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 Enduring Passion during the Change in Women
Midlife libido in 1929
    This book by Marie Stopes updates and extends her sex manual Married Love which had caused considerable scandal when it was published ten years earlier. It predates her book The Change of Life in Men and Women by eight years but does include separate chapters on the effects of these Changes on libido. I have extracted the "woman" chapter which includes information on some other aspects of The Change.

 

Enduring Passion
Further New Contributions to 
the Solution of Sex Difficulties 
being the continuation of 
Married Love

BY
Marie Carmichael Stopes
Doctor of Science, London; Doctor of Philosophy, Munich ; 
Fellow of University College, London; Fellow of the Royal 
Society of Literature, and of the Linnean and Geological 
Societies, London
 

SECOND EDITION REVISED AND 
INCLUDING ALL PRESCRIPTIONS
 

 London: G. P. Putnam's Sons 
24 Bedford Street, Strand, W .C.2 
1929



 
 


 
Chapter X
"The Change" in Women

"What custom wills in all things, should we do it 
The dust on antique time would lie unswept
And mountainous error be too highly heapt 
For truth to o'erpeer." 
                                                      W. SHAKESPEARE.

If I knew of a really good, encouraging, level-headed book I should advise my readers to get it.  I do not!  The books and pamphlets on the subject are legion, a barren and futile legion... IN every marriage, even the most successful, a certain amount of difficulty may arise due to that time of physiological adjustment called "The Change of Life" in women.  How many mysterious warnings exist about this, and what uncertainty and apprehension are felt!  What a cloud it has created, what a menace towering over every woman and her love. 

For the woman whose health is not what it should be, or whose sex life has been abnormal in any way, the period of Change of Life may be one of considerable disturbance.  I do not propose here to go into the physical disabilities so voluminously and frequently described by writers of "sex books" for the "edification" (or intimidation) of womankind.  Almost every "sex writer" seems to have contributed some chapter, or volume, or more on the menopause, full of warnings, advice and hygienic instruction.  If I knew of a really good, encouraging, level-headed book I should advise my readers to get it.  I do not!  The books and pamphlets on the subject are legion, a barren and futile legion, harrying the women in their homes who have never been wise enough or sufficiently united to turn and rout them.  Among them limps the type of milk and water encouragement telling women that if, from their early girlhood, they did all the regulation things, such as wearing flat heels, eating brown bread, bearing lots of children and so on, they will have no trouble.  There rampages the more "intimate" type of book which lists and describes with a greater or less gusto, innumerable physiological troubles, such as hot flushings, the formation of adipose tissue and varicose veins, and innumerable other ailments which the poor hypnotised reader cannot fail to anticipate are her almost inevitable doom.

... ask him to prescribe the necessary glandular compounds to restore their internal glandular balance I should like to clear all the rubbish away and in a few sentences only advise women who have reason to think that the Change of Life is approaching to carry on exactly though it were not.  This is not always possible, but the mind controls the body far more than people realise.  A healthy attitude of mind is of the first importance at such times.  Then if any particular bodily symptom troubles them at all, such as headache or indigestion, or they notice themselves getting fatter than they like, they should go straight to as up-to-date a medical practitioner as they can find, and ask him to prescribe the necessary glandular compounds to restore their internal glandular balance - that "harmony of the hormones" which may be somewhat disturbed by the concluding phases of the active life of the ovary .  A mixture of Thyroid and Ovarian substance (ovarian extract 3 grains and thyroid extract 1/2 grain per capsule) and some others generally prove to be the most useful , and may be enough to restore the internal balance and hence wonderfully to improve the appearance and health of a woman whose system is giving trouble at the time of disturbance.
Any attempt to use thyroid or other medicines or diet to reduce the figure below the natural roundness is both silly and dangerous. As Blair Bell said long ago, when there is an insufficiency of ovarian activity, the con- sequent symptoms "can usually be effectually treated by replacing secretions that are deficient, or by antagonising those which are excessive."  (The Sex Complex, 1916.)

 As I have mentioned fat I should perhaps be very explicit that I here mean the excess of fat which often comes about the time of the menopause.  Any attempt to use thyroid or other medicines or diet to reduce the figure below the natural roundness is both silly and dangerous.  I think it a grievous thing that so many beautiful young girls should be hypnotised by the unnatural pictures and fashion plates in such decadent journals as Vogue and its kind, to think a stark and straight even a skinny or snake-like line are "beautiful" or smart in women.  Nature intends women to be graciously rounded however slender.  Rounded contours are not only the right and eternally true standard for woman's beauty, but they are of deep racial significance.  To adapt an old proverb, let us say, " Angular women and crowing hens are'na canny ."  If anyone tries to take thyroid or anything else to get rid of the natural curves due to her sex she is risking very fundamental disorders and will ultimately pay dearly for her folly.  The use of glandular extracts is only to be advised to restore a lost balance of the internal glandular secretions; and this loss is most likely to occur and require rectification at the menopause

 ...the majority of us need some help over the difficulties of readjustment to a new phase of existence. The ovaries, like many other parts of our bodies, give rise to internal secretions or hormones, which, distributed almost universally through the system, play their part in the controlling balance of the whole organism.  It is easy to understand that when the time comes for such important organs as the ovaries to draw to a close their externally active life as well as to reduce their internal activities, that unless the whole organism is perfectly adjusted to this change, there may be various and apparently irrelevant disturbances and upheavals.  Nearly all of these can now be almost immediately controlled and restored to normal by the administration of the necessary internal secretions to hold the balance until the disturbing time of Change is over, and the new type of physiological activity established.  Nature sees to this for the fortunate woman who still lives with her and in obedience to all her laws, but alas, "civilisation" has so reduced the number of perfectly healthy women that the majority of us need some help over the difficulties of readjustment to a new phase of existence.
Chronic headaches and the formation of adipose tissue .........
 
 
 
 
 
 
 
 

....supplied with small doses of ovarian extract and thyroid gland extract at least (and any other complementary glandular extracts which may be indicated)

Chronic headaches and the formation of adipose tissue are among the most frequent afflictions of a woman at or around the Menopause.  Many women suffering from these do nothing sensible to relieve them, and do not even hope to escape them because their outlook has been rendered unhealthy and depressed by all the ignorant and ugly nonsense they have read or been told about the Menopause.  But my message is one of health, of sanity, clear-headed and happy-hearted control of the physical aspects of life in the conscious service of the mind and spirit.  For physical disabilities, some form of physical cure or corrective is generally required, but which to employ is only to be decided after undertaking a clear-headed and scientific investigation of the causes.  Now let us consider these headaches and undesired fatness.

  It is generally recognised, now that the "hormones" or internal secretions are being studied, that as the ovaries give up their special work of preparing ova for fertilisation, and, for this purpose, cast them out periodically, they also slow up with their continuous internal work of passing certain ovarian secretions into the blood stream to travel all over the body and assist in the balanced maintenance of all its parts.  At the same time the thyroid gland gets out of gear also.  The lack of the accustomed amounts of the ovarian and thyroid internal secretions allows the cells which cause the deposition of fat to get out of hand and take too much upon themselves.  As science is showing more and more explicitly, the thyroid gives a supremely important controlling secretion to the whole system.  Hence the intelligent woman at this time will see that her system is supplied with small doses of ovarian extract and thyroid gland extract at least (and any other complementary glandular extracts which may be indicated) in suitable amounts to keep the true balance.  (See p.  205.)  Since the scientific researches of professors of biological and physiological science have discovered this new knowledge, it has rapidly been extended and rendered easy for medical practitioners to apply, and is widely used and appreciated in most modern schools of medicine.

Hair on the face is a nightmare to thousands of women. A minor result of the "Change of Life" in some women is the growth of hair on the face.  This distresses women intensely.  A correspondent writes to me about this, asking for my opinion and help: "Hair on the face is a nightmare to thousands of women.  Has it any direct connection, as is popularly supposed, with the degeneration of the sex organs ?  Do treat this subject on first principles as I have never seen it alluded to in anything but quack advertisements.  All doctors do is to tell their patients to try 'Electrolysis,' an expensive and by no means always successful means.  One friend of mine was scarred for life very badly over the whole lower portion of the face by too strong a dose, given by a doctor ."
 It is known that neither man nor woman are "pure male" or "pure female," but both are essentially human I know that this letter does raise points of great interest to a large number of women, and I think it is true, as my correspondent says, that no reputable information is available.  Hence I will try to deal with it on first principles as she asks.

It is known that neither man nor woman are "pure male" or "pure female," but both are essentially human and in each are the rudiments of the sex organs of both sexes.  As the embryo develops the secretions of the internal glands even from the rudimentary sex organs are hourly pouring into the blood stream "hormones" which have controlling and formative influences on the whole bodily organism.  Some of these glands encourage, some inhibit various formations.  The comb of the cock, his crowing voice and attitude are what are called "secondary male characteristics" ; as are, in man, the hairy chest, the beard, the gruff voice.  In the hen and in the woman such developments are prevented by the secretions due to her femininity.  In woman the principal sex organs are the ovaries, the womb and the breasts, and the ovarian and mammary secretions do seem to be largely, though not solely, responsible for her feminine softness and hairlessness.  Women, for instance, with malformed or deficient ovaries have been often noted to have incipient and even quite definite moustaches and other hair in excess of the usual womanly facial down.

...nowadays no reputable surgeon will remove the whole of a woman's ovaries if he can possibly avoid doing so Hence, at the Menopause, when the active part of the work of the ovaries is finished, though they remain and continue to give out secretions, they do not always do so in the sufficient amount to control the whole organism as they did formerly.  This is true also of the mammary glands and others.  Hence, the inhibition against forming masculine characters ceasing or weakening, they tend to develop.  One result, which so distressed my correspondent is the formation of coarse hair on the woman's face.  An interesting confirmation of this is seen in the women who have had their ovaries removed.  After the operation hair developed on the face; nowadays no reputable surgeon will remove the whole of a woman's ovaries if he can possibly avoid doing so.  A similar effect temporarily arises in some women during pregnancy, when the ovarian secretions are inhibited, and they develop quite a lot of extra hair which simply falls off after lactation is concluded and the ovaries are normally at work again.
 Do not wait for excessive hair to develop...
 
 
 

...don't waste money on electrolysis

Now for my advice about this point to those at or approaching the Menopause.  Do not wait for excessive hair to develop, at the first indication of coarsening hairs meet the enemy, not by defence, but by assault.  Pull each out individually yourself (don't waste money on electrolysis) with special firm tweezers which will not merely cut it off at the base but will get it out deeply from the root.  Merely to break hairs off coarsens and strengthens them, but to get them out whole by the roots weakens and sometimes seems to eradicate them entirely after a few months.  At any rate the deeply pulled hair does not show itself at all again for about two weeks.  This course, however, is only a minor preliminary to the main treatment which, logically following the idea given in the previous pages, is to keep the internal secretions going which inhibit the formation of hair.  I should advise, therefore, daily small single doses of ovarian and mammary extract.  (ovarian extract 3 grains, mammary extract 1 or 2 grains and thyroif extract 1/2 grain per capsule). If taken in time and before the excessive hair had grown this would tend to delay or even prevent its appearance.

Women in whom hair has already developed should pursue the hairs also with their own tweezers as they show themselves again from time to time.  Persistence in this course should greatly assist, if not entirely cure the disfigurement.  At any rate it is not only more scientific but it is cheaper, safer and pleasanter than electrolysis and other expensive treatments which foolish women are so often persuaded to try and bitterly regret too late that they did so.

 Almost all the ugliness, disease and disability you see about you, supposed to be the inevitable lot of woman, need not be. To me it seems that the message to womanhood as a whole, to the mother, the working woman, the thoughtful girl already dreading "a full-blown maturity" is a very simple and a very hopeful and happy one.  It is this : Almost all the ugliness, disease and disability you see about you, supposed to be the inevitable lot of woman, need not be.
...the monstrous idea that, after the Change of Life has come and passed, a woman must necessarily cease from sex union with her husband One of the cruellest, most senseless, and at the same time very widely spread rumours which is extensively believed, and has done an incredible amount of harm in creating unhappiness and upsetting the physical side of marriage, is the monstrous idea that, after the Change of Life has come and passed, a woman must necessarily cease from sex union with her husband, whatever his and her own feelings may be!  Educated and instinctively sensible people may find it difficult to believe that such a stupid idea exists and dominates sane lives, but I have found evidence that it does in many quarters.  I have found it believed so trustfully and implicitly by such numbers of men and women of all social stations that I think this monstrous idea needs exposure and investigation.  A confidence from a clergyman's wife, herself an acute sufferer from her husband 's senseless decree against all union after she had passed the Menopause, first opened my eyes to the existence of this barbaric silliness masquerading as "religious virtue."  In this particular instance it was peculiarly hard on the wife who was one of the "late maturing" type of women I have described in my book Radiant Motherhood, and she had not long properly benefited from and enjoyed sex union before it was all put an end to by the arbitrary husband who would no longer unite with her on the grounds that it was "against God's law"!  Although in his wife Nature herself was quite obviously showing him that Nature's Law was for him to fulfil his marital duties.
 I have heard of quite young people grieving that their happy unions would have to come to an end when the Change of Life came....Who told him the silly lie? I have heard of quite young people grieving that their happy unions would have to come to an end when the Change of Life came, and they would thereafter have to live side by side but no longer united in love.  In some, perhaps foolishly, sensitive and "worrying" dispositions this idea of doom, the arbitrary extinction of what they prized before life is over, becomes almost an obsession and haunts the happiness they should have been experiencing unclouded by such thoughts.  The husband who sighed to his wife, then in middle age, "To think it is only for a few years more that we can hope to be together.  In a few years your Change must come and put a stop to all this," arouses my pity and my chivalrous rage on his behalf.  Who told him the silly lie?  I wonder how much immorality this cruel and false idea has generated !
 ...the false idea, planted upon Christianity by the Early Christian Fathers, and still rampant, that sex life is a befouling thing... Incredible as it may seem, this fantastic misrepresentation of physiological fact seems to be extremely widespread among religious people.  I have not traced its origin.  It looks as though it were one of the numerous by-products of the false idea, planted upon Christianity by the Early Christian Fathers, and still rampant, that sex life is a befouling thing only justified by the procreation of children.  Even St. Paul did not go so far but said: "Defraud ye not one the other, except it be with consent for a time."  yet innumerable priestly individuals say explicitly and in so many words that "union for procreation only" is to be permitted.

