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The following study of sterility and some of its allied conditions is undertaken in the hope that it may help thoughtful students to attain at least a comprehensive knowledge of this most important subject. It is intended as much for the general practitioner, to whom these cases as a rule first apply, as for the specialist, but it is the latter, however, who should constitute the court of last appeal and sit in final judgment on the respective merits of each case. It is most unfortunate that the great progress of theoretical knowledge in recent times has not always been accompanied by a corresponding advancement in practical interpretation and we have, therefore, to admit that a great deal of what is to-day called exact science is still very far from being such. The vast extension of medical knowledge in the past fifty years, which has been made possible only by a division into specialties, has rendered it nigh unto impossible for one mind to cover the whole field of medicine with equal thoroughness. My own command of the various branches of medicine is uneven and defective and, even were I largely endowed with the artistic faculty of comprehensive presentation, I should still be unable to write a complete treatise on sterility. To-day, more than ever before, woman is called upon to play a most exacting role in life and one in which the question of mental capacity has assumed a very great proportion. At times it takes such precedence over almost everything else, even to the extent of completely overshadowing all consideration of her physical well-being, that it is quite possible to suppose at some time in the future, should this continue, there might develop a race of women who would be such in little else but name. This could only be brought about, however, at the expense of their child-bearing function and, if they should thus refuse to breed, or succeed i
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