What a Young Woman Ought to Know - Part 5
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Part 5

SPECIAL PHYSIOLOGY.

With a feeling of reverence for ourselves we now take up the subject of special physiology to learn what makes us women. In the study of general physiology we find very few physical differences in the s.e.xes, but when we come to investigate what is called the reproductive system we find entire difference of structure and of function.

Boys and girls in early childhood are much alike in their inclinations. They both love activity--to run, to climb, to shout, to laugh, to play. If left to themselves one sees not much more difference between boys and girls than between different individuals of the same s.e.x. But as they grow and develop they begin to take on characteristics that indicate the evolution of s.e.x.

The boy grows rapidly in height, his voice breaks, the signs of a moustache appear, he seems constrained and embarra.s.sed in society, and yet he begins to show more politeness towards women and more of an inclination to be gallant to girls. He is becoming a man, and a.s.sumes manlike airs. Often, too, he becomes restless and willful, hard to govern, self-a.s.sertive, with an a.s.sumption of wisdom that provokes laughter from his elders. The boy is pa.s.sing through a serious crisis and needs much wise and loving care. There are inner forces awakening that move him strangely; he does not understand himself, neither do his friends seem to understand him. Sometimes they snub and nag him, sometimes they tease and make fun of him. In either case he does not find home a happy place, and frequently leaves it to seek more sympathetic companionship elsewhere.

I once spoke to an audience of women and girls along this line, and appealed to the mothers and sisters to be kind to the boys in their homes who were between twelve and eighteen years of age, to remember that they were pa.s.sing through the critical period of transition from boyhood to manhood, and to try and help them by sympathy and kindness.

Some time later, as I was on the train, a young lady came and sat down by me and said: "I want to thank you for what you said to us the other day about boys. I have a brother about sixteen, and we have done just as you said; we have teased him about his moustache, and his voice, and his awkwardness, and laughed the more because it seemed to touch him. He had gotten so that he never would do anything for us girls, and we called him an old bear. Since I heard you I concluded that we had done wrong and I would make a change, so that evening I said kindly, 'Charlie, don't you want me to tie your cravat? I'd like to, ever so much.' I shall never forget the surprised look he gave me. It seemed as if he could not believe that I, his sister, wanted to do something to please him, but as soon as he saw I really meant it he accepted my offer with thanks, and since then it seems as if he could not do enough for me. Really I have almost cried to think that so little a thing would make him so grateful. I have invited him to go out with me several times, and he seems so glad to go. Then I've begun to make things for his room--little fancy things that I never thought a boy would care for--and he has appreciated them so much. Why, he even stays in his room sometimes, now, instead of going off with the boys. And the other day, when one of the boys came to see him, I heard him say, 'Come up and see my room,' and the other boy said, 'Well, I wish some one would fix up _my_ room in such a jolly fashion.'

Really," said the girl, "if you have done nothing on your trip but what you have done for me, in showing me how to be good to my brother, it has paid for you to come."

I often think of this little incident when I see boys at this critical age who are snubbed and teased just because they are leaving the land of boyhood to begin the difficult climb up the slopes of early manhood towards the grander height of maturity; and I wish all parents, sisters and older brothers would manifest a sympathy with the boy who, swayed by inner forces and influenced by outward temptation, is in a place of great danger.

The girl at this period is also pa.s.sing through a crisis, but this fact is better understood by her friends than is the crisis of the boy's life. Her parents are anxious that she shall pa.s.s the crisis safely, and they have more patience with her eccentricities. She, too, often shows nervousness, irritability, petulance, or willfulness. She has headaches and backaches, she manifests la.s.situde and weariness, and is, perhaps, quite changed from her former self. She weeps easily or over nothing at all. She is dissatisfied with herself and the whole world. She feels certain vague, romantic longings that she could not explain if she tried. She inclines toward the reading of sensational love stories, and if not well instructed and self-respecting may be easily led into flirtations or conduct that later in life may make her blush to remember. Certain physical changes begin to be manifest. She increases rapidly in height, her figure grows fuller and more rounded, her b.r.e.a.s.t.s are often sore and tender. Hair makes its appearance on the body, and altogether she seems to be blossoming out into a fuller and riper beauty. She is changing from the girl to the woman, and this is a matter of s.e.x. At this time the organs of s.e.x, which have been dormant, awaken and take on their activity, and it is this awakening which is making itself felt throughout her whole organization.