No Church so far as I am aware has ever been so foolish as to make an authorised pronouncement of this monstrous misrepresentation, but it is at present undoubtedly encouraged by some of those in high office. For instance, the Bishop of Southwark, giving evidence before the National Birth-Rate Commisssion in1915, said: "I have never been able to modify the view that the only thing that justifies ultimately the intercourse between the man and the woman is the desire to have children." When he was then asked: "Must it cease after the possibility of children? After the natural period of child-bearing, must it cease? he answered: "I should say so. I think if you open the door to other motives, you are bound little by little to give the whole situation away." And to the Chairman, he replied: "I hold that if you relax the idea that intercourse has any other ultimate purpose behind it except the production of children, it seems to me that you open the door to a lowering of the whole idea of the union between the man and the woman and you lower the whole idea of intercourse itself." (Report and Evidence of the National Birth-Rate Commission, London,1917 pp.438-9) Note his insistence on the word lowering, and the mistaken and narrow idea it involves, and compare this with what I have to say about the true orgamic life and the raising of the sex relation to the truly scientific and idealistic attitude towards it

 a logical corollary of the restricted theological attitude It may seem a logical corollary of the restricted theological attitude to maintain that after the Change of Life, when union cannot lead to child-bearing, thenceforth all further unions should be prohibited, but the whole of such a conception is based on false teaching, which is alike ignorant of the logical origin of sex union itself, of the physiological requirements of individuals, and of the attendant benefits and enrichments of true sex union throughout life.
Some elderly medical practitioners..... are similar culprits Some elderly medical practitioners, whose physiological teaching is tinged by "religion," are similar culprits in disseminating this false and immoral doctrine; as for instance Dame Mary Scharlieb, M.D., who even wrote: "It is extremely pathetic to find women well on to 50 years of age who are apparently as keen on sexual enjoyment as a bride might be."  (Change of Life-Its Difficulties and Dangers, by Dr. Mary Scharlieb, Scientific Press, Ltd.  [no date], see p.  35.)  I refer to this little book by name merely to be fair to its author, and not by any means to recommend its use, for its general hygiene seems to be nearly as unwholesome as its sex teaching.  The author surprises one for instance by saying that the majority need "some comfortably acting and efficient laxative" instead of giving sound instruction that from infancy onwards no healthy person need ever use a laxative and to do so is to prove oneself incompetent in self-management and ignorant of dietetics.
..the outlook of the primitive "dominant male" with his open contempt for women's existence... Other medical practitioners have the outlook of the primitive "dominant male" with his open contempt for women's existence, save as a female animal.  A typical example of this is seen in the publication Woman, by Dr. Bauer, a Viennese gynecologist.  The author bespatters his book with contemptuous sneers at woman, based on the crudities of a vulgar mind which concludes and agrees with Weininger's dictum that "Woman is only sexual."  Hence for Dr. Bauer only the young and attractive woman exists - the others, "old maids," artists, social workers, home-builders, wise old women - all, that is, whose lives reveal thoughtfulness, work, and mental or spiritual charm, are to be snuffed out of consideration.  He has no respect for age or experience, saying: "The mind of the old woman is as unattractive as her appearance."  Men of his type seem to be incapable of seeing the exquisite beauty in the sweet and wise and tenderly loving face of one who has been a bride, a wife, a mother, who has nursed her babies at her breast and loved and served them, training spirits and bodies together to a fair and triumphant youth, and who has loved and grown with her mate to the calm sweet wisdom of spiritual and bodily maturity.
 The opinions of crudely material and base-minded men would not matter in the least if... The opinions of crudely material and base-minded men would not matter in the least if it were not that they have for so long been voluble and noisy and expressive in print and thus tended to create a degraded social outlook.  It is true they are in the minority in the medical profession, but unfortunately the wiser ones have written so little that they have not counteracted the impression created by such widely disseminated writings as Dr. Bauer's, whose official position as a gynaecologist appears to give authoritative weight to his nonsense.

