There have been several means proposed and practiced for checking conception. I shall briefly notice them, though a knowledge of the best is what most concerns us. That of withdrawal immediately before emission is certainly effectual, if practiced with sufficient care. But if (as I believe) Dr. Dewees' theory of conception be correct, and as Spallanzani's experiments show that only a trifle of semen, even largely diluted with water, may impregnate by being injected into the vagina, it is clear that nothing short of entire withdrawal is to be depended upon. But the old notion that the semen must enter the uterus to cause conception, has led many to believe that a partial withdrawal is sufficient, and it is on this account that this error has proved mischievous, as all important errors generally do. It is said by those who speak from experience that the practice of withdrawal has an effect upon the health similar to intemperance in eating. As the subsequent exhaustion is probably mainly owing to the shock the nervous system sustains in the act of coition, this opinion may be correct. It is further said that this practice serves to keep alive those fine feelings with which married people first come together. Still, I leave it for every one to decide for himself whether this check be so far from satisfactory as not to render some other very desirable.
As to the baudruche, which consists in a covering used by the male, made of very delicate skin, it is by no means calculated to come into general use. It has been used to secure immunity from syphilitic affections.
Another check which the old idea of conception has led some to recommend with considerable confidence, consists in introducing into the vagina, previous to connection, a very delicate piece of sponge, moistened with water, to be immediately afterward withdrawn by means of a very narrow ribbon attached to it, But, as our views would lead us to expect, this check has not proved a sure preventive. As there are many little ridges or folds in the vagina, we cannot suppose the withdrawal of the sponge would dislodge all the semen in every instance. If, however, it were well moistened with some liquid which acted chemically upon the semen, it would be pretty likely to destroy the fecundating property of what might remain. But if this check were ever so sure, it would, in my opinion, fall short of being equal, all things considered, to the one I am about to mention—one which not only dislodges the semen pretty effectually, but at the same time destroys the fecundating property of the whole of it.
It consists in syringing the vagina immediately after connection with a solution of sulphate of zinc, of alum, pearl-ash, or any salt that acts chemically on the semen, and at the same time produces no unfavorable effect on the female.
In all probability a vegetable astringent would answer—as an infusion of white oak bark, of red rose leaves, of nut-galls, and the like. A lump of either of the above-mentioned salts, of the size of a chestnut, may be dissolved in a pint of water, making the solution weaker or stronger, as it may be borne without any irritation of the parts to which it is applied. These solutions will not lose their virtues by age. A female syringe, which will be required in the use of the check, may be had at the shop of an apothecary for a shilling or less. If preferred, the semen may be dislodged as far as it can be, by syringing with simple water, after which some of the solution is to be injected, to destroy the fecundating property of what may remain lodged between the ridges of the vagina, etc.
I know the use of this check requires the woman to leave her bed for a few moments, but this is its only objection; and it would be unreasonable to suppose that any check can ever be devised entirely free of objections. In its favor it may be said, it costs nearly nothing; it is sure; it requires no sacrifice of pleasure; it is in the hand of the female; it is to be used after, instead of before the connection, a weighty consideration in its favor, as a moment's reflection will convince any one; and last, but not least, it is conducive to cleanliness, and preserves the parts from relaxation and disease. The vagina may be very much contracted by a persevering use of astringent injections, and they are constantly used for this purpose in cases of procidentia uteri, or a sinking down of the womb; subject as women are to fluor albus, and other diseases of the genital organs, it is rather a matter of wonder that they are not more so, considering the prevailing practices. Those who have used this check (and some have used it, to my certain knowledge with entire success for nine or ten years, and under such circumstances as leave no room to doubt its efficacy) affirm that they would be at the trouble of using injections merely for the purposes of health and cleanliness.
By actual experiment it has been rendered highly probable that pregnancy may, in many instances, be prevented by injections of simple water, applied with a tolerable degree of care. But simple water has failed, and its occasional failure is what we should expect, considering the anatomy of the parts, and the results of Spallanzani's experiments heretofore alluded to.
This much did I say respecting this check in the first edition of this work. That is what I call the chemical check. The idea of destroying the fecundating property of the semen was original, if it did not originate with me. My attention was drawn to the subject by the perusal of "Moral Physiology." Such was my confidence in the chemical idea that I sat down and wrote this work in July, 1831. But the reflection that I did not know that this check would never fail, and that if it should, I might do someone an injury in recommending it, caused the manuscript to lie on hand until the following December. Some time in November I fell in with an old acquaintance, who agreeably surprised me by stating that to his personal knowledge this last check had been used as above stated. I have since conversed with a gentleman with whom I was acquainted, who stated that, being in Baltimore some few years ago, he was there informed of this check by those who have no doubt of its efficacy. From what has as yet fell under my observation, I am not warranted in drawing any conclusion. I can only say that I have never known it to fail. Such are my views on the whole subject, that it would require many instances of its reputed failure to satisfy me that such failures were not owing to an insufficient use of it. I even believe that quite cold water alone, if thoroughly used, would be sufficient. In Spallanzani's experiments warm water was unquestionably used. As the seminal animalcule are essential to impregnation, all we have to do is to change the condition of, or, if you will, to kill them; and as they are so exceedingly small and delicate, this is doubtless easily done, and hence cold water may be sufficient.
What has now been advanced in this work will enable the reader to judge for himself or herself of the efficacy of the chemical or syringe check, and time will probably determine whether I am correct in this matter. I do know that those married females who have much desire to escape will not stand for the little trouble of using this check, especially when they consider that on the score of cleanliness and health alone it is worth the trouble.
A great part of the time no check is necessary, and women of experience and observation, with the information conveyed by this work, will be able to judge pretty correctly when it is and when it is not. They may rest assured that none of the salts mentioned will have any deleterious effect. The sulphate of zinc is commonly known by the name of white vitriol. This, as well as alum, have been extensively used for leucorrhæ. Acetate of lead would doubtless be effectual—indeed, it has proven to be so; but I do not recommend it, because I conceive it possible that a long continued use of it might impair the instinct.