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To the Editor:—
The article on "Female Infertility" by Dr. George H. Gardner (The Journal, May 26) and the discussion which followed failed to give consideration to an important contributing factor to the high incidence of barren marriages today. This is the effect on fertility of several years of volumtary sterility.A considerable percentage of the women who throng the offices of gynecologists today have prevented pregnancy in one way or another for two, three, five or more years following marriage. Many of these hapless women tell us that they have been influenced by the "planned pregnancy" ideas so well publicized in the past few decades. They were led to believe that the highly specialized reproductive function could be safely deferred until it was convenient to raise a family. Some say tearfully "my husband and I always intended to have children." They thought it wise to wait until business was
Heffernan RJ. FEMALE INFERTILITY. JAMA. 1945;128(8):613. doi:10.1001/jama.1945.02860250059021
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