As one would expect, he can offer but little help or comfort to women at the crisis of the Menopause, saying: "The duration of woman's active sexual life is limited.  It lasts only from the beginning of menstruation until the menopause, and women know quite well that after this their sex life is at an end... but she does not necessarily lose her sexual feelings and desires.  On the contrary !... many actually manifest an increase in sexual feelings.... The woman realises the significance of the menopause and its cruel consequences... that her attraction for men will soon disappear ."  The rest of the context implying that once a woman's attraction for men is over her life is over and the body of a live woman continuing to exist after this time cumbereth the earth.

The phase of active sex-attraction for men is past as is babyhood with its desire for rattles. Two questions ask themselves immediately: Is woman's sex attraction over with the menopause?  The answer, of course, is: No.  Some have no sex appeal as girls; some never lose it.  And why should a woman want to attract men after she is a wife, a mother - perhaps a grandmother?  Is her own dear one man not more than enough to fill her days ?  As I have already shown, if the marriage rites are rightly fulfilled, she and her lover- husband are all in all to each other, more deeply and truly one-flesh than ever bride or unmarried lovers can be.  The phase of active sex-attraction for men is past as is babyhood with its desire for rattles.  Each has fulfilled its purpose and developed into the greater thing.  The free maiden has become part of the lasting union of an enduring passion.  It has built into the fabric of the social community a stable, bivalent unit - a home-making, balanced, satisfied pair .  Has for this pair the joy and refreshment of mutual union to cease after the menopause has been grown through by the woman ?
...no one but a theologian with a prudish, or a lascivious medico with a dirty mind, and their misled dupes... Nonsense!  Of course not, and no one but a theologian with a prudish, or a lascivious medico with a dirty mind, and their misled dupes would think it.  Such exceptions in what are generally helpfully disposed professions do much to undermine the people's trust in them, and should be openly repudiated by the clear thinkers in both professions.
...she had passed the menopause and was, therefore, able to indulge in more illicit amours than a potentially fertile mother. Incidentally, I might also counter Dr. Bauer's generalisations from an example of the type which might appeal to him: One of the notorious, beautiful yet naughtier ladies of high society of the last generation was commonly supposed to be so peculiarly popular among her high-class paramours because she had passed the menopause and was, therefore, able to indulge in more illicit amours than a potentially fertile mother.  I remember my father, who met and admired her when she was elderly years ago, telling me that it was the talk of the men 's clubs that this famous lady's menopause took place at the age of 27 and left her still for a whole generation sparkling with that "attraction for men" which Dr. Bauer says becomes extinct at the close of the menopause.
...a lasting sex-attraction of men and women for each other which rides like a gallant barque on the wave-crests of the various sex-crises One has only to have the confidence of one's friends to know that the rich life of varied experience, the keen intellectual interests and the buoyant sense of youth which pervades humanity today find their natural culmination in a lasting sex-attraction of men and women for each other which rides like a gallant barque on the wave-crests of the various sex-crises, such as defloration, pregnancy, child-birth, to say nothing of the minor but repeated billows of menstrual tides, through the storm of the Menopause to the calmer, steadier, sunnier sea of the shores of the home land till they cast anchor in the harbour, secure in the possession of an indestructible love.
 "To maintain her charms, woman must first of all be allowed the ability to work and to act.... Contrast with Dr. Bauer's basely material attitude the nobler erogamic ideas expressed by America's famous psychologist, Prof.  G.  Stanley Hall : "Thus and thus only can the human male be given immunity from his polygamous instincts, by realising on how low a level his habitual satisfaction has been sought and how vastly higher and larger a gratification that is really sacramental can be... the charm of wives who can restrain and then wisely bring their spouse to a consummation that so compensates for infrequency, is nearing the great goal and is giving wedded life its larger orbit.  How the world needs again the wisdom of matrons, the counsel of Plato's wise senescent women, the need of which has long been felt but sometimes ignorantly branded as weird and even witch-like!"  (Morale, The Supreme Standard of Life and Conduct, 192O, Appleton & Co.)  And the even more beautiful conception given to the public earlier by Finot (Problems of the Sexes, 1913) : "To maintain her charms, woman must first of all be allowed the ability to work and to act.  Let us open the windows of her dwelling and permit the echoes of life to penetrate within.  Then, instead of a half-dead being prematurely snatched from life, we shall find a creature of heart and reason... the ugliness of the prematurely aged woman will give place to a creature of unsuspected qualities, who will gladden and adorn our existence.... Let us consider the twofold decadence of the man who, on reaching a decisive turning-point in his life, is still disturbed by the need of emotions.  He seeks and believes he finds these in the poisoned springs of a youth which degrades itself by the contact with senility and impels him towards his ruin.  But here a new secret garden of woman is offered to him.  He will behold the one whom he has never yet seen, beautiful with a new beauty, revealing the riches of an inner life."
..a very large number of women begin, after the Change of Life, for the first time really to enjoy their sex spontaneously and happily... As a matter of fact, a very large number of women begin, after the Change of Life, for the first time really to enjoy their sex spontaneously and happily.  I even know a woman, aged 60, who for the first time at that age began to enjoy sex union.  She was vital, charming and happy in it then and her husband's passion and delight in her increased after that age.

