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July 6, 1964

Premarital Bylaws

JAMA. 1964;189(1):67. doi:10.1001/jama.1964.03070010073027

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To the Editor:—  Dr. Trythall's discussion of "The Premarital Law" (JAMA187:900 [March 21] 1964) and the accompanying editorial commentary (p 948) are commendable in their zeal to promote connubial harmony. But the authors appear confused in delineating their goals. Do they (1) wish to augment the process of venereal disease case finding, (2) provide a pelvic examination for female marriage license applicants (without a comparable examination of the intended male partner ), (3) believe that an evaluation of the reproductive organs assures marital sexual felicity, or (4) intend to offer each aspiring conjugal couple the benefit of premarital counseling directed to the development of meaningfully supportive nonsexual companionship and a mutually fulfilling coital relationship?These are diverse ends. By and large every physician has been trained to perform the first two examinations. Very few, to the best of my knowledge, have been trained in the techniques of premarital or

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