, <a href="#Page_99">99</a><br /> +<span style="margin-left: 1em;">Tuberculosis, syphilis, <a href="#Page_100">100</a></span><br /> +<br /> +Home-making a study, <a href="#Page_78">78</a><br /> +<br /> +Homes, childless, <a href="#Page_103">103</a><br /> +<span style="margin-left: 1em;">Girls not interested in parents' home, <a href="#Page_135">135</a></span><br /> +<br /> +Hot flashes during menopause, <a href="#Page_30">30</a><br /> +<br /> +Hymen, <a href="#Page_18">18</a><br /> +<span style="margin-left: 1em;">Not injured by douche, <a href="#Page_40">40</a></span><br /> +<span style="margin-left: 1em;">Opening in, <a href="#Page_41">41</a></span><br /> +<span style="margin-left: 1em;">Unruptured in pregnancy, <a href="#Page_154">154</a></span><br /> +<br /> +Illegitimacy, <a href="#Page_152">152</a><br /> +<span class='pagenum'><a name="Page_214" id="Page_214">214</a></span></p> + +<p> +Immorality, due to low wages, effects of, <a href="#Page_149">149</a><br /> +<span style="margin-left: 1em;">Among children, in country districts, in school, <a href="#Page_123">123</a></span><br /> +<span style="margin-left: 1em;">Due to hooded clitoris, <a href="#Page_41">41</a></span><br /> +<br /> +Indigestion, <a href="#Page_52">52</a><br /> +<br /> +Inflammation causing dysmenorrhœa, <a href="#Page_39">39</a><br /> +<br /> +Inherited syphilis, <a href="#Page_62">62</a><br /> +<br /> +Intercourse, <a href="#Page_75">75</a><br /> +<br /> +Insemination, <a href="#Page_74">74</a><br /> +<br /> +Jealousy, <a href="#Page_196">196</a><br /> +<br /> +Kiss conveying contagion, <a href="#Page_61">61</a><br /> +<br /> +Knee chest position, <a href="#Page_37">37</a><br /> +<span style="margin-left: 1em;">For constipation and hemorrhoids, <a href="#Page_49">49</a></span><br /> +<br /> +Labia majora and minora, <a href="#Page_17">17</a><br /> +<br /> +Labor, dry, <a href="#Page_86">86</a><br /> +<span style="margin-left: 1em;">Duration of, <a href="#Page_87">87</a></span><br /> +<span style="margin-left: 1em;">Pains, cause of, <a href="#Page_85">85</a></span><br /> +<span style="margin-left: 1em;">Premature, <a href="#Page_89">89</a></span><br /> +<br /> +Lanugo, <a href="#Page_84">84</a><br /> +<br /> +Law regarding prevention of pregnancy, <a href="#Page_109">109</a><br /> +<br /> +Laxatives, <a href="#Page_51">51</a><br /> +<br /> +Leucorrhœa, <a href="#Page_38">38</a><br /> +<span style="margin-left: 1em;">In young girls, <a href="#Page_40">40</a></span><br /> +<br /> +Life feeling, <a href="#Page_84">84</a><br /> +<br /> +Love, misunderstood, <a href="#Page_132">132</a><br /> +<br /> +Lumbago, backache in, <a href="#Page_67">67</a><br /> +<br /> +Lungs of newborn child, <a href="#Page_87">87</a><br /> +<span class='pagenum'><a name="Page_215" id="Page_215">215</a></span></p> + +<p> +Maidenhead, see Hymen.<br /> +<br /> +Malignant tumor, <a href="#Page_43">43</a><br /> +<br /> +Marriage, education necessary for, <a href="#Page_72">72</a><br /> +<span style="margin-left: 1em;">Fake marriages used to obtain white slaves, <a href="#Page_168">168</a></span><br /> +<span style="margin-left: 1em;">False promises leading to immorality, <a href="#Page_151">151</a></span><br /> +<span style="margin-left: 1em;">For convenience, natural, <a href="#Page_116">116</a></span><br /> +<span style="margin-left: 1em;">Laws not adequate, <a href="#Page_115">115</a></span><br /> +<span style="margin-left: 1em;">Relation, <a href="#Page_71">71</a></span><br /> +<span style="margin-left: 1em;">Science of, successful and otherwise, <a href="#Page_71">71</a></span><br /> +<span style="margin-left: 1em;">Social reasons for, <a href="#Page_103">103</a></span><br /> +<br /> +Massage, for constipation, <a href="#Page_51">51</a><br /> +<br /> +Mating, <a href="#Page_73">73</a><br /> +<br /> +Meatus urinarius, <a href="#Page_17">17</a><br /> +<br /> +Medical, fake advertisements, <a href="#Page_67">67</a><br /> +<br /> +Medicine, doubtful results from, <a href="#Page_68">68</a><br /> +<span style="margin-left: 1em;">Patent, <a href="#Page_45">45</a></span><br /> +<br /> +Membrane, <a href="#Page_86">86</a><br /> +<br /> +Menstruation, absence of, <a href="#Page_40">40</a><br /> +<span style="margin-left: 1em;">Bathing during, <a href="#Page_27">27</a></span><br /> +<span style="margin-left: 1em;">Care during, <a href="#Page_26">26</a></span><br /> +<span style="margin-left: 1em;">Color, odor, <a href="#Page_29">29</a></span><br /> +<span style="margin-left: 1em;">Composition of flow, <a href="#Page_28">28</a></span><br /> +<span style="margin-left: 1em;">Deficiency of, <a href="#Page_40">40</a></span><br /> +<span style="margin-left: 1em;">Description of, <a href="#Page_23">23</a></span><br /> +<span style="margin-left: 1em;">Duration of, frequency, <a href="#Page_23">23</a>, <a href="#Page_28">28</a></span><br /> +<span style="margin-left: 1em;">Lassitude during, <a href="#Page_27">27</a></span><br /> +<span style="margin-left: 1em;">Pain during, <a href="#Page_27">27</a>, <a href="#Page_39">39</a></span><br /> +<span style="margin-left: 1em;">Phenomena common to, <a href="#Page_27">27</a></span><br /> +<span style="margin-left: 1em;">Profuse flow, <a href="#Page_28">28</a></span><br /> +<span class='pagenum'><a name="Page_216" id="Page_216">216</a></span> +<span style="margin-left: 1em;">Quantity, time between periods, <a href="#Page_29">29</a></span><br /> +<span style="margin-left: 1em;">Sign of approach of period, <a href="#Page_25">25</a></span><br /> +<span style="margin-left: 1em;">Source of flow, <a href="#Page_16">16</a></span><br /> +<br /> +Menopause, age, <a href="#Page_29">29</a><br /> +<span style="margin-left: 1em;">Bowels in, <a href="#Page_21">21</a></span><br /> +<span style="margin-left: 1em;">Breasts after, <a href="#Page_31">31</a></span><br /> +<span style="margin-left: 1em;">Cancer at, <a href="#Page_43">43</a></span><br /> +<span style="margin-left: 1em;">Care during, symptoms of approach, <a href="#Page_30">30</a></span><br /> +<span style="margin-left: 1em;">Changes in body, nervous system, <a href="#Page_30">30</a></span><br /> +<span style="margin-left: 1em;">Duration, diet, <a href="#Page_31">31</a></span><br /> +<span style="margin-left: 1em;">End of child-bearing period, <a href="#Page_23">23</a></span><br /> +<span style="margin-left: 1em;">Hot flashes during, necessity for examination, <a href="#Page_30">30</a></span><br /> +<span style="margin-left: 1em;">Relaxation, rest, worry during, <a href="#Page_31">31</a></span><br /> +<br /> +Miscarriage, <a href="#Page_89">89</a><br /> +<br /> +Modesty, false, <a href="#Page_134">134</a><br /> +<br /> +Motherhood, accidental, a science, preparation for, <a href="#Page_77">77</a><br /> +<span style="margin-left: 1em;">Fear regarding, <a href="#Page_106">106</a></span><br /> +<span style="margin-left: 1em;">Natural desire of all women, <a href="#Page_104">104</a></span><br /> +<br /> +Mucous patches in syphilis, <a href="#Page_61">61</a><br /> +<br /> +Nerve trouble, due to syphilis, <a href="#Page_62">62</a><br /> +<br /> +Nervousness<br /> +<span style="margin-left: 1em;">A lack of control, <a href="#Page_195">195</a></span><br /> +<span style="margin-left: 1em;">Due to hooded clitoris, <a href="#Page_41">41</a></span><br /> +<span style="margin-left: 1em;">Overcoming, <a href="#Page_197">197</a></span><br /> +<span style="margin-left: 1em;">Relation to intercourse, <a href="#Page_76">76</a></span><br /> +<br /> +Neuralgia, backache, <a href="#Page_67">67</a><br /> +<span style="margin-left: 1em;">Causing dysmenorrhœa, <a href="#Page_39">39</a></span><br /> +<span class='pagenum'><a name="Page_217" id="Page_217">217</a></span></p> + +<p> +Ovary, description, function, position, <a href="#Page_14">14</a><br /> +<span style="margin-left: 1em;">Tumor, see Tumor.</span><br /> +<br /> +Oviduct, see Fallopian tube, <a href="#Page_14">14</a><br /> +<br /> +Ovum, <a href="#Page_14">14</a><br /> +<span style="margin-left: 1em;">Relation to menstruation, <a href="#Page_29">29</a></span><br /> +<span style="margin-left: 1em;">Division into portions, growth, <a href="#Page_81">81</a></span><br /> +<span style="margin-left: 1em;">Passage from ovary to uterus, impregnation, <a href="#Page_81">81</a></span><br /> +<span style="margin-left: 1em;">Size, <a href="#Page_82">82</a></span><br /> +<br /> +Passion or sex sense, <a href="#Page_73">73</a><br /> +<br /> +Parents' duty to daughters, <a href="#Page_167">167</a><br /> +<span style="margin-left: 1em;">To sons, <a href="#Page_171">171</a></span><br /> +<br /> +Patent medicine, <a href="#Page_45">45</a><br /> +<span style="margin-left: 1em;">Of doubtful benefit, <a href="#Page_68">68</a></span><br /> +<br /> +Pelvis, <a href="#Page_11">11</a><br /> +<span style="margin-left: 1em;">Deformed in abortions, <a href="#Page_91">91</a></span><br /> +<br /> +Peritoneum, <a href="#Page_16">16</a><br /> +<br /> +Peritonitis, <a href="#Page_16">16</a><br /> +<span style="margin-left: 1em;">From displacement and inflammation of womb, <a href="#Page_37">37</a></span><br /> +<span style="margin-left: 1em;">From gonorrhœa, <a href="#Page_58">58</a></span><br /> +<span style="margin-left: 1em;">From appendicitis, <a href="#Page_59">59</a></span><br /> +<br /> +Perineum, <a href="#Page_18">18</a><br /> +<span style="margin-left: 1em;">Tearing during labor, <a href="#Page_19">19</a>, <a href="#Page_87">87</a></span><br /> +<br /> +Physiology of female organs, <a href="#Page_11">11</a><br /> +<br /> +Piles, see Hemorrhoids.<br /> +<br /> +Placenta, <a href="#Page_83">83</a><br /> +<br /> +Position of fœtus in utero, <a href="#Page_85">85</a><br /> +<br /> +Pregnancy, absence of menstruation, <a href="#Page_40">40</a><br /> +<span style="margin-left: 1em;">Among unmarried girls, <a href="#Page_151">151</a></span><br /> +<span class='pagenum'><a name="Page_218" id="Page_218">218</a></span><br /> +<span style="margin-left: 1em;">Fertilization before, <a href="#Page_74">74</a></span><br /> +<span style="margin-left: 1em;">Prevention of, <a href="#Page_109">109</a></span><br /> +<br /> +Premature birth, labor, <a href="#Page_89">89</a><br /> +<br /> +Prostitution, result of, <a href="#Page_155">155</a><br /> +<br /> +Puberty, <a href="#Page_23">23</a><br /> +<span style="margin-left: 1em;">Change in nervous system, <a href="#Page_24">24</a></span><br /> +<span style="margin-left: 1em;">Hygiene during, school work during, <a href="#Page_24">24</a></span><br /> +<span style="margin-left: 1em;">Premonitory symptoms, signs of approach, <a href="#Page_24">24</a></span><br /> +<span style="margin-left: 1em;">Preparatory information, necessity for, <a href="#Page_24">24</a></span><br /> +<br /> +Public cup, <a href="#Page_61">61</a><br /> +<br /> +Pus tubes, see Fallopian tubes.<br /> +<br /> +Race improvement, <a href="#Page_111">111</a><br /> +<br /> +Race suicide, education in relation to, <a href="#Page_104">104</a><br /> +<span style="margin-left: 1em;">Not increased by knowledge of means of prevention, <a href="#Page_113">113</a></span><br /> +<br /> +Rectum, position in relation to womb, <a href="#Page_11">11</a><br /> +<span style="margin-left: 1em;">In retrodisplacement, <a href="#Page_34">34</a></span><br /> +<br /> +Regulation of number of children, <a href="#Page_111">111</a><br /> +<br /> +Relaxation, <a href="#Page_199">199</a><br /> +<br /> +Rest, <a href="#Page_200">200</a><br /> +<br /> +Rheumatism, backache, <a href="#Page_67">67</a><br /> +<span style="margin-left: 1em;">Dysmenorrhœa due to, <a href="#Page_39">39</a></span><br /> +<br /> +Sac, <a href="#Page_85">85</a><br /> +<br /> +Sanitary pads, <a href="#Page_26">26</a><br /> +<br /> +Self-abuse, <a href="#Page_137">137</a><br /> +<span style="margin-left: 1em;">Hooded clitoris as a cause, <a href="#Page_139">139</a></span><br /> +<span class='pagenum'><a name="Page_219" id="Page_219">219</a></span> +<span style="margin-left: 1em;">Mental, <a href="#Page_139">139</a></span><br /> +<span style="margin-left: 1em;">Nervous system injured, <a href="#Page_138">138</a></span><br /> +<span style="margin-left: 1em;">Treatment, <a href="#Page_139">139</a></span><br /> +<br /> +Self-confidence, <a href="#Page_145">145</a><br /> +<br /> +Self-control, <a href="#Page_206">206</a><br /> +<br /> +Semen, <a href="#Page_74">74</a><br /> +<br /> +Sex, education needed regarding, <a href="#Page_72">72</a>, <a href="#Page_121">121</a><br /> +<span style="margin-left: 1em;">Fundamental end of, over-indulgence, <a href="#Page_74">74</a></span><br /> +<span style="margin-left: 1em;">Instinct, <a href="#Page_73">73</a></span><br /> +<span style="margin-left: 1em;">Instruction for children, <a href="#Page_183">183</a></span><br /> +<span style="margin-left: 1em;">Organs formed fourth month, <a href="#Page_83">83</a></span><br /> +<br /> +Skin disease due to syphilis, <a href="#Page_101">101</a><br /> +<br /> +Sleep, sleeplessness, treatment, <a href="#Page_200">200</a><br /> +<br /> +Spermatozoon, <a href="#Page_74">74</a><br /> +<span style="margin-left: 1em;">Death due to disease, <a href="#Page_107">107</a></span><br /> +<span style="margin-left: 1em;">Union with ovum, <a href="#Page_81">81</a></span><br /> +<span style="margin-left: 1em;">Size, <a href="#Page_82">82</a></span><br /> +<br /> +Sterility<br /> +<span style="margin-left: 1em;">After one birth, <a href="#Page_108">108</a></span><br /> +<span style="margin-left: 1em;">Due to abortions, <a href="#Page_95">95</a></span><br /> +<span style="margin-left: 1em;">Due to gonorrhœa, <a href="#Page_58">58</a></span><br /> +<span style="margin-left: 1em;">Due to indiscretions, in male, <a href="#Page_107">107</a></span><br /> +<br /> +Stomach trouble due to syphilis, <a href="#Page_62">62</a><br /> +<br /> +Syphilis, <a href="#Page_61">61</a><br /> +<span style="margin-left: 1em;">Causing abortions, <a href="#Page_90">90</a></span><br /> +<span style="margin-left: 1em;">Causing epilepsy, brain and skin lesions, <a href="#Page_101">101</a></span><br /> +<span style="margin-left: 1em;">Contracted from wet nurse, <a href="#Page_62">62</a></span><br /> +<span style="margin-left: 1em;">Conveyed by kiss, by public cup, <a href="#Page_61">61</a></span><br /> +<span class='pagenum'><a name="Page_220" id="Page_220">220</a></span> +<span style="margin-left: 1em;">Inherited, <a href="#Page_62">62</a>, <a href="#Page_100">100</a></span><br /> +<span style="margin-left: 1em;">Late symptoms, <a href="#Page_62">62</a></span><br /> +<span style="margin-left: 1em;">Prevention in youth, treatment, <a href="#Page_63">63</a></span><br /> +<br /> +Tears of perineum, <a href="#Page_19">19</a><br /> +<span style="margin-left: 1em;">Necessity for repair, <a href="#Page_30">30</a></span><br /> +<span style="margin-left: 1em;">Relation to cancer, <a href="#Page_43">43</a></span><br /> +<br /> +Teas, laxative, <a href="#Page_51">51</a><br /> +<br /> +Tomboys, <a href="#Page_133">133</a><br /> +<br /> +Toxines from constipation, <a href="#Page_48">48</a><br /> +<br /> +Tubes, see Fallopian tubes.<br /> +<br /> +Tumor, abdominal, caused by black plagues, <a href="#Page_42">42</a><br /> +<span style="margin-left: 1em;">Absorption of, removal, <a href="#Page_42">42</a></span><br /> +<span style="margin-left: 1em;">Causing dysmenorrhœa, <a href="#Page_39">39</a></span><br /> +<span style="margin-left: 1em;">Hemorrhoidal, <a href="#Page_34">34</a></span><br /> +<span style="margin-left: 1em;">Malignant, <a href="#Page_43">43</a></span><br /> +<span style="margin-left: 1em;">Phantom, <a href="#Page_43">43</a></span><br /> +<span style="margin-left: 1em;">Symptoms of, hemorrhage, pain in, <a href="#Page_42">42</a></span><br /> +<br /> +Ulcers in syphilis, <a href="#Page_62">62</a><br /> +<br /> +Umbilical cord, <a href="#Page_83">83</a><br /> +<br /> +Urethra, <a href="#Page_17">17</a><br /> +<br /> +Urination, frequent, caused by displacement, <a href="#Page_35">35</a><br /> +<br /> +Uterus, see Womb.<br /> +<br /> +Vagina, description of, <a href="#Page_13">13</a><br /> +<span style="margin-left: 1em;">Discharge from, <a href="#Page_38">38</a></span><br /> +<span class='pagenum'><a name="Page_221" id="Page_221">221</a></span> +<span style="margin-left: 1em;">Infection from use of public towels, <a href="#Page_60">60</a></span><br /> +<span style="margin-left: 1em;">Irritation of, <a href="#Page_40">40</a></span><br /> +<span style="margin-left: 1em;">Orifice of, <a href="#Page_17">17</a></span><br /> +<br /> +Vein of cord, <a href="#Page_83">83</a><br /> +<br /> +Vernix caseosa, <a href="#Page_85">85</a><br /> +<br /> +Venereal diseases, <a href="#Page_56">56</a><br /> +<br /> +Vibrator for constipation, <a href="#Page_51">51</a><br /> +<br /> +Wet nurse in syphilis, <a href="#Page_62">62</a><br /> +<br /> +Womb, attachment, <a href="#Page_13">13</a><br /> +<span style="margin-left: 1em;">Cancer of, <a href="#Page_43">43</a></span><br /> +<span style="margin-left: 1em;">Congestion from tight clothing, <a href="#Page_37">37</a></span><br /> +<span style="margin-left: 1em;">Contraction of mouth, <a href="#Page_39">39</a></span><br /> +<span style="margin-left: 1em;">Inflammation from displacements, <a href="#Page_37">37</a></span><br /> +<span style="margin-left: 1em;">Position, size, structure, shape, <a href="#Page_11">11</a></span><br /> +<span style="margin-left: 1em;">Over work causing congestion, <a href="#Page_38">38</a></span><br /> +<br /> +Wild oats, sown by girls, <a href="#Page_150">150</a><br /> +<br /> +White slavery, <a href="#Page_163">163</a><br /> +<br /> +Women in business, <a href="#Page_189">189</a><br /> +<br /> +Worry, an abuse, <a href="#Page_143">143</a><br /> +<br /> +Youth, obtainable, <a href="#Page_203">203</a><br /> +</p> + +<hr class='full' /> + +<p class='center' style="font-variant:small-caps;">By E. B. Lowry, M.D.</p> +<p class='center' style="font-weight:bold; font-size:160%;">HIMSELF</p> +<p class='center'>TALKS WITH MEN CONCERNING THEMSELVES</p> + +<p>This is regarded by all authorities as the best book on sexual hygiene +for men. No man knowing its contents would be without this important +book. It tells plainly all of the facts about sex and leads to health, +happiness and success. A book that points the way to strong vitality and +healthy manhood.</p> + +<p>Every man ought to read this excellent, reliable book.—<i>Philadelphia +Telegraph.</i></p> + +<p>The best book on sexual hygiene for men and we highly commend +it.—<i>Baltimore American.</i></p> + +<p>The more widely this splendid book is read the better it will be for men +and women.—<i>Boston Globe.</i></p> + +<p>Every youth and man who can read the English language should study this +book.—<i>Portland Oregonian.</i></p> + +<p>A rare book that treats its subject in a common-sense +fashion.—<i>Pittsburgh Post.</i></p> + +<p>This is a storehouse of knowledge that should be in the hands of every +man.—<i>United States Medical Journal.</i></p> + +<p>It is utterly free from hysteria and sticks straight to the +unadulterated truth. A valuable addition to any man's library.—<i>Spokane +Chronicle.</i></p> + +<p>It is as good a book as a physician could recommend.—<i>Northwest +Medicine.</i></p> + +<p>Clear, accurate, easily understood.—<i>Chicago Journal.</i></p> + +<p class='center'><i>Illustrated. Cloth, 12mo.</i><br/> +Price, $1.00 net; by mail, $1.10<br/> +<i>For sale by all booksellers and the publishers</i><br/> +FORBES & CO., 443 S. Dearborn St., CHICAGO</p> + +<hr class='full' /> + +<p class='center' style="font-variant:small-caps;">By E. B. Lowry, M.D.</p> +<p class='center' style="font-weight:bold; font-size:160%;">CONFIDENCES</p> +<p class='center'>TALKS WITH A YOUNG GIRL CONCERNING HERSELF</p> + +<p>A book explaining the origin and development of life in language +intelligible to young girls. The author, who is a physician of wide +experience and a pleasing writer, has very delicately and adequately +treated this important subject.</p> + +<p>Carefully written and should be given to every young girl.—<i>American +Motherhood.</i></p> + +<p>Every physician should read and circulate this book.—<i>Journal of +Therapeutics.</i></p> + +<p class='center'><i>Neatly bound in cloth. 16mo.</i><br /> +<b>Price, 50 cents net; by mail, 55 cents</b></p> + +<hr class='minor' /> + +<p class='center' style="font-weight:bold; font-size:160%;">TRUTHS</p> +<p class='center'>TALKS WITH A BOY CONCERNING HIMSELF</p> + +<p>A book containing the simple truths of life development and sex which +should be given to every boy approaching manhood. His future welfare +demands it. This is the first book to adequately and delicately present +these truths in language intelligible to boys from ten to fourteen years +of age.</p> + +<p>The first satisfactory book on the subject.—<i>Health Culture Magazine.</i></p> + +<p>Many a mother will be glad that such a book is within the reach of her +child.—<i>Seattle Post Intelligencer.</i></p> + +<p class='center'><i>Attractively bound in cloth. 16mo.</i><br /> +<b>Price, 50 cents net; by mail, 55 cents</b></p> + +<hr class='minor' /> + +<p class='center' style="font-weight:bold; font-size:160%;">FALSE MODESTY</p> +<p class='center'>THAT PROTECTS VICE BY IGNORANCE</p> + +<p>The most thorough and convincing appeal ever made for the proper +education of the young in matters pertaining to sexual hygiene by the +foremost writer on the subject.</p> + +<p>Dr. Lowry's books combine medical knowledge, simplicity, and purity in +an unprecedented way. They are chaste and void of offense to the most +delicate natures.—<i>The Journal of Education, Boston.</i></p> + +<p class='center'><i>Cloth, 16mo.</i><br /> +Price, 50 cents net; by mail, 55 cents<br /> +<i>For sale by all booksellers and the publishers,</i><br /> +FORBES & CO., 443 S. Dearborn Street, CHICAGO</p> + +<hr class='major' /> + +<p class='center' style="font-variant:small-caps;">By E. B. Lowry, M.D.</p> +<p class='center' style="font-weight:bold; font-size:160%;">YOUR BABY</p> +<p class='center'>A GUIDE FOR MOTHERS</p> + +<p>This book contains the latest and best approved methods for the care of +the mother and baby. It is a strong plea for better babies and every +doctor will welcome the circulation of this great help to mothers.</p> + +<p>"This book can be safely and heartily recommended to every prospective +mother."—<i>The Chicago Medical Recorder.</i></p> + +<p>"The directions are clear and the advice is sensible."—<i>New York Sun.</i></p> + +<p>"This helpful book is in keeping with Dr. Lowry's previously published +meritorious works."—<i>The Southern Clinic.</i></p> + +<p>"A safe, sane and interesting book which it would be well for every +young woman to read. It deserves a wide circulation."—<i>The Wisconsin +Medical Journal.</i></p> + +<p class='center'><i>Cloth bound. 256 pages.</i><br /> +Price, $1.00; by mail, $1.10</p> + +<hr class='minor' /> + +<p class='center' style="font-weight:bold; font-size:160%;">THE HOME NURSE</p> + +<p>This very useful book gives helpful directions for the care of the sick +in the home and tells how to co-operate with the physician in providing +for the comfort and cure of invalids.</p> + +<p>"A sensible book, and it should be in every home +book-shelf."—<i>Northwest Medicine, Seattle.</i></p> + +<p>"Uniting practical common sense with the best medical knowledge, it +forms a safe guide."—<i>American Journal of Nursing, Baltimore.</i></p> + +<p>"It serves a very useful purpose and is readily understood. Physicians +will welcome the circulation of this excellent book."—<i>Medical +Sentinel, Portland, Ore.</i></p> + +<p class='center'><i>Illustrated. Cloth, 12mo.</i><br /> +Price, $1.00; by mail, $1.10<br /> +<i>For sale by all booksellers and the publishers</i>,<br /> +FORBES & CO., 443 S. Dearborn Street, CHICAGO</p> + + + + + + + + +<pre> + + + + + +End of the Project Gutenberg EBook of Herself, by E. B. Lowry + +*** END OF THIS PROJECT GUTENBERG EBOOK HERSELF *** + +***** This file should be named 19825-h.htm or 19825-h.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/1/9/8/2/19825/ + +Produced by Roger Frank and the Online Distributed +Proofreading Team at http://www.pgdp.net + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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B. Lowry + +This eBook is for the use of anyone anywhere at no cost and with +almost no restrictions whatsoever. You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Herself + Talks with Women Concerning Themselves + +Author: E. B. Lowry + +Release Date: November 16, 2006 [EBook #19825] + +Language: English + +Character set encoding: ASCII + +*** START OF THIS PROJECT GUTENBERG EBOOK HERSELF *** + + + + +Produced by Roger Frank and the Online Distributed +Proofreading Team at http://www.pgdp.net + + + + + +BY THE SAME AUTHOR + +HIMSELF +Talks with Men Concerning Themselves +$1.00 + +CONFIDENCES +Talks with a Young Girl Concerning Herself +50 cts. + +TRUTHS +Talks with a Boy Concerning Himself +50 cts. + +FALSE MODESTY +50 cts. + +TEACHING SEX HYGIENE +50 cts. + +THE HOME NURSE +$1.00 + +YOUR BABY +A Guide for Mothers +$1.00 + +------------------------------------------------------------------------ + +HERSELF + +TALKS WITH WOMEN CONCERNING THEMSELVES + +BY +E. B. LOWRY, M.D. + +Author of "Confidences," "Truths," etc. + +CHICAGO +FORBES & COMPANY +1917 + +------------------------------------------------------------------------ + +COPYRIGHT, 1911, BY +FORBES AND COMPANY + +------------------------------------------------------------------------ + + + + +PREFACE + + +A recent number of the Journal of the American Medical Association +contained this paragraph: + +"A correspondent asks for a good book describing the female generative +organs anatomically, physiologically and pathologically, treating also +of childbirth, written in language easily understood by a layman. He +desires to give copies to some of his young women patients. The editor +regrets there is no satisfactory book on the subject although there is +great need for one." + +It is a lamentable fact that the majority of women and girls are +ignorant of the structure of their most important organs. In the +majority of schools and colleges where physiology is taught, absolutely +nothing is mentioned about the reproductive organs. As far as books or +instruction are concerned, the girl is ignorant of their very existence. +If she knew something of the structure of such important organs and the +harmful results of many practices or acts of carelessness affecting +them, would she not be better prepared to take the proper care of +herself and more liable to develop into a strong, healthy woman? + +If a girl in the business world is intrusted with a delicate piece of +machinery she is taught the structure, use and care of it. Why is it not +just as necessary that the girl, who is intrusted with the care of +delicate organisms upon whose condition depends the health of the future +generation, be instructed regarding the care of these organs? Instead, +she is left in absolute ignorance and then blamed if she mars them. + +Every woman should have some knowledge of the structure and care of her +body, especially of those parts which are concerned so intimately in the +welfare of the future generation. Every woman, too, should receive some +instruction regarding the care of young children and the proper +management of the home. A woman who attempts to care for herself and her +children without proper knowledge of these subjects is like a man who +tries to run his business blindfolded. + +That thinking women are awakening to the fact that they have been +suffering unnecessarily and are realizing the necessity for more +knowledge concerning the hygiene and physiology of their own bodies is +shown by the fact that nearly every chapter in this book has been +written in answer to questions asked by women readers of the author's +magazine articles. With the hope that the plain facts herein set forth +will aid some women to have healthier and happier lives and healthier +and happier babies this series of talks has been written. + +------------------------------------------------------------------------ + + + + +CONTENTS + + +CHAPTER PAGE + +I ANATOMY AND PHYSIOLOGY OF THE FEMALE ORGANS 11 + +II MENSTRUATION--PUBERTY--MENOPAUSE 23 + +III DISEASES OF THE FEMALE ORGANS 33 + +IV CONSTIPATION--HEMORRHOIDS 47 + +V THE BLACK PLAGUES 55 + +VI FAKE MEDICAL ADVICE FOR WOMEN 65 + +VII THE MARRIAGE RELATION 71 + +VIII EMBRYOLOGY 81 + +IX ABORTIONS 89 + +X MATERNAL IMPRESSIONS--HEREDITY 97 + +XI CHILDLESS HOMES AND REAL HOMES 103 + +XII PREVENTION OF PREGNANCY 109 + +XIII SOME OF THE CAUSES OF DIVORCE 115 + +XIV THE NEED OF EARLY INSTRUCTION OF GIRLS 121 + +XV WHY GIRLS GO ASTRAY 131 + +XVI SELF-ABUSE 137 + +XVII EFFECTS OF IMMORAL LIFE 149 + +XVIII FLIRTATIONS AND THEIR RESULTS 157 + +XIX WHITE SLAVERY 163 + +XX THE NEED OF EARLY INSTRUCTION OF BOYS 171 + +XXI WHY BOYS GO ASTRAY 177 + +XXII HOW SHALL THE CHILD BE TOLD 183 + +XXIII WOMEN IN BUSINESS 189 + +XXIV NERVOUSNESS--A LACK OF CONTROL 195 + +XXV A WOMAN IS AS YOUNG AS SHE WANTS TO BE 203 + +------------------------------------------------------------------------ + + + + +HERSELF + +CHAPTER I + +ANATOMY AND PHYSIOLOGY OF THE FEMALE ORGANS + + +Before we can understand the care of anything we must have some +knowledge of its structure; so I think it well, in this our first talk, +that we should learn something of the structure of the female generative +organs. As I have told some of you in former talks, the womb is designed +as a nest for the babe during its process of development from the egg or +ovule. It lies in the center of the pelvis, or lower part of the body +cavity, in front of the rectum and behind and above the bladder. It is +pear-shaped, with the small end downward, and is about three inches +long, two inches wide and one inch thick. It consists of layers of +muscles enclosing a cavity which, owing to the thickness of the walls, +is comparatively small. This cavity is triangular in shape and has three +openings,--one at the lower end or mouth of the womb into the vagina and +one at each side, near the top, into the fallopian tubes. The womb, or +uterus as it sometimes is called, is not firmly attached nor adherent to +any of the bony parts. It is suspended in the pelvic cavity and kept in +place by muscles and ligaments. As the muscles and ligaments are +elastic, the womb slightly changes its position with different movements +of the body. Normally, it is inclined forward, resting on the bladder; +so you see, a full bladder will push it