The pale and debilitated girl needs to rest. Sometimes, if hemorrhage continues almost from one period to the next, she should remain in bed even after the flow seems checked. The great desideratum is to build up the general health, not by tonics, which are usually only stimulants, but by the judicious observance of the laws of health.

This will, in many cases, call for the advice of the physician, who can see and study the patient and her special conditions. It is not safe to trust to book-doctoring.

CHAPTER XVIII.

CARE DURING MENSTRUATION.

I have said that I do not want you to think yourself a semi-invalid and so be "fussy" about yourself, but I have also said that I want you to take care of yourself at all times, and especially during your menstrual periods. How can you make these ideas agree with each other?

I know that many writers say that a girl should spend one day each month in bed, or at least lying down; that there are some things that should always be forbidden to girls, simply because they are girls, such as running up and down stairs. These wholesale restrictions make girls rebellious at their womanhood. I simply want you to use good sense at all times in your care of yourself.

Knowing the fact that just before and during menstruation the uterus is heavier than at other times, because engorged with blood, and remembering that it is loosely suspended, it is easy to understand that long walks or severe exercise at the menstrual period will more easily cause it to sag, and this sagging becoming permanent may cause pain, backache, and other discomforts. Therefore, having good sense, you will not plan to take long rides or walks or do any severe exercise. At the same time moderate exercise in proper clothing will tend to relieve pelvic congestion by equalizing the circulation, and if the clothing is properly adjusted and the muscles are strong and well-developed, an ordinary amount of physical activity may be beneficial rather than harmful.

Girls are so often told that they must not walk at their monthly periods, must not study, must not ride, etc., etc., that it really is no wonder that they feel it a very undesirable thing to be a woman. My observation leads me to believe that if girls from earliest childhood were dressed loosely, with no clothing suspended on the hips, if their muscles were well developed through judicious exercise, they would seldom find it necessary to be semi-invalids at any time. In fact, we do sometimes find a young woman who has no consciousness of physical disturbance during menstruation. She can pursue her usual avocations without hindrance, and finds her physical womanhood no bar to any enjoyment.

This is as it should be; but as girls have not all been well developed and properly dressed, we cannot a.s.sert that all girls can be indifferent to physical conditions at this time. If a girl is well, has no pain or discomfort, then I would say, let her use good common sense in the ordering of her daily life and give the matter no special or anxious thought. If she has pain or uneasiness, let her govern her life accordingly, using care, taking some rest at the time of the menses; but, above all things, let her arrange her clothing at all times so as to secure for herself absolute freedom of movement. Then let her, during the intervals between the menstrual periods, endeavor by judicious exercise to build up strong muscular structure around the vital organs, such structure as will support the _viscera_ where they belong, and in time she will probably find herself growing free from menstrual pain.

During the painful periods resulting from congestion it is often advisable to keep the rec.u.mbent position, and to use heat both externally and internally. However, I would advise never using alcoholic beverages. Their apparent usefulness lies princ.i.p.ally in the hot water with which they are administered, and the danger of forming the alcohol habit is too great to justify their use.

There are cases of nervous pain at menstruation that are aggravated by heat and diminished by cold. I knew such a case where a girl at school, suffering with menstrual pain, alarmed teachers and friends by wringing towels out of cold water and laying them over her abdomen.

But the alarm subsided when they saw that the pain soon pa.s.sed away under the cold application. The girl was one in whom there were no local congestions, but great nervous exhaustion and heat always increased her sufferings, while cold allayed.

I have read that a woman should not bathe or change her underwear while menstruating. I cannot see how soiled clothing can be more healthful than that which is clean; and if well-aired, I should no more object to your putting on clean underwear than to your changing your dress. Most especially would I advise a frequent change of napkins, in order to remove those which are soiled from their irritating contact with the body. A full bath during menstruation would, for most people, be unadvisable, but the cleansing of the private parts is imperative. For this, tepid water, with good soap, may be used daily or oftener. Other parts of the body may be rubbed with a wet cloth, followed by vigorous, dry rubbing. Cleanliness at all times is certainly a mark of refinement.

You should use good sense and not run out in thin slippers on wet or cold ground; but if your feet get wet through accident, keep in motion until you can make a change of shoes and stockings. There is little danger from wet feet to those in good health, if they keep in vigorous motion.

As to other rules, they are those that pertain to the care of health at all times: loose clothing, deep breathing, wholesome food, plenty of sleep, sunlight, pure air, exercise according to your strength, and, above all, serenity of mind, accepting the fact of physical womanhood, together with a recognition of its sacredness and dignity.

As a minor item, I would suggest that the napkins be fastened to straps that go over the shoulder and are then joined together in front and back to an end piece, on each of which a b.u.t.ton is sewn.

b.u.t.tonholes in the napkins at the corners, diagonal from each other, will make them easily attached or removed. The napkins should be of a material that is quickly absorbent of the flow. Cheesecloth is cheap, and can be burned or otherwise disposed of after using. It may be protected by an outer strip of unbleached muslin which is almost water-proof.

