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href="@public@vhost@g@gutenberg@html@files@21840@21840-h@21840-h-3.htm.html#Chapter_Sixteen" tag="{http://www.w3.org/1999/xhtml}a">Abortion and Miscarriage 117

Definition of Word Abortion—Definition of Word Miscarriage—Spontaneous Abortion—Induced Abortion—Therapeutic Abortion—Criminal Abortion—Missed Abortion—Habitual Abortion—Syphilis as Cause of Abortion and Miscarriage—Dangers of Abortion—Abortion an Evil.

  XVII. Prenatal Care 121

Meaning of the Term—Misleading Information by Quasi-Scientists—Exaggerated Ideas Regarding Prenatal Care—Nervous Connection Between Mother and Child—Cases Under Author's Observation—Effects on Offspring—Advice to Pregnant Women—Germ-plasm of Chronic Alcoholic—A Glass of Wine and the Spermatozoa—False Statements—Cases of Violence and Accidents During Pregnancy.

  XVIII. The Menopause, or Change of Life 128

Time of Menopause—Cause of Suffering During Menopause—Reproductive Function and Sexual Function Not Synonymous—Increased Libido During Menopause—Change of Life in Men.

  XIX. The Habit of Masturbation 135

Definition of Masturbation—Its Injurious Effects in Girls as Compared with Boys—Married Life of the Girl Masturbator—Necessity for Change in Injurious Attitude of Parents who Discover the Habit—Common-sense Treatment of the Habit—How to Prevent Formation of Habit—Parents' Advice to Children—Hot Baths as Factor in Masturbation—Other Physical Factors—Mental Masturbation and Its Effects.

  XX. Leucorrhea—the Whites 143

Misconception Regarding the Meaning of the Term "Leucorrhea"—A Common Complaint—Severe Cases—Reasons for Resistance to Treatment—Proper Local Treatment of the Disorder—Sterility Due to Leucorrhea—Causes of Leucorrhea—Tonic Medicines—Local Treatment—Formulæ for Douching.

  XXI. The Venereal Diseases 149

Derivation of Word "Venereal"—Three Venereal Diseases—Innocent Contraction of Syphilis Through Various Objects—The Hygienic Elimination of Common Sources of Venereal Infection—Measures for Prevention After Sexual Relations.

  XXII. The Extent of Venereal Disease 151

Former Ban on Discussion of Venereal Disease and Its Evil Results—Present Reprehensible Exaggerations of Extent of Venereal Disease—Erroneous and Ridiculous Statements of "Reformers"—Senseless Fear of Marriage in Girls Due to Lurid Exaggerations—Study by Woman Psychologist Reveals Harmful Results of Exaggerated Statements—Truth in Regard to Percentage of Men Afflicted with Venereal Disease.

  XXIII. Gonorrhea 158

Source of Gonorrhea—Mucous Membrane of Genital Organs and of Eye Principal Seats of Disease—Symptoms in Men and in Women—Vagina Seldom Attacked in Adults—Nobody Inherits Gonorrhea—Ophthalmia Neonatorum—Differences of Course of Disease in Men and Women—Gonorrhea Less Painful in Women—Symptoms not Suspected by Woman—Necessity for the Woman Consulting a Physician—Self-treatment When Woman Cannot Consult Physician—Formulæ for Injections.

  XXIV. Vulvovaginitis in Little Girls 164

Former Causes of Vulvovaginitis in Little Girls—Discharge Chief Symptom—Evil Results of Vulvovaginitis—Psychic Results of Treatment—Effects in Hastening Sexual Maturity—Vulvovaginitis a Cause of Permanent Sterility—Measures to Prevent the Disease—Toilet Seats and Vulvovaginitis.

  XXV. Syphilis 168

Syphilis Due to Germ—Syphilis a Constitutional Disease—Primary Lesion—Incubation Period—Roseola—Primary Stage—Secondary Stage—Mucous Patches—Tertiary Stage—Gumma—Hereditary Nature of Syphilis—Milder Course in Women Than in Men—Obscure Symptoms in Syphilis—Necessity for Examination by Physician—Locomotor Ataxia—Softening of the Brain—Chancroids.

