Hygiene and Physiology of Women Volume X: Sex Survey

No. 2 Series II. Form B. 5.

11 - Menstruation:

First menstruation at what age? and when thoroughly established At 13 yrs, 4 months; regular from beginning.

Present coondition as regards menstruation

a) how frequent: every 27th or 28th day

b) is it regular or not? regular.

c) amount? How many napkins? 8 napkins.

d) duration? five days

e) pain or not? at what time as to the flow, From 13-32 always [more??] less painful, increasingly so as I grew older. While in College, very bad the first day. Pain always on first day, but lassi -tude and excessive languor on second.

f) is there any leucorrhoea (whites)? character? some

amount? constant or occasional?

g) - have you pain either frequently or habitually in the head, small of the back? adbomen or limbs? none

h) disease or trouble in Uterus (womb) or other pelvic organs [??] disease; flexion of neck of uterus.

i) habit of bowels; how often? once a day, morning, absolutely regular.

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Blank No. 2 Series Ii Form B. 6.

12 - What knowledge of sexual physiology had you before marriage? b) how did you obtain it? A great deal; obtained first from talk with other children; later (after 16 yrs old) from books chiefly scientific, such as Dr. [Frall's??], Dr. Wilder's, [Lokology??]

13 - Number of times married. If more than once additional blanks will be furnished you to answer the following questions separately in regard to each marriage? Once

14 - Number of years married? 1 1/2

15 - Do you habitually sleep with your husband? b) what reasons for so doing or not? a) During first year of marriage, not regularly afterward. b) Because sleeping on my guard made me nervous and irritable. It made the necessary control on my husband's part, too hard.

16 - Number of conceptions? None

17 - Number of children? State in connection with each a) date of birth? b) sex? c) whether healthy or not? d) note any characteristic and the cause. e) note either immediate or after effect on your health of the birth of each of your children. f) give time of first menstruation after birth of each child. None

nk No. 2 Series II. Form B. 7

18 - Did conception occur by choice or accident?

19 - Habit of intercourse, average number of times per week? once per month? 3 per year?

20 - Was intercourse held during pregnancy? If so, how often? b) had you any desire for it during this period?

21 - At other times have you any desire for intercourse? a) how often? b) At what time in relation to your menses? more desire immediately after cessation of menses.

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ank No. 2 Series II Form B. 8

22 - Is intercourse agreeable to you or not? Yes do you always have a venereal orgasm? Generally, not always 1 - When you do? a) effect immediately afterwards? Just lassitude and sleepiness.

b)effect next day? Almost always backache slightly, and general [??]; often great nervousness

2 - When you do not? a) effect immediately afterwards? Same as above (1)

b) effect next day? more so than under (1) b)

23 - What do you believe to be the true purpose of intercourse? a - necessity to man? Yes to woman? Yes, if she be normal.

b - Pleasure? Yes

c - Reproduction? Primary object

d - What other reasons beside reproduction are sufficient to warrant intercourse? Physical union possibly is necessary to complete harmony between two people.

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Blank No. 2 Series II Form B. 9.

24 - Have you ever used any means to prevent conception? a)if so what? Rubber sheath for man.

b) - effect on your health? None whatever, so far as I know.

25 - What to you, would be an ideal habit? Perhaps twice a month immediately after cessation of menses; once a week too often for health in my case.

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