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The Falling off of Birthrate is due

1 - Voluntary restriction of birthrate by contraconceptive methods for economic reasons

2 - a) To increasing selfishness of men:
man wishes companionship of wife unhampered by children. 3 cases.
II women: dangers of childbirth to women - 1 case
women who desire a life of ease and social freedom

3 - Physical maladjustments due to
a) lack of consideration of the woman by too frequent coitus destroying psychologic sex impulse.
b) lack of understanding of slower time reaction in women making marital relation for the woman without the normal physical response. This leaves organs of woman over congested.

4 - Physical maladjustments
a) Dyspareunia due (1) Physical terror through mutual consent - 1 case.
2) Unusual angle of long axis of vagina causing undue suffering to woman - 2 cases.
3) Physical disproportion

Note: The maladjustments in marriage occasionally occur at the first consumation of the marital relation. The woman comes to this new experience of life often with no knowledge. The woman while she may give mental consent often shrinks physically. Her slower time reaction deprives her of all physical response. Or (2) too often her training has instilled the idea that any physical response is coarse, common & immodest which inhibits proper part in this relation.