We are sometimes apt to think that s.e.x is located in certain organs only, but in truth s.e.x, while centralized in the reproductive organs, makes itself manifest throughout the whole organization. I used to feel somewhat indignant when I heard people talk of s.e.x in mind, and I boldly a.s.serted that it did not exist, that intellect was neuter and had no reference to s.e.x; but I do not feel so now. When I see what an influence the awakening of s.e.x has upon the entire body and upon the character, I am led to believe that s.e.x inheres in mind as well. That does not mean that the brain of one s.e.x is either inferior or superior to the other; it means only that they differ; that men and women see things from different standpoints; that they are the two eyes of the race, and the use of both is needed to a clear understanding of any problem of human interest.

You know that the true perspective of objects cannot be had with one eye only, for each eye has its own range of vision, and one eye can see much farther on one side of an object than the other can. You can try this for yourself.

If, then, in viewing the vital problems of life we have the man's view only or the woman's view only, we have not the true perspective. We cannot say that either has superior powers of vision, but we can say that they differ, as this difference is inherent in them as men and women, and not merely as individuals.

Instead, then, of looking at s.e.x as circ.u.mscribed, and perhaps as something low and vulgar, to be thought of and spoken of only with whispers or questionable mirth, we should see that s.e.x is G.o.d's divinest gift to humanity, the power through which we come into the nearest likeness to Himself--the function by which we become creators and transmitters of our powers of body, mind, and soul.

It is important that a young woman should understand her own structure and the functions of all her organs, and so, with this feeling of reverence for s.e.x, we will begin this study.

The trunk of the body is divided into three cavities; the upper or thoracic cavity contains the heart and lungs; the central or abdominal cavity contains the organs of nutrition, the stomach, liver, bowels, etc.; the lower or pelvic cavity contains two organs of elimination, the bladder and the r.e.c.t.u.m, and also the organs of reproduction, or of s.e.x. Between the outlet of bladder and bowels is the inlet to the reproductive organs. This inlet is a narrow channel called the v.a.g.i.n.a, and is about six inches in length. At the upper end is the mouth of the womb or uterus. The words mean the same, but womb is Anglo-Saxon and _uterus_ is Latin, and as Latin is the language of science, we will use that word. The uterus is the little nest or room in which the unborn baby has to live for three-fourths of a year. It is a small organ, about the size and shape of a small flattened pear. It is suspended with the small end downwards, and it is hollow. It is held in place by broad ligaments that extend outward to the sides, and by short, round ligaments from front to back. These ligaments do not hold it firmly in place, for it is necessary that it should be able to rise out of the pelvic into the abdominal cavity during pregnancy, as the baby grows too large to be contained in the small pelvic s.p.a.ce.

On the posterior sides of the two broad ligaments are two small oval organs which are called ovaries, meaning the place of the eggs.

CHAPTER XIV.

BECOMING A WOMAN.

Perhaps you will remember that I once told you that all life is from an egg, the life of the plant, the fish, the bird, the human being. In the book "What a Young Girl Ought to Know" we discussed how all life originates in an egg, and why there must needs be fathers as well as mothers. We found that some eggs were small, were laid by the mothers in various places, and then left to develop or to die. Others were larger, covered with a large sh.e.l.l, and kept warm by the mothers sitting over them until the little ones were hatched. Others were so small that they developed in the mother's body until, as living creatures, they were born into the world. This is the case with the human being. He is first an egg in the mother's ovary. When this egg has reached a certain stage of development it pa.s.ses from the ovary through a tube into the uterus. If it meets there, or on its way there, the fertilizing principle of the male, it remains there and develops into the child. If it does not meet this principle, it pa.s.ses out through the v.a.g.i.n.a and is lost.

But the eggs, or ova--which is the Latin word meaning eggs--do not begin to ripen until the girl reaches the age of thirteen or fourteen, or, in other words, until she begins to become a woman. This pa.s.sing away of the ovum (singular of ova) is called ovulation, and it occurs in the woman about every twenty-eight days. The uterus is lined by a mucous membrane similar to that which lines the mouth, and at this time of ovulation this membrane becomes swollen and soft, and little hemorrhages, or bleedings, occur for three or four days, the blood pa.s.sing away through the v.a.g.i.n.a. This is called menstruation.

Sometimes, when girls have not been told beforehand of the facts of menstruation, they become greatly frightened at seeing this blood and imagine that they have some dreadful disease. If they have no friend to whom they can speak freely they sometimes do very injudicious things in their efforts to remove that which to them seems so strange and inexplicable. I have known of girls who washed their clothes in cold water and put them on wet, and so took cold and perhaps checked the menstrual flow, and as a consequence were injured for life, or may even have died years after as a result of this unwise conduct.