This woman is not at all abnormal ; others are like her, although she was a little unfortunate in having to wait so long for the true realisation and enjoyment of the natural physiological process of sex union.  There are many who, having enjoyed it but little in their youth and early middle age, after the freedom from anxiety of the menstrual period with its recurrent tendency somewhat to reduce the vitality, benefit when the natural vitality of the system tends to accumulate instead of waste, and they derive more spontaneous gaiety and real benefit from sex union than ever before.  Women who have thoughtfully observed themselves and have had the confidence of others assure me that it is a usual thing both for sex desire and the capacity to give and to receive enjoyment from unions to be increased rather than diminished after the climacteric.  It is impossible to say at what age this natural spontaneous benefit from and enjoyment in sex union comes to an end.  It is recorded that an old lady when asked at the age of 80, at what time a woman ceased to enjoy union with her spouse replied: "You must ask someone older than I; I do not yet know."

 In any case the waning of desire is mostly very gradual, and the enjoyment even less so. Dr Havelock Ellis, in his classical six-volumed work on the Psychology of Sex, says that there appear to have been but few systematic observations on the persistence of the sex impulse in women after the menopause.  It is regarded as a fairly frequent phenomenon by Kisch, and also by Lowenfeld, and Bloom in America recorded a woman of 79, twenty years past the menopause, who said that both desire and gratification were as great or greater than before the menopause.

Dr. Maxwell Telling informs me that he agrees fully with this view, adding: "I have been researching on this point for many years, and I am quite satisfied as a result of direct enquiry. In any case the waning of desire is mostly very gradual, and the enjoyment even less so."

...since losing my dear husband a few years ago I so often have acute sexual feelings.. A case of my own raises this problem in another form.  Mrs. A.  stating: "I am a widow, with a grown-up family and since losing my dear husband a few years ago I so often have acute sexual feelings and I wondered at my age (66) if it should be encouraged or repressed ... or if you could prescribe anything to give me just a little satisfaction at such times as I do not care to discuss the subject with my own medical man."

The idea of an elderly woman enjoying sex life appears to some common minds as somewhat grotesque and revolting, because they think of it in terms of crude bodily action.  But if Darby and Joan, having grown together all their lives, mingling the mental and spiritual needs still find delight and mutual enrichment in their unions, it is surely a thing of beauty.

I can give first-hand records of real cases which should be valuable. The duration of the Change is another point about which people desire information.  I have read much about the "Change" or Menopause, innumerable learned pronouncements as well as popular books and booklets addressed to women readers, and in none of them is there the direct, first-hand evidence of what healthy, normal women have felt and experienced which one desires to have.  I cannot speak from personal experience, but I can give first-hand records of real cases which should be valuable.  Some of the actual data given me in confidence in answer to a secret questionnaire I drew up are as follows:-
Mrs. A.  B.  "The disturbance of the Menopause began at 42, and was not quite over by 55.  Sex desire was there all the time, and afterwards pleasure in union would have been as great or greater than before but for ignorance.  Yes, spontaneous desire did arise at regular rhythmic periods afterwards, much as it did before.  These phases of desire continued longer than before, when the period brought relief.  Thought that it was wrong and unwise to enjoy sex union afterwards and so suffered greatly ."

Mrs. A.  F.  "The disturbance of the Menopause began at 43 and lasted five years.  Sex desire did not cease during that period.  Afterwards, pleasure in sex union was probably greater.  No, no rhythmic periods of desire could be detected.  Desire was generally dormant but ready to be elicited and quick to respond.  My husband had no idea that desire might return after the Menopause and expected it to cease altogether, and doubted whether it ought to be evoked or satisfied.  Happy unions took place somewhat less frequently than formerly, perhaps once a week and occasionally more often, sometimes less.  An even deeper joy and freedom in union was experienced than before, because one had no thought of consequences.  Years of restraint, caution, withdrawal and so forth were superseded by absolute disregard of results.  Hence the coitus was unimpeded and in consequence much more satisfying.  There was the sensation of relief that nothing could happen which added to the pleasure."