  XXVI. The Curability of Venereal Disease 174

Gonorrhea May Be Practically Cured in Every Case in Man—Extensive Gonorrheal Infection in Woman Difficult to Cure—Positive Cure in Syphilis Impossible to Guarantee.

  XXVII. Venereal Prophylaxis 177

Necessity for Douching Before and After Suspicious Intercourse—Formulæ for Douches—Precautions Against Non-venereal Sources of Infection—Syphilis Transmitted by Dentist's Instruments—Manicurists and Syphilis—Promiscuous Kissing a Source of Syphilitic Infection.

  XXIII. Alcohol, Sex and Venereal Disease 181

Alcoholic Indulgence and Venereal Disease—A Champagne Dinner and Syphilis—Percentage of Cases of Venereal Infection Due to Alcohol—Artificial Stimulation of Sex Instinct in Man and in Woman—Reckless Sexual Indulgence Due to Alcohol—Alcohol as an Aid to Seduction.

  XXIX. Marriage and Gonorrhea 187

Decision of Physician Regarding Marriage of Patients Infected with Gonorrhea or Syphilis—Advisability of Certificate of Freedom from Transmissible Disease—Premarital Examination as a Universal Custom—When a Man Who Had Gonorrhea May Be Allowed to Marry—When a Woman Who Had Gonorrhea May be Allowed to Marry—Antisepsis Before Coitus—Question of Sterility in the Man Who Has Had Gonorrhea Easily Answered—Impossibility of Determining Whether the Woman is Fertile or Not.

  XXX. Marriage and Syphilis 195

Rules for Permitting a Syphilitic Patient to Marry—Rules More Severe in Cases Where Children Are Desired—Where Both Partners Are Syphilitic—Danger of Paresis in Some Syphilitic Patients—A Case in the Author's Practice.

  XXXI. Who May and Who May Not Marry 200

The Physician Often Consulted as to Advisability of Marriage—Venereal Disease the Most Common Question—Tuberculosis—Sexual Appetite of Tubercular Patients—Effect of Pregnancy Contraceptive Knowledge for Tubercular Wife—Heart Disease—Serious Bar to Marriage—Influence of Sexual Intercourse—Cancer—Fear of Hereditary Transmission—Exophthalmic Goiter—Most Frequent in Women—Simple Goiter—Exceptions to Rule—Obesity—Family History—Obesity and Stoutness Not Synonymous—Arteriosclerosis—Danger in Sexual Act—Gout—Real Causes of Gout—Mumps—Parotid Glands and Sex Organs—Mumps and Sterility—Oöphoritis Due to Mumps—Hemophilia—Hemophilic Sons May Marry—Hemophilic Daughters May Not Marry—Anemia—Chlorosis—Epilepsy—Hysteria—Symptoms of Hysteria—Marriage of Hysterical Women—Alcoholism—Effect on Offspring—Alcoholics and Impotence—Feeblemindedness—Evil Effects on Offspring—Sterilization of Feebleminded Only Preventive—Insanity—Functional Insanity—Organic Insanity—Hereditary Transmissibility of Insanity—Fear Resulting in Insanity—Environment versus Heredity in Insanity—Neurosis—Neurasthenia—Psychasthenia—Neuropathy—Psychopathy—Nervous Conditions and Genius—Sexual Impotence and Genius—Drug Addiction—External Causes—Consanguineous Marriages—When Consanguineous Marriages are Advisable—Offspring of Consanguineous Marriages—Homosexuality—Homosexuals Often Ignorant of Their Condition—Sexual Repression and Homosexuality—Sadism and Divorce—Masochism—Sexual Impotence and Marriage—Effect Upon the Wife—Frigidity—Marital Relations and Frigid Woman—Excessive Libido and Marriage—Excessive Demands Upon Wife—Satyriasis—The Excessively Libidinous Wife—Nymphomania—Treatment—Harelip—Myopia—Astigmatism—Premature Baldness—Criminality—Crime as Result of Environment—Legal and Moral Crime—Ancestral Criminality and Marriage—Rules of Heredity—Pauperism—Difference Between Pauperism and Poverty.

