CHAPTER	I.	INTRODUCTION.
CHAPTER	II.	GIRLHOOD.
Part	I.	Physical Growth.
Part	II.	Mental Development.
CHAPTER	III.	PUBERTY.
Part	I.	General Organs, Uterus, Ovaries, Etc.
Part	II.	Menstruation and Its Disorders.
CHAPTER	IV.	SEXUAL IMPULSE.
Part	I.	Masturbation
Part	II.	Sexual Impulse in Animals—In Men. Its Significance in Love.
CHAPTER	V.	Reproduction.
Part	I.	Growth of the Life Cell in the Uterus.
Part	II.	Hygiene of Pregnancy—Miscarriage.
CHAPTER	VI.	SOME OF THE CONSEQUENCES OF IGNORANCE AND SILENCE.
Part	I.	Continence in Young Men.
Part	II.	Gonorrhoea.
Part	III.	Syphilis.
CHAPTER	VII.	MENOPAUSE.

INTRODUCTION

Students of vice, whether teachers, clergymen, social workers or physicians, have been laboring for years to find the cause and cure for vice, and especially for prostitution. They have failed so far to agree on either the cause or the cure, but it is interesting to know that upon one point they have been compelled to agree, and that is, that ignorance of the sex functions is one of the strongest forces that sends young girls into unclean living.

This, together with the knowledge of the rapidly increasing spread of venereal diseases and the realization of their subtle nature, has awakened us to the need of a saner and healthier attitude on the sex subject, and to the importance of sex education for boys and girls.

This need has shown itself so clearly that the question no longer seems to be, “Is there need of instruction?” but, “Who shall instruct?” Shall the mother or teacher instruct? When shall such instruction be given? In childhood, or in puberty? These are the points now under discussion.

To the writer the answer is simple. The mother is the logical person to teach the child as soon as questions arise, for it is to the mother that the child goes for information before he enters the schoolroom. If, therefore, the mother answers his questions truthfully and simply and satisfies his curiosity, she will find that the subject of sex ceases to be an isolated subject, and becomes a natural part of the child's general learning. A woman does not need to be a college graduate, with a special degree in the study of botany, before she can tell her child the beautiful truth of its birth. But she does need to clear her own mind of prudishness, and to understand that the procreative act is natural, clean and healthful; that all nature is beautified through it, and consequently that it is devoid of offensiveness.

If the mother can impress the child with the beauty and wonder and sacredness of the sex functions, she has taught it the first lesson, and the teacher can elaborate on these teachings as the child advances in school. All schools should teach anatomy of the sex organs and their physiology, instead of teaching the human body in the neuter gender as has been done up to this time.

The whole object of teaching the child about reproduction through evolution is to clear its mind of any shame or mystery concerning its birth and to impress it with the beauty and naturalness of procreation, in order to prepare it for the knowledge of puberty and marriage.

There must of necessity be special information for the pubescent boy and girl, for having arrived at the stage in their mental development they no longer take for granted what has been told them by the parents, but are keen to form their own ideas and gather information independently. It is right, therefore, to give them the facts as science has found them.

There are workers and philanthropists who say there is too much stress put upon the subject of venereal diseases; that the young girl after learning or hearing of the dangers she is likely to encounter in the sexual relation, is afraid to marry and consequently lives a life unloved and alone.

“Your treatment of this subject is dangerous,” said a very earnest social worker a few weeks ago. “Such knowledge will prevent our young girls from marrying.”

To which I replied that my object in telling young girls the truth is for the definite purpose of preventing them from entering into sexual relations whether in marriage or out of it, without thinking and knowing. Better a thousand times to live alone and unloved than to be tied to a man who has robbed her of health or of the joy of motherhood, or welcoming the pains of motherhood, live in anxiety lest her sickly offspring be taken out of her life, or grow up a chronic invalid.

I have more faith in the force of love. I believe that two people convinced that they love each other and desire to live together will talk as frankly of their own health and natures as they do today of the house furnishings and salaries. Their love for each other will protect them from ill health and disease, and prompt them to procure of their own accord, a certificate of health if each has the right information and knowledge.

There are, however, different phases of nature, the knowledge of which binds and cements the love of two people, other than venereal diseases, for these diseases are only symptoms of a great social disorder.

Every girl should first understand herself; she should know her anatomy, including sex anatomy; she should know the epochs of a normal woman's life, and the unfoldment which each epoch brings; she should know the effect the emotions have on her acts, and finally she should know the fullness and richness of life when crowned by the flower of motherhood.

This knowledge I shall endeavor to give in the following articles. Fragmentary the articles must of necessity be, for there are volumes written on each subject.

