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CHAPTER SIX

duction requires as a rule a skilled hand," and "they easily get out of position," also "some of my patients have as a result of the constant manipulations acquired painful and persistent inflammations of the adnexa."[1] Though Fürbringer does not say so, it is clear that this is due to the large size of the cap and its stiff steel rim; the small, soft, all rubber cervical cap was not known to him when he advised the condom as being better than such caps as the above. The size used has to be so much larger than the natural size of the unstretched vaginal canal that the tendency is to expand the canal unduly, which is neither good for the man, nor good for the woman.

This cap is made in a very great range of sizes (in diameters from 40 mm. to 100 mm.) but sizes 65 mm. to 75 mm. are those most commonly used. This very fact substantiates the above objections to its use, because anything introduced into the vagina with a diameter of that size, even though placed diagonally in the vaginal canal, must essentially lead to an unwholesome stretching in the average woman. It is used widely in

  1. ↑ P. Fürbringer, Dr. Med. (1904) in "Health and Disease in Relation to Marriage and the Married State," edited by Senator and Kaminer. See art., "Sexual Hygiene in Married Life," pp. 209-242. English translation. London and New York, 1904.

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