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July 21, 1923

Sterility in Woman: Its Causes and Treatment.

JAMA. 1923;81(3):237. doi:10.1001/jama.1923.02650030061033

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The author has analyzed the subject of sterility in woman, beginning with thirty-three pages of statistics presented in readable style, and on the basis of which he concludes that the state should require a medical certificate from both parties; that special provision should be made for the care of illegitimate children because of the high mortality among them, and that there should be compulsory notification of all gonorrheal and syphilitic infections. Fifty-two pages are devoted to the anatomy and physiology of the genitalia. The literature has been very well reviewed, and is deficient only in the newest work on the causation of menstruation with a complete explanation of its mechanism and the rôle played by the tryptic secretion of the uterine glands (O. Frankl). There can be no dispute as to the correctness of the author's four postulates that determine pregnancy: 1. Ovulation must occur. 2. The ovum must be

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