Her general health, her vitality, her emotional and sexual life, her youthful vigorous appearance, all are unimpaired.

But she is barren, and why?
A little inflammation occurred in the uterus and spread along the tubes.

The sides of the tubes cohered, permanently united by adhesive inflammation, and complete and permanent occlusion resulted.
The operation of tubo-ligature is an artificial imitation of this inflamatory process.
Pelvic inflammation, sometimes very slight, following a birth, or the same process set up by uterine pessaries used for displacements, may induce adhesive inflammation in the tubes, and simple and permanent sterility is the incurable result.

It is a well known fact that prostitutes are usually sterile, and this arises from the prevalence of venereal disease, which produces gonorrhoeal inflammation of the Fallopian tubes, resulting in complete and permanent occlusion.
This process could be best imitated, if cauterisation of the tubes were a safe and reliable procedure.

An electric cautery passed along the tubes would result in a simple and speedy occlusion.