WHAT THE BOY WITH VENEREAL DISEASE MAY CAUSE IN OTHERS
Gonorrhea.—When the average boy acquires gonorrhea he frequently does not know, for many weeks, that he is the victim of a dangerous, infectious disease. He appreciates probably, that it relates to the sexual indiscretion he was guilty of, and feels that it is something to be ashamed of. He therefore hides his condition, confides in no one, and blindly hopes it will get better somehow or at some time. Meantime the disease, which may have been mild at the beginning, is gradually gaining ground and strength, and his neglect may eventuate in lifelong misery. No means are taken to guard against spreading the infection, the discharge may lodge on his fingers and he may infect his eyes and may lose his sight because he did not know that the discharge is one of the most dangerous fluids known. It may get on water-closet seats and infect others. Eventually he is compelled to seek aid, and he may, after a long period, be freed from the immediate consequences of his folly. At a later date he marries, and as previously explained, he infects his wife. This is the beginning of much of the domestic infelicity that is so prevalent to-day, and, inasmuch as it is a subject that should be thoroughly understood by every woman and mother, I shall carefully and clearly explain its significance and its consequences.
Let us first, however, briefly consider what may occur to others if the boy is unfortunate enough to acquire syphilis. Again the boy fails to comprehend the nature of his affliction. There is imminent danger of the members of his household becoming infected. He uses the same dishes, spoons, towels, and utensils, any one of which may convey the disease to his father, mother, sister, or brother. He may use the common drinking glass in school, college, or office, and spread the disease in this way. He may kiss any member of his family, or a baby, and infect them. He may have his hair cut, or be shaved, and the virus may be spread around in this way if the barber does not sterilize the article used,—which he never does. He may drink at a soda fountain, or at a saloon, and the next individual to use the same glass may acquire the disease. He is a menace to the individual, to the community, and to the race. Wives often acquire syphilis from their husbands.
The Infected Wife.—It has been previously stated that eight out of every ten males between the ages of sixteen and thirty, have had or have, gonorrhea or syphilis. Seventy-five per cent. of these cases have not been cured. About thirty-five per cent. of these are destined to infect wife, or wife and children, and in all probability many others.
If a young wife acquires infection from her husband, she is exactly in the same condition as the diseased boy,—she does not know what ails her, so she wastes precious time in unprofitable worry. Why should she know what the trouble is? She came to the marriage bed pure, and clean, and healthy. Her previous education did not include instruction which would even help her to guess what the trouble might be. She is simply conscious of new distressing conditions which she does not understand. She may try to believe that these conditions are incidental to the change in her life. Shortly, however, the discharge, which she has had for a number of weeks, and which she thought was only a leucorrhea, or "the whites," becomes so profuse and nasty that she begins douching. This procedure simply blinds her to the true nature of the affection, and in the end she is driven, ashamed and reluctant, to consult a physician. She may be informed that her condition is bad, and that it will be necessary that she submit to a course of treatment. After a time the physician may succeed in tiding her over the immediate consequences of the gonorrheal infection she innocently acquired. She may soon after become pregnant, and she may miscarry as a result of the old trouble, or she may carry the child the full period. When the child is born it may be blind and this defect is a consequence of the old infection to the mother from the father. If the mother is syphilitic the child most likely will inherit all the horrible possibilities of transmitted blood-poison.
Pregnancy frequently "lights up" any old, gonorrheal infection in the female, so this young wife fails to completely recover after the confinement. She is able to be about, but her strength refuses to be restored. It may be months later when she begins to suffer pain and to realize that she is quite sick. She develops a fever and may have a chill. The physician discovers that she has pus in her tubes and there is danger of peritonitis or general blood poisoning. The old germs have been roused and are active. Unfortunately they are located where it is impossible to dislodge them without resorting to a serious operation. It is now a problem of saving her life. She is taken to the hospital and her womb, tubes, and ovaries, are removed—she is unsexed.
Young wives are being operated on every day, in every city in the civilized world for just such causes. It is a notorious fact, that, in every city in the world, the number of operations that are daily being performed on women, is increasing appallingly. Every surgeon knows that eighty per cent. of these operations are caused, directly or indirectly, by these diseases, and in almost every case in married women, they are obtained innocently from their own husbands. It is rare to find a married woman who is not suffering from some ovarian or uterine trouble, or some obscure nervous condition, which is not amenable to the ordinary remedies, and a very large percentage of these cases are primarily caused by infection obtained in the same way.
When a girl marries she does not know what fate has in store for her, nor is there any possible way of knowing, under the present marriage system. If she begets a sickly, puny child,—assuming she herself has providentially escaped immediate disease,—she devotes all her mother love and devotion to her child, but she is fighting a hopeless fight as I previously explained when I stated that one-half of the total effort of one-third of the race, is expended in combating conditions against which no successful effort is possible. Even her prayers are futile, because the wrong is implanted in the constitution of the child and the remedy is beyond her power to find. These are the tragedies of life, which no words may adequately describe, and compared to which the incidental troubles of the world at large are as nothing.
