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Table of ContentsI.The Paramount Need of Sex Knowledge for Girls and Women
Why Sex Knowledge is of Paramount Importance to Girls and Women
Reasons Why a Misstep in a Girl Has More Serious Consequences than a Misstep in a Boy
The Place Love Occupies in Woman's Life
Woman's Physical Disabilities.
II.The Female Sex Organs; Their Anatomy
The Internal Sex Organs The Ovaries
The Fallopian Tubes
The Uterus
The Divisions of the Uterus
Anteversion, Anteflexion, Retroversion, Retroflexion, of the Uterus
Endometritis
The Vagina
The Hymen
Imperforate Hymen
The External Genitals
The Vulva, Labia Majora, Labia Minora, the Mons Veneris, the Clitoris, the Urethra
The Breasts
The Pelvis
The Difference Between the Male and Female Pelvis.
III.The Physiology of the Female Sex Organs
Function of the Ovaries
Internal Secretion of the Ovaries
Function of the Internal Secretion
Number of Ova in the Ovaries
The Graafian Follicles
Ovulation
Corpora Lutea
Function of the Fallopian Tubes
Function of the Vagina
Functions of the Vulva, Clitoris and Mons Veneris
Function of the Breasts
Besides Secreting Milk Breast Has Sexual Function
The Orgasm
Pollutions in Women
Secondary Sex Characters
Differences Between Woman and Man.
IV.The Sex Instinct
Universality of the Sex Instinct
Not Responsible for Our Thoughts and Feelings.
V.Puberty
Physical Changes in Puberty
Physical Changes in the Genital Organs and in the Rest of the Body
Psychic Changes
Puberty and Adolescence
Nubility.
VI.Menstruation
Definition of Menstruation
Where Menstrual Blood Comes From Age of Menstruation
Age of Cessation of Menstruation
Duration
Amount Regularity and Irregularity.
VII.Abnormalities of Menstruation
Disorders of Menstruation
Menorrhagia Metrorrhagia
Amenorrhea Vicarious Menstruation
Dysmenorrhea of Organic and of Nervous Origin.
VIII.The Hygiene of Menstruation
Lack of Cleanliness During Menstrual Period
Superstitious Beliefs
Hygiene of Menstruation.
IX.Fecundation Or Fertilization
Fecundation or Fertilization
Process of Fecundation
When the Ovum Matures
Fate of Ovum When no Intercourse Has Taken Place
Entrance of Spermatozoa as Result of Intercourse
The Spermatozoa in Search of the Ovum
Rapidity of Movements of Spermatozoa
Absorption of Spermatozo n by Ovum
Activity of Impregnated Ovum in Finding Place to Develop
Pregnancy in the Fallopian Tube and Its Dangers
Twin Pregnancy
Passivity of Ovum and Activity of Spermatozo n Foretell the Contrasting R les of the Man and the Woman Throughout Life.
X.Pregnancy
Period of Pregnancy in Human Female
Physiologic Process of Pregnancy
Growth of Embryo from Moment of Conception
Pregnant Woman Provides Nourishment for Two
Her Excreting Organs Must Work for Two.
XI.The Disorders of Pregnancy
Smooth Course of Pregnancy in Some Women
Pregnancy and Parturition May be Made Normal Processes Through Education in True Hygiene
Morning Sickness and Its Treatment Necessity for Medical Advice in Pernicious Vomiting
Anorexia Bulimia
Aversion Towards Certain Foods
Peculiar Cravings
Tendency to Constipation Aggravated by Pregnancy
Dietary Measures in Constipation
Rectal Injections in Constipation
Laxatives
Cause of Frequent Desire to Urinate During First Two or Three and Last Months of Pregnancy
Treatment of Frequent Urination
Cause of Piles During Pregnancy and Their Treatment
Cause of Itching of External Genitals During Pregnancy and Treatment
Cause of Varicose Veins and Treatment
Liver Spots.
XII.When to Engage a Physician
Necessity for the Pregnant Woman Immediately Placing Herself Under Care of Physician and Remaining Under His Care During Entire Period.
XIII.The Size of the Fetus
Approximately Correct Measurements and Weight of Fetus at End of Each Month of Pregnancy.
