This kind of a bath is very useful for all chronic congestions of the abdominal and pelvic viscera, such as piles, constipation, painful menstruation, leucorrhea, or other affections of the reproductive organs. It is also very helpful in headaches due to congestion of the brain. If there is too little blood in the brain it might produce wakefulness, but when the brain is too full of blood this bath tends to produce sound and refreshing sleep. A foot bath may be taken at the same time as the sitz bath, and in this case the water should be warmer than that in the sitz bath, and as the person rises from the sitz bath she should step into it, so that her feet will get the tonic effect of the cold water. The average age at which menstruation first appears is fourteen, but some girls menstruate as early as eleven, while others may not develop till some years later. Frequently, when the girl does not manifest this symptom of womanly development, the mother becomes anxious and begins to give forcing medicines. She knows that girls often die with consumption in their early young womanhood, and has heard that it was because they did not physically develop, and she fears that such danger threatens her daughter, and imagines that if something can be done to "bring on her courses," as she expresses it, the danger will be averted. In this case she has reversed cause and effect. The consumptive girl did not menstruate because she had not the vitality to do so. The consumption was the cause, the non-menstruation the effect. To produce hemorrhage from the reproductive system by strong, forcing medicines is only to increase the danger. The only thing to do is to improve the general health, and if the girl can increase in strength until she has more vital force than suffices to keep her alive, the function that is vital--not to her, but to the race--will establish itself. The failure of the menses to appear at the average age may be due merely to a slow development, and in this case there is nothing to do but wait. If the girl seems well, if she has no backache, no headache, no general lassitude, no undue nervous symptoms, the mere non-appearance of the menses need occasion no alarm. If, however, she has these symptoms, it is an evidence that nature is attempting to establish the function and is hindered either by general lack of vitality or by some local condition, and in either case the giving of forcing medicines would be a mistake. The weekly sitz bath would do no harm as a semi-local measure. All proper precautions should be observed as to maintenance of general health and mental serenity, and if these do not prove sufficient the physician should be consulted.