backward, while a full rectum +and intestines tend to push it forward and downward. + +[Illustration: GENERATIVE ORGANS.] + +The lower end or mouth of the womb opens into the vagina, a distensible +and curved muscular tube, which helps to support the womb and also +connects it with the external parts. The vagina is about three and a +half inches long. It often is called the birth canal because the baby +must pass through it on its way from the womb to the external world. + +The two upper openings of the womb lead into the fallopian tubes or +oviducts, which are two small muscular tubes leading from the ovaries to +the womb. Each one is about four inches long, but the opening through +the center in its largest portion is only about as large as a broom +straw, while near the womb it narrows down until it will admit only a +fine bristle. When the ovum or seed leaves the ovary it must pass +through one of these tubes to reach the womb, so you see how necessary +it is that they be kept in good condition. + +From the end of each tube, but not directly connected with it, is +suspended a small almond-shaped body called the ovary. Each ovary is +similar in shape and size to an almond, measuring about one and a half +inches in length, three-fourths of an inch in width and one-half an inch +in thickness. The function or work of the ovaries is to produce, develop +and mature the ova (eggs) and to discharge them when fully formed so +they may enter the tubes and so find their way to the womb. In every +ovary there are several hundred little ovules or eggs in various stages +of development. At irregular intervals one of these ovules ripens and +leaves the ovary. It passes along the fallopian tube to the womb. Here +it remains if it is impregnated or fertilized, and develops into the +babe. If not impregnated, it passes off with the menstrual flow. Every +twenty-eight days large quantities of blood are sent to the womb, +producing a natural congestion. The pressure of this extra blood in the +tiny capillaries of the womb stretches and weakens their walls. This +allows the blood, which is being sent to the womb to provide nourishment +for the ovum if it be impregnated, to pass into the cavity of the womb, +then out through the mouth into the vagina, thence to the external +parts. This flow is called the menstrual flow. When the flow ceases the +mucosa or lining assumes its former state. This process is repeated +every month. + +[Illustration: +1. Bladder +2. Urethra +3. Uterus +4. Vagina +5. Rectum +6. Peritoneum +7. Perineum +VERTICAL SECTION OF PELVIS] + +Lining the cavity of the abdomen and also folded over the womb, ovaries, +tubes and other organs is a thin membrane called the peritoneum. An +inflammation of this lining is called peritonitis. + +All these organs I have mentioned are situated inside the body out of +sight, but there are other organs that are external. You have noticed +two longitudinal folds of skin extending from the anus, or external +opening of the rectum, to the rounded eminence in front. Their outer +surface is covered with hair and their inner surface with glands that +secrete a lubricating material. These folds are called the labia majora. +Within the labia majora are two smaller folds called the labia minora. +These folds meet at their anterior (front) end. At the meeting point you +will notice a very small structure which is called the clitoris. This +clitoris is very similar in structure to the penis of the male, having a +tiny prepuce or foreskin which folds over to protect the sensitive end. +Sometimes the foreskin is bound down too tightly, so that instead of +being a protection to the parts, it becomes a source of irritation. Then +we say the clitoris is hooded and it is necessary to loosen or cut this +fold of skin. The operation is similar to that of circumcision in the +male. + +Just back of the clitoris, within the folds of the labia, is situated +the meatus urinarius, or opening leading to the bladder. This aperture +does not open directly into the bladder but is connected to it by a +tube, about an inch and a half long, called the urethra. + +The orifice or external opening of the vagina is situated just back of +the meatus urinarius, also within the folds of the labia. In the virgin +it is partly closed by a membranous fold called the hymen or maidenhead. +The shape and size of the hymen varies greatly in different individuals, +sometimes being entirely absent. After marriage it usually persists as +notched folds. The presence of an intact hymen is not necessarily a sign +of virginity, nor does its absence necessarily indicate defloration. Its +congenital absence or absence at the time of birth is known. It +sometimes is injured, or may be destroyed by an accident, as by falling +astride of an object; again violent exercise may rupture it (horseback +riding). Surgical operations or vaginal examinations, roughly conducted, +not infrequently cause rupture. Then, too, authentic cases are on record +in which prostitutes have had perfectly preserved hymens. It is well +known that the use of vaginal astringents may tone up and narrow the +vagina and even restore the hymen to a great degree. + +The surface between the vaginal orifice and the anus is called the +perineum (Do not confuse this with the peritoneum, for they are entirely +different). It is this perineum that sometimes becomes torn during +childbirth. The vaginal opening does not always stretch sufficiently to +allow the passage of the child's head and the great pressure being +exerted on the child by the uterine and abdominal muscles pushes it +through, causing the tear. (You will understand this better when I +explain about the development and birth of the child.) If this tear is +repaired immediately no inconvenience usually results but if it is +neglected it may produce a series of complications, some of which are +falling of the womb, inflammation and even sterility. + +Not directly connected with any of the other organs but still associated +with them are the breasts. They vary in size at different periods of +life, being usually of small size when the girl is young but increasing +in size as the generative organs develop. The breasts consist of fatty +tissue surrounding milk glands and ducts. During pregnancy they increase +in size and become filled with milk. After the menopause (change of +life) they ordinarily shrink in size. The ancient Greek statues, such as +the Venus de Medici, long regarded as a type of perfect beauty, the +Venus of Capua, regarded as the bust of a perfect form, show that the +Grecian ideal of the feminine form had small busts. The modern idea +seems to have wandered far from the Grecian ideal and many women devote +much time and money trying to develop their busts. Perhaps sometime we +will give up trying to be so artificial and conform to Nature's ideal. + +Nature has constructed the internal female organs so wisely that we +seldom need give them much thought. But the external organs do need our +attention every day. I told you that the labia secreted a lubricating +material which kept the parts moist, but this secretion must not be +allowed to accumulate. The scalp secretes an oil that is necessary to +the health of the hair but if this and the perspiration are allowed to +accumulate the hair has an offensive odor. So it is with the female +organs, the parts must be bathed carefully every day. I have been +surprised in the past to find how many intelligent women neglect these +parts. Women come for an examination, their clothing is scrupulously +clean, their bodies show recent care but in the folds of the labia, +especially near the clitoris, I find an accumulation of a cheesy-like +material which has an odor very offensive to any truly refined woman. +Sometimes in public gatherings, I have been seated near a woman with +this same offensive odor very noticeable, and I have longed to tell her +how to avoid it, for I am sure others must notice the same odor. But +even from a physician, in the privacy of the office, women resent any +suggestion that they are not thorough in matters of cleanliness. Daily +cleansing of these parts is a necessity. At least once a day these parts +should be sponged carefully. The labia should be separated and every +fold thoroughly cleansed. Occasional vaginal douches also are necessary, +for the various secretions often are retained in the folds of the vagina +and cause irritation. But in taking a douche one always should remember +to have the water warm. Cold water may produce congestion. The virtue of +douches (except when taken for medicinal purposes) lies in their +cleansing properties and warm water cleanses even better than cold. Many +women produce grave disorders by the use of cold douches under the +mistaken notion that they are of greater value than hot ones. A douche +should be taken at the close of the menstrual period especially. + +These female organs should not be the source of worry but they do +require as much or even more attention to cleanliness than we give to +our mouths or other parts of the body. + + + + +CHAPTER II + +MENSTRUATION--PUBERTY--MENOPAUSE + + +The subject of menstruation seems to be troubling several of you. I am +sorry that you did not all have the advantage of having this explained +at an early age. You might have been saved a great deal of suffering and +causeless worry. + +By menstruation, or "the monthlies" as it sometimes is called, is meant +the monthly hemorrhage that takes place in the uterus or womb during the +child-bearing period of the normal woman except during pregnancy and +lactation, when it nearly always is suspended. The child-bearing period +commences at the age of puberty and ends with the menopause (change of +life). + +Puberty is the period of maturing of the sexual organs. It occurs about +the age of twelve, although there may be considerable variation as to +this. It extends over a period of several years. As a rule, girls mature +earlier in warm climates than in cold and in cities than in country +districts. The signs of the approach of this period are the growth of +hair on the pubes and other parts of the body, the enlargement of the +breasts, a general rounding and increased grace of the body, the +development of the pelvis so that the hips become more prominent, and a +change in the mental qualities of the child, the girl naturally becoming +more retiring. The menstrual function usually is not established at +once, there being premonitory symptoms of a vague nature. There may be, +at first, only a slight discharge of mucus tinged with blood, later the +normal menstrual flow will be established. + +During this period of puberty there are great changes taking place in +the girl's internal organs. This change and development requires +considerable of the girl's strength and naturally influences her nervous +system. It is for this reason that a girl at this period of her life +should not be subjected to any great exertion, either physical or +mental. She should have plenty of light, healthful exercise in the open +air, but should not indulge in any very violent exercise. A little care +at this time often will save her years of suffering. As the nervous +system is greatly affected at this period there should be no great +mental strain. In fact, if the girl shows many nervous symptoms, it may +be wise to take her out of school for a year so that her strength may be +used as Nature requires it. As a rule, too much work is required in +school at this age. The school duties should be lessened and the girl +allowed to rest a day or two during her menstrual period. The girl at +this age should not attempt to accomplish as much work or study as the +boy does. Her time at this period might better be occupied in learning +the rudiments of housekeeping and home-making. Then, when her body has +become developed, her strength can be spared and can be well used in the +development of her mind. If the nervous strain too common at this age +could be relieved we would have fewer nervous women and a healthier and +happier posterity. + +As puberty approaches, a mother should give her daughter adequate +information so that she should not be frightened at the first appearance +of the menstrual flow, nor take any risks at this period. Menstruation +is the sign of the possibility of motherhood. If properly taught this +fact, every girl will be glad she menstruates and will want to be +careful during the period. On account of lack of early instruction, many +a girl obtains wrong ideas regarding this function and it produces in +her a feeling of repugnance. She should be taught the reasons for +observing prudence during the menstrual period. The possible lifelong +invalidism that may result should be pointed out. A woman owes it to +herself to take good care of herself during her menstrual periods. For +two or three days at least she should avoid any unnecessary strain, lie +down and rest as much as possible and not worry over school or other +duties. Especial attention should be paid to cleanliness during this +period. A sponge bath taken in a warm room is not injurious and +unpleasant odors can be avoided by sponging the parts with a warm +antiseptic solution upon changing the cloth. Every woman should be +provided with a circular girdle cut upon the bias so it may be elastic, +and provided with tabs to which to pin the folded cloth. She also should +have a supply of sanitary cloths made of absorbent cotton-fabric, or +pads made of absorbent cotton enclosed in gauze. The latter especially +are convenient for the girl who is obliged to room away from home, for +they may be burned and the cost of new ones is no greater than the +laundry of cloths. These pads or cloths should be changed at least twice +a day. It also is necessary that one should bathe the parts in warm +water with each change, as unpleasant odors can thereby be avoided. At +the close of each period she should take a bath and change all clothing. +One cannot be too careful about these matters so essential to +cleanliness. It is surprising how many women neglect these important +matters. The erroneous idea that bathing of any sort at this time may +have disastrous results accounts for much of this neglect. If proper +care is taken warm sponge baths cannot be injurious. + +A woman in normal health should not suffer at the menstrual period. She +normally will have a feeling of lassitude and disinclination for any +great mental or physical work, perhaps accompanied by a slight feeling +of uneasiness in the pelvic region. Because so many women do suffer at +these periods it often is considered as "natural" and allowed to +continue. + +The phenomena often noted at the menstrual period are,--pains in various +parts of the body, hot flashes, chilliness and various hysterical +symptoms. A few days before menstruation commences there may be various +nervous symptoms, as irritability and a disinclination for any exertion. +Dark circles often appear under the eyes and the breasts become enlarged +and painful. A sense of fullness and oppression may be felt in the head. + +Any severe pain or profuse flow during the period or a discharge between +periods indicates a weakened or diseased condition and should not be +neglected, for it sooner or later will affect the whole system. A woman +suffering from female diseases not only is unable to perform her work in +a normal manner but the pale skin, dark circles under the eyes and drawn +haggard look which accompany these conditions rob her of her charm of +physical excellence. + +The menstrual flow appears, as a rule, every twenty-eight days, although +the length of time varies with the individual. The average duration is +five days, but varies from three to seven. The flow consists of blood +from the uterine mucosa (lining of the womb) together with small +quantities of mucus. The color generally is dark at first while later it +becomes more pale. Women in poor health often have a pale discharge. +There always is a faint odor to the menstrual flow, which has been +likened to the odor of marigolds. The quantity varies with the +individual. Usually fleshy girls flow more than thin ones and dark +complexioned ones than light ones. The average quantity is four to six +fluid ounces. The time between the periods is required by the uterus or +womb to first restore the lining and then prepare it for the reception +of the ovum. Every month one or more ova (eggs) leave the ovary, pass to +the uterus and, if not impregnated, pass off with the menstrual flow. +The material prepared for the reception of the ovum is used to nourish +the new life if pregnancy occurs, but when it does not, this surplus +passes off in the form of the menstrual flow. + +The menopause or change of life is the end of the child-bearing period +of a woman's life. The average age at which it occurs is forty-six, +although there is a great difference as to this. In some women it has +been known to occur as early as the thirtieth year, while in others it +does not come until the fifty-fifth year. As a rule, a woman who +commences to menstruate at an early age continues to do so until a late +age, while with a woman who commences to menstruate late, the change +comes early. At this period of a woman's life, there are numerous +changes taking place in the body. The ovaries and uterus atrophy or +shrink in size, and cease to functionate. The nervous system is being +readjusted to meet the changed conditions. One symptom of the approach +of this period is irregularity in menstruation; sometimes several +periods are missed, then the menstrual flow appears normally for several +months and then disappears again. Often the woman complains of hot +flashes, cramps in the limbs and other parts of the body. These are +caused by the attempts to readjust the nervous system to the altered +conditions. A great many women worry unnecessarily, for there is no +especial danger at this time unless the body has been neglected +previously and a diseased condition is present. But the body needs a +little extra care, just as it did at puberty. So many women break down +their health by worrying at this period over what might happen. The best +plan for every woman, as soon as she perceives the approach of this +period, is to go to a reliable physician and have a thorough +examination. Then if there are any neglected tears or chronic +inflammations they can be corrected and danger removed. If a person +were to cross a deep lake and had any doubts regarding the worthiness of +the vessel provided for his use, he would be very foolish if he did not +have a trained boat-builder examine his vessel and repair any weak +places. It is just as important for a woman about to cross this period +of her life to go to a trained repairer of bodies and have him correct +any weak places. + +The various changes taking place consume so much of the woman's strength +that she requires an extra amount of rest and cannot use up as much +energy in working as at other periods of her life. The ordinary woman +does not realize the need of extra rest during this period and so +continues her usual work. Then the extra drain on her nervous system +shows itself in various forms. The disturbances sometimes are productive +of so much discomfort and so often are exaggerated beyond physiological +limits that the patient is impelled to seek relief and often requires a +physician's attention. Puberty or the period of development extends over +several years, so the menopause or period of atrophy extends over a +period of from three to five years. If a woman relaxes and allows the +changes to proceed naturally she need have no cause to worry, but she +must remember that rest from continual strain is necessary during this +period. Freedom from care, relaxation of physical and mental effort, +regular periods of complete rest once or twice a day, a reduction of the +diet and regulation of the bowels should be the first principles of +treatment. Then--do not worry but occupy the mind with happy thoughts. + + + + +CHAPTER III + +DISEASES OF THE FEMALE ORGANS + + +So much of the suffering among women is unnecessary, being due to the +neglect of the little things, so much ill health can be relieved by +attention to a few simple hygienic measures, that I think it wise to +describe some of the most common disorders of the female organs, and to +explain their symptoms so that you would not ignorantly neglect them, if +you should be so unfortunate as to contract any. + +The most common diseases of the female organs may be classed as +displacements, inflammations and tumors. + +On account of its lack of strong attachment, the womb is very easily +displaced. When from any cause the womb is congested and heavy the extra +weight stretches the supporting muscles and ligaments, which then allow +it to fall out of place. It also may be displaced by a sudden fall, by +jumping or other strenuous exercise. As the womb normally is heavier at +the menstrual period than at any other time and as there is a natural +congestion then, it is more easily displaced at that time than during +any other part of the month. This is one reason why one should be +careful not to take strenuous exercise at the menstrual period. + +The most common displacement, or the most common way for the womb to +tip, is backwards and at the same time it usually falls downward. You +remember, the rectum is directly back of the womb, so, if the womb is +tipped backwards, it presses against the rectum. This tends to prevent +the feces, or bowel movement, from passing out naturally and helps to +produce constipation. The womb, pressing against the rectum, also +presses on the blood vessels which are very numerous there. This +pressure on the blood vessels prevents the blood from leaving them. If +it is held there, it causes the blood vessels to dilate in order to be +large enough to contain it. We call this enlarged portion of the vein a +blood tumor. These tumors or dilated blood vessels of the rectum are +called hemorrhoids or piles. I will explain these more thoroughly when +I talk to you about constipation. + +The womb may tip forward, pressing on the bladder and causing a frequent +desire to urinate. More rarely it is tipped to one side. It then tends +to pull on the ovaries and produce pain and various nervous symptoms. + +The womb may fall downward, pressing against both the bladder and rectum +and dragging the ovaries and tubes out of their natural positions. +Sometimes it even protrudes from the vagina. Any falling or displacement +of the womb pulls on the tubes and ovaries, often producing an +inflammation. This inflammation should not be allowed to continue, as it +may become serious, even extending to the peritoneum and producing +peritonitis. The nerves of the uterus are very closely connected with +the spinal nerves, therefore, any displacement reacts through them and +may produce headache and backache, which are the common accompaniments +of any uterine disorder. + +[Illustration: KNEE-CHEST POSITION] + +One of the most simple and yet efficacious treatments to correct a +displacement downward and backward is to assume the knee-chest position +for a few moments morning and evening after the clothing has been +removed. In the knee-chest position, the patient kneels on the bed, then +bends forward until her chest touches the bed; the back slopes down and +the thighs should be at right angles with the bed. This position allows +the various organs to fall forward and toward the upper part of the +body, the pressure on the uterus is relieved and it assumes its natural +position. This treatment, persisted in, will relieve nearly every case +which has not some other disorder connected with it. If every woman +would assume this position for a few minutes once or twice a week, just +before retiring, she would be greatly benefited; for the majority of +women have a slight falling of the womb, which then presses on the +rectal and other nerves causing various nervous symptoms. + +The womb and ovaries are surrounded by a dense network of nerves and +blood vessels, making them very liable to congestion. Tight clothing or +improperly fitted clothing causes pressure and interferes with the +circulation. I believe that a large percentage of the objections to the +corset originated from women wearing improperly fitted corsets which +pushed the organs out of place. A corset fitted to the wearer is not +injurious and serves as a support. Overwork, catching cold and excesses +may produce a congestion which is one stage of inflammation. The most +common symptoms of inflammation of the womb are pain in the pelvic +region, a dull backache, especially across the hips, and a vaginal +discharge called leucorrhoea (whites). Any leucorrhoea shows a +disordered condition which should be corrected. It may be simply of a +catarrhal nature, due to pressure or cold, or it may indicate a more +serious condition, as the presence of one of the black plagues. Whenever +a woman notices a vaginal discharge, it is a wise plan to go at once to +a reliable physician, find out what is the cause and nature and then +take measures to correct it. In the beginning a very little treatment, +such as hot douches, may be all that is required, while if untreated the +condition may become serious, as you will understand when I explain +about the black plagues. + +Any disorder of the uterus or ovaries reacts through the nerves upon +other parts of the body and may produce various symptoms such as general +weakness, headaches and backaches. This drain on the system often is +shown by dark circles under the eyes, pale skin and a drawn, haggard +expression. All these tend to rob a woman of her charm of physical +excellence, and none of us wish to lose that; for it is natural for all +women to wish to appear attractive. + +One of the most common of the so-called female disorders, which seems to +be the lot of the majority of women, is dysmenorrhoea or painful +menstruation. This is not a disease in itself, but the symptom of +various disorders. A woman in normal health should not suffer at her +menstrual period; so if she does suffer it shows there is something +wrong. The natural thing for anyone to do who had dysmenorrhoea would +be first to find the cause of this pain and then take measures to +correct it. It may be due to displacements, inflammations or tumors; it +may be due to a contraction of the mouth of the womb which does not +dilate sufficiently to allow the menstrual discharge to flow freely. It +may be due to neuralgia or rheumatism of the uterus or ovaries. Pain +always indicates an unnatural condition. It is the cry of tortured +nerves. The cause should be determined by a competent physician and +then measures taken immediately to restore the normal condition. + +One who suffers from dysmenorrhoea should try to plan her work so that +she may rest the first day of her menstrual period, and, if possible, +the preceding day. Absolute rest in bed at this time is beneficial. A +hot sitz bath, hot foot bath or hot vaginal douche taken just previous +to the commencement of the period will aid in relieving the congestion +and thus lessen the pain. After the flow has started hot foot baths and +hot applications to the abdomen may be used. Hot drinks also may be +taken, but one should not get in the habit of using any drug at this +time. Hot ginger tea will do as much good as one prepared with some +habit-forming drug. Many of the remedies advertised as a cure for this +condition are composed chiefly of alcohol, and, although they may give a +temporary relief, the benefit is not permanent. Careful attention to +diet and exercise, with regular hours of sleep, are essential points to +be considered if one would be free from this disagreeable trouble. + +Another symptom which often causes much alarm to the patient is +amenorrhoea or deficient or scanty menstruation. This may result from +fear, worry, catching cold or to an enlargement of the womb. It also is +one of the first symptoms of pregnancy. Sometimes it indicates an +impoverished condition of the blood and shows the need of a general +building up of the system. This is true especially in young girls who +have what is called chlorosis or green sickness. These girls are pale, +weak, sometimes having a greenish cast to their complexions. They need +good care and nourishing food and plenty of light, outdoor exercise. + +In young girls I sometimes find an irritation of the vagina which causes +pain. This may be due to the retention of secretions in the vagina. The +general idea that only married women have leucorrhoea, or whites, is +fallacious. Virgins may have it. The usual cause is catching cold at the +menstrual period. Another delusion is that these girls should not take +douches for fear they might injure the hymen. This is erroneous, for +douches are necessary in the treatment of this condition and, except in +very rare cases, a douche can be taken with an especially small douche +point without injury to the parts. There normally must be a small +opening in the hymen to permit the passage of the menstrual flow. If a +small douche point is used no harm will result. + +When I talked to you about the structure of the external generative +organs, I mentioned the clitoris and explained that sometimes the +prepuce or foreskin is bound down, or is too tight, so that the natural +secretions are retained under it and produce an irritation; that the +operation for the unhooding of the clitoris is very similiar to that of +circumcision in the male and is performed for similar causes. Many a +woman who has been nervous all her life, owes her condition to a hooded +clitoris, which a very simple operation would correct. A hooded clitoris +also may have something to do with the immoral life of some girls. The +other day I received a letter from an aged physician who, in discussing +the tendency to immoral practices, says: "You say in one of your +articles, 'What is the remedy? Educate!' Well, perhaps, but if you would +let me circumcise the girl early in life, I believe it would be more +certain." There is considerable truth in his statement. A hooded +clitoris produces a constant irritation which tends to lead to habits of +self-abuse and perhaps immorality. + +The other common disorder which I named at first is a tumor. Tumors are +any unnatural growth. They may form in any part of the body, but just +now we will speak only of those affecting the internal female organs. +Tumors may form in the cavity