sleepless nights and nervous tension by refusing to become interested.

The condom will often help in this difficulty. There are many girls who have had no education on this subject, no idea of the physiology of the act, who upon any contact of the semen have a disgust and repulsion, from which it takes some time to recover. Much depends upon the education of the girl, but more depends upon the attitude of the man toward the relation.

THE PESSARY AND THE SPONGE.

Another form of prevention is the pessary (see cut). This is one of the most common preventive articles used in France as well as among the women of the middle and upper class in America. At one time the cost of these ranged up to seven dollars, as they were imported into this country from France. Today they are manufactured in this country, and may be had from fifty cents up to two dollars. The Mizpath is the name of one of the best and costs one dollar and a half at any reliable drug store.

They come in three sizes—large, medium and small.

It is well to get the medium size, as the small ones are only for very small boned women and easily get out of place.

French Pessary—slightly different from the American.

In my estimation a well fitted pessary is the surest method of absolutely preventing conception. I have known hundreds of women who have used it for years with the most satisfactory results. The trouble is women are afraid of their own bodies, and are of course ignorant of their physical construction. They are silly in thinking the pessary can go up too far, or that it could get lost, etc., etc., and therefore discard it. It can not get into the womb, neither can it get lost. The only thing it can do is to come out. And even that will give warning by the discomfort of the bulky feeling it causes, when it is out of place.

Follow the directions given with each box, and learn to adjust it correctly; one can soon feel that it is on right. After the pessary has been placed into the vagina deeply, it can be fitted well over the neck of the womb. One can feel it is fitted by pressing the finger around the soft part of the pessary, which should completely cover the mouth of the womb. If it is properly adjusted there will be no discomfort, the man will be unconscious that anything is used, and no germ or semen can enter the womb.

a—womb; b—pessary covering mouth of womb; c—vagina; d—bladder.

If the woman should fall asleep directly after no harm can happen, and it is not necessary to take a douche until the following morning. Take part or about a quart of an antiseptic douche BEFORE the pessary is removed; after removing it continue the douche and cleanse thoroughly.

Finger touching mouth of womb. a—womb; b—mouth of womb.

Wash the pessary in clear cold water, dry well and place away in the box. One should last two years, if cared for.

I recommend the use of the pessary as the most convenient, the cheapest and the safest. Any nurse or doctor will teach one how to adjust it; then women can teach each other.

It is not advisable to wear the pessary all the time. Take it out after using, and wear it only when needed. A little experience will teach one that to place it is a simple