A very comfortable way of arranging napkins that are to be used from time to time is to take a piece of linen or cotton diaper sixteen inches square. About three inches from one end, make on each side an incision four inches long. Fold this strip in the middle lengthwise, and sew together up to the end of the incisions. This makes a band with a sort of pocket in the middle. Hem the cut edges. Fold the napkin over, four inches on each side, that is as deep as the incisions. Then fold crosswise until you can enclose the whole in the pocket in the band. This makes a thick center and thin ends by which to attach the napkin to the suspender.

I hold that mental serenity is one of the essentials of healthful menstrual periods, and this cannot be had if the mind is continually troubled and the thought centered on the physical condition. I would be glad to have your mind freed from the ideas of s.e.x matters as far as possible. It is a scientific fact that thinking continually of an organ tends to disturb that organ. I know a man who was so afraid of heart disease that he felt of his pulse every few minutes and kept a stethoscope on the head of his bed to listen to his heart in the night. I would have been surprised had he not had heart trouble.

CHAPTER XIX.

SOLITARY VICE.

As the reproductive system awakens to activity it naturally attracts the attention of the girl, and an effort should be made to call her thoughts to other themes.

As I have said before, the reading of sensational love stories is most detrimental. The descriptions of pa.s.sionate love scenes arouse in the reader a thrill through her own s.e.xual organism that tends to increase its activity and derange its normal state. Girls often mature into women earlier than they should, because through romances, through jests of a.s.sociates in regard to beaus and lovers, and through indulgence in sentimental fancies their s.e.xual systems are unduly stimulated and aroused. This stimulation sometimes leads to the formation of an evil habit, known as self-abuse. The stimulation of the s.e.x organs is accompanied with a pleasurable sensation, and this excitement may be created by mechanical means, or even by thought.

Many girls who are victims of this most injurious habit are unaware of its dangers, although they instinctively feel that they do not want it known. Others who would not stoop to a mechanical exciting of themselves do so through thoughts, and do not know that they are just as truly guilty of self-abuse as the girl who uses the hand or other mechanical means.

The results of self-abuse are most disastrous. It destroys mental power and memory, it blotches the complexion, dulls the eye, takes away the strength, and may even cause insanity. It is a habit most difficult to overcome, and may not only last for years, but in its tendency be transmitted to one's children.

If you have from the first thought n.o.bly of yourself, you will have fallen into no such debasing habit. But if, through ignorance, you have acquired it, how shall you overcome it?

I should hesitate to write more on this subject did I not know that many girls fall victims to this evil through ignorance, and many who thus fall could and would have been saved had they been rightly instructed. I therefore desire that you shall be wise.

Every normal function of the body is attended with a pleasurable sensation. We enjoy eating, seeing, walking. Odors bring sensations which are agreeable, the sense of touch may give pleasure, and as we enjoy these sensations in fact, so we may enjoy them in memory or in imagination. We can recall the beauty of the rose, the perfume of the mignonette, the flavor of the orange, or we can imagine new combinations of these delights. We feel joy or grief through reading vivid descriptions, or we can ourselves create imaginary scenes in which we are actors, who suffer or enjoy.

The reproductive system is the seat of great nervous susceptibility, and the excitation of these nerves gives a pleasurable sensation. This excitation may be thought a local mechanical irritation or it may be mental. In little children it may be caused by lack of cleanliness of the external organs. An irritation is produced, and an attempt to allay this by rubbing produces an agreeable feeling, which may be repeated until the evil habit of self-abuse is formed.

Sometimes constipation, by creating a pelvic congestion, will have the same result. Sometimes clothing which is too small may, by undue pressure on the parts, call the thought of the child to these organs, and in an attempt to remove the pressure by pulling the clothing away the habit may be begun.

Sometimes the tiny pin-worms in the r.e.c.t.u.m may wander into the v.a.g.i.n.a, and the little girl feel a constant annoyance, which rubbing allays temporarily, but which results in the evil habit of the use of the hands to produce an agreeable sensation. Thus through avoidable causes the evil habit may be acquired. Then it may be taught by one thus learning it to another who, without this instruction, would never have acquired it.

But new dangers arise as the girl approaches the age when the reproductive system begins to take on the activity that indicates approaching womanhood. The normal congestion of the parts causes a hitherto unknown consciousness of s.e.x, and unless she is warned she may at this period acquire the habit without knowing its evils.

All functions necessary to the preservation of the individual life are attended with pleasure, and so are those which are for the continuation of the species. While the emotion may be pleasurable, it is at the same time the most exhausting, that can be experienced. We see that in some forms of animal existence parenthood is purchased at the expense of the life of the parent; and while in the human being the procreative act does not kill, it exhausts, and no doubt takes from the vital force of those exercising it. One can feel justified to lose a part of her own life if she is conferring life upon others, but to indulge in such a waste of vital force merely for pleasure is certainly never excusable, and least excusable of all is the arousing of pleasurable emotions by a direct violation of natural law.

