The Enema Syringe is an instrument frequently employed for preventive purposes. A solution (composed of a teaspoonful of alum dissolved in a pint of cold or tepid water) is injected by the female immediately after connection. The vertical and reverse syringe is more likely to act efficiently than the ordinary enema.

A very simple and inexpensive method is the use of a small piece of fine sponge, soaked in warm water, and placed in such a position as to cover the mouth of the womb. The chances of failure are diminished by saturating the sponge with a solution of quinine.

Pessaries of various kinds are sometimes used to prevent conception. The simple pessary (of which there are several modifications) is a small dome-shaped appliance, made of thin rubber, and constructed to fit closely round the neck of the womb. If carefully adjusted and retained in position, the pessary may be relied upon.

Of late years a new form of pessary has been introduced and is stated to have been used with marked success. It consists of a small cone of cacao-butter, charged with quinine. The pessary is inserted a few minutes before connection takes place; the quinine, being liberated by the dissolution of the fatty substance, destroys the vitality of the seminal fluid.

THE MALTHUSIAN LEAGUE.

(Founded in 1877.)

President:

C. R. DRYSDALE, M.D., M.R.C.P. Lond., F.R.C.S. Eng.

Vice-Presidents: