Among the causes of deep unhappiness in marriage, sterility ranks high and has always done so from the beginning of history. A home without children lacks the stability of a home organized on a normal biologic and family basis with children. In a childless marriage, husband and wife are not held together by that strong common bond which leads parents to subordinate their own selfish desires gladly for the common welfare of their family.
The prevalence of sterility and thus its magnitude as a problem is indicated by the fact that, according to recognized authorities,1 somewhat more than 10 per cent of all marriages in the United States and England are sterile, and Meaker2 estimates that there are two million childless couples in the United States who are still in the child-bearing age.
Sterility varies from that which is complete and absolute to that which is only relative
CHUTE R. ENDOCRINE FACTORS IN STERILITY. JAMA. 1936;107(23):1855–1859. doi:10.1001/jama.1936.02770490009004