of the womb, in its walls or on the +outside of it. The common symptoms are an enlargement of the abdomen +accompanied usually by pain due to pressure on the nerves. There also +may be some hemorrhage at other than the regular menstrual periods. + +Sometimes the ovaries are diseased and become enlarged, tender and +filled with fluid. Then they are spoken of as cystic tumors or as cysts. +The tubes may become inflamed and filled with pus. The most common cause +of these pus tubes is one of the black plagues. With all these tumors +the treatment usually is to remove the tumor and sometimes the entire +organ. In a few cases it is possible that the fluid or other contents of +the tumor may be absorbed, if the general health and circulation are +improved. In some cases we find what is called a phantom tumor. There +really is no tumor, although the symptoms may be such that even reliable +physicians are misled. The symptoms are due to a nervous condition. +These phantom tumors have given many a quack a reputation for removing +tumors without the use of the knife. + +A carcinoma or cancer is a malignant tumor, that is, one that tends to +grow worse and to reappear if it apparently is removed. The reappearance +may be in the same place or in an entirely different portion of the +body. Cancer of the uterus is not uncommon in women. It frequently +follows neglect of some injury. For example, it will appear on the site +of an unrepaired tear. It most commonly comes after the menopause. The +change that is undergone at that time seems to stir things up and bring +to light any neglected injury. This is another reason why every woman at +the menopause should undergo a thorough examination and have any defect +repaired, thus avoiding much of the possibility of trouble. A frequent +symptom of carcinoma of the uterus is hemorrhage at irregular times +after the menopause. Any woman who has such a condition would be wise if +she immediately repaired to a physician and determined the cause of the +hemorrhage. In the beginning it is possible to remove a cancer, but +later it becomes so involved in the surrounding structures that its +removal is impossible. + +You may think I am trying to increase business for the physicians but in +reality my advice, if taken, would lessen their practice. It is another +application of "a stitch in time saves nine." In the beginning almost +all these diseases can be corrected with very little trouble, while if +neglected the process is much slower. The probabilities are that the +doctor will have the case later, if not consulted early, but instead of +a few office treatments he will have an expensive operation. So, you +see, I really am trying to save you doctors' bills when I urge early and +thorough examinations. There is a peculiar thing about the human race. A +machine will get out of order and the owner will send for an expert +machinist to repair it--not attempting to patch it up himself. But when +these bodies of ours, the most wonderful and complicated of machines, +get out of repair we try to patch them up ourselves or try various +remedies recommended by those who know worse than nothing about the +physical machinery. Then we think we are saving doctors' bills, when at +the same time we are spending twice as much on questionable +repairs--patent medicines, which often do more harm than good. +Frequently they contain stimulants which produce a mythical improvement +but leave the system worse off than before. + + + + +CHAPTER IV + +CONSTIPATION--HEMORRHOIDS + + +A regular daily movement of the bowels is necessary to health. Much of +the illness in the world might have been avoided if the victims had +taken better care of the excretory organs. One of the first questions a +physician asks a patient is, "How are your bowels, do they move +regularly every day?" In some cases that is the first time the patient +has thought of them, and he has to think some time before he can +remember just when and how often his bowels did move. Then perhaps he is +not sure. In a great many cases it is a routine practice with physicians +to give a "good cleaning out," that is, to give a thorough laxative. +Many times this is all the treatment required and in other cases it only +is combined with a little intestinal antiseptic to further carry out the +cleaning process. + +The most common cause of constipation is irregularity in going to the +toilet. When the desire for defecation comes, we are too busy and +postpone it until some more convenient time, which time may be too late. +Nature is the best judge as to when the bowels are ready to be emptied. +If we do not obey her call, we must take the consequences. When the +waste material is ready to be voided, it is in a semi-fluid state, but, +if it remains in the intestines too long the water is absorbed and the +waste material is left in a hard mass which is expelled with difficulty. +Not only that, but the desire to expel it soon passes. Nature, finding +we do not respond to her call, ceases to notify us. + +If the waste material is allowed to remain in the bowels, not only the +water is absorbed but with it some of the poisons from the waste +material, which are taken up by the blood and carried to all parts of +the system, causing a great deal of trouble and pain. This absorption of +toxins (poisons) causes headache, loss of appetite, a sense of +depression and a lack of energy. + +The pressure of the hard material on the tender tissues of the rectum +causes hemorrhoids or piles, by irritating the tissues and causing a +congestion. Hemorrhoids are enlarged veins which have been so irritated +and filled with extra blood that they have lost their power to contract. +These enlarged veins may remain inside the rectum and then are known as +internal piles. Sometimes they protrude externally and then are known as +external piles. Frequently they become tender and cause a great deal of +pain. In some cases one of the little veins becomes so engorged with +blood that it bursts and allows the contained blood to escape. This is +known as bleeding piles. For mild cases of hemorrhoids (piles) the +treatment is to correct the accompanying constipation, then take an +enema or injection of warm water morning and evening, using the water as +hot as can be borne and allowing it to run in and out the rectum for +some time. Following this, an astringent and soothing lotion should be +applied. + +Constipation may be caused by retroversion of the uterus. If the uterus +is tipped backwards it presses on the rectum, preventing the passage of +the feces (bowel movement). This pressure also causes hemorrhoids. In +this case the treatment is to correct the displacement. In many cases +all that is necessary is to take the knee-chest position for a few +minutes night and morning. + +Always in the treatment of constipation, the first item is to discover +the cause. We have noted that the chief cause is irregularity in going +to the toilet, therefore, the first measure to be taken in the treatment +is regularity in going to the toilet. Choose a convenient hour, usually +right after breakfast, and always go to the toilet at that time no +matter if there is a desire or not. At first there may be no natural +movement but if you persist, your efforts will be rewarded. For the +first few days it is well to take an enema of warm, soapy water at this +time. Every day take exercise that will strengthen the muscles of the +abdomen. Bending forward and touching the toes with the fingers without +bending the knees is one valuable exercise. This should be done ten or +twelve times morning and evening. A daily brisk walk in the fresh air is +another good exercise. Fruit or figs eaten with the meals or a glass of +water taken before breakfast and upon retiring often proves very +beneficial in relieving a tendency to constipation. There is an old +saying, "An apple or two before going to bed, and the doctor will go +begging for his bread." This really is a practical idea and more nearly +true than many old sayings. + +Cathartics or laxatives should not be taken except for an occasional +dose or during illness upon the advice of a physician. So common is the +practice of taking daily laxatives that it has become a "national +curse"! People do not realize that they are slaves to this habit, so +they continue to take their daily doses of "teas" or "waters." In many +cases a patient will tell his physician that his bowels are "all right," +that they move every day. Further questionings reveal the fact that he +is in the habit of taking some laxative frequently. The bowels are not +"all right" if any laxative is required. + +Massage of the abdomen usually is very beneficial in treating +constipation. It acts by stimulating the muscles and should be given at +set times in the day but never until two hours after any meal. The +various vibrators act in the same manner as massage. In any massage of +the abdomen the thighs should be flexed, as this relaxes the abdominal +muscles. + +Enemas or injections of warm water may be taken occasionally and then +are beneficial, but if long continued are injurious by reason of their +irritating effect. At times, when the stomach and intestines have been +over-loaded with irritating material, an enema is one of the quickest +measures for relief. In obstinate constipation two or three ounces of +warm olive oil injected slowly into the rectum at night and allowed to +remain until morning will soften the waste material so it can be +evacuated easily in the morning. + +Constipation never should be neglected as it carries in its train a long +line of disorders, as hemorrhoids (piles), abscesses, and intestinal +obstruction. + +Indigestion and constipation frequently are bosom friends. How often +indigestion is a result of nervous strain is perhaps seldom realized. A +business man eats his lunch and other meals in a hurry, with his mind on +his business. His energies are being consumed by his brain and very +little is left to be used in the digestion of his food. One never should +eat when tired and nervous. Take a few moments' absolute rest before +meals. If possible lie down and relax all muscles for a few moments. +Then eat your meal slowly and if possible have some pleasant companion +who will talk with you on subjects not connected with your business +cares. You will be surprised to note the improvement in your digestion +and incidentally in your tendency to constipation. + +For the noon meal, office workers should eat only light and easily +digested food. Eat your heaviest meal after the work for the day is +finished and the blood which has been required by the brain can be +spared to the stomach. People doing manual labor that requires physical +strength need, and can digest, a heavy noonday meal but the requirements +of the brain workers are quite different. + +Many girls break down on account of lack of sufficient nourishment. +Coffee and rolls for breakfast, ice cream and rolls for lunch and a +sandwich and coffee for dinner is not sufficient food for any working +girl. And yet that is about the diet of hundreds of girls. Often it is +impossible for her to provide more, for when a girl must pay for her +board, room, clothes and laundry from her salary of five or six dollars +a week, sufficient food becomes an impossibility. Many girls actually +are slowly starving on this account. When the wheels of progress make +it possible for every working girl to have a comfortable home and +sufficient nourishing food many of the social problems will right +themselves. + + + + +CHAPTER V + +THE BLACK PLAGUES + + +I promised to explain to you what I meant by the black plagues. It is +strange when anything is as widely spread as are these diseases that so +few people know anything about them, or realize their importance. At one +time epidemics of typhoid fever were regarded as a revelation of the +wrath of God. Now we know they are due to carelessness and lack of +sanitation. It is the same with the sufferings of women. We used to +think it was a dispensation of Providence if a woman were compelled to +undergo an operation. Now we know it usually is due to someone's lack of +care, to a desecration of Nature's teachings. + +I remember when I was quite young hearing mention made of a "bad +disease." Concerning the nature of this disease I was ignorant but I +gathered the idea that it was some terrible disease which was contracted +only by the most depraved of mortals. How little I suspected its +widely-spread distribution, and how little I dreamed that among my +acquaintances might be any afflicted with these diseases! nor did I +dream of the danger of innocent contagion. Since then I have learned +what these diseases were. Now we call them the black plagues, because, +owing to the prejudice of the majority, we dare not use their correct +names generally. I have no doubt you will be as surprised and shocked as +I was at the things I am going to impart to you. + +By black plagues we mean the two diseases spoken of by physicians as the +venereal diseases, because they usually are contracted during sexual +intercourse. + +The most common of these diseases is gonorrhoea, or clap, as it often +is called by men. How common it is may be judged by a statement made by +a professor to his class in the medical college that at least eighty per +cent. of the men in the world have contracted it sometime during their +lives. Even the most conservative give the estimate as sixty per cent. + +The prevalent idea common among men that it is no worse than a cold--a +mere annoyance that all men must expect and endure sometime--is +lamentable. The persistence of the disease in the deeper structures long +after it outwardly is cured leads to unexpected communication of it to +women, among whom may be the young wife. As a result she enters upon a +period of ill-health that ultimately may compel the mutilation of her +body by a surgical operation to save her life. Much of the surgery +performed upon the female organs has been rendered necessary by disease +contracted from the husband. + +A few little germs of this disease left on even the external organs may +find their way up through the vagina to the uterus or womb. Here they +may produce an inflammation of the lining of the womb, causing severe +pain and other symptoms, such as profuse discharge. The germs may go +farther, or the inflammation may extend from the uterus to the tubes. +When we consider that the passage through the tubes is only about as +large as a broom straw, we see what serious trouble may result. The +tubes become enlarged and filled with pus. The opening from the tubes to +the uterus becomes closed, so there is no way for the pus to escape. The +accumulation of pus or the products of septic inflammation stretch the +walls of the tubes until the little nerves in the walls cry out in +rebellion. The pain becomes so great and the reflex symptoms are so +aggravated that finally the woman resorts to the only relief,--an +operation for the removal of the tubes. + +When we consider that the ovule, the human egg, must travel through +these tubes to reach the uterus and, if they are destroyed, has no other +way of reaching the womb and, if it cannot reach the womb and be +impregnated, cannot develop into the babe, then we realize how this +disease is dooming women to childless lives,--women whose natural +instincts and desires cry out for motherhood. When we consider the +factors that promote race suicide we must not forget this important one. +Even though the woman refuses an operation, or in a case in which the +inflammation is not so severe and is reduced until she is nearly free +from pain, the result may be the same, for the tubes may remain closed +permanently. + +The closure of the tubes is not the only result that may follow the +course of this disease. The infection may extend into the peritoneal +cavity causing peritonitis, which so often results in the untimely +death of the woman. Here let me say that not all cases of peritonitis or +of inflammation of the womb, tubes or ovaries are due to this infection. +There are other infections, other germs, that may produce similar +results. These germs may reach the organs in various ways. Sometimes the +woman herself is to blame and sometimes we can blame no one. +Inflammation of these organs may result from pressure of clothing, +colds, excitement, overwork, pregnancies, excesses or neglect. The +inflammation may spread to these organs from an inflamed appendix or +other neighboring organs. + +Supposing, though, following this disease the tubes are not entirely +closed and the woman becomes pregnant. There is still the danger that +during labor the baby's eyes will become infected and may become +permanently blind. It is estimated that seventy per cent. of the +blindness in the world has this cause. How does this produce blindness? +Some few germs of this disease have remained in the vagina or birth +canal and as the baby passes along the canal they enter its eyes. They +are so very strong and work so rapidly that they can cause total +blindness within three days. This fact is so well known by physicians +that at the present time all reliable physicians pay especial attention +to the newborn baby's eyes, cleansing them with an antiseptic solution +immediately after birth. This precaution doubtless has saved the eyes of +thousands of babies. This is one of the reasons why it is dangerous to +employ an uneducated person at the time of labor. Even though she may +have assisted at hundreds of births yet often she is ignorant of the +many dangers and of the precautions that should be taken in every case. + +Even adults may become blind from this infection. The disease is carried +to the eyes by polluted fingers or towels. In a few hours the eyes +become inflamed, pus forms, and unless heroic measures are taken, the +eyesight is soon destroyed. + +In female children the vagina may become infected through the use of +tainted sponges, wash cloths, etc. An innocent girl may thus carelessly +acquire the disease. For this reason, we see how necessary it is to +caution girls never to use public towels or wash cloths that have been +used by another person. Even in the home, every member of the family +should have his exclusive towel and wash cloth. + +The symptoms of gonorrhoea that often are noted first are a profuse +discharge from the vagina, usually creamy or yellowish in color. This +discharge is of such a nature that frequently it excoriates the external +parts so that they become very tender and inflamed. Backache, especially +across the hips, is a common accompaniment of this disease. There may be +general soreness in the pelvic region. If a woman suspects she has +contracted this disease, she should go immediately to some reliable +physician; for at first the disease may affect only the vagina but, if +neglected, may extend to the uterus and tubes. In its early stages it +may be cured by prompt treatment, but the majority of women postpone +treatment until it is too late. + +The other loathsome disease, syphilis, infects the blood and therefore +all parts of the body. While under proper treatment it is not dangerous +to life in the earlier years, yet the possibilities of conveying the +contagion are numerous. In the second stage, which lasts for a number of +weeks, the mucous patches in the mouth are a source of danger. In this +stage the disease may be conveyed by a kiss or through the medium of +the public drinking cup, towel, or anything that comes in contact with +the virus. It may be contracted by a babe from a wet-nurse or the nurse +may contract it from the babe. + +The most serious results of this disease appear years after its initial +appearance, when the individual has been lulled into a false sense of +security by long freedom from its outward symptoms. Many of the obscure +cases of stomach or nerve trouble may be traced to this disease. The +results not only affect the man, but, should he marry and have children, +his innocent babes may come into the world with an inherited taint. +These children seldom live to reach adult life and their lives usually +are burdensome and full of misery. They may be deformed or be +continually afflicted with ulcers or other horrible manifestations of +the disease. I will explain this more thoroughly when I speak of +heredity. + +Many of the disastrous effects of these diseases might have been +prevented if they had been properly treated in their early stages. +Ignorance as to the nature and probable disastrous effects, if +neglected, prevents many a person from procuring proper treatment. It is +a common practice among men afflicted with these diseases to try +various remedies recommended by their friends or by the druggist. It is +strange that a person who would not think of trying to treat himself for +smallpox or other contagious disease will do so with these diseases. +With women, the cause of their neglect is a failure to realize the +importance of the symptoms. Unfortunately women have grown to think that +various female ills are their lot in life which must be endured and +regarded as a dispensation of Providence instead of being considered an +error in living that must be corrected the same as any other disease. +Some commence treatment but neglect it as soon as the noticeable +symptoms have disappeared. It generally is considered among physicians +that the treatment of syphilis should be continued for at least three +years after contracting the disease in order to remove all traces from +the blood. + +It is a deplorable fact that the prevalence of these diseases might have +been prevented by proper instruction of young boys. No man ever +willfully contracted one of these diseases. Statistics tell us that the +majority of victims contract them before their twentieth year, before +the boy has learned anything of their dangers or perhaps of their +existence. If these patients received the right treatment immediately +and continued it until the disease had been eradicated the results would +have been less serious. Here, too, lack of early and proper instruction +is shown; for these immature boys do not realize the necessity for +prompt and wise treatment, or are misled by unscrupulous persons. I +shall talk to you again on this subject, for many of you will have sons +and you must know the dangers that beset them, so they can be prepared. + + + + +CHAPTER VI + +FAKE MEDICAL ADVICE FOR WOMEN + + +One young lady wrote me, "Recently I read that imperfectly developed +ovaries might be a reason why some women do not have children. I have +the symptoms which the article said indicated imperfect development. +Does this necessarily mean that I never can have a baby? I seem to be +healthy. I am twenty-one years old. I was to have been married in three +months but now I do not know what to do. 'My boy' loves children as I +do. It seems as though I cannot give him up, yet it surely is not +honorable to marry him if I find that I never will have a little one, +without telling him. Please tell me what to do." + +The probabilities are that this girl's ovaries are perfectly normal and +that the article mentioned was an advertisement of some medical house +which, by misleading statements, endeavors to induce women to take their +treatment. There are many women who suffer a great deal mentally, and +this in turn reflects on their physical health because of just such +articles. + +It has been said that we are a nation of dupes and the advertisements +carried in some of the papers would indicate the truth of this +statement. No manufacturer is going to advertise anything that does not +sell well and bring a considerable profit. Men are not so altruistic as +to be in business just for the good of humanity. The majority are in +business for the money to be obtained from it. Somehow, women are very +susceptible to the arts of these greedy manufacturers. A company +commences to make a patent medicine and then, in order to derive any +profits from the investment, large quantities of the preparation must be +sold. In order to accomplish this they must convince possible buyers of +their need of this particular treatment. The company employs an agent to +write an advertisement, perhaps in the shape of an article purporting to +be written by someone much interested in the human race. This +advertisement or article describes some disease which may be cured by +this one remedy. As there might not be enough people who know they have +this given disease to make a profit for the manufacturer, it becomes +his business to convince others that they have this disease. Therefore, +he proceeds to enumerate a great many symptoms which he says indicate +this disease. Perhaps they might! But they are just as likely to +indicate any one of half a dozen other things. He details enough +symptoms so that some are recognized by nearly every woman as relating +to her condition, so she jumps to the conclusion that she has that +certain disease and buys a bottle of the medicine. + +If you will study the large medical advertisements that appeal +especially to women you will notice that they all have certain symptoms +enumerated. No matter if the remedy advertised is for the kidneys, the +bowels, or exclusively for women, the same symptoms are claimed to +indicate the need of that certain remedy. One of the symptoms most +commonly given is backache. Of course! For nearly every person has a +backache at some time. It may be due to a strain, to rheumatism of the +lumbar muscles (lumbago), to constipation, to a displacement, or to +numerous other conditions. No one can tell the cause who is not properly +prepared to do so and who is not fully acquainted with the physical +condition. The sewing machine runs hard and perhaps makes a noise. It +requires a mechanic who is familiar with the mechanism of the machine to +find the cause of the trouble. So it is with the human body. It requires +a mechanic who is familiar with the structure of the body to discover +the cause of the trouble. And yet people will continue to pour into +their bodies drugs, harmless and otherwise, that are manufactured by +some enterprising firm and then advertised by an expert who knows +nothing of disease except a few symptoms common to almost all diseases. + +The patent medicine consumers seldom realize the nature of the medicine +they take. Because some man, desirous of selling his remedy, claims it +will be beneficial, they rush in and buy. To one who knows the true +nature of some of these remedies, many laughable instances are visible. +One man recently discovered that a temperance agitator was daily dosing +herself with a certain tonic which was known to contain a larger +percentage of alcohol than did the beverages she was denouncing so +ardently. + +Patent medicines may benefit some, but in the majority of cases, the +consumer is like a man who boards the nearest street-car hoping it will +take him to his destination. It may! But it is just as likely to take +him in the opposite direction. + +Some people become veritable drug fiends, slaves to certain drugs +without in the least realizing their condition. How many are slaves to +certain laxatives or headache powders! With them the daily dose of +"harmless" teas or waters or even of pills cannot be neglected. And yet +such a person would be indignant at the suggestion that she was the +victim of a drug habit. What are drugs, anyhow? The majority are simply +extracts of herbs and vegetables. And yet people imagine that they are +avoiding the use of drugs and medicines when they take "simple herb +remedies, prepared at home." + +Another lure of the advertiser is to state that all letters are +"strictly confidential and answered by women only." Perhaps they are! +But he neglects to add that the women who answer these letters are +simply stenographers with no medical knowledge, employed to write +according to dictation, that the letters are all written according to +certain forms which have been dictated by the manager. A short time ago +a young woman wrote me regarding her condition. Among other things, she +said she had written to a certain woman whose name is much advertised by +a patent medicine concern and that this woman had written her advice +that had caused her to worry over her condition. Poor, deluded girl! How +was she to know that the woman in question had been dead many years and +that the business was carried on by her son and other men. + +If you are ill do not be misled by these unscrupulous advertisers. Do +not waste your time and money on remedies that may be entirely unsuited +to your condition. + + + + +CHAPTER VII + +THE MARRIAGE RELATION + + +As several of you expect to be married soon I think it would be well to +talk briefly about the cause of so much unhappiness in marriage. + +It has been estimated that only about five per cent. of all marriages +are successful. Is this true, and if true, why? If five per cent. made a +success of marriage, why could not the other ninety-five? Marriage is a +science to be studied by the prospective bride and groom in order that +they may be ranked with the five per cent. and not make a failure of +their married life. Few would enter the marriage relation if convinced +that it would be a failure. The prospective bride looks around among her +acquaintances and sees the lack of true happiness, thinks that her case +will be an exception, that her marriage will turn out all right and then +goes blindly ahead into the new life without any preparation. + +A large percentage of the unhappiness among married couples comes +through a misunderstanding of the marital relations. A great deal of +this is due to ignorance on the part of the bride and thoughtlessness on +the part of the husband. This is partly due to defective education +during childhood in regard to the sexes. The training of boys and girls +in this matter is very different. Knowledge pertaining to the sexual +life is talked over very freely among boys, so that by the time the boy +is of a marriageable age he is pretty well posted. With girls it is +quite different. It would be considered very immodest for a girl to +discuss such matters. She does not feel free even to talk with her +mother or other adviser, and so she goes to the altar ignorant of many +things she should know. Then during the first few days of married life +this knowledge so overwhelms her and often gives her such a severe shock +that it leaves a lasting impression. She has no way of knowing that her +husband is just like other men. She is liable to regard him as a brute +and resent his attentions. + +Such a condition of affairs is altogether wrong, but the girl is not to +be blamed. Had she been taught what to expect, much of the unhappiness +of married life might have been avoided. If taught correctly, the girl +should regard the sexual act as the culmination of true love. It should +be regarded as something sacred, something that makes her and her +husband as one. Fortunate indeed is the girl whose husband realizes this +lack of knowledge and gently leads her to desire the fulfillment of +love. Unfortunate is the girl whose husband regards this act only as the +gratification of animal passions--something it is a wife's duty to +endure as such. + +Passion or sex sense is a sign of maturity. It is the calling for a +mate. All animals have this sense and nearly all animals have a mating +season. The billing and cooing of the birds in the springtime is an +expression of this sense--the love sense. It is possessed by every +little insect. Only by knowing their habits do we see the expression of +it. This sense is nothing of which one should be ashamed. It was +God-given for a divine purpose. + +In the study of plants we learn that the pollen or male element must +unite with the ovum or female element in order to produce the seed that +will develop into the new plant. The same fact is true of the human +race. Before pregnancy can take place there must be a meeting and fusion +of the vital elements of the two sexes. This fertilization of the ovum +or joining of the male and female elements is called conception. It is +brought about by coitus, by means of which the semen of the male is +deposited in the vagina of the female. This act is called insemination, +although conception does not follow unless the ovum and spermatozoon +(life-giving element of the semen) come together and unite. When this +occurs the woman conceives and enters upon a period of pregnancy. The +time at which conception is least likely to occur is from the +seventeenth to the twenty-third day after menstruation ceases. + +During the first year of married life couples are liable to abuse the +love sense by over-indulgence and thereby use up too much of their +energy. This affects their health, especially that of the young wife, +who finds herself always being tired and is unable to account for it. +Her daily tasks become a drudgery, for she is too exhausted to have the +strength to perform them. After the tasks finally are finished, she is +too tired to don the afternoon dress, and so easily falls into untidy +habits. This brings its train of results. The young husband, on his +return from work, fails to find his wife the bright, attractive girl he +married and gradually grows indifferent. + +The relation of intercourse to conception is a problem that each husband +and wife must settle for themselves. Some educators claim that only for +the one is the other allowable, that the bearing and raising of children +is the sole aim of married life. Naturally this is the fundamental end +of the sex instinct. But in the present-day, practical married life it +would be impossible to convince the majority that the impulse of sex +gratification was given to them for this one purpose only. + +The sense of well being and the increased capacity for work, that +follows a moderate exercise of this function, tends to convince us that +it has a beneficial effect upon the entire system if exercised +moderately. As to what constitutes moderation or temperance depends upon +the individual. What would be moderation to some would be excess to +others. It may be taken as a general rule that the after-effects will +indicate the amount. If the after-effects are irritability, extreme +lassitude or a diminution of the love or respect for the other then +there has been excess. If the after-effect is a sense of well-being so +that the next day one feels more inclined to take up the duties of life, +then it may be considered that moderation has been practiced. A certain +amount of energy is consumed in any act and, as in our present age we +need a great deal of energy to carry on our everyday business, in the +majority of cases fresh vitality cannot be spared for an expenditure +under several days or a week. Excess in anything tends to bring on +premature old age, for the nervous force is expended faster than it is +manufactured. + +Frequently women seem to be endowed with an excess of energy which +manifests itself in various forms. Besides this, the woman does not seem +to have control of her nervous energy but wastes it in numerous ways. +With many a woman the regularity and moderation attendant on a happy +married life seems to have a regulating effect upon her whole nervous +system, so that she becomes more calm and has greater control over her +energies. + +Wrong training or lack of training in matters pertaining to the +relationship of the sexes and to the management of a home may be given +as the cause of the majority of unhappy marriages. + +There must be something wrong with our system of education when the aim +of this education seems to be to prepare the girl for a temporary +position in an office or store or for a gay social life; and when there +is no preparation for the important work of home-making and the rearing +of children. A girl would not be expected to run a complicated and +delicate piece of machinery without having adequate instruction +concerning the necessary care of it. But the girl is allowed to go +blindly into marriage and is expected to manage her home and care for +her children with practically no preparation. Nowadays we require +experts for every position except that of motherhood, but we apparently +do not consider that of enough importance to waste any time preparing +for it. A man requires his gardener or office assistant to be trained, +but the mother of his children need know nothing regarding the +preparation for their coming. Too often her only preparation is that of +making numerous clothes. She takes no measures to insure a healthy +child. + +If girls would make a study of home-making and motherhood and enter into +marriage with a more definite realization of its obligations we would +have fewer unhappy marriages and fewer divorce cases. Some women, owing +to false education, wish to have all the advantages of marriage without +assuming its cares. Such a woman expects a man to be willing to provide +her with all the gifts of the gods, with all the luxuries of life, but +in return is not willing to become the mother of his children nor to +exert herself to make their mutual habitation a home and not merely a +house--a place in which to eat and sleep. + +A large part of the average woman's life is devoted to home-making and +the rearing of children. Usually she is poorly prepared for this work. +The early years of a girl's life are spent in the acquisition of a store +of general knowledge, especially that derived from books and related to +subjects generally considered necessary to "culture." During this +period, her time is so occupied with her studies that her mother thinks +it would be an imposition to ask her to do any housework, so the girl +grows up without much knowledge of the care of a home. True, she often +is enabled to do a few things. She learns to make cake and several +varieties of candy and perhaps can fashion a collar that is the envy of +her schoolmates. Sometimes she even helps her mother with the dishes or +the dusting, but it is easier for the mother to take the responsibility +of the housekeeping than it is to teach her daughter to do so, and +besides her daughter always is so busy with school affairs. She has no +time in which to learn the science of housekeeping. + +After the completion of her course in the common or high school, a few +months, sometimes, are devoted to the preparation for a certain line of +work which is to occupy her time for a few years. Very few girls, except +those who enter the professions, expect to continue their work after +marriage and nearly all look forward to marriage. If we place a girl at +a new occupation, for instance lace-making, and let her work out her own +salvation, we would not be surprised if she disliked her work and was +unable to accomplish any good results. But that is what we do in regard +to home-making. A girl upon marriage is expected to know by instinct +how to keep house, cook, and do the numerous other household duties; she +is expected to know how to care for herself before the birth of her baby +and how to care for the baby when it comes. Fortunately for the future +generation this fact has come to the realization of many of our +educators. During the last few years many schools have introduced into +their curriculum, courses in domestic science, including the purchasing, +preparation and serving of food. Very recently some of the more +progressive schools have introduced courses in nursing and the care of +young babies. Perhaps in a few years motherhood will take its proper +place as the most important of all sciences. + + + + +CHAPTER VIII + +EMBRYOLOGY--THE DEVELOPMENT OF LIFE + + +You remember I mentioned that at various times during the month an ovum +or egg leaves the ovary and passes along the tube to the uterus. Here it +remains if it is impregnated or fertilized by a union with the +spermatozoon or male element. The whole body of the babe is developed +from the ovum or female element after it has been fertilized by the +spermatozoon or male element. The union usually takes place in the tube. +The spermatozoon, after being deposited in the vagina, travels to the +mouth of the womb, then up through the womb into one of the tubes. Here +it meets the ovum and unites with it, then the impregnated ovum +continues on its way to the uterus. It attaches itself to the lining of +the womb by little thread-like filaments which it projects. The ovum +then begins to grow, dividing itself into portions that go to make the +different parts of the body. Before I continue, let me remind you that +the ovum in the beginning is only about as large as the point of a pin, +being about 1-125 of an inch in diameter, while the spermatozoon is so +tiny it cannot be seen without the aid of a miscroscope. Therefore, it +can be realized how much the ovum has to grow before it becomes a fully +formed babe. + +During the time the ovum is developing into the babe we speak of it +first as the embryo, then the foetus. It takes about nine calendar +months or ten lunar months before the foetus is fully developed and +ready to be expelled from the womb. During the process of development +the foetus resembles various animals. It seems it must pass through +about the same stages of evolution that our primitive ancestors did. + +By the end of the third week, the dividing has progressed so far that +the body is quite well indicated. By the end of the seventh week the +body and limbs are quite well defined. One peculiar thing is that, at +this time, the foetus has a tail which disappears during the next two +weeks. During the third month the foetus increases in size and weight +so that by the end of the month the weight is four ounces and the +length two and three-fourths inches. It now is not directly attached to +the lining of the womb but is attached by means of the cord to the +placenta or afterbirth which has been forming slowly. This placenta +consists of fatty tissue surrounding a great many little blood vessels. +The tiny blood vessels lie so close to the blood vessels of the lining +of the womb that the blood passes from one to the other. To do this, it +must pass through the walls of the blood vessels, as the vessels of the +mother and those of the placenta are not directly united. The blood +vessels of the placenta unite to form two veins and one artery which lie +very close to each other and are surrounded by a membrane. These three +blood vessels united together form what we call the cord. The other end +of the cord is attached to the foetus so that the blood can flow back +and forth between the foetus and placenta. + +By the end of the third month the limbs have definite shape, the nails +being almost perfectly formed. During the next month the sexual +distinctions of the external organs become well marked. + +By the last of the fifth month the weight has increased to one pound and +the length to eight inches. Active foetal movements begin, that is, +the foetus begins to move around and not lie quietly as before. This +is what is usually spoken of as "feeling life," or as "quickening." +There is life from the very beginning but during the first four or five +months the foetus does not move about and so the mother does not "feel +life." This has caused the erroneous idea that there is no life before +the fifth month. + +By the end of the sixth month the weight is two pounds and the length +twelve inches. The eyebrows and eyelashes have begun to grow and the +lobule of the ear is more characteristic. + +By the end of the seventh month the weight is three pounds and the +length fourteen inches. The surface of the body, which has appeared +wrinkled, now appears more smooth owing to the increase of fat +underneath. + +By the end of the eighth month the weight is four to five pounds and the +length twenty inches. The nails have grown to project beyond the finger +tips. Up to this time the body has been covered with a fine hair called +lanugo. This now has begun to disappear and the skin becomes brighter +and is covered with a white, cheesy material called the vernix caseosa. +This almost entirely disappears during the next month, but frequently +there are portions of it remaining on the body at the time of birth. The +foetus is fully developed by the end of the ninth month. Then its +average weight is six or seven pounds and the length twenty inches. + +If we could look into the womb just before the time of labor we would +find the foetus attached by the cord to the placenta and floating in a +sac of water. This sac is formed partly of the placenta and partly of +the membrane; the side of the placenta opposite to the child being +attached to the womb. Just before labor the child takes a position with +its head downward, its lower limbs flexed and its arms folded upon its +breast. This allows it to come in the usual way, head first. But +sometimes, for various reasons, it does not take this position and some +part other than the head, for instance, the feet, may be born first. + +Labor pains are caused by the contraction of the muscles of the womb in +an effort to expel the foetus. The muscles, contracting, push the +foetus downward to the mouth of the womb but push ahead of it a +portion of the membrane enclosing some of the water. This is called the +"bag of waters." As it presses against the mouth of the womb it causes +it to dilate so as to allow the foetus to pass through into the +vagina. The foetus, preceded by the bag of waters, then descends +through the vagina or birth canal until it comes to the external opening +of the vagina. This it must dilate before it can pass through it. The +bag of waters should rupture normally while it is being pushed through +the external opening. Sometimes the bag does not rupture directly in +front of the descending head but further up along the side. Then a +portion of the membrane may be over the face of the child when it is +born. This is what is called being "born with a veil" or "born with a +caul." + +The bag of waters helps dilate the parts much easier than the foetus +could do it alone. When the bag breaks the water lubricates the parts so +as to make the passage of the child easier. When it breaks, as it +sometimes does, at the beginning of labor we have what is termed a "dry +labor." This usually is much slower than it would be otherwise. The +majority of the cases of labor extend over a period of from twelve to +twenty-four hours. + +Sometimes the external opening of the vagina does not dilate enough to +allow the passage of the child. As the head presses hard against the +perineum it tears it. This tear should be repaired immediately after +completion of labor. + +When the baby is born it is fully formed but its lungs have never +contained air. At the first cry the air rushes into the lungs and +expands them. At birth there is a change in the circulation of the blood +of the baby. Before this time, the blood has passed to and from the +placenta through the cord but now this is stopped. Before birth there +was an opening between the right and left sides of the heart but this +closes during the first few days of the child's life. To assist in this +closure, it is wise to keep the child on its right side for a few days. +Rarely, this opening never closes and we have what is called a "blue +baby," which seldom lives very long. + +In a great many cases, painless childbirth could be a possibility by a +little attention to diet, exercise and other hygienic measures during +the last few months of pregnancy. Knowing this, it seems inconceivable +that any woman would neglect to so fully inform herself on these matters +that both she and her child could have all benefit of the investigations +of science. + + + + +CHAPTER IX + +ABORTIONS + + +Sometimes through an accident or on account of disease, the womb expels +the foetus before it is fully developed. If this occurs before the end +of the third month we call it an abortion; if it occurs between the +third and seventh months we call it a miscarriage; while if it occurs +after the seventh month but before the normal time of labor we call it a +premature labor. + +Formerly it was considered that there was no possibility of the child +living if it were born before the seventh month. Now, by the aid of +incubators, even those born at five months have a chance to live. By +that time the body is fully formed, so the chief requirements are a +steady temperature and proper care and food. Great care must be +exercised, as a slight cooling of the air may result in the death of the +babe. + +Abortions are either accidental, criminal, or justifiable, that is, +brought on to preserve the life of the mother. Accidental abortions may +follow a sudden fall or a sudden shock, either mental or physical, to +the mother. They may be due to some disease either of the mother or of +the foetus. Of the diseases responsible for abortions the one with the +largest percentage is syphilis. It is estimated that this disease is +responsible for forty per cent. of accidental abortions and +miscarriages. Whenever a physician has for a patient a woman who gives a +history of having had several abortions without any apparent cause and +all at about the same age of the foetus, he immediately becomes +suspicious of syphilis either of the father or the mother. It is a +peculiar fact with this disease that it may be transmitted to the +offspring without the mother ever actually having the disease. This is +an instance of "visiting the sins of the fathers upon the children unto +the third and fourth generation." Many a weak frame owes its condition +to a dissipated father, grandfather or even great-grandfather. It is +possible, though, for a man or woman who has had this disease to have a +healthy child if the disease has been properly treated. + +Under some circumstances, especially with a deformed pelvis, if +pregnancy were allowed to proceed normally it probably would result in +the death of the mother. Then, it is considered justifiable for the +physician in charge of the case to produce an abortion in order to save +the life of the mother. Those cases are rare and such a procedure never +is undertaken except in extreme cases. + +Criminal abortions are those brought on simply because the woman does +not desire to have a child. These often are produced by the woman +herself by means of drugs that set up uterine contractions (labor pains) +or by means of something introduced into the uterus. In either case it +is a dangerous procedure. Infections may be carried into the uterus by +means of whatever is introduced into it. This may set up an inflammation +that may result in the death of the woman. It is a dangerous procedure +to introduce anything into the womb. Some women are extremely foolish or +reckless and use anything that may be handy. Sometimes grave harm +results. Instances are on record of women who have punctured the walls +of the womb by the use of hatpins or other sharp instruments. If an +abortion is produced by either drugs or instruments there is danger that +all the products of conception may not come away. If even a small +portion remains in the uterus it may cause a hemorrhage or, becoming +decomposed, produce a poison that may result in the death of the woman. + +It would be impossible to estimate the number of abortions performed on +unmarried girls, as well as married women, during one year by midwives, +unscrupulous physicians and by many respected family physicians. We +never hear of one of these except through the occasional one who is so +unfortunate as to meet death. We cannot entirely blame the one who +performs the abortion. Sometimes it is performed because of the sympathy +of the physician. It is very hard to refuse some cases. Let me read you +a letter to illustrate my meaning. + +"I have just finished reading your article on 'Woman's Inhumanity to +Woman' and wish to say that every word impresses the truth as read. My +reason for writing you is because I am one of those who have sinned +through love, with one I have known all my life only to find too late +that he did not love me; and the sin is killing me. I do not want to +bring into this world a little child to have no father. I am not bad at +heart. My only hope is to get something that will bring me all right. If +you are a doctor you can give me medicine that will help me miscarry +this, as I have only missed two months. Nothing would please me more +than to be the mother of a little one, but, oh, not one born without a +name. Dear madam, if you can help me, or show me some way that my people +cannot suspect me of this sin, for the love you bear all girls, help me. +I am the only one at home to care for an aged father and one of the +dearest brothers that ever lived. If he knew I had sinned as I have, it +would break his heart. My God in heaven, help me! is my prayer, and +through his love you can help me. I am almost desperate and before I +will live and bear this sin I will take my own life, which will bar me +from heaven and my angel mother's face. Be gracious, kind doctor, and +help me. I will repay you if it takes the remainder of my life and give +my solemn promise that I will sin no more. Erring through the love of a +man is my only excuse and, oh, I am the one to bear the blame. He would +be forgiven. I am so nervous and ruined in mind that I hardly can go +about my duties and I cannot stand the strain much longer. Let me hear +from you at once and please help me, for I know it can be done, but I am +ignorant; I do not know what to get or what to do. It will be no sin to +try to get all right and not bear a child, but in my thoughts it is +something awful to have to have it. For the love of heaven help a +heartbroken girl at once and before it is too late for me to regain my +chance of heaven." + +Now suppose you were a physician and that girl, instead of being a +stranger, was a very dear friend who had come to you in your office, +would you not be tempted to grant her wishes? That is the position in +which every physician is placed a great many times. Some allow their +sympathies to rule and so break the laws of the land. They allow their +sympathies to overcome the moral truths that previously had been their +guide. They commit a crime by taking a life, even though that life were +not fully developed. + +Many women have the false idea that there is no life before the fifth +month and so think they are not destroying life if they have an +abortion at the end of the first, the second or even the third month. +This idea is entirely erroneous, for there is life from the very +beginning and it is just as wrong to destroy life the first few months +as it would be to do so later. + +Aside from this moral reason there is a very important reason for not +having abortions. You may regret it afterwards! Let me give you an +instance. One of my friends, a charming young woman, was married several +years ago. After her marriage she moved to a distant city and I did not +see her for about four years. Then she returned and called to see me. +During the course of our conversation I asked her if she had any +children. Her reply in a very sad tone was, "No, I guess I did too much +interfering at first, so now I cannot have any." Then she told me she +had the idea she did not wish to have children for several years after +she was married. So during the first year she had an abortion performed. +Now for two years she had been wanting a baby but none came. That is the +history of so many women. The regrets! + +All women naturally desire to have children. If they do not, they are +the victims of false ideas or of fear. Anything which is natural is the +best, so usually a woman who bears children is much healthier than one +who does not. Think of the women of your acquaintance and see if the +mothers are not happier and healthier than the women who are childless. + + + + +CHAPTER X + +MATERNAL IMPRESSIONS--HEREDITY + + +Every child has a right to be born well. An undesired child never should +be brought into the world. An undesired child or a child of parents who +are not in good bodily or mental condition comes into the world with an +inheritance that perhaps never is overcome. How can we expect children +of parents with criminal tendencies to become good citizens? + +Children born in circumstances under which the expectant mother has been +subjected to fright or to cruel treatment are handicapped in the very +beginning of life's race. Maternal impressions from fright or physical +violence undoubtedly are followed by the birth of individuals malformed +and in many respects with altered minds. Although some biologists try to +deny this, the coincidence is too widely observed to admit of doubt, +although the precise manner in which the effect is produced has not +been clearly demonstrated. Sufficient is known to make it of the utmost +importance that, in the interest of her offspring, the expectant mother +be not subjected to sudden or violent mechanical force or to any great +nervous shock. Equally important is it that she should be surrounded by +a harmonious environment in order to give the unborn child all possible +benefit of such surroundings. + +By many it is claimed that the mother's mental condition during this +period will be reflected in the child both mentally and physically. For +instance if the mother be calm, free from worry and happy in +anticipation of the coming event, her offspring will have a sound +nervous system, shown by a perfect digestion and an excellent +disposition: while if the mother be irritable and unhappy her child is +inclined to have various digestive ills, as well as to be cross and +restless. + +Great disturbances in the expectant mother's health also have their +effect upon the child. The erroneous idea that there is no life before +the third or fifth month allows many conscientious women to attempt +measures that will cause the discharge of the products of conception. +These measures not only are dangerous to the health or the life of the +woman but, in the event of their proving unsuccessful, may result in the +birth of a deformed or a mentally defective child. + +Parents who have become degenerate from the immoderate use of alcohol or +other stimulants or those who are afflicted with one of the black +plagues furnish further examples of the birth of deficient offspring. + +The question of heredity has received considerable attention during +recent years. As a result, many of our pet theories have undergone a +decided change. Many of the diseases which formerly were thought to be +acquired through inheritance we now know to be contracted through lack +of care or through association. The only inheritance is possibly a +tendency to the disease or a decrease in the power of resistance. It is +a law of pathology that the diseases of parents who suffer from certain +serious chronic maladies create in the offspring a condition of +defective life shown in malformations or in altered nutrition. The +hereditary influence of most diseases is shown in the transmission to +the child of a defective body shown by feebleness or a diminished power +of resisting disease. + +In tuberculosis and other diseases that once were considered hereditary, +this influence is shown probably only in a predisposition to the disease +which under favorable circumstances finds an easy condition of growth. +The child does not actually inherit the disease and if placed in +favorable surroundings will outgrow the tendency, will overcome the +feeble vitality. But such a child if allowed to remain with its parent, +to breathe the germs of disease cast off by the parent, readily +contracts the disease. For the sake of the child it must be separated +from its tubercular parent. It must be given fresh air and nourishing +food. + +There is one disease, though, that seems to be truly inherited: the +worst of the black plagues, syphilis. This may be inherited from either +parent, it frequently is inherited from the father even though the +mother does not contract the disease. This inheritance seems to manifest +itself chiefly in a disordered nutrition. Even during the first few +months of development, this may be so effective as to destroy life. You +remember, I mentioned this when I talked about abortions. If life is not +destroyed, the nutritional processes may be so affected that the +pregnancy will result in the birth of a defective child. These children, +perhaps fortunately, usually die during the first few months of their +lives. Seldom do they live to maturity. Many children who seem to have +escaped this inherited trait really have not done so, but their +inheritance is not recognized. Some people with defective generative +organs owe this to a diseased parent. Others suffering from a chronic +skin disorder, and many afflicted with epilepsy or some brain +malformation could trace their inheritance to the same source. This +disease seems truly to be an instance of "visiting the sins of the +fathers upon the children unto the third and fourth generation." + +There