any 
suggestion that they are not thorough in matters of cleanliness. Daily 
cleansing of these parts is a necessity. At least once a day these parts 
should be sponged carefully. The labia should be separated and every 
fold thoroughly cleansed. Occasional vaginal douches also are 
necessary, for the various secretions often are retained in the folds of 
the vagina and cause irritation. But in taking a douche one always 
should remember to have the water warm. Cold water may produce 
congestion. The virtue of douches (except when taken for medicinal 
purposes) lies in their cleansing properties and warm water cleanses 
even better than cold. Many women produce grave disorders by the use 
of cold douches under the mistaken notion that they are of greater value 
than hot ones. A douche should be taken at the close of the menstrual 
period especially. 
These female organs should not be the source of worry but they do 
require as much or even more attention to cleanliness than we give to
our mouths or other parts of the body. 
CHAPTER II 
MENSTRUATION--PUBERTY--MENOPAUSE 
The subject of menstruation seems to be troubling several of you. I am 
sorry that you did not all have the advantage of having this explained at 
an early age. You might have been saved a great deal of suffering and 
causeless worry. 
By menstruation, or "the monthlies" as it sometimes is called, is meant 
the monthly hemorrhage that takes place in the uterus or womb during 
the child-bearing period of the normal woman except during pregnancy 
and lactation, when it nearly always is suspended. The child-bearing 
period commences at the age of puberty and ends with the menopause 
(change of life). 
Puberty is the period of maturing of the sexual organs. It occurs about 
the age of twelve, although there may be considerable variation as to 
this. It extends over a period of several years. As a rule, girls mature 
earlier in warm climates than in cold and in cities than in country 
districts. The signs of the approach of this period are the growth of hair 
on the pubes and other parts of the body, the enlargement of the breasts, 
a general rounding and increased grace of the body, the development of 
the pelvis so that the hips become more prominent, and a change in the 
mental qualities of the child, the girl naturally becoming more retiring. 
The menstrual function usually is not established at once, there being 
premonitory symptoms of a vague nature. There may be, at first, only a 
slight discharge of mucus tinged with blood, later the normal menstrual 
flow will be established. 
During this period of puberty there are great changes taking place in the 
girl's internal organs. This change and development requires 
considerable of the girl's strength and naturally influences her nervous 
system. It is for this reason that a girl at this period of her life should 
not be subjected to any great exertion, either physical or mental. She 
should have plenty of light, healthful exercise in the open air, but
should not indulge in any very violent exercise. A little care at this time 
often will save her years of suffering. As the nervous system is greatly 
affected at this period there should be no great mental strain. In fact, if 
the girl shows many nervous symptoms, it may be wise to take her out 
of school for a year so that her strength may be used as Nature requires 
it. As a rule, too much work is required in school at this age. The 
school duties should be lessened and the girl allowed to rest a day or 
two during her menstrual period. The girl at this age should not attempt 
to accomplish as much work or study as the boy does. Her time at this 
period might better be occupied in learning the rudiments of 
housekeeping and home-making. Then, when her body has become 
developed, her strength can be spared and can be well used in the 
development of her mind. If the nervous strain too common at this age 
could be relieved we would have fewer nervous women and a healthier 
and happier posterity. 
As puberty approaches, a mother should give her daughter adequate 
information so that she should not be frightened at the first appearance 
of the menstrual flow, nor take any risks at this period. Menstruation is 
the sign of the possibility of motherhood. If properly taught this fact, 
every girl will be glad she menstruates and will want to be careful 
during the period. On account of lack of early instruction, many a girl 
obtains wrong ideas regarding this function and it produces in her a 
feeling of repugnance. She should be taught the reasons for observing 
prudence during the menstrual period. The possible lifelong invalidism 
that may result    
    
		
	
	
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