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CHAPTER SEVEN

fear is developed and who has tried some one or more "recommended" contraceptive which has failed her, is often a difficult case to advise. If her sufferings have been intense she may be unconvinced by any argument and no matter how bad the results in other ways, she will persist in her refusal to have coitus with her husband. Individual care, instructive talks and explanations of the harm this causes both to herself and her husband, and demonstrations of just how the advised contraceptives act, should coincide with reading by the patient herself of as much in the way of scientific and explanatory literature[1] as she has the education to understand. A personal local examination, and, if suitable, the fitting of the cap or pessary and a demonstration by a doctor or midwife are essential. According to the degree of fear developed, three simultaneous or two simultaneous methods should be advised with an explanation of how greatly the security is increased by such duplication of safeguards.

Cases with depressed or amputated cervix.

A case who may be, in every other respect, entirely normal and for whom

  1. ↑ For this purpose, see the list of books recommended by the C.B.C. Society, supplied by the Hon. Sec., 7, John Street, Adelphi, London.

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