is no doubt that the general health of the child is affected by +the health of the mother especially during the period when the child is +nourished from the mother's blood. Attention to such matters as diet, +sleep and exercise certainly has a great influence upon the constitution +of the unborn child. The best heritage a mother can give her child is a +strong constitution, and in order to do this she must make motherhood a +science. + + + + +CHAPTER XI + +CHILDLESS HOMES AND REAL HOMES--CAUSES OF STERILITY + + +Whatever may be the motive that causes men and women to enter into +matrimony, the social reason is the perpetuation of the human race. +Herbert Spencer says, "The welfare of the family underlies the welfare +of society." Therefore those who marry for convenience or with the +avowed intention of not assuming the obligations of parenthood have not +the welfare of the human race at heart and are a menace to society in +its highest form. + +Childless homes are not the happy homes, anyhow! Their occupants usually +are dissatisfied; the women are nervous, irritable and unhappy; the men +are seeking happiness elsewhere. The homes childless from choice should +receive our condemnation, but the homes childless from necessity should +receive our commiseration. The latter are much more prevalent than many +of our race suicide agitators would admit. These are too prone to blame +the woman for what is not her choice. We hear so much about the higher +education of women promoting race suicide. A recent investigation +carried on by a well-known magazine has proven that such is not the +case. The college girls and the professional women desire children much +more than do the factory girls. But these college girls realize that +quality is as necessary as quantity. They do not desire to bring into +the world weak, puny offspring. These college girls are beginning to +make motherhood a science. What the results will be we can only +anticipate. + +A normal woman, who has not become imbued with false ideas and fear, +desires children. She realizes that motherhood, if rightly carried out, +is a privilege and not a curse; it is the woman who has been falsely +educated who dreads motherhood. This morning I received a letter which +shows the prevailing attitude of many girls. The writer says: + +"I am twenty-two years of age but strange to say I am ignorant as far as +knowledge about the origin of life, etc., is concerned. I am a business +girl, drawing a good salary, and have many gentleman and lady friends. I +am the oldest child of a large family of moderate means and have been +brought up under Christian principles and possess a goodly amount of +common sense. I long have been anxious in regard to this important +subject but never have asked anyone for advice, shuddering to do so, +feeling that if I had a chance to ask a lady with knowledge, as a nurse +or some such person, I would do so. But to tell the truth, I did not +care to find out such things, but I realize the fact that I must know in +order to guard myself; for that is something no one can do for me at a +critical moment. I have no less than three gentleman admirers, but I +have no desire to be a married woman for a long time to come, but I feel +that I must be armed with the knowledge of right and wrong. I shudder on +account of _fear_ to think of becoming a mother. I hear so much of +woman's pains and aches and the such, that I often think I would prefer +to remain single all my life, although I am perfectly healthy and a +happy, cheerful girl. My mother is, and always will be, too busy to tell +me about such matters, although I had a right to know long ago. As you +say, an ignorant, innocent girl would be guilty before the world if +something wrong should happen to her and in most cases it is not her +fault. Can you give me the desired information or can you recommend some +good book? If so, I assure you that your efforts will be greatly +appreciated." + +This letter certainly indicates that the writer has a good amount of +common sense. The trouble is she has become over-impressed with the +possibilities of pain, and never has been told the wonderful truths that +would overcome this fear. If love is the greatest thing in the world, +fear and its companion, worry, certainly are the greatest curses of +humanity. And the most pitiful part is that this fear and worry usually +result from ignorance which a little instruction at the right time could +dispel so easily. It is the unknown things that we fear. When any +trouble actually comes we find strength enough to meet it, and, anyway, +it usually is not half as bad in the reality as in the prospect. Young +girls hear so much about the pains of childbirth that this fear +overshadows the natural longings for motherhood. It is not until +motherhood is an actual fact that they realize the happiness is worth +all the cost. + +But this fear is not what actually makes many childless homes. They +often are unpremeditated. A large percentage of the sterility in the +world is due to the results of indiscretions that are the outcome of +ignorance. One great factor in childless homes is the prevalence of the +black plagues. It is estimated that forty-five per cent. of sterile +marriages are due to that seemingly mild disease which is regarded as no +worse than a cold and which has been contracted either by the man or the +woman. This disease does not disqualify the woman alone, as was formerly +thought, for recent investigations have proven that twenty-five per +cent. of the sterile marriages are due to sterility of the male. Oh, the +innumerable women who have submitted to unpleasant treatments and even +operations in the hope of overcoming sterility when all the time the +fault was elsewhere! The microscope has proven that even though a man +may seemingly be healthy and capable of sustaining the marriage +relation, yet his efforts are valueless; for the spermatozoa, the +life-giving element, are dead, due usually to an inflammation which +accompanied an attack of this seemingly mild disease,--gonorrhoea. + +This disease is responsible for many of the one child marriages. How +often we see a family with only one child, this child born during the +first year of married life, then there are no more pregnancies. The +woman probably has contracted a disease from her husband and, during the +period immediately following the birth of her baby when the entire +generative system is in a condition to easily become inflamed, the tubes +have become closed. Another pregnancy is very unlikely. + +Another factor in sterility is abortions. So many times we hear a young +married woman say, "I do not want a child the first year, but after that +I would like one." In order to carry out her desires it is not uncommon +for an abortion to be performed during the first few months. In many +cases an inflammation follows this interference and the tubes become +closed permanently. Then when the woman is ready to have a child it is +impossible. Girls about to enter marriage should be cognizant of this +possibility and not take any risks, for few women would do anything +voluntarily that would condemn them to childless lives. + + + + +CHAPTER XII + +PREVENTION OF PREGNANCY + + +This morning I received a letter which says in part, "I am a young +school teacher and do not know lots I should, but will come to you for +advice. Now I am engaged to the dearest boy in the world. I will do my +best to be a good wife and do my duty. But my health is not so very good +and I want to put off motherhood for awhile. Will you kindly tell me +some remedy that will keep me from becoming pregnant? I have long wanted +to ask someone but always was afraid. Mother never tells me anything." + +This is the type of question that is asked every physician many times. +Those who do not ask, wish to--and blame physicians for not telling the +things they want to know. What is my answer to such a question? Just +this: + +There is in effect a federal statute making it a felony punishable by +$5,000 fine and five years at hard labor to impart any information +_whatever_ relating to the preventing of conception. The information may +concern a thing, an instrument, or it need not be any material substance +at all--only a "method." I obey that law as I am not foolhardy enough to +walk into absolute danger. + +Every day we see examples of heart-breaking misery caused by lack of +knowledge of the proper means of prevention. The limitation of the +number of offspring has become an important problem to be considered. +There are thousands of families that would be perfectly happy if the +number of offspring could be limited. There are thousands of young men +who would be glad to get married but are afraid to do so for fear of +having a family larger than they could supply with the necessities of +life. These same young men, because they are not married, frequent +questionable houses and often contract one or more of the venereal +diseases. + +There are thousands of women who have become semi-invalids because of a +too prolific offspring. The babies came so fast the mother had no +opportunity to regain her health and strength. There are other thousands +of women who are made invalids because of attempts at abortion, or have +been driven into early graves by these attempts, while some have +actually killed themselves. + +There are thousands of children half starved because their parents are +unable to supply them the necessities of life. There are other thousands +of children below par mentally and physically because of the fact that +the mother was weak from too frequent child-bearing. There are other +thousands of children born of syphilitic, tubercular or epileptic +parents who never should have been born at all because they came into +life so handicapped and had to fight against such severe odds that they, +after a brief struggle, met an early death. There are children brought +into this world amidst cursing who never hear much else. + +We find it necessary to regulate the parentage of our domestic animals +in order to insure a good race. But children can come by chance. The +most degraded of men is allowed to beget children of his kind. There is +small chance for race improvement under such conditions. The same laws +hold true as to the future generation of humans as are true of animals +or plants. + +Human beings are not mere animals and they should be allowed to decide +how many children they should have. Furthermore, the present laws do not +attain their object. We all pretend to obey the laws but everyone knows +that in every city there are many women, and men also, who make an +excellent income from performing abortions. I would venture to say that +in Chicago alone there is at least one abortion performed every +hour--and Chicago is not so very different from other parts of the +country in this respect. The ways and means to prevent pregnancy are +sold and are bringing a rich reward to their manufacturers. But the +advertisements are so carefully worded that the law is not violated. But +the interested understand. If the manufacturer or his agent were accused +of selling anything to prevent pregnancy, he would simulate great +surprise and possible indignation. He doing such a thing! Impossible! +Why, he is selling a simple hygienic device or drug used in the +treatment of certain diseases. + +If we have laws, let us obey them; but if we do not intend to obey them, +let us stop being hypocrites and remove them from the statutes. If the +law remains let us make it far-reaching enough to include those who now +are so flagrantly violating it. But if means for the prevention of +pregnancy are necessary to the health and happiness of the human race, +let us change the laws so we can have the best of these preventives and +allow reputable physicians to give whatever information they can to +prevent this wholesale misuse of a law by the unscrupulous,--the +law-breakers. + +A recent investigation carried on by one magazine proved that the +knowledge of how to prevent conception would not mean race suicide, as +some fear. As reported in this magazine, the college girls and +professional women who no doubt had given these subjects careful +consideration, desired children more than did those whose experience had +been a poor home and a large family. The average number of children +desired by the well-informed woman was four. That would not mean +race-suicide! It would mean that children were given a fair start in +life by being desired and planned for before their conception. Every +true woman desires a home and children but she does not wish to be +driven into motherhood. Every true man desires a family but he does not +feel justified in bringing children into the world to be half starved +and with no advantages of education. + +What is the solution of the problem? + + + + +CHAPTER XIII + +SOME OF THE CAUSES OF DIVORCE + + +Until our marriage laws are so adjusted that there are no unequal +marriages, the question of divorce always will be eminent. The ever +present agitation about uniform divorce laws and the divorce problem +cannot be settled until there are more stringent marriage laws. Trying +to settle the divorce question without first settling the marriage +question is like trying to keep chickens in a small yard surrounded by +enticing fields without first constructing an adequate fence. + +Divorce is the concession of society to its inability to solve the +marriage problem. Anyone can get married! Mere children can meet on a +pleasure excursion and in a moment of fun or infatuation walk over to a +justice of the peace and be married. In some states not even a license +is necessary. A large proportion of the marriages in the world are +consummated without a proper consideration on the part of either bride +or groom as to the responsibilities of the marriage state. Many of the +marriages are made simply as a matter of convenience--in order to +inherit property, for social position or in a spirit of pique. Such +marriages are not natural marriages and are in violation of the right +spirit of the law of marriage. The much quoted saying, "What God hath +joined together, let no man put asunder," surely does not apply to these +marriages; for that very admission would be a condemnation of the wisdom +of God. He surely never would give his sanction to many of the marriages +contracted in a spirit of lust or of greed. + +It is as impossible to keep mismated people together as it is to keep +chemical incompatibles together. No chemist would try to keep chlorate +of potash and sulphur together even if they did, by some accident, +happen to be in the same locality. It is just as impossible to keep two +incompatible people together and not expect an explosion. The law may +keep such people legally bound, but it cannot keep them so mentally or +physically. A prominent reformer is reported to have said that fully +one-third of the married population of New York City is unfaithful to +the physical obligation. And New York is not so very different from +other parts of the country. Many who are not physically disloyal are +mentally so. The no-divorce law will not prevent this condition of +affairs. Whites and blacks cannot marry legally in the South and yet in +some of the Southern states which have a no-divorce system a large +proportion of the colored population is _mulatto_. + +Nature's laws tend to provide an indissoluble union, but divorce +represents the protest of the individual against the inharmonious +relations he ignorantly or thoughtlessly has assumed. + +Even those who are the loudest in their condemnation of divorce could +not sanction marriage under certain conditions. I wonder if these people +know that many of the divorces that are granted under the head of +cruelty really are granted because one of the parties has contracted one +of the loathsome black plagues. No humane person could condemn a woman +for refusing to live with a man and take the almost certain risk of +contracting a disease that would mean her death or mutilation, or for +refusing to bear children that would come into the world an object of +disgust and horror or which would die before being born. Some of these +reformers say, "Let her live separately from him but not marry again." +That would be condemning an innocent woman to a childless life because +she had been so unfortunate as to become bound to a dissipated man. + +Another underlying but often unknown factor in many of the divorce cases +is sterility. In some states the law says this is a just cause for +divorce, because the future of the nation depends on the production of +children. Because a woman, in her ignorance, has married a man who is +incapable of producing healthy offspring, due to his having "sown his +wild oats," should not be a reason why she should be condemned to forego +the pleasures of motherhood. Because a man has married a woman who is +sterile or who selfishly refuses to bear children should not be a reason +why he should be denied an heir. + +Again, it is unfair to the future generation to compel mismated couples +to live together. Children brought into the world under such conditions +are bequeathed a heritage that will have a demoralizing effect upon +their whole after life. Children, who every day hear quarrels and +strife between those they should honor, lose something of the beauty of +life; they become hardened and quarrelsome. Of course these divorces +must not be granted promiscuously; for in bringing children into the +world, parents assume an obligation that cannot be neglected. In +considering a separation, the parents' first thought should be, "What is +best for my children?" The duty to the children should be settled first. +Then the question comes, "What is my duty to my wife or my husband?" for +the act of making any contract imposes certain obligations. The +individual circumstances must settle what these obligations are. Last +comes the question, "What is my duty to myself? I was placed in this +world to make the best use of my life. Am I doing it or is it impossible +to do so unless I change my environment and associates?" The conscience +of the individual should be the guide now. + +Were there more frankness and sincerity in discussing the problems and +conditions of married life before marriage much unhappiness would be +avoided and there would be fewer divorces; for many engaged people would +thus discover they were mismated before the marriage ceremony. To reach +a complete understanding is the main purpose of the engagement period. +Marriage is not a lottery nor a game of chance to the man and woman +entering it with a knowledge of sex relations and with absolute mutual +honesty. + + + + +CHAPTER XIV + +THE NEED OF EARLY INSTRUCTION OF GIRLS + + +Dr. Charles W. Eliot, former president of Harvard University, recently +said: + +"The subject of reproduction and sexual hygiene should be more generally +presented to young people by parents and teachers. I am convinced that +the policy of silence has failed disastrously." + +That you may understand how widely spread is this desire on the part of +women for a better knowledge of themselves and of those things so +vitally important to the welfare of the future generation, I shall quote +a few extracts from letters I have received from women in various parts +of the country. These letters, too, will serve to show the woeful +ignorance along these lines among even the well educated women, and also +the need for some systematic instruction. + +A very intelligent girl from South Dakota writes this heart story: "My +mother died when I was a babe. After her death I was sent out among +strangers. While away from home and before I was _six_ years old a young +fellow about fifteen years old possessed me and threatened to do +something terrible to me if I told. I did not dare tell. Luckily I was +taken home at that time, as I now had a step-mother. But still more +horrible, it also happened that I had immoral relations with my brother. +When I found out that this was the way people got babies, I wished I +could get one. I was not very old before I understood that this was a +wrong and a shame and acted accordingly. My parents never mentioned +things of this nature to me. How much better it would have been if they +had done so when we were real young. How many things were spoken of by +schoolmates and told in the dirtiest possible way and things also were +said that I now know were entirely wrong." + +I cannot impress upon you too strongly the need of early talks with +young children on these matters. As soon as they enter school at the age +of six and even before this, in some cases, they are bound to hear these +things from their playmates. Usually the information is thrust upon the +child in a very vulgar manner, or entirely wrong impressions are given. +The very secrecy that always has surrounded these subjects makes them an +object of interest to children. The functions of the generative organs +are just as natural a process as the process of digestion. We make no +secret of the process of digestion, and children do not manifest any +morbid curiosity regarding it. If we would discuss the functions of the +generative organs in just as natural a way, many of our great problems +would right themselves. + +A woman in one of the western states writes, "Once I had a heated +argument upon that subject with another woman. She always had lived in a +small community. In her opinion all city girls were morally depraved. +She had two daughters of her own. Both girls gave birth to babies at the +age of fourteen and sixteen years. It transpired later that these girls +first began the evil practice at school. And I will state here, +regardless of contradiction, that the village school is often the +breeder of immoral characters among both boys and girls. + +"In a small farming community of California containing about forty +children of school age, it was discovered that immoral practices had +been carried on for years among the older children. One little girl, +being new to the school and also being in the habit of telling her +mother everything, repeated some of the sights she had seen during the +recess and noon hours, and also some of the conversation she had heard +among the children. The mother, being horrified at the child's +revelations and knowing the child must have some foundation for her +stories, told a friend about it. This woman told some of her friends who +were the mothers of the children the little girl had named to her +mother. Of course, the children were questioned and denied all knowledge +of things the child had mentioned. The mothers were indignant that their +children should be accused of anything like that. They unquestionably +believed the denial, making no effort to find out if there might be any +truth in the report. That mother and her little one were 'sent to +Coventry' with a vengeance. Later some of these mothers had cause to +repent of their carelessness in having neglected or disregarded the +warning. They found to their sorrow that the little girl was not telling +an untruth, after all. + +"The trouble with the mother in the small community is that she judges +her children by her own past. She, perhaps, had an entirely different +environment from that of her children and because she came out all +right, naturally sees no use in bothering about talking to her girls. +'They will learn these things soon enough,' she says when the subject is +mentioned. That they either already have learned them or may be learning +them in a manner of which she would be the last to approve, she does not +take into consideration. An attempt to warn such a mother often is +misunderstood." + +That young women realize their need and are anxious for any help is +shown by these letters. From New York a girl writes, "I am twenty-two +years of age and as yet know nothing about the mysteries of life, and I +am beginning to worry about it as I am keeping company with a young man +and expect to become engaged to him. I know nothing of what is expected +of me when I get married and I know there are a number of girls just +like me and that they are worried, too." + +From a girl in Seattle came this letter, "No one ever told me about this +wonderful body of ours and that God made it in his likeness for his +glorification. When I asked where the babies came from, I was told the +doctor brought them in his case. One day I saw a boy and girl about +eight years of age doing wrong, and thought nothing of it when my +brother, who was fourteen while I was six, proposed that we do likewise. +This was kept up until I was somewhere between eleven and thirteen, when +I was converted and it occurred to me that this was not the right thing +to do, but I never dreamed that I would suffer so these ten years, as I +am twenty-three now. Only in the last few years I have learned how God +made these organs for the marriage relation only and how life was +formed. I would go to my mother for this information but I know it would +break her heart and I am afraid she could not tell me what I want to +know. I would not write this but I am deeply in love with a Christian +man, and I could not marry anyone until I know about this matter. I +often have made a vow I never would marry anyone, but this love came to +me before I could help myself, and as he told me of his love I would not +allow myself to let him know I care as much as I do. Kindly tell me if +anyone who has abused her organs while so young could make a good wife +or become a mother, and can these marks of sin be removed?" + +Another young girl writes, "It is just as you say, ignorance is the root +of evil in many cases such as mine. I have come to you for help, +information and advice. I have taken that fatal mis-step you write +about, but no one knows it besides myself and this man. He dare not +speak of this. He is very wealthy and influential. After reading your +article I found that you were the one to go to and make a confession. I +never have been warned or told of these dangers and now it is too late. +I am a young girl, eighteen years old, and have a lot of men friends +because I am considered attractive, but none of them have ever said one +word out of the way to me except this one and I yielded to the tempter. +I know I have done wrong, and now am trying to atone for it by being +awfully good. Now, what I want to know and want you to tell me is this, +'Can I ever marry a decent, respectable man without him knowing of this +affair?' There is a young man very much devoted to me (and I can assure +you it is mutual) who several times has asked me to marry him. I am +afraid to give him an answer. I cannot ask anyone else this question for +the simple reason that I am not sure whether they will tell me the truth +or whether they really know." + +Both these girls were fortunate that they did not have any serious +consequences from their mis-step. Too many girls make only one mis-step +and as a result become pregnant or else contract one of the black +plagues. This week I have received several such letters. Laying aside +all moral points, it is too much risk for any girl to run. + +Unfortunately a great many girls in their ignorance do make a mis-step. +That is no reason why they should not marry. We must take into +consideration the fact that the young man in question probably has made +several of these mis-steps. He should not expect his prospective wife to +be any stronger to resist temptation than he has been. If this were an +ideal world, all men, as well as all women, would be pure, but until the +millennium comes we must take things as they are, and proceed from that +standpoint. But because a girl has erred through ignorance is no reason +why she should be doomed to everlasting punishment in the shape of +social ostracism or being denied the happiness of having a home and +children. + +These are only a few of the many letters I have received, but they serve +to show the great need of early instruction of girls on these much +neglected subjects. Every girl, soon after she enters school if not +before, learns where babies come from. She too often is led by older +children, both boys and girls, to do things she may regret later. It has +been said that "sin is but ignorance." This is true in the great +majority of cases of immoral practices among girls as well as among +boys. The remedy for these sins, then, is to do away with the ignorance +by proper instruction of children. Children are reasonable beings and if +they understood the _why_ would not do wrong. + +If girls go wrong through ignorance the parents are to blame; for at the +present time there is no excuse for a parent not giving the necessary +instruction. If, on account of her own lack of knowledge, the mother +feels incapable of instructing her daughter, there are others ready and +willing to aid her; also, there are books especially prepared for her +help, which will definitely point the way. + + + + +CHAPTER XV + +WHY GIRLS GO ASTRAY + + +Not long ago an estimable young woman in speaking of the unfortunate +girls in the world said, "I cannot see how any refined girl could get +into trouble. I cannot conceive of any circumstances which would permit +any self-respecting girl to allow the familiarities necessary for such a +condition." That is the attitude assumed by many intelligent women. +Because they grew up in an environment without temptations, because they +had no unsatisfied longings to be loved or to be popular, they are +incapable of understanding these feelings in any other person. + +In every girl there is an inborn longing to be loved and to have a home +of her own. It is a misunderstanding of this sense that is responsible +for the wrecked lives of many girls. In too many homes there is no +expression of the love sense. Frequently I have heard girls remark, +"Why, I never think of kissing my parents except, perhaps, when they or +I go away." In too many homes the only mention that is made of love is +that made in a bantering manner. A child has the right idea of love. She +loves everyone and is free in the expression of this love. As she grows +older she obtains wrong ideas of love and she too often obtains these +wrong ideas in her own home and from her own parents who instill false +ideas of love when indulging their habit of "teasing." Frequently we +hear parents talking about the small daughter's "beau." The child feels +pent-up emotions of love and, as there is no outlet