The girl who is wisely taught will recognize in this the outward sign of the fact that she has reached womanhood, that she has entered upon what is called the maternal period of a woman's life, the period when it is possible for her to become a mother.

This does not mean that she should become a mother while so young. It only means that the s.e.x organs are so far developed that they are beginning to take up their peculiar functions. But they are like the immature buds of the flower, and need time for a perfect development.

If she understands this, and recognizes her added value to the world through the perfecting of her entire organism, she will desire to take good care of herself, and during these years of early young womanhood to develop into all that is possible of sweetness, grace, purity, and all true womanliness.

Girls who are not wisely taught sometimes feel that this new physical function is a vexatious hindrance to their happiness. It is often accompanied with pain, and its periodical recurrence interferes with their plans for pleasure, and they in ignorance sometimes say, rebelliously, "O, I hate being a woman!"

A young woman once came to consult me professionally. She was a well-formed, good-looking girl, to all outward appearance lacking nothing in her physical make-up; but she was now twenty-two and had never menstruated, so she was aware that for some reason she was not like other girls. She came to ask me to make an examination and find out, if possible, what was wrong. She was engaged to be married, and knew that motherhood was in some way connected with menstruation, and she thought it might be possible that her physical condition would preclude the possibility of her becoming a mother, and, if so, it would be dishonorable to marry. Upon examination I discovered that all the organs of reproduction were lacking. When I disclosed this fact to her she exclaimed, with sadness, "Oh, why was I not made like other girls? I have heard them complain because they were girls, but I think if they were in my place, and knew that they could never have a home and children of their own, they would feel they had greater reason then to complain."

I think so, too. We seldom think of the fact that upon s.e.x depend all the sweet ties of home and family. It is because of s.e.x that we are fathers, mothers and children; that we have the dear family life, with its anniversaries of weddings and birthdays. It is through s.e.x that the "desolate of the earth are set in families," and love and generosity have sway instead of selfishness. For this reason we ought to regard s.e.x with reverent thought, to hold it sacred to the highest purposes, to speak of it ever with purest delicacy, and never with jesting or prurient smiles. I do not want you to center your thought on the physical facts of s.e.x, but I would like to have you feel that womanhood, which is the mental, moral and physical expression of s.e.x, is a glorious, divine gift, to be received with solemn thankfulness.

I want you, for the sake of a perfect womanhood, to take care of your bodily health, and yet I do not want you to feel that a woman must of necessity be a periodical semi-invalid.

CHAPTER XV.

ARTIFICIALITIES OF CIVILIZED LIFE.

Menstruation is a perfectly physiological process and should be without pain. Indeed, Dr. Mary Putnam Jacobi maintains that a woman ought to feel more life, vigor and ambition at that period than at any other time. As a fact, however, the majority of civilized women feel more or less la.s.situde and discomfort, and many suffer intensely.

Whenever there is actual pain at any stage of the monthly period, it is because something is wrong, either in the dress, or the diet, or the personal and social habits of the individual. We certainly cannot believe that a kind and just G.o.d has made it necessary for women to suffer merely because they are women, and the observation of travelers among uncivilized peoples seems to indicate that where life is conducted according to nature's laws, the limitations of s.e.x are less observable.

It is difficult for us to understand how very far our lives are from being natural. Professor Emmett, a world-renowned specialist in diseases peculiar to women, says: "At the very dawn of womanhood the young girl begins to live an artificial life utterly inconsistent with normal development. The girl of the period is made a woman before her time by a.s.sociating too much with her elders, and in diet, dress, habits and tastes becomes at an early age but a reflection of her elder sisters. She may have acquired every accomplishment, and yet will have been kept in ignorance of the simplest features of her organization, and of the requirements for the preservation of her health. Her bloom is often as transient as that of the hothouse plant, where the flower has been forced by cultivation to an excess of development by stunting the growth of its branches and limiting the spread of its roots. A girl is scarcely in her teens before custom requires a change in her dress. Her shoulder-straps and b.u.t.tons are given up for a number of strings about her waist and the additional weight of an increased length in skirt is added. She is unable to take the proper kind or necessary amount of exercise, even if she were not taught that it would be unladylike to make the attempt. Her waist is drawn into a shape little adapted to accommodate the organs placed there, and as the abdominal and spinal muscles are seldom brought into play they become atrophied. The viscera are thus compressed and displaced, and as the full play of the abdominal wall and the descent of the diaphragm are interfered with, the venous blood is hindered in its return to the heart."

