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" tone " or control is all the more regrettable when there has
been inevitable distension of that passage in giving birth,
or when the whole pelvic floor has not been properly
attended to and restored. (There is, of course, a certain
reflex action of the muscles, independent of the conscious
will.) But, in the circumstances just outlined, the vagina,
instead of a soft, and yet close, elastic sheath, forms a limp
sack ; and there is inadequate contact between the vaginal
walls and the phallus : thus, both partners are deprived of
natural and obvious stimuli. After several confinements
this condition is, unfortunatelv. very prevalent; but it may
supervene even after the first birth in women who have
never cultivated or trained their perivaginal muscles. And
women are still generally unaware of the disastrous effects
of this excessive stretching and slackening, and so they take
no measure to prevent or counteract it. Men, on the other
hand, are very well aware of the possibility and often
deliberately defer parenthood in order to avoid it. And if
parenthood is subconsciously desired yet indefinitely postponed
there may be very unwelcome results. Of course, there
may be extreme levity and one-sided carnality and irresponsi-
bility here; but there is no doubt that the damage which a
confinement may inflict on the female organs is taken into
consideration by people of entirely serious character and
worthy of respect. Ascetics who shut themselves away from
life and the forces of life may deny this ; other-worldly
moralists may condemn it; but it is so, and, for those versed
in physiological and psychological fact, it is wholly under-
standable. But birth is not necessarily devastating to this most
intimate physical charm. With the exception of certain
structural anomalies, and granting adequate obstetric skill in
command of all modern resources, deformation of the coital
apparatus may be avoided. This may best be achieved by
previous physical training,* as well as proper care and
remedial exercise after child-birth, carried on with accuracy
and perseverance. We shall have occasion to refer to the
almost incredible benefits following the cultivation of the
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* See Chapter VI., and also " Ideal Marriage " and " Fertility and
Sterility in Marriage," passim.