I shall try to free the subjects from technicalities and give the opinions of writers who have made these subjects their life studies and also the facts as I myself have learned them.

It is not my intention to thrust upon any one a special code of morals, or to inflict upon the readers my own ideals of morality. I only presume to present the facts for you to accept according to your understanding.

The first subject will deal with the girl during the age when sex first manifests itself, in that most fascinating, interesting and puzzling period of a woman's life—the budding period, called girlhood.

GIRLHOOD—PART I.

The Physical Manifestations

It has been said that the American girl between the ages of 12 and 18 is the most neglected girl in the world. Just why this is so, it is difficult to say, but I doubt whether she is alone in this neglect, for this is known as the adolescent period, and it is only within the last few years that the mental and physiological aspect of this period has been at all considered, or its importance recognized in any part of the world.

The adolescent period is the time occupied between the ages of 12 and 22, when the physical development comes suddenly into prominence; when the mental faculties become independently active, and the sex of the individual strongly manifests itself. It is a period of the greatest importance to the girl herself, for her physical, mental and moral development during this time will have an important effect on her future life.

It is also a period of the greatest interest to the mother, provided there is sympathy, confidence and understanding between them. Too much importance cannot be attached to the necessity of an early confidence between the girl and her mother before this period arrives for this will give a girl a sense of superiority, a poise, an understanding of herself and her nature. She will then be prepared for the changes taking place within herself, and consequently be practically immune from the influence of a bad environment, which otherwise might affect her in a way detrimental to her health and happiness. Up to this period there is very little manifestation of sex.

Fortunately, we have come to recognize that healthy outdoor play is as good for the little girl as it is for the boy, and the ideas of our grandmothers' day—that boys were to play ball, ride horseback, swim, shoot, etc., while the girl's play was restricted to sedentary pursuits, such as sewing, doll playing, etc.—have been placed on the relic heap, and the girl of today keeps pace with her brother in physical freedom and activity.

With the passing of those ideas passed also our ideal of the delicate girl, with a cough, small waist and dainty appetite, and the girl physically strong and healthy, with a broader view of life, has taken her place.

About the age of 12 there comes a sudden change in the girl, her dresses are outgrown, her form assumes shape, her bust and limbs develop, and, in the words of Stanley Hall, “hips, thighs, limbs, shoulders and arms round out into contours more or less beautiful, curves always predominating over angles.” Thus we come to realize that the little girl has left us.

The physical development is not alone in this work, for the mental and moral instincts are developing so rapidly that it is difficult to understand this new and lovely creature who is neither the child of yesterday nor the woman of tomorrow.

There is often very little patience shown the adolescent girl, for neither parents nor teachers have been aware that this is a separate and distinct stage—this passing from childhood into womanhood—and as such must be recognized.

Let us first take the bony structure. It is a well known fact that there is not sufficient lime salts in the system to complete the bony structure until the 25th year. The bones are not completely hardened, which is one of the reasons that so many deformities have their foundation laid at this time.

The first and most noticeable change in the girl at this age is the increase of height, which begins at the 13th year and ends about the 15th. There are girls who begin earlier and continue to grow for several years after this age, but it is with the average we deal, and the growth after the age of 15 is not so perceptible.

Many girls show almost no other signs of womanly development until after this growth has ceased. The bones at this time are soft enough to yield to pressure (being cartilaginous), which makes the wearing of a corset especially dangerous, for the pressure on the ribs interferes with the development of the lungs and tuberculosis is more easily contracted. Corsets should not be worn before the 21st year if possible, and then very loosely, for tight lacing is more harmful at this age than a few years later. Those who have made careful investigations of the harmful effects of corsets claim that not only are the chest and walls of the abdomen injured, but the development of the sexual organs is seriously hampered, causing many functional diseases, commonly painful and irregular menstruation, caused by arrested development of the cervix.

The girl who scoffs at the idea of the Chinese women binding up their feet, is doubtless ignorant of the knowledge that to bind up their own thoracic and pelvic structures, i. e., the chest and abdominal portions of her body, in tight corsets is doing greater harm to her health and injury to her development than the binding of the feet could possibly do. Ellis brings forth a few words on this subject which shows that the habit of binding the feet of the Chinese women is based on the same ideas as the European woman has when she deforms her waist—they are both done for sexual attractiveness.

A Chinese woman's foot is more interesting than her face—to her husband.

No man of good breeding would look at a Chinese woman's foot in the street; such an act is most indelicate.

This question of corsets every girl should consider seriously.