If the conditions are not as bad as those depicted above, the original infection may have rendered her sterile. If the germs reached the womb and tubes, the inflammatory process may close these tubes, with the result that conception is impossible. In these cases the woman has to bear the stigma and disgrace of a childless union, though she is not the guilty party. Many husbands are sterile, however, as a result of venereal disease. It is claimed that eighty per cent. of childless marriages are caused by sterility of the male partner. Curiously and unfortunately these men never suspect themselves. The wife is the delinquent member, in their estimation. She is the victim of jest and suspicion, and later of jibes and insults. Many women have had their lives rendered miserable and unhappy because of this suspicion. They are compelled by their husbands to submit to examination and unpleasant and painful treatment and operations with the intention of rectifying a defective condition that does not exist. Many conscientious physicians refuse to treat women patients against whom the charge of sterility is made, before subjecting the husbands to thorough examination, and, since eighty per cent. of childless marriages are due to sterility in the male, this is a just and reasonable course to pursue.
During the course of all this domestic trouble and tragedy, the young wife's health has suffered—she scarcely enjoys one day of good health. Her mental condition is even worse. She submits to innuendo and insult under the impression that she is the unwitting cause of all the domestic wretchedness and often wishes she had never entered the marriage state. We must remember that these conditions wreck ideals and homes, and that they frequently render inefficient both husband and wife. The economic business of marriage becomes a failure, ambition is crushed and hope dies in the heart.
If the mother has been inoculated with the virus of syphilis her existence is equally wretched; her health is ruined; her efficiency is forever mortgaged. If she becomes pregnant she will most likely abort and she will go on aborting for years, in the effort to bring children into the home, accusing herself meantime and submitting to the reflections which are heaped upon her, while the real culprit is the husband. He assumes an injured and innocent attitude and behaves as if he had been imposed upon by marriage with a woman who cannot carry out her marital contract.
If she gives birth to a child or children, they are syphilitic. They may be deformed, or they may be feeble-minded or idiots. They may live at home for years, always ailing, always sick. They may develop epilepsy, St. Vitus' dance, skin disease, or mental vagaries, and they may have to be put into institutions for the feeble-minded, or they may die by inches at home.
Is the Husband to Blame?—If a boy had gonorrhea a number of years before entering the marriage state, was treated for it by a physician, until all symptoms had disappeared and had enjoyed apparent good health in the interim, and had never been told any of the facts regarding probable consequences, is it just to blame him if he infects his wife? It is certain no man would willingly subject his bride to the risk of infection, with all its horrible consequences. These conditions exist as a result of the prudish attitude of society in the past toward all questions affecting sex hygiene. We have not told all the truth to the boy. Whatever knowledge he may have had was gained from companions, or from individuals who knew the garbled facts only. There is of course no excuse for the man who acquires disease after marriage and conveys it to his wife or children. This is a very different situation and one which should merit the severest condemnation and punishment. We are, however, only interested in the boy at present and will not take up the reader's time with a discussion of the "social evil" from this standpoint.
Building a Man.—When the boy is about fifteen years of age certain changes begin to manifest themselves. He grows more rapidly, a growth in which his whole system participates. His bones grow bigger and stronger, his muscles increase in size, even his heart, and lungs, and liver, and his digestive system accommodate themselves to this transformation; the voice changes and hair begins to grow on his face. The mental process also keeps pace with the new order of things. He thinks differently and he sees from a new viewpoint. Nature is making a man out of a boy.
These changes were not understood in the past, but we are beginning to appreciate the reason for this evolutionary process. We have discovered that the cause depends upon certain active changes which take place in the sex organs. About this time the testicles begin to be active. For years these glands have been preparing themselves for this work, so they first grow rapidly, increasing in size until they are about eight times bigger than they were before this time, then they begin to pour into the circulation a secretion which stimulates changes in all other parts of the body and is directly responsible for the wonderful change that is evident in the stature of the boy's body.
This substance or "internal secretion" must not be confused with the semen. The internal secretion is simply the substance which nature employs in the developing process and is responsible for the degree of growth and quality of manhood which the boy manifests. The semen, on the other hand, is the procreative or fertilizing fluid which enables a man to beget offspring. When a boy understands this process it aids him in appreciating the importance of his sex organs and a little thought enables him to understand that if he abuses these organs he will seriously interfere with his own development. This process goes on for a number of years, until the boy reaches maturity. Any act or habit which weakens the quality of this secretion will deplete his powers and render him physically and mentally inefficient. To make a man, nature must be permitted to work in her own way. You cannot improve on her methods nor can you break her laws with impunity.