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Blank No.35 Series II Form B. 7.
When boy was 15 mo. old miscarriage brought about by mental shock. In 1880 4th child lived 6 mo. died of cholera infantum. Year after his death 5th child was born (H) weight 10.5 lbs. When H was 9 mo old. Horse ran away and shock caused miscarriage 2 yrs after H's both 2d daughter (M) well. Lost much sleep with boys during babyhood. 3 miscarriages in 3 successive years at 45, 46 and 47. Doctor thought it change of life. Went to bed each time. No irregularity until about 50 yrs old. The tendency to excessive and then [virigularity?] now 6 mo. but great relief when it occurs.

18- Did conception occur by choice or accident? After [15th?] miscarriage because not well. accident concieved just before menstruation. Next willing case when there was no reason for not conceiving (W) much wanted.

19- Habit of intercourse average number of times per week? 1
per month? per year?
av. 1 week
sometimes oftener sometimes less often.

20- Was intercourse held during pregnancy? If so, how often?
(b)had you any desire for it during this period?
about average not so often during last 2 mo. more desire [after period?] than at other times and she needed it." Nothing would ease my nervous condition but that."

21- At other times have you any desire for intercourse? Yes
(a)how often? (b)at what time in relation to your menses.
Very soon after period more agreeable. Sometimes just before, much of times could have blotted out and never missed it. Then another time wanted it. When not too tired just before and just after.