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January 10, 1925

Fertility and Sterility in Human Marriages.

JAMA. 1925;84(2):137. doi:10.1001/jama.1925.02660280063038

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This is comprehensive, well considered and readable. The estimate of a 10 per cent, sterility in all marriages, while seemingly high, is based on careful statistical studies. The importance of aspiration during orgasm is perhaps over-emphasized, for there are many fertile marriages in which the female simulates participation. The discussion of partial developmental defects, as also the treatment recommended and condemned for acute anteflexion, is sound. The Wassermann test, recommended when examination raises the slightest suspicion of syphilis, would better be extended to all cases not obviously hopeless. The chapter on nonspecific infections is timely and properly emphasized, though repeated light office curettage of the cervical mucosa followed by iodophenol may be questioned because of the risk of stricture formation. To refer functional vaginismus to the professed expert in psychanalysis is a confession of failure by the gynecologist in the practice of his specialty. His control over patient and husband

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