  XXXII. Birth Control Or the Limitation of Offspring 244

Knowledge of Prevention of Conception Essential—Misapprehensions Concerning Birth-control Propaganda—Modern Contraceptives Not Injurious to Health—Imperfection of Contraceptive Measures Due to Secrecy—Prevention of Conception and Abortion Radically Different—More Marriages Consummated if Birth-control Information were Legally Obtainable—Demand for Prostitution Would be Curtailed—Venereal Disease Due to Lack of Knowledge—Another Phase of the Birth-control Problem—Knowledge of Contraceptive Methods Where There Was a Taint of Insanity, and the Happy Results.

  XXXIII. Advice To Girls Approaching the Threshold of Womanhood 261

The Irresistible Attraction of the Young Girl for the Male—The Unprotected Girl's Temptations—Some Men Who Will Pester the Young Girl—Risk of Venereal Infection—Danger of Impregnation—Use of Contraceptives by the Unmarried Woman May Not Always Be Relied Upon—Nature of Men who Seduce Girls—Exceptions—Illegitimate Motherhood—Difficulties in the Way of Illegitimate Mother Who Must Earn Her Living—The Child of the Foundling Asylum—Social Attitude Towards Illegitimacy Responsible for Abortion Evil—Dangers of Abortion—The Girl Who Has Lost Her Virginity.

  XXXIV. Advice To Parents of Unfortunate Girls 273

Attitude of Parents Towards Unfortunate Girl—The Case of Edith and What Her Father Did—The Pitiful Cases of Mary B. and Bridget C.

  XXXV. Sexual Relations During Menstruation 279

Heightened Sexual Appetite of Many Women During Menstruation—Sexual Intercourse During Menstrual Period—When Intercourse May be Permitted—Injection Before Coitus During Menstruation—Fallacy of Ancient Idea of Injuriousness.

  XXXVI. Sexual Intercourse During Pregnancy 282

Complete Abstinence During Pregnancy—Bad Results of Complete Abstinence—Intensity of Relations During First Four Months—Intercourse During Fifth, Sixth and Seventh Months—Intercourse During Eighth and Ninth Months—Abstinence After Birth of Child.

  XXXVII. Sexual Intercourse for Propagation Only 284

Belief in Sexual Intercourse for Propagation Only—What Such Practice Would Lead to—Nature and the Sex-fanatics—Sexual Desire in Woman After Menopause—Sex Instinct of Sterile Men and Women—Sex Instinct Has Other High Purposes.

  XXXVIII. Vaginismus 288

Vaginismus—Dyspareunia—Difference Between Vaginismus and Dyspareunia—Adherent Clitoris a Cause of Masturbation and Convulsions.

  XXXIX. Sterility 291

Definition of Sterility—Husband Should First be Examined—One-child Sterility—The Fertile Woman—Salpingitis as a Cause of Sterility—Leucorrhea and Sterility—Displacement of Uterus and Sterility—Closure of Neck of Womb and Sterility—Sterility and Constitutional Disease—Treatment of Sterility.

  XL. The Hymen 294

Difference Between Chastity and Virginity—Worship of Intact Hymen—Sacrificing Hymen Sometimes Essential for Health of the Girl—Certificate from Physician who has Ruptured Hymen.

  XLI. Is the Orgasm Necessary for Impregnation? 297

Suppression of Orgasm by Woman to Prevent Impregnation—Bad Results of Suppression by the Woman—Orgasm: Relation of to Impregnation—A Hypothesis—A Fanciful Hypothesis—Why Passionate Women Frequently Fail to Become Mothers—Advice to Passionate Women who Desire to Conceive.

  XLII. Frigidity in Women 301

Meaning of Term Frigidity—Types of Frigidity—Large Percentage of Frigid Women—Repression of Sexual Manifestations and Frigidity—Frigidity and Masturbation—Frigidity and Sexual Weakness of Husband—Frigidity and Dislike of Husband—Organic Causes of Frigidity—A Frigid Woman May Become Passionate—Treatment of Frigidity.

  XLIII. Advice to Frigid Women, Particularly Wives 304

Advice to Frigid Women—Attitude of Different Men Towards Frigid Wives—Orgasm a Subjective Feeling—A Justifiable Innocent Deception—The Case of a Demi-Mondaine.

