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July 28, 1945


JAMA. 1945;128(13):973. doi:10.1001/jama.1945.02860300063024

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To the Editor:—  The communication from Dr. Roy J. Hefferman (The Journal, June 23) attempting to add another etiologic factor to the subject of female infertility has failed to furnish a rational biologic relationship between "voluntary sterility" and the direct impairment of the human reproductive organs. His warning against the use of contraceptives by newly married couples may be of considerable significance from the point of view of dogmatic theology, for sentimental justification or for some indefinite sociologic reasons. However, it lacks the establishment of a definite physiologic explanation for the alleged causation of a pathologic condition of the pelvic organs.The pelvic pathologic conditions such as ovarian cysts, fibroids, endocervicitis and endometriosis enumerated by the correspondent are conditions present in sterile and in fertile females. This has been the observation of numerous gynecologists. The mere finding of pelvic pathologic conditions in women who have practiced "voluntary sterility" does not,

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