at home in a natural +way, she acquires the idea that these emotions should be spent in a +childish love affair. + +In a recent address Professor Marx Lubine of the University of Berlin +said, "Motherhood, in all stages of civilization, has been strangely +ignorant of the fact that girls have as powerful a battery of emotions +as boys. It is my experience that a major portion of mothers understand +their sons better than their daughters. Why? The daughters are not given +credit for a power of emotion the sons are capable of. Yet, naturally, +in my long experience with both sexes, I have no hesitation in saying +that the emotions of a pure girl are usually deeper, more lasting, than +those of a boy, and that if we are to have a great improvement in +womanhood it must come through a recognition of this fact." + +It is strange but mothers seem to be blind to, or ignorant of the +emotions that are seething back of the clear eyes of their daughters. +The emotions of the girl have not been studied sufficiently. We expect a +boy to do things which serve as an outlet to his pent-up emotions but we +expect a girl to go on in a calm, uneventful manner with no outlet for +the overflow of emotions. Blessed are the "Tomboys." I would there were +more of them. It is a fact that the girl who runs, plays, climbs trees +and is given to outdoor sports generally during the early part of her +life develops into the truest woman. She has an outlet for her energies. +Her time is fully occupied with those things that promote health. She +has no time nor desires for those things that show a perverted taste. +Such a girl seldom becomes a victim of self-abuse. She is not inclined +to romantic love affairs. It is her sister who sits and sews who has +time and inclination for indulging in morbid longings and who becomes +the victim of pernicious habits. + +Curiosity is one of the prominent characteristics of both sexes. With +the boy this is satisfied without much pretence at secrecy. False +modesty prevents the girl from openly obtaining the desired information. +She obtains it secretly from her companions. Mothers do not give their +daughters credit for the instinct that compels the satisfaction of their +curiosity. Sometime during her life, nearly every mother is surprised +and shocked at the knowledge displayed by her daughter. She finds that +owing to her silence and neglect of opportunities her daughter has +obtained definite if entirely wrong ideas of sexual matters. + +In other matters, too, the policy of silence or of arbitrarily +forbidding the daughter to indulge in certain pleasures, coupled with +the natural curiosity of the girl, tends to develop in her the habit of +deceitfulness. If she is forbidden some harmless amusements she very +frequently learns these diversions at the homes of her friends. The +mother was brought up in one generation, the daughter in another; what +was considered wrong in the first generation is looked upon in an +entirely different manner now. Many mothers seem to be unable to +realize this. They were brought up in a puritanical environment. The +puritan fathers forbade all indulgence in mirth and happiness. Their +ideas of the perfect life were to wear a stern, unsmiling countenance +and do those things that were unpleasant. If anything was uncongenial, +then it was their duty to overcome their inclinations. These puritans +expected to develop by repression. We have changed our ideas radically +since then, but some of the puritanical ideas still cling to us in our +treatment of children. To develop the child's character she must be made +to do the things she does not want to do and to refrain from the things +she most desires. Is it right? + +We are most interested in those things that belong to us individually or +in which we have some share. If we wish a girl to remain at home then we +must see that she is interested in that home. The way to do this is to +make her feel that the home belongs to her in part and that some +portions of it are entirely hers. The majority of girls feel no real +interest in their homes. They are made to feel that it is their +parents' home and that they are only assistants. A girl to be interested +in her home must have some definite room that is hers alone and in which +she is allowed to exercise her individual tastes. She must have a place +in which she can entertain her friends without the feeling that whatever +she does and says is to be criticised afterwards. She should be assigned +to certain tasks and held responsible for them. She must have a certain +definite allowance out of which she is to buy certain things, otherwise +her desire for independence will arise and cause her to leave home. The +majority of girls have no income of their own. Perhaps their desires are +all fulfilled by an indulgent parent and yet the girls resent the +feeling of dependence. + +Girls are naturally just as ambitious as boys, and they need good, +honest work to keep them healthy and their minds occupied. If a girl +displays an interest in a certain line of work this interest must be +encouraged. Usually it is not. The girl is taught, either consciously or +unconsciously, that whatever occupation she takes up will be only +temporary, that to become engrossed in her work would mean no marriage. +Girls cannot do good work under such conditions. + + + + +CHAPTER XVI + +SELF-ABUSE + + +In one of my articles for one of the leading women's magazines I spoke +of mental self-abuse. This brought me so many inquiries regarding both +mental and physical self-abuse that I feel impelled to explain them to +you. + +To abuse means to use wrongly, or to injure. We have talked about the +uses of the female organs and also about the care of them. Sometimes, I +have watched children rub their eyes until they were quite red and +inflamed. I have seen children, thoughtlessly, stick pins and hairpins +in their ears and I even have had to remove a bean which a thoughtless +child had pushed up its nose. All these things did more or less harm to +the parts. In the same way, some girls play with their external +generative organs and even put things up in the vagina. Sometimes they +injure these organs greatly, and sometimes there is a more general and +serious effect. You know the nerves of the body all are very closely +connected like telegraph wires so that an irritation to one part will +sometimes be telegraphed to another entirely different part and cause +the nerves of that part to be irritated. When you have a toothache your +whole face and head and even your arms ache. That is because the nerves +are irritated. In the same way if one irritates the nerves of the female +organs, the whole body may be affected; only in this case it is more +serious than with the toothache; for these female organs are more +abundantly supplied with nerves. + +One who is guilty of such an unnatural practice as to deliberately +irritate any portion of her body, especially the very important +generative organs, always secretly despises herself. If persisted in, +the results of this vice are a ruined nervous system and a weakened +character. The victim realizes she is doing a disgraceful thing and +seldom acknowledges her habit even to her physician. + +If one has become a victim of such a habit she should determine to stop +it immediately and then take measures to restore her nervous system to +its original state. It never is too late to commence treatment. It is +the continued practice and the mental dwelling on the acts that does the +harm, not the few acts thoughtlessly performed. Of course the longer the +habit has continued, the more firmly it is fixed and the harder to +break. + +The treatment is first to absolutely stop the practice, then fill your +mind with other thoughts. Take considerable physical exercise in the +open air. Sleep on a hard bed in a well-ventilated room. Eat plain, +nourishing food without spices and stimulants. Take up some work or play +that will interest you and that will keep your mind occupied. Live in +the open air as much as possible. If you find yourself desiring to do +these harmful things, go immediately and busy your mind and hands with +something else and the desire will pass soon. In young children this +habit often has its origin in some irritation of the external organs, as +a hooded clitoris. So before taking severe measures to break the habit, +it is wise to have the child examined for such a condition. + +Now as to mental self-abuse, perhaps I can make my meaning more clear by +again quoting from some of my letters. A young woman from South +Carolina wrote me, "A few years ago I taught school and one of my +pupils, perfectly innocent of the grave results that would befall her, +committed three outrages upon herself, what is known in the medical +world as masturbation or self-abuse. The girl, as I know, was chaste and +a sweeter, nicer, brighter pupil I never taught. But she had the +misfortune to commit these abuses upon herself in all innocence and felt +no discomfort or ill health in any way until about three months +afterward. Then she began to lose interest in her work, to fall away in +her grades, in fact to take very little interest in anything. In this +condition she came to me and told me everything. Since then she has felt +no physical pain whatever, but her mind, though not really gone, is +visibly affected. In this way, she is constantly in dread lest something +dreadful will happen, feels as if a cloud were hanging over her, is not +capable of doing any mental work. At times, has a horror of being shut +up in any place, memory is poor, places and positions change, that is, a +place moves to some other position, for instance, the right side of the +street very often is in the opposite direction. To sum it all up, she +constantly is miserable. So far as being insane is concerned, she is +not that. She is perfectly conscious of her condition. She feels well +physically and appears to be so mentally, but says there is just a +befogged sensation in her head which gets no better nor worse, yet it is +there. The feeling came upon her very suddenly one morning in the spring +after the abuses had taken place in January and then it all flashed over +her the awful consequences of her innocent practices. Oh! what would she +not have given to be her old self again! If she only had known the awful +result, her mind sacrificed for a practice in which she indulged through +ignorance and for experiment, never dreaming the baneful effect it would +have on her mind. Now, this girl has gone on this way for the past eight +years getting no worse nor any better. Seemingly, she is the same but +she suffers untold miseries when alone, conscious that her mind is hazy +and not capable of enjoying books, society of others or anything that +interests young girls. Yet nobody ever would detect that she is not +feeling well. She told me all this in confidence and as the case puzzles +me, I write you feeling that perhaps you would advise me in some way the +treatment necessary to cure her. She is and has been perfectly moral +since the fateful abuses upon herself and I do not understand why her +mind does not return to its normal condition." + +I do! She will not give her mind a chance to get well. She constantly is +abusing it by dwelling on things that should have been forgotten long +ago. No one goes through life without making some mistakes. Everyone has +burned his finger many times. And yet he does not keep worrying about it +and wondering if it will have some dangerous after-effect. Of course, if +he deliberately burned his finger time and time again, it might remain +injured permanently. But if he, ignorantly or accidentally, has burned +it once or several times, he stops his careless ways, allows Nature to +restore the injured portion, and then forgets there ever was an injury. +It is the same with self-abuse, many children do things like this +thoughtlessly. But when a girl learns she is injuring herself, she +should stop the practice and allow Nature to repair the wound. Then +forget all about it. Do not worry, above all things. Go ahead and fill +your mind with work. + +There are many women in this world who are abusing themselves by +worrying over something that has occurred in the past. Whatever is in +the past cannot be undone. All we can do is to profit by our experience +and turn the energies, that would be wasted by worrying, to some good +use. Whenever thoughts of the past or desires for the wrong things +disturb you, crowd these worry thoughts and desires out of your mind by +putting in it good thoughts. Deliberately fill your mind and hands so +full of other things that there will be no room for these unwholesome +pests. Worry does more harm than smallpox ever did! + +This dwelling on past mistakes is only one of several methods of mental +self-abuse. Another way some abuse themselves is by continuing the +association with those who excite or irritate them. If in your work or +social life you find that a certain person has an effect upon you that +is not wholesome, that when you are in the company of that individual +you are incapable of doing your best, then it is time to make a change. +Keep away from that individual until such a time as you are strong +enough to resist his influence. Choose your friends from among those who +stimulate you mentally. If you stop to think, you must admit that you +accomplish more and better work when in the presence of certain people. +Those are the ones whose companionship you should seek. + +There are people living together or working together who are a continual +source of irritation to each other. It is just as impossible for such +people to work in harmony as it is for two incompatible chemicals, as +nitrogen and iodine. We do not try to over-ride the laws of Nature by +trying to force these chemicals to stay together. It is just as +impossible to force certain incompatible people to be harmonious. If +society or business throws two such people together it would be wise for +one to make a change before there is an explosion. It is impossible for +any person to do good work in an atmosphere of irritation. + +Another element in mental self-abuse is longing for the unattainable. +Sometimes a person sets her mind on a certain thing. If that goal is an +honorable one, she should make every effort to attain it but if +circumstances over which she has no control make that goal impossible of +attainment she should turn her thoughts in another direction. But that +is what many people do not do. If they cannot have just what they want +they sit and bemoan their fate and give up trying for other goals. Such +a person should choose a line of work or play that is especially +interesting to her and bend her energies in that direction. She will be +surprised how soon she will lose her intense interest in her former +longed-for goal. + +Lack of self-confidence is an evidence of mental self-abuse. A person +who has no confidence in herself cannot expect others to have. One who +keeps herself in the attitude of Uriah Heap, who continually asserts, "I +am a poor worm, I am unworthy of the blessings of life, I cannot expect +great reward," must expect to be taken at her word. In this age a man +(or woman) is valued, in a large measure, by the estimate he sets upon +himself. Honors are not thrust upon a man unless he shows the +self-confidence which commands confidence. Bacon said, "Some are born +great, some achieve greatness and some have greatness thrust upon them." +But those of the last class are very few. Our enemies are willing to +thrust upon us scandal and humiliation whenever there is a possible +chance, but our friends are very slow in thrusting honors upon us. If a +person wants anything in this world he must first convince himself of +his ability to attain that goal, then he may be able to convince others. +It is the man with confidence in himself who wins the day. + +After one has decided upon his goal he should keep that goal always +before him as the pillar of fire before the seekers for the promised +land. All our thoughts should be in that direction. Every wish or +thought we send out reaches someone and in time may bring us what we +wish. "By faith ye can accomplish all things." + +There is an explanation of "Who answers prayer" which describes a mother +kneeling by the bedside of her sick baby, and praying faithfully that +her baby might be restored to health. In a vision the author sees these +prayer thoughts radiating from the mother like invisible telegraph +wires, along which the message is carried to various parts of the city. +One wire reaches the home of a minister who, although willing, feels his +inability to answer. Another wire reaches the home of a wealthy banker +but he, too, is powerless to help. The next wire is connected with the +home of a prominent lawyer famous for his ability to win cases for the +needy, but in this case he cannot win, for Death is more powerful than +he. But a fourth wire reaches a physician who has just retired from a +hard day's fight with his enemy--disease. The physician awakens, grasps +the message and immediately arises, dresses and hastens to the home of +the poor woman. In a short time the little one's spasms are relieved and +the doctor gives a sigh of relief, as he says to the anxious mother, +"The crisis is past, your baby will live." The mother's prayer has been +answered. + +Every thought we entertain is being sent out along these invisible wires +and eventually will reach someone who responds to it. If we send out +worry thoughts or thoughts of self-depreciation we must expect others to +receive the message as we send it. So if we want to make the most of our +lives we continually must send out only thoughts that we wish others to +receive. We must value ourselves if we expect others to value us! + +Too much introspection and concern for self is often the cause of +nervous conditions that produce worry and ill-health. The best cure is +the cultivation of complete unselfishness. To be interested in the +happiness of others is the surest road to happiness for one's self;--if +you get feeling tired of yourself make a visit to some congenial +friend, and there forget self and your troubles. "It is more blessed to +give than receive" is a truth that all serene and great souls recognize +and practice throughout their lives. + + + + +CHAPTER XVII + +EFFECTS OF IMMORAL LIFE + + +Some time ago, the general public was shocked by a newspaper story of +the life led by many girl clerks in the department stores of a large +city. It seems a young girl from the country applied for a position in +one of the stores, but upon hearing of the small wages paid, said, "How +can I live on that? It would not provide even the most meager of board +and the smallest room." The employer asked in reply, "But have you not a +gentleman friend?" That reply, repeated to a social worker, started an +investigation which resulted in startling revelations. It was found that +many of the stores paid such small salaries that to live on them at all +was an impossibility for even the most economical. It was an understood +fact that each girl was expected to receive help from some "gentleman +friend." + +There must be something wrong in our whole system of living when girls +are compelled to work for salaries insufficient for even the necessities +and are taught to have tastes and desires for the beautiful which it is +impossible to gratify on their meager salaries. A young girl goes to +work in an office or store with a definite, if not expressed, +understanding of what should be the proper relations of the sexes. After +she has been at work a short time she notices that her companions are +much better dressed than it is possible for her to be with the resources +at her command. She notices that her friends have numerous invitations +to theatres and dinners. She wonders if she is less attractive than +they. After awhile she receives hints, more or less broad, from her male +associates. Gradually it dawns upon her why the other girls are more +attractive than she. + +One who has not been thrown in close contact with the girls of this age +cannot realize the extent of the immorality among them. Formerly it was +considered that only boys sowed their wild oats. Now we find that many +girls do so also. We hear very little about it except for the occasional +case of one who has to suffer for her sins. Usually this one is one of +the most innocent. Many of the girls of this generation are "wise." +They think they know how to "keep out of trouble," and yet reap the +rewards in the shape of a few dollars. + +Girls cannot afford to take the great risks incident to leading an +immoral life, aside from all moral reasons for not doing so. In the +first place there is the danger of becoming pregnant. Think what that +means! The majority of girls are led to take the first step by promises +of marriage. Real life has proved these promises seldom are kept. The +man "changes" his mind after the mis-step has been taken. He goes away +and forgets, the girl is left to bear the consequences of their mutual +sin. The men of the world like to take these girls out and enjoy +themselves but when it comes to marriage--the man wants a different kind +of a wife. There are three courses from which such an unfortunate girl +may choose. One course is an abortion with all its attendant dangers, +its risks to her life and the thoughts of having taken a life. Another +is to brave the world, bear her child and keep it. It takes a great deal +of courage to do this with our present social system. Often it is +impossible, as the girl is unable to care for the child and at the same +time support it and herself. She seldom finds very much encouragement in +this course. Those who should be her friends and aid her to make the +most of her life are now the ones who keep her down. They refuse to make +it possible for her to earn an honest living and lead a moral life. The +third course is to place herself under the care of a responsible +physician, live in seclusion for the last few months of her pregnancy, +then, after the birth of her baby, have it adopted. Considering +everything, this often is the best course. From the child's standpoint, +it is given a better start in life. It is much better to live as the +adopted, but honored, child in a home than it is to have to bear the +stigma of illegitimacy. As soon as the child enters school the latter +will become known among its playmates and will be the subject of many +cruel taunts. It is not fair to the innocent child to give it such a +heritage. But think how the mothers must feel to have to give up their +babies! That is the saddest part of the case. It is not fair that the +girl should be punished the remainder of her life for one mis-step when +the man goes absolutely free and without the sign of a stigma attached +to him. + +These cases of unfortunate girls are all too common. The rescue homes in +the large cities are full, and often a large percentage of their +occupants are from the country. Within the last week, I have received +letters from four girls, similar to the one I shall read you. This +letter is from a girl in Indiana who gives a rural delivery address. "In +one of your articles in ---- you speak of homes where unfortunate girls +are sheltered and taken care of and I should like to know if there is +such a home in Indianapolis. If there is, will you kindly give me the +street and number. I am in trouble and have nowhere to go, but knowing +you to be a friend to unfortunate girls who met their misfortune through +ignorance and with no desire to do wrong, I write you for advice." This, +as well as numerous other letters, show that these things are just as +prevalent in the country districts as in the cities. + +So many girls do not realize how easy it is to "get into trouble." A +short time ago I had a confinement case that was a little unusual; for +the young woman, who was unmarried, had an unruptured hymen, which +contained only one small opening barely large enough to insert a sound +the size of a slate pencil. At the first consultation several months +previous, when she had come to me on account of absence of menstruation +for three months, the girl had insisted that there was no possibility of +her being pregnant. Later she admitted that four months previously, just +after she menstruated, she was out with a young man who was very +insistent, that she did not consent, but in spite of her resistance +there was a discharge thrown against the labia (external organs). At the +time of this first examination she was about four months pregnant and +had not supposed such a condition of affairs possible. Fortunately in +this case there was an early marriage. + +Another grave danger to the girl who indulges in immoral practices is +the possibility of contracting one of the black plagues. You know what +that would mean. If you recall the prevalence of these diseases you will +see that the probabilities are that any girl indulging in immoral +relations will sooner or later contract one of these diseases. Indeed +she runs a big risk of contracting one at her first mis-step. + +After one has taken the first mis-step it is very easy to take the next. +One step often leads to another until the girl succumbs to a life of +prostitution. A result of prostitution that is important is the +unfitting for regular life. Whatever the effect of such a life may be +upon a man, a girl cannot lead such a life with impunity. Many a girl +tires of her immoral life and gladly would turn to something else but +the difficulties in her way are numerous. One is her inability to obtain +a position when it is known that she has led an immoral life. Another is +that she finds the duties and regular hours incident to any position +very irksome. The irregular life she has led has unfitted her for a +regular life. There seems to have been a general disturbance of the +whole nervous system, her will has become so weakened that it is very +hard for her to have the will power necessary to keep from returning to +the old life. This breaking of the will power also makes it difficult +for her to keep her mind on her work. Then, too, she resents any +supervision of her work. Of course, the longer the irregular life has +continued the harder it is to break away from it. + +Now, from another standpoint! No matter how dissipated a man may be he +wants his bride to be pure. Nearly all girls expect to marry sometime, +and so for the sake of the future--in order to keep the confidence of +her husband as well as for the sake of not taking any risks that might +prevent future motherhood, girls should not lead immoral lives. + + + + +CHAPTER XVIII + +FLIRTATIONS AND THEIR RESULTS + + +The greater social freedom of the present generation without adequate +preparation has resulted in an increasing tendency among young girls to +make chance acquaintances and perhaps clandestine engagements. That +these flirtations, entered into so innocently, may result in events that +will be the cause of lifelong regret is seldom realized by a young +girl. Yet very often such is the case! + +One letter I received says, "I will give you a short outline of my life +since last April when my troubles began, for which I blame my parents +partly, because I was not allowed to have my friends at my home or go +out with young men, as the other girls do, with my parents' knowledge of +it and because I was kept ignorant of the things I think every girl +should know. I was nineteen last March. The men say I am the kind that +looks good to men, that they cannot resist. As to this I do not know, +but I do know that I always attract their attentions and I am sorry that +I do. And yet I crave them. I have for years and I am lonesome without +them. I want their friendship and company. I do not know why it is but I +am more satisfied with the boys than the girls. Last April a young man, +somewhere in the thirties, I think, though he looked much younger, came +to our little country town. He was handsome, well educated, finely +dressed and always seemed to have plenty of money. I was very unhappy +about this time over my troubles at home and because my boy friend, who +always had been a friend through all, had for some cause unknown to me +stopped writing to me. So I met the young man first in company with +friends a couple of times, then he wished to make an appointment to meet +me alone and, through the kindness of my friends, I met him out at night +several times. On the third night before I half realized what I was +doing I had let him ruin me. I had never been told that this was wrong +and yet I seemed to know that it was. It worried me, but there was no +one I could go to for advice and my friend said that since what was done +already could never be undone I might as well keep it up, etc. Having +no advice but his, I followed it and for several weeks met him out any +and every where and time I could. I knew of the trouble that might come +from these meetings and asked my friend about it but he said that +everything was all right, that he would tend to that and that nothing +would happen. But it did happen. He was going away in a few days and +gave me some medicine to take, telling me I was only held back on +account of it being the first time. But I didn't believe him and went to +a married lady whom I had known but a short time but whom I thought I +could trust and who would help me. She invited my friend and me there +one evening and talked the matter over with us or rather with him. He +stayed over and helped me out of my trouble. But my health has never +been the same since. Now, what I want to ask you is this, do you think +it would be right for me to marry any man, with him thinking that I am +good or innocent? Do men expect that of the women they marry? But I do +not wish to marry if I can help it, but I must do something. I will go +crazy if I stay here at home from worrying over what I have done and for +fear my parents will find it out. What I wish to do is to go away to +work, but I have no one to go to and am afraid I cannot resist the +temptations that they say come to every working girl. I have given in +twice since my trouble, both times shortly afterwards. The first because +I could not help it and the second because I was afraid of being told +on, he having been told by the first man. But when I found out I could +not resist the teasing I quit going out and it has been months