The only natural method of arousing a recognition of s.e.xual feeling is as G.o.d has appointed in holy marriage, and the self-respecting girl feels that no approach of personal familiarity is either right or proper. But it may be that she does not know that feelings may be awakened by the imagination which are as wrong morally as, and more injurious physically than, actual deeds, and so may allow her mind to revel in fancies that would shock her as actualities.

I received a letter not long ago from a young woman who most emphatically a.s.serted that she would never, never, never permit familiarities, and then most innocently says, "but it wouldn't be wrong to imagine yourself enjoying the embrace of some certain one, would it?"

It is just this idea that there is no wrong in thought that weakens virtue's fortress and renders it easily demolished. Girls who would shrink from use of mechanical means to arouse s.e.xual desire will permit themselves to revel in imaginary scenes of love-making with real or unreal individuals, or in mental pictures which arouse the spasmodic feelings of s.e.xual pleasure, and yet be unaware that they are guilty of self-abuse.

s.e.xual feeling in itself is not base, but it can be debased either in thought or in deed. Rightly considered, it is the indication of the possession of the most sacred powers, that of the perpetuation of life.

"Pa.s.sion is the instinct for preservation of one's kind, the voice of the life principle, the sign of creative power." These last four words open before us a wonderful field of thought. "Creative power!" What does that mean? Is creative power limited to reproduction of kind? Do you not create when you work out with brain some idea and then embody it in some visible form? Worth is said to create an artistic dress, the actor creates his part in the play, the musician creates the arrangement of harmonies which are represented in musical signs, and in the same sense you may be in a myriad of ways a creator.

With the beginning of activity of s.e.xual life in yourself came increased development and new energy, beauty, and power, and the preservation and right use of that life will continue to be a source of power. "When the signs of this creative power come throbbing and pulsing in every fiber, it only shows that one has more and greater ability to create than ever before. One knows by this that she can now do greater work than she has done or is doing;" so says one writer.

Is it not a beautiful thought that this feeling, which we have supposed we must fight as something low, is in reality the stirring of a divine impulse which we can control and govern and make to serve us in all high and n.o.ble deeds?

If you hold such n.o.ble thoughts in your heart concerning yourself, you will need no threatenings to keep you from self-debas.e.m.e.nt and self-defilement. You will not need to be told of the loss of physical strength or of beauty, of memory or of reason, through evil habits of solitary vice, for they will have no temptation for you, even as you do not need threats of police and prisons to keep you from stealing, because honesty is the active and guiding principle of your life.

But supposing you have already acquired the evil habit and are now awakened to the wrong you are doing yourself; you observe the lack of l.u.s.tre in the eye, the sallow, blotched complexion; you realize your loss of nerve-power manifested in cold and clammy hands, backache, la.s.situde, irritability, lack of memory, and inability to concentrate thought. What shall you do to overcome and to gain control of yourself? The question is a serious one, for no habit is more tyrannical than the dominion of unrestrained s.e.xual desire. Its victims often fight for years, only to be conquered at last. If there was no cure but in fighting, I should feel that the case was almost hopeless.

The very first thing to do is to change the mental att.i.tude in regard to the whole matter of s.e.x; to hold it in thought as sacred, holy, consecrated to the highest of all functions, that of procreation.

Recognize that, conserved and controlled, it becomes a source of energy to the individual. Cleanse the mind of all polluting images by subst.i.tuting this purer thought; then go to work to establish correct habits of living in dress, diet, exercise, etc. See to it that there are no such causes of pelvic congestions as prolapsed bowels, caused by tight clothing or constipation; keep the skin active; and, above all, keep the mind healthfully occupied.

The victim of self-abuse has, through the frequent repet.i.tion of the habit, built up an undue amount of brain that is sensitive to local irritation of the s.e.x-organs or to mental pictures of s.e.x-pleasure.

She must now allow this part of the brain to become quiescent, and she should go to work to build up other brain centers. Let her train her sight by close observation of form, color, size, location. Let her cultivate her sense of hearing in the study of different qualities of sound, tone, pitch, intensity, duration, timbre; her sense of touch, by learning to judge with closed eyes of different materials, of quality of fiber, of the different degrees of temperature, of roughness or smoothness, of density; in fact, let her endeavor to become alert, observant, along all the lines of sense-perception. Let her study nature, leaf-forms, cloud-shapes, insects, flowers, birds, bird-songs, the causes of natural phenomena; and, above all, let her keep out of the realm of the artificial, the sentimental, the emotional, and, holding firmly to the thought that creative energy is symbolized by desire and can be dignified and consecrated to n.o.blest purposes, she will find herself daily growing into a stronger, more beautiful self-control.

CHAPTER XX.