As this rapid growth begins, the girl often finds it difficult to hold herself up straight, her shoulders become stooped, her head and neck are thrust forward in a most ungainly manner. As she becomes conscious of this, instead of correcting it, she is likely to slouch and assume the most awkward habits. Her arms seem longer to her; hands, legs and feet become new burdens to carry, and the desire to hide the hands behind the back, to fold the arms, to bend one knee in order to lessen the length of the body, and to lean on something while talking, are all signs of this consciousness.

With the invention of modern machinery and the monotony of specialized work in the mills and factories, it is natural that this should bring with it, if not entirely new diseases and deformities, at least a greater number than have heretofore been known. Consider the little children in the cotton mills, standing for long periods, with the weight of the body thrown on one foot—a position, which causes curvature of the spine. Again consider the young girls still in their “teens” bending over sewing machines from morning until night from year to year; their premium for this work is right sided lateral curvature. Sitting with one leg crossed over the other as in sewing, carrying books under the arm to and from school, lifting and carrying heavy burdens, bundles, or small children, such as the abused and deformed “little mothers” spend their play time in doing—all cause curvature of the spine.

Curvature is one of the most common deformities. Any position which throws the spinal column out of its natural line for any length of time is likely to produce it.

Regular exercise in the open air will do much to prevent this, together with walking and dancing. If curvature is already noticeable, then it is best to get professional instructions and follow them closely.

Next to the rapid bony development, the changes in the heart and circulation are most noticeable. The heart grows more rapidly during the adolescent age than the arteries do, which increases the supply of blood in the arteries and causes general circulatory disturbance of which we see many outward signs such as blushing, nose bleed, headache, cold feet and hands, anaemia, loss of appetite, or an appetite so capricious as to drive one frantic trying to satisfy it, for it jumps from ice cream soda to dill pickles, according to whim. Some of these symptoms require special attention, particularly in the case of the girl at school or in an office, who finds her work a great effort, tires easily, and becomes pale and nervous. Such a girl should spend as much time as possible in the open air, and build up on milk and eggs. Sometimes a simple iron tonic will do much to overcome these disturbances.

Pimples on the face are also very common at this period. Physicians assert that with cleanliness of the skin and regularity of the bowels, these symptoms will disappear without the aid of medicines or cosmetics. The above mentioned symptoms are of great annoyance to the adolescent girl, who is just developing pride in looking neat and keeping up an appearance of daintiness, and she goes to unending trouble to rid herself of facial blemishes, which often seem to grow worse and if tampered with, leave ugly scars.

The nervous system also undergoes great changes at this age, and the growing girl is subject to various forms of nervous affections, stammering, jerking, restlessness, etc. These are symptoms which, if allowed to continue unattended, may develop into permanent disorders. In short, the adolescent girl needs constant watchfulness and attention.

GIRLHOOD—PART II.

The organs of sense are also awakened to activity in the adolescent girl. The sense of smell becomes extremely acute; offensive odors are very offensive, while pleasant ones are greatly enjoyed and desired. Thus we find perfumes used lavishly in girlhood, and alas! too often indiscriminately.

With the development of the other senses the sense of color is awakened. The girl, who, yesterday allowed her elders to choose clothing and colors for her, at this time becomes most exacting in her own selection of ribbons and dresses. Sunsets and forests have become beautiful, and often the girl with artistic talent decides at this age to choose her life work. Laces, jewelry, trinkets, ribbons and shop windows become her world. Indeed, so great is her desire to possess ornaments that she has been known to resort to petty thievery, when unable to avail herself of the means to obtain them otherwise. Certain authorities, who have made vice and kindred subjects a study, assert that it is this great desire for trinkets, silk petticoats, etc., which induces girls to sell their bodies and enter prostitution. Such authorities fail to see the economic significance of these unsatisfied desires. There is something wrong with a system of society which allows its women to sell their bodies for such trifles, the desire for which is part of their natural development.

Is flesh and blood and the virtue of the mothers of the future so cheap in this land of plenty that it can be sacrificed for such passing whims? It is impossible to suppress that inherent and natural desire in the adolescent girl to adorn and beautify herself. She must and will do it.

The girl of wealth, of the so-called upper class, can beautify herself and adorn her body with the costliest jewels and fabrics. All eyes are upon her in admiration of her exquisite taste and attractive appearance. Yet this same manifestation in a working girl is condemned. Any attempt on the part of a working girl to give expression to the desire to be beautiful is considered “dangerous to her welfare”; is spoken of as her “awful desire for trinkets.”

The women of wealth set certain standards for themselves and their class, but separate and distinct standards for the women of the working class. It is about time the reformers and philanthropists do something other than deal with the symptoms of the great social unrest, and some of the latest reports of vice investigators have been compelled to face some of the most fundamental causes, and acknowledged these causes.

