Page:Contraception; 1st ed. (IA in.ernet.dli.2015.94163).pdf/168

properly adjusted cap adheres very tightly and mere pulling does not detach it, but it may induce elongation of the cervix or prolapse. Among opponents of contraception one of the whispered objections is that "methods cause prolapse"—and I fancy the grain of truth in this apparently ridiculous idea is due to the unintelligent tugging at the attachment of a well-placed cap. It is better for the attachments to be cut off, and when it is desired to remove the cap this should be done with a jerk of the finger under the rim which detaches it easily and with no risk of such injury. Caps can be obtained made without any attached loop, which is much the best. I should like to see only these advised until something even better is discovered.

When first instructing a woman the doctor should notice whether she has an abnormally long vaginal canal and unusually short fingers. If so, she will be unable herself to place the cap satisfactorily. In most women, however, the length of the vagina and the length of the first or middle finger are such as to make it quite easy for them to insert and remove the cap themselves.

Opponents of contraception have made much "copy" out of a case of a lady