Another factor in sterility is abortions. So many times we hear a young married woman say, "I do not want a child the first year, but after that I would like one." In order to carry out her desires it is not uncommon for an abortion to be performed during the first few months. In many cases an inflammation follows this interference and the tubes become closed permanently. Then when the woman is ready to have a child it is impossible. Girls about to enter marriage should be cognizant of this possibility and not take any risks, for few women would do anything voluntarily that would condemn them to childless lives. CHAPTER XII PREVENTION OF PREGNANCY This morning I received a letter which says in part, "I am a young school teacher and do not know lots I should, but will come to you for advice. Now I am engaged to the dearest boy in the world. I will do my best to be a good wife and do my duty. But my health is not so very good and I want to put off motherhood for awhile. Will you kindly tell me some remedy that will keep me from becoming pregnant? I have long wanted to ask someone but always was afraid. Mother never tells me anything." This is the type of question that is asked every physician many times. Those who do not ask, wish to--and blame physicians for not telling the things they want to know. What is my answer to such a question? Just this: There is in effect a federal statute making it a felony punishable by $5,000 fine and five years at hard labor to impart any information _whatever_ relating to the preventing of conception. The information may concern a thing, an instrument, or it need not be any material substance at all--only a "method." I obey that law as I am not foolhardy enough to walk into absolute danger. Every day we see examples of heart-breaking misery caused by lack of knowledge of the proper means of prevention. The limitation of the number of offspring has become an important problem to be considered. There are thousands of families that would be perfectly happy if the number of offspring could be limited. There are thousands of young men who would be glad to get married but are afraid to do so for fear of having a family larger than they could supply with the necessities of life. These same young men, because they are not married, frequent questionable houses and often contract one or more of the venereal diseases. There are thousands of women who have become semi-invalids because of a too prolific offspring. The babies came so fast the mother had no opportunity to regain her health and strength. There are other thousands of women who are made invalids because of attempts at abortion, or have been driven into early graves by these attempts, while some have actually killed themselves.