A craving for beauty and pleasure, dancing, music, singing and laughter, an innate hereditary desire to adorn and beautify herself, which comes down to her from primitive woman, together with a burning desire for and love of romance, characterize the adolescent girl and often remain with her far beyond the adolescent age.

When the imagination is thus aroused it is not unusual to learn that the young girl yields to it, tells strange tales about herself, and is, therefore, often accused of lying. But this and petty thievery disappear as reason and will power are developed.

The change of voice in a girl is not so distinct as in a boy, but the voice gradually becomes softer, fuller and of a more womanly pitch, though the change is quite unnoticeable while it occurs.

The hearing becomes keener, noises which a few months ago were considered a joke are now disturbing (such as father's loud sneeze). Music and singing have charms, which in childhood were unappreciated.

Parents and teachers who do not appreciate the change taking place within the girl at this period, have small patience with such doings, calling her “giddy” and “affected” when in reality it is all part of her development and can be guided and directed into beautiful channels. Together with her personal adornment comes interest in her surroundings. New and elaborate decorations furnish her bedroom, and toilet accessories become objects of pride. Primitive colors are displayed, largely in curtains, bed coverings, wall paper, etc., all of which explain the independent ego in the stage of transition.

There are many forms of disturbance which the girl suffers at this period, such as hysteria and insanity, which, however, we will not dwell upon here. Enough has been said on the subject to impress upon my readers the cause of these physical and mental disturbances, and to realize that special care and consideration should be given at this particular age of the girl.

The emotional nature also plays a most prominent part in the developing girl, and justice, I feel, would not be shown her here, unless we cover briefly this most interesting part of her nature. One of the strongest emotions which very few girls, passing from childhood into womanhood, escape, is the religious awakening of one kind or another. It is said by some investigators that 80 per cent. of the conversions of women in the churches take place before the age of 20. From 30 to 40 years only a very small percentage occur—something like 1 or 2 per cent.

It is also shown that more young girls join church than boys. Some girls seem almost consumed by the desire to do good and be good in every thought and word and act, and have been known to go through various forms of self punishment, such as fasting, sacrificing pleasure, etc. Again, others spend hours in absolute devotion to the neglect of health and studies. It is very easily seen why the church takes its “flock,” while still in the adolescent period, for at no subsequent time is the girl's mind so plastic or impressionable. If the same girl who enters the convent at 18 years had waited until 22, she would very likely not have entered, for the mental changes are most intense from 16 to 18 years of age.

Another common emotional awakening of girlhood is the affections. In boys this awakening causes them to gather together in gangs. They follow their leader whom they greatly admire and obey. In girls it assumes a more simple form, the devotion to a girl friend of her own age, and the affection between them is deep and intense while it lasts. They tell their most private thoughts in secret to each other, dividing all honors, pleasures and gifts; they are almost inseparable, and I have known a girl whose affection was so deep for her “chum” that she wore mourning when the chum's father died.

Another form of affection which the girl of this age manifests is that for an older woman, often a teacher or neighbor. Parents sometimes look askance at this relation, and rightly so, for a friendship can be beneficial or harmful according to the character of the older woman. But with all these interests there is nothing so all-absorbing or so interesting to the adolescent girl as herself. She has become conscious of self. Now she burns with ambition to go out into the world and do mighty things. She feels sure she will be a great singer, or a dancer, or, perhaps, an actress. Again, she feels she will write a wonderful book—about herself—or at least she will be the heroine. Or she will write a wonderful tragic play; or she will nurse on the battlefields and care for the sick and dying. These, together with thousands of other desires, burn in her mind, and can be increased or lessened according to the character of the books she reads. The literature placed in a girl's hands at this age has as great an influence on her thoughts and acts as her companions.

In early adolescence this self-consciousness manifests itself in modesty, blushing, giggling, physical awkwardness, mentioned earlier on this subject, all signs that the girl is conscious of that inner self—the ego.

It is at this stage when the mother tries to explain what the menstrual period means to the girl that she is met with icy indifference. She refuses to talk on this subject, or anything pertaining to the sex subject, because she has just become conscious of her sex, and everything connected with it seems offensively personal.

She most likely has received her sexual information from some one else, and the mother is astonished at the stubborn silence on the part of her daughter. She fails to realize that some one else has that confidence which belongs to her and which she should have gained many years earlier. There is a strong tie between the adolescent girl and her sexual informant. The influence of an older girl over a younger, between whom there are confidences regarding sex, is surprisingly great. The mind at this age is very susceptible to influences of any kind, and the ideals instilled into a girl's mind are of paramount importance.