since I +have been out with a man and I am trying to lead a decent life but it is +hard and at times it seems that I must give in. Now, please write and +tell me just exactly what you think of my case. Has my whole life been +ruined by this man?" + +Unless this girl will "play soldier" and "right about face" she is in +danger of landing in a house of ill-fame. How common is her story! Girls +do not realize what are the possible results that may follow an innocent +flirtation. Young girls are not posted and they do not know men. They do +not realize the pressure that will be brought to bear upon them. Many +young girls grow to womanhood without any idea of the relations of the +sexes. To them, love is devoid of ideas of sex, practically the same as +their love for a brother or sister. It is not until they are thrown +alone in the company of some older man that they suddenly awaken to a +realization of what it all means. + +The girls who like to be petted, to be kissed and hugged can see no harm +in that and do not realize what a sleeping force may be aroused. The +man, when he finds a girl will allow these attentions, thinks that she +knows what they may lead to and naturally assumes that she is willing, +but only wishes to be coaxed. It is a clear case of misunderstanding on +both sides. But that does not make the consequences any less harmful. + +Girls do not realize what kind of an impression they make upon men by +their clothes, actions, etc. An eminent lawyer said to me recently, "Why +do you not tell girls what _real_ men think of them when they appear on +the streets with painted faces, peek-a-boo waists and thin, silk hose +worn with shoes more appropriate for the ball-room? If girls imitate the +demi-monde in their dress they must expect to be treated accordingly." +There is in every girl's nature a desire to appear attractive in the +eyes of those of the opposite sex and this desire leads them to extremes +of dressing. These extremes of dressing naturally attract the attention +of men, and the girls feel flattered and continue in their course, not +realizing what impression the men really get. Then, when the man makes +the advances that her manner of dressing has led him to believe he can +make, she feels insulted and resentful. + +The fault lies in the fact that the girl has not been properly educated +and has received exaggerated and entirely wrong ideas of life. + + + + +CHAPTER XIX + +WHITE SLAVERY + + +During the past few years the public has been much interested in the +prosecution of the white slave investigation. Every adult person had a +more or less definite idea that there were in existence immoral houses. +But the majority of women had no idea that their existence should be of +any especial interest to them. + +The Hon. Edwin Sims, U. S. District Attorney, Chicago, says: "There are +some things so far removed from the lives of normal, decent people as to +be simply unbelievable by them. The 'white slave' trade of to-day is one +of these incredible things. The calmest, simplest statements of its +facts are almost beyond the comprehension of belief of men and women who +are mercifully spared from contact with the dark and hideous secrets of +the 'under-world' of the big cities. + +"Naturally, wisely, every parent who reads this statement will at once +raise the question: 'What excuse is there for the open discussion of +such a revolting condition of things? What good is there to be served by +flaunting so dark and disgusting a subject before the family circle?' +Only one--and that is a reason and not an excuse! The recent examination +of more than two hundred 'white slaves' by the office of the U. S. +District Attorney at Chicago has brought to light the fact that +literally thousands of innocent girls from the country districts are +every year entrapped into a life of hopeless slavery and degradation +because parents in the country do not understand conditions as they +exist and how to protect their daughters from the 'white slave' traders +who have reduced the art of ruining young girls to a national and +international system. I sincerely believe that nine-tenths of the +parents of these thousands of girls who are every year snatched from +lives of decency and comparative peace and dragged under the slime of an +existence in the 'white slave world' have no idea that there is really a +trade in the ruin of girls as much as there is a trade in cattle or +sheep or other products of the farm. + +"I have no disposition to add a single word to what will open the eyes +of parents to the fact that white slavery is an existing condition--a +system of girl hunting that is national and international in its scope, +that it literally consumes thousands of girls--clean, innocent +girls--every year; that it is operated with a cruelty, a barbarism that +gives a new meaning to the word fiend; that it is an imminent peril to +every girl in the country who has a desire to get into the city and +taste its excitement and pleasures." + +One of the worst obstacles to be overcome in the work of protecting +innocent girls and restoring to useful lives those who have been +betrayed, is the blind incredulity on the part of a large percentage of +the public. There are thousands of women all over the country who know +as little about what is going on in the world as do so many children. +They are wonderfully ignorant of the terrible conditions that are in +existence all around them. Of course their blindness to these awful +conditions makes them more peaceful and contented for the time being +than they possibly could be if they realized the temptations and perils +that are lying in wait for their daughters and the daughters of their +friends. But this peace is not permanent and every year thousands of +mothers are rudely awakened from their sleep of peace to find that while +they were asleep to the perils of the world their daughters have been +drawn into the whirlpool. The awakening of such parents comes too late +usually to do any good. The recent agitation along this line has caused +many a mother to exclaim, "How terrible; I did not dream that such a +condition of affairs could exist in this country." + +If you possessed a rare jewel and knew you were surrounded by those who +would try to obtain possession of that jewel you would not entrust it to +a blind or a deaf watchman or one so ignorant of the wiles of the +robbers that he would trustingly allow it to pass into their possession. +There is nothing in the world so priceless to the father and mother as +the virtue and happiness of their daughter. And yet there are thousands +of parents who have been entrusted with the care of a daughter who are +trying to discharge that trust with their eyes blinded and their ears +closed. They insist upon keeping the childish belief that there is no +real danger threatening their daughter. These parents do not live in +the world. They fold their hands and raise their eyes towards heaven and +cry, "Peace! Peace!" and are unable to see the enemy slipping upon their +daughter to drag her down to a life of shame. + +In this age no young girl is beyond temptation. She needs all the +protection possible, and in order to protect her the parents must be +awake to the dangers and provided with the best means of protection. One +of the things hardest to make honest and trusting parents believe is +that there can be people in the world who make it their business to lead +girls into a life of shame. But such is the case whether we believe it +or not. The men and women who ply this trade lay their plans more +carefully and employ more artifices than can be conceived of by the +ordinary parent. The wonder is that not more are caught in the net. + +Another fact which the public finds it hard to believe is that the girls +who are lured into the life of shame find it impossible to escape from +such a life, that they are prisoners and slaves in every sense of the +word. + +The artifices employed by these slave-dealers to obtain their victims +are many and frequently are so adroitly formulated as to blind not only +the victim but her parents as well. + +One common trick of these slave procurers is the promise of a good +position. Many a girl has gone to the cities thinking she had obtained a +definite and desirable position. Perhaps she was to be met at the +station by the person who obtained the position for her. Too late she +finds her position is in a house of ill-fame. So common has this trick +become that in every large city there are organizations of social +workers who offer through the churches to look up the desirability of +any position which has been obtained by a girl so that should it prove +to be a lure of the destroyer she could be warned before it was too +late. + +Another favorite device of the white slaver for landing victims is the +runaway marriage trick. The alleged summer resorts and excursion centers +which are so widely advertised as Gretna Greens and as places where the +usual legal and official formalities preliminary to respectable marriage +are reduced to the minimum are star recruiting stations for the white +slave traffic. So common is this trick that a wise mother would refuse +to allow her daughter to visit one of these places or to go on one of +the pleasure excursions unless accompanied by some older member of the +family. Also, every mother should teach her daughter that any man who +proposed such a marriage was to be looked upon with suspicion, and +should not be trusted for an instant. + +Then there is the restaurant trick. The girl is induced to go to what +she thinks is a restaurant and then perhaps is taken into a private room +only to find that this room leads to her prison. Girls cannot be too +suspicious of going to unknown places with comparative strangers--either +men or women. + +The moving picture shows furnish to these slavers another opportunity of +misleading girls. These shows naturally attract children and very young +girls. Evidence has been procured which proves that many girls owe their +ruin to frequenting them. As an instance of this, three girls met as +many young men at a moving picture show and at the end of the +performance were induced to leave the theater by a side door which was +found to open into an adjoining building and all passed the night +together. + +The massage parlors and manicure parlors upon investigation proved to +have been used as a bait for these vile procurers. Many of these places +were found to be not equipped for their legitimate work but to be +nothing more than disorderly houses. + +The investigations of the United States courts have resulted in the +imprisonment of many of these panders but there are many more still +unconvicted and the danger to young girls is ever present. The parents +cannot be too watchful in their protection, and to be watchful they must +be cognizant of the dangers and of the methods in use. The daughters +must be so educated that they are prepared to cope with the enemy. +Remember, as Browning says, "Ignorance is not innocence, but sin." + + + + +CHAPTER XX + +THE NEED OF EARLY INSTRUCTION OF BOYS + + +I have made so emphatic the necessity of early and proper instruction of +girls and I have shown you that so much of the disease and unhappiness +in the world is due to this lack of instruction that I do not believe +any of your daughters ever will say, "Why was I not told these things +before it was too late?" But you women will have sons as well as +daughters and you are just as responsible for their future happiness as +you are for that of your daughters. Besides the future happiness of +another woman's daughter depends in a large measure upon the health of +your son. The boys need instruction as much if not more than do the +girls; at any rate they need it earlier than the girls do, because boys +talk more freely than girls and boys acquire their first impressions of +these subjects much earlier than girls. + +No boy ever willfully contracted a disease that would produce so much +future misery as that resulting from one of the venereal diseases. You +remember I made the remark that the large percentage of men contracted +these diseases before their twentieth year, before they had any adequate +knowledge of the possible consequences. If boys were warned there would +be no more of this innocent acquisition of disease. Many a man has had +cause to regret all his life a few moments of thoughtless dissipation. +Even though a boy has acquired one of these diseases that is no reason +why he should suffer from it the remainder of his life any more than +that he constantly should suffer from an attack of smallpox. One +difference at the present time is that the smallpox patient receives the +most scientific treatment procurable, but the victim of one of these +plagues is neglected. Boys are told these diseases are no worse than a +cold and so do not realize the necessity for prompt and adequate +treatment. The ordinary boy treats himself, following the advice of some +of his friends or some incompetent person. He has a feeling of shame +which prevents him from going to the family physician, who would give +him honest advice. If he goes to any physician he usually goes to some +advertising physician who claims to be a "men specialist." The main +speciality of these men is obtaining money from their ignorant dupes. +Their advertisements would make nearly every man in the world think he +were suffering from some grave disease. The young boy, at an +impressionable age, is a ready victim to their lures. He is treated for +a real or an imaginary disease until his money is all gone, then he is +discharged. + +Let me read you a letter I received from a young boy which will +illustrate my meaning: "I read your article 'A Father's Duty to His +Son,' in the ---- and take the liberty of writing to you. My father died +when I was but nine years old, so I was left to my own resources, the +result being I am now a nervous wreck at the age of nineteen. I have +doctored for nervous debility with four doctors for over a year and a +half. The result, they got every cent out of me but did not help me a +particle. If my mother ever found it out, it would worry her to death, +as she has hopes in me, fool that I was. My condition, I am always +nervous when in company, expecting somebody to accuse me any minute. My +eyes always are blurred and my hands shake as if I were an old man. I +have night losses, which bother me more than anything and if they +stopped I know I could fight my way back to health. If you could +possibly give me some recipe or advice it would be greatly appreciated. +Nobody but one in this condition can imagine the strain on the mind and +body. Although I feel well when alone, though awfully weak, I am a +nervous wreck when in the presence of others. I have written to you +because your article seems to tell facts which I know to be true." + +Now, if you will pardon me I will quote a portion of my reply: +"Evidently you have been the victim of unscrupulous doctors. +Unfortunately there are a number. They usually advertise themselves as +specialists in diseases of men. A reliable physician does not advertise. +If you had gone to a trustworthy family physician in the first place you +would have been saved much worry, and incidentally considerable money. + +"The chief advice you need is to _stop worrying_. The night losses you +mention are a natural condition. They occur with nearly every normal man +who is living a continent life. Even if they occur two or three times a +week they do not indicate any diseased condition. The more you worry +and think about such things the more often they will occur. I do not +know what your occupation is, but if it is indoor work you must plan to +take a great deal of outdoor exercise every day. If you could go out in +the country for awhile and do hard outdoor work it would be the best +thing for you. Eat only plain, easily digested food, but eat plenty. Do +not use any condiments nor stimulants. Sleep on a hard bed with plenty +of fresh air in the room. Bathe the external genitals with cold water +night and morning.... The fact that you have abused yourself in the past +need not prevent you from being a perfectly healthy person now if you +are not continuing the practice." + +Every boy desires to be a man but does not quite understand the meaning +of the word. He dislikes to be called a "greeny" or anything that +suggests that he is young and inexperienced. Often he pretends to know +things he does not. Nearly every boy, at an early age, is thrown in +contact with low-minded persons who think it amusing to persuade the +youth to prove he knows indecent things. He thinks it a test of manhood +to be acquainted with various vices and so in order to prove his +knowledge is led into various indiscretions, which result in the +contraction of vile habits or of loathsome diseases. + +If a boy at an early age were given the true idea of the meaning of +being a man or of manhood we would have fewer physical wrecks and +incompetent individuals. + + + + +CHAPTER XXI + +WHY BOYS GO ASTRAY + + + "What can a boy do, and where can a boy stay, + If he is always told to get out of the way? + He cannot sit here, and he must not stand there, + The cushions that cover that fine rocking chair + Were put there, of course, to be seen and admired; + A boy has no business to ever be tired. + The beautiful roses and flowers that bloom + On the floor of the darkened and delicate room + Are made not to walk on--at least, not by boys; + The house is no place, anyway, for their noise, + Yet boys must walk somewhere, and what if their feet, + Sent out of their houses, sent into the street, + Should step round the corner and pause at the door + Where other boys' feet have paused often before; + Should pass the gateway of glittering light, + Where jokes that are merry and songs that are bright + Ring out a warm welcome with flattering voice, + And temptingly say, 'Here's a place for the boys.' + + "Ah, what if they should? What if your boy or mine + Should cross o'er the threshold which marks out the line + 'Twixt virtue and vice, 'twixt pureness and sin, + And leave all his innocent boyhood within? + Oh, what if they should, because you and I + While the days and the months and the years hurry by, + Are too busy with cares and with life's fleeting joys + To make round our hearthstone a place for the boys? + There's a place for the boys. They'll find it somewhere; + And if our own homes are too daintily fair + For the touch of their fingers, the tread of their feet, + They'll find it, and find it, alas, in the street, + 'Mid the gilding of sin and the glitter of vice; + And with heartaches and longings we pay a dear price + For the getting of gain that our lifetime employs, + If we fail to provide a good place for the boys." + +This little poem, published anonymously in a country newspaper, seems to +me to tell the story of why boys go astray. They are not understood at +home and so naturally go where someone seems to understand and want +them. + +In a great many homes the boy's room is a very unattractive place, +merely a place in which to sleep. He is not allowed in the "parlor." He +always seems to be in the way. No one seems to take any interest in the +things that are closest to his heart. It is only natural that he should +gradually drift to the saloon, the billiard room, the questionable +houses, because he is made to feel that he is welcome there. Indeed his +tastes and desires are consulted there. + +A boy always is interested in sex problems. The vulgar delight in +feeding his fancy, in giving him exaggerated ideas of these much abused +subjects. He is lead on from one step to another. Often many of the +things he does are performed in a spirit of bravado, simply because he +does not wish to appear "green." + +From one of the reliable magazines comes this information: "Forty-one +families--'nice families,' as we call them--were last May thrown into +consternation and humiliation by being privately notified by the head +master of a boys' school that their boys would not be reentered for +another term at his school. 'A fearful condition of immorality,' wrote +the head master, 'has been unearthed at the school, and in order to set +an example to the rest of the boys, every boy concerned will be denied +reentrance to this school.' + +"The 'fearful condition of immorality' discovered in the school was, as +the head master privately explained, traceable, as it generally is, 'to +one boy, the son of a family of unquestioned standing in its +community,' and he has involved the other boys. + +"The boy in question was not a vicious lad: on the contrary, he was a +boy possessed of more than ordinary good characteristics. When he was +brought up before the head master and the full result of his baneful +influence was explained to him the boy was panic stricken. + +"'Didn't you realize what you were doing?' asked the head master. + +"'No,' replied the boy, who was nineteen and really a young man: 'I knew +it was wrong, yes, but I didn't realize how wrong. As a matter of fact,' +said the boy, 'I didn't know what I was doing, and how I was getting the +boys into a thing that I now see is more serious than I had any idea +of.' + +"'Didn't your father and mother ever explain these things to you?' asked +the head master. + +"'Not a word,' answered the boy, and then as a grim look came on his +face he said: 'God! I wish they had!' + +"A pleasant realization must it be to the parents of this boy as they +read this sentence in the head master's letter to the father of this +boy: + +"'I cannot but feel that your criminal negligence in the most vital duty +that can come to a parent is the direct cause in this twofold calamity: +first, of the downfall of your own son; and second, of the downfall of +each of the other forty boys, and of the humiliation in which they and +their parents find themselves. These are hard words to say to you, but +they are true, and I say them not alone as the head master of this +school, but also as one father to another, and as one man to another.'" + +In the growing youth's mind there arise many questions that he would +like to talk over with his father, but he feels diffident about asking +him. Too often the boy grows up and goes away to college without ever +talking with his father about manhood. In all matters concerning his +business relations and success, the boy has received careful +instruction. He has not been left to work out those problems by himself +but is given the benefit of the experiences of those who have trodden +the road before. But in this matter so vital to his whole life, he has +been left to clear his own path through the woods. With no guide and +bewildered with the new ideas and experiences that crowd upon him, is +it any wonder he loses his way, wanders off the straight path, falls +ofttimes into some bog that perhaps was hidden from his sight by +surrounding flowers and to which he has been lured by siren music? + +The father's duty to his son is plain--and must not be neglected. In +some cases the mother must attend to this duty and for the future +welfare of her son she must see that he receives adequate instruction. + + + + +CHAPTER XXII + +HOW SHALL THE CHILD BE TOLD? + + +Every mother and every father realizes that there are certain things +incident to reproduction that must be learned by the child at an early +age. They realize, too, that it is preferable that this information +should be imparted by the parents. But, on account of their own lack of +instruction, they find two problems confronting them. How and when shall +I tell my child are the questions uppermost in many parents' minds. + +The answer to the first question must depend upon the individual case. +At a certain age a baby expresses a desire for something to bite. Before +that time we make no effort to force him to bite. Later he finds he can +help himself from one position to another by creeping. Then in a few +months he discovers he is able to use his feet and tries to walk. We do +not try to force any of these new ideas upon him but simply wait +patiently until he expresses a desire to acquire some new knowledge, +then we aid him and guide his efforts. + +There comes a time in the life of every child when he awakens to +knowledge of reproduction. Then is the time to give the information. +Some children commence to inquire as early as three years. At such an +early age it is not necessary to go into details, as a very little +information suffices to satisfy the child. + +Just how to tell the truths necessary must vary with the age of the +child. It is important to remember to be truthful to the child. When a +mother tells the child that the stork or the doctor brings the baby, she +sets a seal upon evasion. Some day he will learn that his mother has +deceived him and that behind her instruction lies an element of secrecy, +and secrecy with its companion curiosity is the cause of much unrest in +after life. The child gathers the idea that there must be something +shameful connected with the birth of a child or his mother would not be +ashamed to tell him the truth. + +Secondly, the child must be told scientifically that this knowledge may +form a basis for later studies in biology. He can be taught in a simple +manner that all nature comes from a seed; that the mother makes a tiny +nest for the seed and that with all seeds it is necessary for their +growth that the father gives them some pollen. + +Until these subjects are put before children and young people with some +degree of intelligence and sympathetic handling, it cannot be expected +that anything but the utmost confusion in mind and in morals should +reign in matters of sex. It seems incredible that our thoughts could be +so unclean that we find it impossible to give to our children the +information they need on these most sacred subjects, but instead we +allow them to obtain their information whenever and wherever they can +and in the most unclean manner. A child at the age of puberty is capable +of the most sensitive, affectional and serene appreciation of what sex +means and can absorb the teachings if properly given without any shock +to his sense of the fitness of things. Indeed whenever these subjects +are taught to the child correctly they induce a feeling of reverence for +the mother that could not otherwise be obtained. A little child when +told that she grew in a nest in mother's body right underneath mother's +heart at once becomes filled with a great love and wonder for that +mother. Then later to teach the relation of fatherhood and how the love +of parents for each other and their desire to have a child of their very +own was the cause of that child's existence--these things seem so +natural to the child mind that has not been polluted with vulgar ideas +that they excite in him no sense of unfitness, only a deep gratitude and +a kind of tender wonderment. + +The great point to remember in teaching these things to children is to +satisfy their present question and leave the understanding that mother +(or father) always stands ready and willing to explain any problems that +are bothering the child. + +So many girls have told me that when they were between six and fourteen +years of age they had heard some things about the land where the babies +grow and immediately went to their mothers and inquired as to the truth +of what they had heard. The invariable answer received was, "Little +girls must not talk about such things." That silenced the child and the +mother heaved a sigh of relief that the question had passed off so +smoothly and easily. That little sentence has been the cause of +innumerable mistakes and misery. That little sentence marked the +beginning of the failure of the child to confide in her mother, the +child never again would broach the subject to her mother. However, that +did not mean that the child would not receive the information requested; +for, as a rule, the girls who told of this incidence also remarked that +they had received the information very soon from some older girl and +frequently in a vulgar manner. If a mother wishes to retain the +confidence of her daughter, if a father wishes to retain the confidence +of his son they both must keep a keen lookout for the first questions +and be prepared to answer them at the time. + +Later on the special sexual needs of the boy or the girl can be +explained, the necessity of cleanliness and the danger of self-abuse. +The need of self-control and the possibility of deflecting physical +desire to other channels and the great gain resulting; all these things +the youth of either sex are capable of understanding and appreciating, +and the knowledge given early will prevent many physical and moral +wrecks. + +It is the duty of fathers and mothers to prepare themselves on these +subjects so as to have the answer ready when the child first inquires. +There is no excuse for not doing so, for educators all over the country +stand ready to help any parents who call upon them. It is possible for +every community to obtain the services of a lecturer or teacher who will +instruct the parents. The individual can obtain books which explain all +these things simply and plainly. There is no excuse for ignorance. + + + + +CHAPTER XXIII + +WOMEN IN BUSINESS + + +If all homes were ideal and all men likewise, there would be no question +of woman suffrage or woman in business. But this is not an ideal world; +all women who have kept their places and stayed at home, kept house and +taken care of their children have not led ideal lives. In too many +instances the home woman, the little wren, has been deserted for the gay +song-bird. The necessities of life have forced other women into the +business world--women whose preference would be for the ideal, quiet +home life. One must not think that because a woman is leading a public +life that she prefers it, that she has no desire for a home and little +ones. Often her choice has been the lesser of two evils,--more to be +desired than a life, married, but loveless; one in which she must slave +from morn till eve and then receive as recompense curses and +fault-finding. + +The woman who refuses to so demean the married life as to enter into +such a marriage, preferring instead the busy life of a bachelor maid, is +to be admired rather than condemned. That she makes a success of her +business life tends to show what some man has missed by not proving +himself worthy to be her