  XLIV. Rape 308

Definition of Rape—Age of Consent—Unanimous Opinion of Experts—Exceptional Cases—False Accusation of Rape Due to Perversion—Erotic Dreams Under Anesthesia Causing Accusations Against Doctors and Dentists.

  XLV. The Single Standard of Sexual Morality 311

Chastity—Double Standard of Morality—Attempt to Abolish Double Standard—Late Marriages and Chastity in Men—Harmful Advice Given to Young Women—Chastity in Men Not Always Due to Moral Principles—Chaste Men and Satisfactory Husbands—A Statement by Professor Freud—A Statement by Professor Michels—What a Girl has a Right to Demand of Her Future Husband—Three Cases Showing Disastrous Effects of Wrong Teachings.

  XLVI. Difference Between Man's and Woman's Sex and Love Life 318

Seemingly Contradictory Statements—Faulty Interpretations of Words Sexual Instinct and Love—Difference in Manifestations of Male and Female Sexual Instincts—Man's Sex Instinct Grosser Than Woman's—Awakening of Sexual Desire in the Boy and in the Girl—Woman's Desire for Caresses—Man's Main Desire for Sexual Relations—Normal Sex Relations as Means of Holding a Man—A Physiological Reason Why Man is Held—Man and Physical Love—Woman and Spiritual Love—Preliminaries of Sexual Intercourse in Men and Women—Physical Attributes—Mental and Spiritual Qualities—Difference Between Love and "Being in Love"—Love as a Stimulus to Man—When the Man Loves—When the Woman Loves—Man's More Engrossing Interests—Lovemaking Irksome to Man—Man's Polygamous Tendencies—Woman Single-affectioned in Her Sex and Love Life—Man and Woman Biologically Different.

  XLVII. Maternal Impressions 327

Wide-spread Belief in Maternal Impressions—No Single Well-authenticated Case of Maternal Impression—Birth of Monstrosities—Ridiculous Examples Given by Physicians—So-called Shock Often a Product of Mother's Imagination—Four Cases of Alleged Maternal Impressions—Mother's Health During Pregnancy May Have Effect Upon Child's General Health.

  XLVIII. Advice to the Married and Those About to Be 336

Marriage as an Ideal Institution—Monogamic Marriage—Some Reasons for Husbands' Deviations—Importance of First Few Weeks of Married Life—Necessity for Understanding at Beginning—Preventing and Breaking Habits—The Wife's Individuality—Husbands Who are Childish, Not Vicious—Wife's Interest in Husband's Affairs—The "Slob" Husband—The Well-groomed Husband—Bad Odor from the Mouth—Odors from Other Parts of the Body—Treatment for Bad Odor from Perspiration—A Beneficial Powder—Advice Regarding Flirting—Dainty Underwear—Fine External Clothes and Cheap and Soiled Underwear—Delicate Adjustments of Sex Act Required with Some Men—Wife Who Discusses Her Husband's Foibles—A Professional Secret—A Case of Temporary Impotence—The Wife's Indiscretion—The Disastrous Result—A Big Stomach—The Wife's Attitude Towards the Marital Relation—Behavior Preliminary to and During the Act—Congenital Frigidity—Prudish and Vicious Ideas About the Sex Act—Sexual Intercourse for Procreative Purposes Only—Fear of Pregnancy on the Part of the Wife—The Remedy—Other Causes—Wife who Makes too Frequent Demands—Sacrificing the Future to the Present—Esthetic Considerations.

  XLXIX. A Rational Divorce System 356

A Rational Divorce System—Storms and Squalls—Two Sides of the Divorce Question—Outside Help and Marital Tangles—A Husband who was a Paragon of Virtue—The Case of the Sweet Wife—The Proper Untangling of Domestic Tangles.

  L. What Is Love? 361

Is Love Definable?—Raising a Corner of the Veil—Two Opinions of Love—The First Opinion: Sexual Intercourse and Love—The Second Opinion—The Grain of Truth in Each—The Truth Concerning Love—Foundation of Love—Sexual Attraction and Love—The Frigid Woman and Her Husband—Puzzling Cases of Love—The Paradox—Blindness of Love and the Penetrating Vision of Love—Limits of Homeliness—Physical Aversion and Genesis of Love—Mating in the Animal

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