Since Professor Emmett wrote this, public sentiment has changed, and it is no longer unladylike for girls to exercise; but with this increased freedom in custom should also come increased physical freedom through healthful clothing that allows perfect use of every muscle, more especially of the breathing muscles. I am sure you would rather pay out your money for that which shall add to your health and real happiness than to pay physicians to help you from suffering the just penalty of your own wrongdoing, and that is why I am anxious to give you this needed instruction. I do not care to have you study much about diseases, but I want you to understand very fully how, through care of yourself, to prevent disease.

CHAPTER XVI.

SOME CAUSES OF PAINFUL MENSTRUATION.

There should be no pain at menstruation, but that pain is quite common cannot be denied. Let us look for other causes than are found in the dress.

One frequent cause is found in the ignorance of girls, and their consequent injudicious conduct at the time of the beginning of s.e.xual activity. At this time of life the girl is often called lazy because she manifests la.s.situde, and this is nature's indication that she should rest. The vital forces are busy establishing a new function, and the energy that has been expressed in bodily activity is now being otherwise employed. The girl who has been properly brought up, whose muscles are strong, and whose nervous supply is abundant, may have no need of especial care at this time, but the average girl needs much judicious care, in order that her physical womanhood shall be healthfully established. She should be guarded from taking cold, from overexertion, from social dissipation, and especially from mental excitement, and other causes of nervousness. I would like to call your attention to the great evil of romance-reading, both in the production of premature development and in the creation of morbid mental states which will tend to the production of physical evils, such as nervousness, hysteria, and a host of maladies which largely depend upon disturbed nerves.

Girls are not apt to understand the evils of novel-reading, and may think it is only because mothers have outlived their days of romance that they object to their daughters enjoying such sentimental reading; but the wise mother understands the effects of sensational reading upon the physical organization, and wishes to protect her daughter from the evils thus produced.

It is not only that novel-reading engenders false and unreal ideas of life, but the descriptions of love-scenes, of thrilling, romantic episodes, find an echo in the girl's physical system and tend to create an abnormal excitement of her organs of s.e.x, which she recognizes only as a pleasurable mental emotion, with no comprehension of the physical origin or the evil effects.

Romance-reading by young girls will, by this excitement of the bodily organs, tend to create their premature development, and the child becomes physically a woman months, or even years, before she should.

In one case it became my duty to warn a girl of eleven, who was an omnivorous reader of romances, that such reading was in all probability hastening her development, and she would become a woman in bodily functions while she ought yet to be a child. Her indications of approaching womanhood were very apparent. By becoming impressed by my words she gave up romance-reading, devoted herself to outdoor sports, to nature studies, and the vital forces diverted from the reproductive system were employed in building up her physical energy, her health improved, her nervousness disappeared, and three years later her function of menstruation was painlessly established.

A frequent cause of painful menstruation is found in habitual neglect of the bowels. The evils of constipation are common to the majority of women and girls, and the foundation is laid in childhood. Mothers are not careful enough in instructing children in the need of care in this respect, and so the habit is formed early in life, and the results are felt later.

If the bowels are not evacuated regularly the matter to be cast out of the body acc.u.mulates in the r.e.c.t.u.m and large bowel, and by pressure the circulation of the blood is impeded and congestion ensues. This extends to all the pelvic organs; the uterus and ovaries thus congested will soon manifest disease, and painful menstruation be the result.

One of the most frequent causes of pain is congestion produced by displacements. People are very apt to think that the displacement of the uterus is the main factor, but in my opinion it is a secondary condition, and not the one to be first considered. The uterus is a small organ, not vital to the individual, is very movable, and not sensitive, so that its displacement alone could hardly be considered sufficient to cause so great a train of evils as is frequently manifest. But the liver, stomach and bowels are large, vital organs, and their displacement leads to greater consequences. You learned at school that the bowels are over twenty feet in length, weigh as much as twelve or fifteen pounds, are supported in a way that makes it possible for them to sag into the abdominal cavity and press upon the pelvic organs. Dr. Emerson, of the Boston School of Oratory, a.s.serts that in most adults the stomach and bowels are from two to six inches below their normal location; and, as I have said before, Dr. Kellogg often finds the stomach lying in the abdominal cavity as low down as the umbilicus. What has caused this sagging of the abdominal viscera?

They certainly must have been intended to keep their place unless there has been some interference. We find just such interference in the ordinary arrangement of the clothing. Tight waists and bands, and skirts supported by the hips, are cause sufficient for these displacements.