husband. + +We hear so much about woman entering into business--just as though she +had not always been in business. Stop and think about our ancestors on +the farms. The woman shared the work equally with the man. He attended +to the heavier work, while she attended to that which required less +physical strength but more attention to details. The products of her +industry often brought as much ready cash as that derived from the sale +of the larger products of the farm. Many families depended for the +yearly supply of clothes and luxuries on the money thus obtained from +the sale of butter, eggs and chickens. In olden days, too, many a woman +derived an income from the sale of home-made rugs and counterpanes. + +Just how men have conceived the idea that it is only the modern woman +who is a money earner, I cannot understand, nor can I understand how +some men expect women to be happy in idleness. The most unhappy women +in the world are the women who have a great deal of leisure time. Many a +man objects to his wife taking up any outside work even though it would +not interfere with her household duties. This usually is due to false +pride on his part. He is afraid of what others will say; afraid his +friends will think he is not capable of supporting his wife. Some of +these men forget to take into account the possibility that an accident +or illness may take him away, business failures may sweep away his +accumulations and then his wife must face the necessity of earning her +living. Alas, how seldom is she prepared to do this! If, during the +leisure time of her protected life, she had been perfecting herself in +some branch of industry, her future would be easily solved. + +A woman can devote several hours a day to outside affairs and still not +neglect her home duties. Home-making does not necessarily mean that the +woman herself must do the washing, ironing, cooking, baking or sewing. +She must see that these are performed properly but the actual work may +all be done by others. A business man does not attempt to do all the +work of the office himself. He employs a bookkeeper, a clerk and a +stenographer to attend to the details while he directs. It is the same +way with a home, a woman may employ others to do the physical labor +while she directs. + +Then as to the married woman earning money. Let me give you an +illustration. A woman has spent the early part of her life perfecting +herself in some branch of work, for instance, book cover designing. She +marries a man in moderate circumstances and does not feel that she can +afford to be idle and employ someone else to do her house work. She is a +slenderly built woman and it would be a great tax on her strength to +perform all the household duties--for some parts of housekeeping require +such hard physical labor that even many men would not care to attempt +them. It certainly would seem a very reasonable thing for this woman to +devote several hours a day to book cover designing and use the money so +earned to employ a strong woman to do the heavy housework. This +arrangement would be better for all concerned; first, the woman would be +happier and more contented; next, the man would enjoy his home more, +for any man certainly would rather come home and find his wife contented +and happy and with leisure time to devote to him, than to come home and +find her all tired out, and consequently cross, with the housework so +unfinished she must devote her evening to some household task. + +If circumstances have given a woman home and children, they always must +come first, but this does not mean the woman must do housework if +conditions permit the employment of somebody to do it. She must do the +work for which she is best fitted both by nature and by training. + +In whatever occupation a woman is engaged she should endeavor to make a +success of that work, to do it a little better than anyone else could; +for in every field of endeavor there is joy and reward for always being +and doing one's best. The great secret of success is _concentration_. +Too many women waste their energies thinking and talking about the +things they would like to do. Every time you talk about the thing you +would like to do you waste just that much energy and make your goal less +possible of achievement. That which seems difficult before is usually +found easy to accomplish, once undertaken. If you wish to accomplish +anything _hold the thought_ in your mind and concentrate all your powers +in that direction. Do not scatter your energies like chaff to be blown +hither and thither. + + + + +CHAPTER XXIV + +NERVOUSNESS--A LACK OF CONTROL + + +How often do we meet women who complain of being nervous. What they +really mean is that they have not control of their nerves but let them +run away. A woman may be of a nervous temperament and yet have such good +control of her nerves that she never complains of being nervous. This +lack of nerve control manifests itself in various ways. Sometimes it +only is a tendency to cry at trivial things or an inclination to +despondency--to have "the blues," or to worry over real or fancied +slights. Many women waste so much time thinking over things that are +past and gone. A visit with a friend loses its joy in the afterthought, +for this victim of the nerves lives over again every moment of the +visit. She recalls everything that has been said and wonders if a +different meaning were meant. Things that were said as a joke and +originally taken that way now are brought up for criticism and pondered +over until the woman convinces herself of the presence of a hidden +meaning. She is not satisfied until she has bent and shapen the original +thoughtless sentence into an ugly sting. + +These nervous women are the ones who continually are tormented with the +demon of jealousy. If one of them should suddenly meet her husband on +the street walking with another woman, what a curtain lecture he would +receive that evening; or if not that, he finds his wife wearing the air +of one who considers herself much abused. The real facts of the case may +be that her husband met the other woman quite accidentally and, as they +were going in the same direction, he could not avoid walking with her +without being positively rude. In this age men must, of necessity, have +business transactions with women. It is a common occurrence for two men +to lunch together in order to have a chance to talk over some important +business without fear of interruption. There is no reason why a man and +woman might not do the same, and yet how impossible it would be to +convince the jealous woman that this was the case. To be jealous is to +acknowledge the superior charms of the other woman. "If I cannot hold +you against all women, then I do not want you." If you think some other +woman is attracting your husband, wake up and beat her at her own game. +Do not sit idly in the corner and complain. You only are making yourself +miserable and not trying to right the wrong. + +A woman who is nervous usually does not realize what is the cause of her +condition. When excitable and irritable and suffering from a nervous +headache, she takes various remedies to deaden the symptoms, instead of +looking the matter squarely in the face and going after the cause. + +Many women need a hobby to take up their spare time and to occupy their +minds. If their minds are occupied and their bodies kept in good +condition by proper care, they soon will gain control of their nerves. +If you find yourself getting nervous, make up your mind to overcome it +by filling your life so full of work and play that you will have no time +to give way to the nerves. When you feel an attack coming on, get busy +and "work it off." + +There is a class of women who possess comfortable homes, with a maid to +do the work, whose home duties are not confining and who find +themselves with a great deal of extra time on their hands. To these +women the days are long and they endeavor to pass away the time by doing +nerve racking fancy work or by "fussing" around the house. They are not +happy and contented, chiefly because their minds are being +neglected--are growing up to weeds like a neglected garden. For such a +woman club work is a boon. She should take up some especial kind of +work, and devote several hours a day to the study of it. At first this +will be hard, for a mind that has fallen into lazy ways is not easily +aroused to continual effort, the deeply rooted weeds are not easily +destroyed. + +Many half contented women realize this need of mental food but hesitate. +As one woman said, "Why, my husband would leave me if I started to +work!" Some men take a peculiar attitude towards women. They would like +to treat them as a woman treats her pet dog. The dog is provided with a +comfortable home, plenty of food, someone to bathe it and carry it +around. The dog is contented with this. It loves to sleep and eat the +livelong day; it comes when its mistress calls, and goes when she is +tired of it. Unfortunately, perhaps, all women cannot be contented with +such a life. The woman was given a brain which refuses to be dormant. If +it is not required to be used in a useful way, it occupies itself with +bad thoughts--it worries and becomes fault finding or gossiping. + +No woman should allow her mind to grow up to such weeds. If the +circumstances of her position, her education or her environment seem to +make it unwise that she take up any work that would bring a monetary +reward, she easily can find some charitable work that needs all the +energies she can devote to it. If such a woman would take up some +special branch of philanthropic work she would be amply rewarded, not +only by the consciousness of the good she had done, but by the +improvement in her own health and happiness. + +There is another phase to this lack of nerve control shown in a nervous +tension, an inability to relax and enjoy life. Some people go through +the day on such a nervous tension that they are unable to take +cognizance of their surroundings. Eventually this tension will manifest +itself in some disorder, as headache, nervous indigestion or complete +nervous prostration. In the latter case the nerves have been so abused, +so strained that at last they are worn out. A rest is imperative! + +A woman who, if she has a few spare moments, can lie down and relax +absolutely, perhaps even drop to sleep, has a better chance to stand the +stress and strain of business or of housekeeping than the one who finds +it impossible to do so. Try making it a point to lie down for two or +three minutes several times a day; lie flat on your back and relax every +muscle; put every worry or ugly thought out of your mind by thinking +some pleasant but soothing sentence as, "I am glad I can rest. I will be +happy when I arise." You will be surprised at the effect these few +moments a day will produce upon your health and happiness. + +Plenty of sleep is imperative for these women and yet so many of them +neglect this great restorer of the nervous system. Frequently these +women complain of an inability to go to sleep easily, and spend long +hours of the night lying awake and entertaining worry thoughts. This +symptom of disordered nerves should not be neglected. A warm bath +before retiring, followed by a gentle massage, especially along the +spine, will, by relaxing the nerves and muscles, produce very good +results. A hot foot-bath, by drawing the blood away from the brain, +often will be beneficial. A glass of hot milk or cocoa taken just before +retiring may have the same effect. If the sleeplessness is a result of +indigestion a plain diet will relieve. Sleeping upon a hard bed without +a pillow sometimes produces the desired effect. Always have plenty of +fresh air in the room. Keep the mind free from the cares of the day. If +they will intrude crowd them out by repeating some soothing sentence as: +"There is no reason why I should not sleep, therefore, I shall sleep. My +body is relaxed, my mind is at peace, sleep is coming, I am getting +sleepy, I am about to sleep." Never take any sleeping powders except +upon the advice of a physician, for the majority of these sleeping +powders contain some harmful drug, as morphine, codeine, phenacetin or +acetanilid. The latter especially is very depressing to the heart and +serves to weaken the nervous system. In fact many deaths may be laid at +the door of these drugs. Treatments to tone up the nervous system and +to improve the circulation often are indicated in these cases of +"nerves." Control your nerves, do not let them control you! + + + + +CHAPTER XXV + +A WOMAN IS AS YOUNG AS SHE WANTS TO BE + + +Have you ever thought why it is that some women are as young at forty as +others are at twenty-four? And I mean young not frivolous! It is every +woman's duty to keep young as long as possible, but, unfortunately, she +does not always know the best way to live up to that duty. Keeping young +means keeping your body in a perfectly healthy condition and your mind +in harmony. With attention to certain laws a woman can detract ten years +from her age. She can do this by treating herself as a friend and not as +a slave. Take ten minutes and think how you could improve yourself by a +little effort. Perhaps some of these suggestions will help you. + +Everyone needs exercise. Just what sort depends upon the occupation of +the individual. A woman doing housework exercises most of her muscles +during the day, and if she makes pleasure, and not drudgery out of her +work, this exercise is very beneficial. It is a pleasure to be able to +accomplish so much, but the housework is not sufficient exercise. This +woman needs exercise for her mind and for her beauty-loving soul. In her +spare time she should lie under the trees and enjoy nature or a good +book, or she should go to some gathering where she will meet those who +will refresh her intellectually. Keep the mind open to all the +impressions of nature. Love the open air. Fresh air is not a fad, it is +a necessity if one would keep young. Occasionally read a book of travel +or a biography of some well-known person. Keep mentally alert. An +intellectual back number adds years to her seeming age. Nothing makes +for youth as a young mind, save perhaps a young heart. + +If a woman wishes to retain her attractiveness and not grow dull and +uninteresting, she must be interested in the outside world. Make it a +point to go somewhere every day. If you cannot do anything else, put the +baby in the cart and walk a few blocks. Do not say you are too busy. It +is necessary for your health and you will find a few minutes' outing +will give you renewed energies and help you to see the silver lining. +If possible go to social affairs where you meet people. Invite others to +your home but do not tire yourself entertaining them. People who are +boarding enjoy a simple home-cooked meal. It is the "homey" air they +enjoy and not elaborate decorations or menu. + +A woman in an office needs different exercise. She needs to do something +that will stretch and strengthen the tired muscles. She also needs +plenty of fresh air. A brisk walk is one of the best exercises for her. +Walk part of the way to the office, if possible, and keep your eyes open +for interesting things you pass. Use your imagination in guessing the +life story of those you meet. Forget yourself by becoming interested in +others, and you will be surprised at the effect upon your outlook on +life. It is not work that makes the business girl grow old and careworn +as much as it is her inability to forget her work during her play or +rest time. A business man takes an occasional day off and goes hunting +or fishing, but the business girl seldom can afford the little trips +that would serve to break the monotony of work. But every day brings its +opportunities for little pleasures that are available. Remember it is +the small things of life that make up its enjoyment. Once in a while at +noon go to some especially nice lunch room where you will see well +dressed women, where the service is faultless and every mouthful and +every moment enjoyable. You will come away filled with such a sense of +well-being that you will be able to accomplish twice as much in the way +of work. Many business girls do not entertain themselves well enough. +They become so imbued with the spirit of economy that they deny +themselves the little pleasures that would make life enjoyable. This +reacts upon their work and ability. These people who continually stint +themselves never achieve great success. They repress themselves so much +that they quell all their best impulses. They never expand. + +Learn self-control. Anger is a rapid wrinkle bringer. The energy that is +wasted in useless worry and tirade against circumstances might be +conserved and diverted into other channels that would bring you abundant +reward, financially as well as in other ways. Avoid worry, hurry and +getting flustered. Plan your work in the morning, then take the little +interruptions coolly and quietly. You will not be half so tired at the +end of the day as you would be otherwise. Be temperate. Moderation does +not refer only to the stomach. Overdoing in any way makes for premature +age. + +Do not let yourself get sluggish and indifferent. Here is where the +benefits of massage, physical culture and a vital interest in life come +in. Youth is happiness! If you would be young, radiate happiness. Talk +happiness not ill-health. One certain symptom of advancing age is the +desire to talk about ill-health. Discussing operations you have +undergone or sickness you have experienced always attracts attention to +your age. Children seldom talk about ill-health. An illness once +conquered is forgotten. Another thing, do not whine. The American women +are noted for their unpleasant voices, which often are too high pitched, +showing lack of control. Cultivate a low, well-modulated voice. Recently +I met a young woman who had a deformed body and a plain face, but I +immediately was attracted to her because she had the most beautiful +speaking voice it ever was my privilege to hear. + +As we age in years we are liable to grow careless in our dress, to +select colors and styles that are not very becoming; we do not take as +much pains with our hair, our nails or our shoes as we should. We have +allowed age to manifest itself in the lack of care of the little things. + +Finally, if your work does not bring you happiness, you are in the wrong +place and the sooner you find the right place the better for you. It is +impossible to take a race horse and expect to make him a good plow +horse. We only would spoil the one without succeeding in obtaining the +other. There is a right place for everyone and each one is adapted to +certain things and in order to accomplish the most we must "find +ourselves." + +------------------------------------------------------------------------ + +INDEX + + +Abortions, 89 + Accidental, 90 + Criminal, 91 + Prevalence, 92, 112 + Sterility following, 95 + +Advertisements, misleading, 65 + +Advertising physicians, 173 + +After-birth, 83 + +Amenorrhoea, 40 + +Anatomy of generative organs, 11 + +Anus, 16 + +Atrophy of generative organs, 30 + +Backache, displacement causing, 36 + Fake advertisements concerning, 67 + Gonorrhoea causing, 61 + Lumbago, rheumatism, strain, 67 + +Bag of waters, 86 + +Birth canal, 13 + +Black plagues, see Gonorrhoea and Syphilis + Causing tumors, 42 + +Bladder, openings into, 17 + Position in relation to womb, 11 + +Blindness, due to gonorrhoea, 59 + Infection, prevalence of in new born, 60 + +Blue baby, 87 + +Blues, 195 + +Born with caul or veil, 86 + +Boys, need of instruction, 178 + Why boys go astray, 171 + +Breasts, after menopause, in pregnancy, 19 + At puberty, 24 + +Cancer, carcinoma, 43 + +Cathartics, 51 + +Cavity of pelvis, 11 + +Cavity of womb, openings into, 11, 12 + +Change of life, see Menopause + +Child bearing period, 23 + +Childless homes, 103 + +Chlorosis, 40 + +Circumcision in girls, 41 + +Clandestine engagements, 157 + +Clap, see Gonorrhoea. + +Clitoris, hooded, 17 + Causing nervousness and immorality, 41 + +Coitus, 74 + +Conception, 74 + Prevention of, 109 + +Congestion from tight clothing, 37 + +Constipation, 47 + Caused by retroversion, 34, 49 + Causes, 48 + +Cord, 83 + +Cramps during menopause, 30 + +Development of life, 81 + +Diseases of female organs, 33 + Influence on appearance, 28 + Venereal diseases, 56 + +Displacements, causes of, 33 + Backward, constipation caused by, 34 + Bladder, pressure on, 35 + Downward, side, 37 + Forward, 36 + Hemorrhoids caused by, 34 + Menstruation, relation to, 34 + Treatment, 35 + +Divorce, 115 + Black plagues as a factor, 117 + Sterility as a factor, 118 + +Douche, for cleanliness, at close of period, 21 + In irritation of vagina, 40 + +Drug habit, from patent medicines, 69 + In constipation, 51 + +Dry labor, 86 + +Dysmenorrhoea, 39 + +Education, lack of for girls, 77 + +Egg, see Ovum. + +Embryo, 82 + +Embryology, 81 + +Epilepsy due to syphilis, 101 + +Excesses + Cause of premature old age, 76 + Causing congestion, 38 + During early married life, 74 + +Exercise + For business woman, 205 + For home woman, 203 + +External generative organs, description, 16 + Care, 20 + +Fake advice, 65 + +Fallopian tubes, description, position, 14 + Effect of gonorrhoea on, 57 + Removal, effect of, sterility from removal, 58 + Tumors of, 42 + +Father's duty to son, 181 + +Fear, needless, 106 + +Fertilization of ovum, 74, 81 + +Flirtations and their results, 157 + +Foetal movements, 84 + +Foetus, 82 + +Gonorrhoea + Effect on female organs, 57 + Persistence of in later years, 57 + Prevalence of, 56 + + Prevention of in youth, 63 + Symptoms, 61 + +Green sickness, 40 + +Happiness necessary, 208 + +Headache, from constipation, 48 + From displacements, 37 + Powders, 69 + +Heart valves of baby, 87 + +Hemorrhage in cancer, 43 + +Hemorrhoids, 47 + Bleeding, external, internal, pain from, 49 + From constipation, 48 + Retrodisplacements causing, 34 + Treatment, 49 + +Herb remedies as drugs, 69 + +Heredity, inherited tendency to disease, 99 + Tuberculosis, syphilis, 100 + +Home-making a study, 78 + +Homes, childless, 103 + Girls not interested in parents' home, 135 + +Hot flashes during menopause, 30 + +Hymen, 18 + Not injured by douche, 40 + Opening in, 41 + Unruptured in pregnancy, 154 + +Illegitimacy, 152 + +Immorality, due to low wages, effects of, 149 + Among children, in country districts, in school, 123 + Due to hooded clitoris, 41 + +Indigestion, 52 + +Inflammation causing dysmenorrhoea, 39 + +Inherited syphilis, 62 + +Intercourse, 75 + +Insemination, 74 + +Jealousy, 196 + +Kiss conveying contagion, 61 + +Knee chest position, 37 + For constipation and hemorrhoids, 49 + +Labia majora and minora, 17 + +Labor, dry, 86 + Duration of, 87 + Pains, cause of, 85 + Premature, 89 + +Lanugo, 84 + +Law regarding prevention of pregnancy, 109 + +Laxatives, 51 + +Leucorrhoea, 38 + In young girls, 40 + +Life feeling, 84 + +Love, misunderstood, 132 + +Lumbago, backache in, 67 + +Lungs of newborn child, 87 + +Maidenhead, see Hymen. + +Malignant tumor, 43 + +Marriage, education necessary for, 72 + Fake marriages used to obtain white slaves, 168 + False promises leading to immorality, 151 + For convenience, natural, 116 + Laws not adequate, 115 + Relation, 71 + Science of, successful and otherwise, 71 + Social reasons for, 103 + +Massage, for constipation, 51 + +Mating, 73 + +Meatus urinarius, 17 + +Medical, fake advertisements, 67 + +Medicine, doubtful results from, 68 + Patent, 45 + +Membrane, 86 + +Menstruation, absence of, 40 + Bathing during, 27 + Care during, 26 + Color, odor, 29 + Composition of flow, 28 + Deficiency of, 40 + Description of, 23 + Duration of, frequency, 23, 28 + Lassitude during, 27 + Pain during, 27, 39 + Phenomena common to, 27 + Profuse flow, 28 + Quantity, time between periods, 29 + Sign of approach of period, 25 + Source of flow, 16 + +Menopause, age, 29 + Bowels in, 21 + Breasts after, 31 + Cancer at, 43 + Care during, symptoms of approach, 30 + Changes in body, nervous system, 30 + Duration, diet, 31 + End of child-bearing period, 23 + Hot flashes during, necessity for examination, 30 + Relaxation, rest, worry during, 31 + +Miscarriage, 89 + +Modesty, false, 134 + +Motherhood, accidental, a science, preparation for, 77 + Fear regarding, 106 + Natural desire of all women, 104 + +Mucous patches in syphilis, 61 + +Nerve trouble, due to syphilis, 62 + +Nervousness + A lack of control, 195 + Due to hooded clitoris, 41 + Overcoming, 197 + Relation to intercourse, 76 + +Neuralgia, backache, 67 + Causing dysmenorrhoea, 39 + +Ovary, description, function, position, 14 + Tumor, see Tumor. + +Oviduct, see Fallopian tube, 14 + +Ovum, 14 + Relation to menstruation, 29 + Division into portions, growth, 81 + Passage from ovary to uterus, impregnation, 81 + Size, 82 + +Passion or sex sense, 73 + +Parents' duty to daughters, 167 + To sons, 171 + +Patent medicine, 45 + Of doubtful benefit, 68 + +Pelvis, 11 + Deformed in abortions, 91 + +Peritoneum, 16 + +Peritonitis, 16 + From displacement and inflammation of womb, 37 + From gonorrhoea, 58 + From appendicitis, 59 + +Perineum, 18 + Tearing during labor, 19, 87 + +Physiology of female organs, 11 + +Piles, see Hemorrhoids. + +Placenta, 83 + +Position of foetus in utero, 85 + +Pregnancy, absence of menstruation, 40 + Among unmarried girls, 151 + Fertilization before, 74 + Prevention of, 109 + +Premature birth, labor, 89 + +Prostitution, result of, 155 + +Puberty, 23 + Change in nervous system, 24 + Hygiene during, school work during, 24 + Premonitory symptoms, signs of approach, 24 + Preparatory information, necessity for, 24 + +Public cup, 61 + +Pus tubes, see Fallopian tubes. + +Race improvement, 111 + +Race suicide, education in relation to, 104 + Not increased by knowledge of means of prevention, 113 + +Rectum, position in relation to womb, 11 + In retrodisplacement, 34 + +Regulation of number of children, 111 + +Relaxation, 199 + +Rest, 200 + +Rheumatism, backache, 67 + Dysmenorrhoea due to, 39 + +Sac, 85 + +Sanitary pads, 26 + +Self-abuse, 137 + Hooded clitoris as a cause, 139 + Mental, 139 + Nervous system injured, 138 + Treatment, 139 + +Self-confidence, 145 + +Self-control, 206 + +Semen, 74 + +Sex, education needed regarding, 72, 121 + Fundamental end of, over-indulgence, 74 + Instinct, 73 + Instruction for children, 183 + Organs formed fourth month, 83 + +Skin disease due to syphilis, 101 + +Sleep, sleeplessness, treatment, 200 + +Spermatozoon, 74 + Death due to disease, 107 + Union with ovum, 81 + Size, 82 + +Sterility + After one birth, 108 + Due to abortions, 95 + Due to gonorrhoea, 58 + Due to indiscretions, in male, 107 + +Stomach trouble due to syphilis, 62 + +Syphilis, 61 + Causing abortions, 90 + Causing epilepsy, brain and skin lesions, 101 + Contracted from wet nurse, 62 + Conveyed by kiss, by public cup, 61 + Inherited, 62, 100 + Late symptoms, 62 + Prevention in youth, treatment, 63 + +Tears of perineum, 19 + Necessity for repair, 30 + Relation to cancer, 43 + +Teas, laxative, 51 + +Tomboys, 133 + +Toxines from constipation, 48 + +Tubes, see Fallopian tubes. + +Tumor, abdominal, caused by black plagues, 42 + Absorption of, removal, 42 + Causing dysmenorrhoea, 39 + Hemorrhoidal, 34 + Malignant, 43 + Phantom, 43 + Symptoms of, hemorrhage, pain in, 42 + +Ulcers in syphilis, 62 + +Umbilical cord, 83 + +Urethra, 17 + +Urination, frequent, caused by displacement, 35 + +Uterus, see Womb. + +Vagina, description of, 13 + Discharge from, 38 + Infection from use of public towels, 60 + Irritation of, 40 + Orifice of, 17 + +Vein of cord, 83 + +Vernix caseosa, 85 + +Venereal diseases, 56 + +Vibrator for constipation, 51 + +Wet nurse in syphilis, 62 + +Womb, attachment, 13 + Cancer of, 43 + Congestion from tight clothing, 37 + Contraction of mouth, 39 + Inflammation from displacements, 37 + Position, size, structure, shape, 11 + Over work causing congestion, 38 + +Wild oats, sown by girls, 150 + +White slavery, 163 + +Women in business, 189 + +Worry, an abuse, 143 + +Youth, obtainable, 203 + +------------------------------------------------------------------------ + +BY E. B. LOWRY, M.D. + +HIMSELF + +TALKS WITH MEN CONCERNING THEMSELVES + +This is regarded by all authorities as the best book on sexual hygiene +for men. No man knowing its contents would be without this important +book. It tells plainly all of the facts about sex and leads to health, +happiness and success. A book that points the way to strong vitality and +healthy manhood. + +Every man ought to read this excellent, reliable book.--_Philadelphia +Telegraph._ + +The best book on sexual hygiene for men and we highly commend +it.--_Baltimore American._ + +The more widely this splendid book is read the better it will be for men +and women.--_Boston Globe._ + +Every youth and man who can read the English language should study this +book.--_Portland Oregonian._ + +A rare book that treats its subject in a common-sense +fashion.--_Pittsburgh Post._ + +This is a storehouse of knowledge that should be in the hands of every +man.--_United States Medical Journal._ + +It is utterly free from hysteria and sticks straight to the +unadulterated truth. A valuable addition to any man's library.--_Spokane +Chronicle._ + +It is as good a book as a physician could recommend.--_Northwest +Medicine._ + +Clear, accurate, easily understood.--_Chicago Journal._ + +_Illustrated. 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It deserves a wide circulation."--_The Wisconsin +Medical Journal._ + +_Cloth bound. 256 pages._ + +Price, $1.00; by mail, $1.10 + + * * * * * + +THE HOME NURSE + +This very useful book gives helpful directions for the care of the sick +in the home and tells how to co-operate with the physician in providing +for the comfort and cure of invalids. + +"A sensible book, and it should be in every home +book-shelf."--_Northwest Medicine, Seattle._ + +"Uniting practical common sense with the best medical knowledge, it +forms a safe guide."--_American Journal of Nursing, Baltimore._ + +"It serves a very useful purpose and is readily understood. Physicians +will welcome the circulation of this excellent book."--_Medical +Sentinel, Portland, Ore._ + +_Illustrated. Cloth, 12mo._ + +Price, $1.00; by mail, $1.10 + +_For sale by all booksellers and the publishers_, +FORBES & CO., 443 S. Dearborn Street, CHICAGO + + + + + +End of the Project Gutenberg EBook of Herself, by E. B. 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