XIV.The Afterbirth (Placenta) and Cord
How the Afterbirth Develops
Bag of Waters
Umbilical Cord
The Navel
Fetus Nourished by Absorption
Fetus Breathes by Aid of Placenta
No Nervous Connection Between Mother and Child.
XV.Lactation or Nursing
No Perfect Substitute for Mother's Milk
When Nursing is Injurious to Mother and Child Modified Milk Artificial Foods
Care Essential in Selecting Wet Nurse
Suckling Child Benefits Mother
Reciprocal Affection Strengthened by Nursing
Sexual Feelings While Nursing
Alcoholics are Injurious
Attention to Condition of Nipples During Pregnancy Essential
Treatment of Sunken Nipples
Treatment of Tender Nipples
Treatment of Cracked Nipples
How to Stop the Secretion of Milk When Necessary
Menstruation While Nursing
Pregnancy in the Nursing Woman.
XVI.Abortion and Miscarriage
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
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
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
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
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
Formul for Douching.
XXI.The Venereal Diseases
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
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
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
Formul for Injections.
XXIV.Vulvovaginitis in Little Girls
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
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
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
Necessity for Douching Before and After Suspicious Intercourse
Formul 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
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
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
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
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
Ophoritis 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
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
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
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
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
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
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
Vaginismus Dyspareunia
Difference Between Vaginismus and Dyspareunia
Adherent Clitoris a Cause of Masturbation and Convulsions.
XXXIX.Sterility
Definition of Sterility
Husband Should First be Examined
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
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?
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
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
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
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
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
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
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
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
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?
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 Kingdom
Mating in Low Races
Love in People of High Culture
Difference in Love of Savage and Man of Culture
Distinctions Between Loves
Varieties of Love and Varieties of Men
"Love" Without Sexual Desire
Refraining and Wanting
Cause of Love at First Sight
"Magnetic Forces" and Love at First Sight
The Pathological Side
Differentiation of Phases of Love
Infatuation
Difference Between "Infatuation" and "Being in Love"
Sexual Satisfaction and Infatuation
Sexual Satisfaction and Love
Infatuation Mistaken for Love
Love the Most Mysterious of Human Emotions
Great Love and Supreme Happiness.
LI.Jealousy and How to Combat It
Jealousy the Most Painful of Human Emotions
Impairment of Health Mental Havoc
Jealousy as a Primitive Emotion
Jealousy in the Advanced Thinker and in the Savage
Jealousy in the Child Feelings and Environmental Factors
Essential Factors Vanity Anger Pain Envy
The Impotent Husband's Jealousy
Anti social Qualities
The Jealous and the Unfaithful Husband
Means of Eradicating the Evil
Iwan Bloch on the Question
Prof. Robert Michels' Statement
Remark of Prof. Von Ehrenfels
Havelock Ellis on Variation in Sexual Relationships
Advanced Ideas Woman as Man's Chattel
The Change and the Changer
Teaching the Children
Casting Epithets at Jealousy
Free Unions and Jealousy
Feelings, Actions and Public Opinion
The Adulterous Wife of the Present Day
Jealousy Defeating Its Own Object
Jealousy of Inanimate Objects.
LII.Remedies for Jealousy
Prevention and Cure Prophylaxis of Jealousy
Fitting Remedy to Circumstances
The Neglectful and Flirtatious Husband
No Question of Love
Advice to the Wife of the Flirtatious Man
An Efficient Though Vulgar Remedy
Jealousy Must Be Experienced to Be Understood
Necessity for Freedom of Association
Lines of Conduct for the Wife
Contempt for a Certain Type of Wife and Husband
The Abandoned Lover
The Effects of Unrequited Love
Sublimated Sexual Desire
Replacing Unrequited Love
The Attitude of Goethe
Simultaneous Loves Possible
Successive Loves Possible
Eternal Loves
When Sex Relationships May Be Beneficial
Purchasable Sex Relations and Their Value
The Broken Engagement
The Terrible Effects on the Young Man
The Young Streetwalker
Sex Relations with Fiance
Inundating Sense of Shame
Collapse
Attempts at Suicide
An Active Sex Life
The Results
The Prevention of Jealousy.
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