dvisable to suggest a temporary separation. When this period has
expired and they resume marital relationship the element of novelty,
acting as a stimulus, quite frequently reestablishes a fertility that
was seemingly suspended, or awakens it if conception has never
previously taken place.

There are a great many cases on record where, conditions having remained
the same, women have become fertile after years of seeming barrenness.
It is impossible to explain, or to satisfactorily understand these
cases. It is quite common to note cases in which women have never become
pregnant until a number of years after marriage, even when the desire to
have children existed. There is one case on record of a woman married at
eighteen, but although both herself and her husband enjoyed habitual
good health, conception did not take place until she was forty-eight
years of age when she bore a healthy child. Women should not, therefore,
become easily discouraged in the hope of having a baby, especially when
they have a clean history, and a healthy body. The conditions may change
and may become favorable when hope is about to die.

CAUSES OF STERILITY IN WOMEN

Inasmuch as it is necessary to consult a competent physician in all
cases of sterility, it is not necessary to go into detail regarding each
possible cause, other than to explain how each may produce barrenness.
It will be observed that a competent physician is specified and advised
in these cases. This is very important because many advertising, or
"quack" doctors, particularly solicit these kind of cases. They are not
competent to be trusted with such cases and will likely effect more harm
than good. A woman should not hesitate to consult the best available
medical authority if she is a victim of sterility. There is nothing to
be ashamed of. It is a perfectly proper medical situation and should
receive the best medical advice and investigation. The following are the
more frequent causes of absolute sterility.

(A) Displacement of womb.

(B) Diseases of womb, ovaries or fallopian tubes.

(C) Malformations.

(D) Lacerations or tears of mouth of womb.

(E) Tumor.

(F) Leucorrhea.

(G) Physical debility.

(H) Special blood poisons.

(I) Great obesity.

(J) Anemia.

(K) Self-abuse.

(L) Habitual alcoholism.

(M) Lack of moderation in the marital relations.

(N) Certain diseases may be associated with barrenness: cancer,
diabetes, consumption, Bright's disease