A healthy, unmarried woman, Miss X replied: "Disturbance of the Menopause between the ages of 49 and 54 when period ceased; disturbance lasted between two and three years longer.  During the Menopause desire never left so far as recollection goes, and was certainly more active during the period of change, causing depression through repression and lack of understanding.  Spontaneous desire was always dormant but spontaneously arising at intervals and more consciously so than before."

These random cases conflict with the "learned" pronouncement ex-cathedra of the gynecologist who said: "It is customary to speak of the 'years' of the Change of Life, but why 'years' is not clear.... This process cannot take years; it is at most a matter of about ten months."  (Dr.  Bauer, Women, Engl.  transl.  1926.)  While this may often be true, it is certain that a lengthy "change" is also commonly experienced, as in the three typical cases, chosen at random, showing that each took a good many years to pass through the disturbances of the Menopause.
...all three cases testify to the continuance of sex desire all through and after the Menopause Of more vital interest is the fact that all three cases testify to the continuance of sex desire all through and after the Menopause.  Though I have a good deal of evidence about women who pass through a phase of revulsion towards sex life at this time, I think it is certainly true of the majority of normally healthy women that the capacity for, the enjoyment of and the benefit derived from sex unions after the Menopause are all maintained or increased.  Were this universally understood, respected and utilised, how much added charm, stability and joy would life hold for maturing married couples!  I know men who have been driven directly into the arms of prostitutes because of the idea that after the Menopause sex life with their own wives must finish.  It is a commonplace among those who are best qualified to know that the institution of prostitution is very materially supported by married men whose wives are over 45.  The repressed, disheartened, needlessly saddened lives of women with living husbands, who are deprived more acutely than are widows, must be counted in myriads through the ages.  Why?  Because of the false teaching of ignorant theologians which chanced to coincide with the disturbed attitude of mind of some miserable women during the Menopause.  Verily the volume of the needless woe and ill-health in the world makes me weep for humanity.  Who so deserving censure as he, whether teacher or priest, who has tampered with and barred the natural and spontaneous love-expressions between married lovers and thus sown seeds of misery in innumerable and unexpected places?
 ...may take place at such an early date that a very large proportion of her married life is that continuing after the Change That the Change of Life in woman may take place at such an early date that a very large proportion of her married life is that continuing after the Change is seen by the fact that many women have had the Change by the age of 35.  I rather fancy our grandmothers, on the whole, had it earlier than people do today.  The average age seems to be in the late forties and early fifties, and where a woman's vitality is very strong, her health good, and constitution sound, she may not anticipate it until the middle or late fifties.  I think that the "late maturing type" I detected, and have described in Radiant Motherhood, has the Menopause later than other women.  Two women of this type known to me were nearing 60 before the Change was completed.  Whatever time the Change of Life comes, it has a few features which probably will be found to be almost universal, and which it may be of service, both to the husband and to the wife, to know. 
...the liability to become unexpectedly pregnant after the Change has passed.. I have often been consulted about one point, the liability to become unexpectedly pregnant after the Change has passed.  It may be useful, therefore, to consider what are the outward phenomena connected with the Change of Life.  The main physiological effect (the only one which is apparent in a perfectly healthy, well-balanced woman) is that the monthly flow of menstruation gradually reduces itself and then perhaps for a few months becomes erratic, and finally ceases.  I will leave it to the hectic books on the subject to describe the difficulties of this process such as hemorrhage, etc., which some women experience.  I am sure that there is no necessity for this if they are sufficiently intelligent to prevent anemia and to take compensating compounds.  The period of disturbance of the "Change," however, is generally considered to be concluded and done with when the menstrual flow has entirely ceased; and when, say, for two or three months the menses have not put in an appearance, the woman generally considers the Change over.  If, as is likely at this stage, she has for some time past decided that it was not in the interests of the child or of her existing family to have a late baby, she probably has been using some birth control or contraceptive method to prevent conception.  When the monthly period ceases she stops this, and to her intense astonishment, perhaps a year, perhaps even after two years from the cessation of the menstrual flow, she finds herself pregnant .  She is amazed, perhaps terrified, and thinks it "unnatural."  Now the reason for the possibility of such pregnancy is that, the ovaries were still active, although the red coloured menstrual flow, which is the outward sign, and which is all that the majority of people reckon with in connection with a woman's rhythmic sex life, had ceased.  This outward and visible sign is however only a subsidiary physiological feature correlated with but not an inherent part of the life of the ovaries, and it is in the ovaries themselves that the egg-cells are produced.  The egg-cells, which come from alternate ovaries once each month, travel down to the womb and are fertilised on their outward way.  These ova are minute colourless, invisible specks of jelly and are expelled from the ovaries and lost into the outer world without the knowledge of the woman at all.
