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
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