Menstruation is an outward sign of what is going on, but it is not essential It happens during most of the life of a woman the coloured menstrual flow is correlated with this process of the ovaries.  Menstruation is an outward sign of what is going on, but it is not essential, and after the menstrual flow has entirely ceased, for a year or two (I am not sure but I think three years the maximum of extended fertility) the ovaries may continue to expel the colourless egg-cells which are fertilisable and which may establish an embryo and give rise to a perfectly successful baby.  Therefore, I should advise every woman whose health or circumstances would make a late pregnancy a misfortune, to continue with any birth control method she has been using for a full three years after the Change of Life.
 It almost appears as though there is a last spurt (one might call it) of potential fertility for a few months or a year or two just after the Change On the other hand, this affords a certain amount of hope and encouragement to those who passionately want a child, and who have never yet conceived.  For instance Mrs. T ., who married very late and was not very actively disturbed by sex life, was childless until just after the Change of Life, when she suddenly conceived the intensely desired baby.  It almost appears as though there is a last spurt (one might call it) of potential fertility for a few months or a year or two just after the Change.  Then a word of advice to husbands is in place here.  So many cases are known to me during the Change of Life or while it was incipient when the woman went through certain more or less natural reactions - reactions which I think would not manifest themselves had her sex life been entirely normal and perfectly happy, and had her health been perfect, but which, owing to the general imperfections of the current world do arise.  Sometimes for a while (it may be a matter of a few months or it may be for a year or more) the woman feels wearied by sex, a little tired, overstrung, and not in the mood to be approached.  She may ask, as I know Mrs. M.  demanded of her husband, that she should be "let alone" and that he should expect no further married unions or wifely "duty ."  Few reasonable men will refuse such a request and force themselves like bullies and tyrants on an unwilling wife, and they make the best they can of it, according to their type and circumstances.
...that they trained themselves by one or other of the means of self-control to do without sex union. Mr. M., I regret to say, was so strongly sexed that he regularly employed prostitutes a couple of times a week, but other men known to me have felt themselves getting a little older and the insistent need of sex experience less strong.  Then it was that they trained themselves by one or other of the means of self-control to do without sex union.  But thereafter comes the difficult time for the wife.  Some months, a year, two years or later, when the Change of Life is accomplished, her balance restored, her vitality and potentialities accumulating, she becomes once more a normally sexed creature.  Then she is touchingly, even romantically eager to resume the relation with her husband which had been broken off at her own request.
...such a change of attitude towards sex life and a restoration towards the normal happiness is quite usual... The case of Mrs. Q.  rises to my mind in this connection.  With all the finality that the lonely mood generated by her physiological state seemed to justify, she emphasised and insisted to her husband that their sex life was over.  She claimed that they must in future be merely the parents of their growing family, and that for them union was for ever concluded.  The husband acquiesced: but two years afterwards the wife came to me in a state of acute despair, asking for advice as to how she could possibly proceed to get back her husband, to give him still what was obviously required, and what she herself was now only too eager to give spontaneously and happily.  Yet she felt too shamefaced to confess and explain how profoundly she had misunderstood herself and the situation when she had made her emphatic decree a couple of years before.  Fortunately by the simple expedient of being entirely frank with her husband, supported by my testimony that such a change of attitude towards sex life and a restoration towards the normal happiness is quite usual, the pair entered upon a later phase of their lastingly happy marriage.
Advice to husbands My advice, therefore, to husbands whose wives are entering upon, or passing through, this period of Change is to realise that this phase of temporary repugnance, sometimes very emphatically expressed, may be experienced by their wives, and that, although they must not at the time endeavour to persuade them that they are wrong or to override their wishes, they should treat them with added consideration and apparent agreement so far as it is possible.  Let them meet protestations of finality with a loving smile and "Let us wait and see," rather than an attempt to override their arguments at this time.  This would be tactful and likely in the end to be successful.  Then, after some months or a year or so, it is more than probable that the normal marriage relation may be not only successfully, but very happily resumed.  It is important, therefore, that the husband in the meantime should not be disheartened, and not do what Mr, M. did and break up the married unity by going elsewhere.  He should not for a moment consider that the true inner aspects of marriage had come to an end, and although he may have a temporarily difficult time, I think it is generally true of a worth-while man that difficulty does not daunt him when there is a reasonable chance of success in overcoming the difficulties, and in this connection I say emphatically there is.

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