C. AFRICA, OCEANIA, AND AMERICA.

The average age at which menstruation begins in the negro women of

Africa is from 10 to 13. In Algeria puberty occurs at 9 or 10 years.

Among the Australian indigens, menstruation commonly begins as early as

8 years, and at the very latest at the age of 12 years. The data

available concerning the indigens of the Oceanic Archipelago are

extremely variable and inexact, but we cannot go far astray in stating

the age of puberty among these to be from 10 to 13. In tropical South

America girls begin to menstruate from the age of 9 to 14 years. The

Indian women of North America begin to menstruate at the ages of 12, 13,

14, or even as late as 18 or 20. In the Arctic zone of North America and

in Greenland the onset of menstruation is delayed till 17 and even till

23 years.

As regards the position in life and the upbringing years it has been

shown by numerous observers that among the well-to-do classes, whose

mode of living is luxurious, and whose social circumstances allow free

play to the imagination, menstruation begins at an earlier age than

among the working classes, whose life is one of want and privation.

According to the statistical data of _Mayer’s_ regarding 6,000 women,

menstruation began:

_In women of the upper _In women of the lower

classes._ classes._

At the age of 13 years 11.73 per cent. 7.06 per cent.

At the age of 14 years 23.90 per cent. 13.33 per cent.

At the age of 15 years 22.83 per cent. 14.56 per cent.

At the age of 16 years 14.10 per cent. 16.53 per cent.

At the age of 17 years 9.60 per cent. 13.33 per cent.

From this table we learn that in nearly one-fourth of the girls of the

upper classes puberty occurs at the age of 14, whilst in girls of the

lower classes barely one-sixth begin to menstruate at this age. The

average age at the first menstruation in girls belonging to the upper

classes is seen to be 14.69 years, but in girls belonging to the lower

classes, 16.00 years. According to other observers the average age at

the first menstruation is:

_Brierre de _Tilt._ _Krieger._ _Ravn._

Boismont._ (_London._) (_Berlin._) (_Copenhagen._)

(_Paris._)

Amongst gentle folk 13y. 8m. 13y. 5½m. 14y. 1m. 14y. 3m.

and the rich

Amongst the 14y. 5m. 14y. 3½m. 15y. 5m. 15y. 5½m.

well-to-do middle

classes

Amongst the lower 14y. 10m. 16y. 8m. 16y. 5½m.

classes

Comparative observations on women living in towns and women living in

the country show also that in the former, menstruation begins on the

average at an earlier age. According to _Brierre de Boismont_, the

average age at the first menstruation is:

In Paris 14 years, 6 months.

In small towns 14 years, 9 months.

In country districts 14 years, 10 months.

Similarly it was found by _Ravn_ that menstruation first occurred:

In Copenhagen at the average age of 15 years, 7 months.

In industrial towns 15 years, 4 months.

In country districts 16 years, 5 months.

_Mayer_ states that the average age at which the first menstruation

occurs is:

In townswomen 15.98 years.

In countrywomen 15.20 years.

In Italy, according to _Calderini_, in a thousand instances,

menstruation begins at the age of 14 in 280, at the age of 15 in 219, at

the age of 13 in 205, at the age of 12 in 116, at the age of 16 in 89,

at the age of 17 in 55, at the age of 18 in 14, at the age of 11 in 7,

at the age of 10 in 6, and at the age of 20 in 6 instances. In girls

attending town schools, the first menstruation most commonly occurs in

the months of June and August; but in girls attending country schools

most commonly in the spring months.

A certain hereditary predisposition is so far determinant in the matter

of the early or late onset of the first menstruation, that from a

knowledge of the age at which menstruation began in the mother, we are

able with great probability to predict the age at which it will begin in

the daughter. Among fifty cases which I investigated with this point in

view, I found forty-one in which the daughters of mothers who had begun

to menstruate early began themselves to menstruate early, usually indeed

in about the same year of life; or conversely that when the mother had

begun to menstruate late, late onset of menstruation was usually to be

observed in the daughter also. _Tilt_ relates a case in which a woman

began to menstruate at the age of fourteen, and her daughter and

granddaughter both began to menstruate at the same age. _Courty_

observed a mother who began to menstruate at the age of eleven, and

whose eight daughters all began to menstruate at the same age.

Gynecologists agree in stating that girls of sanguine temperament and

powerful constitution begin to menstruate earlier than weakly and

phlegmatic individuals. _Tilt_ describes a peculiar ovarian temperament,

in which menstruation begins early; such women have as a rule striking

nervous sensibilities, with a dark complexion and glistening, longing

eyes, always surrounded by dark rings.

The opinion is general that in girls with black hair, dark eyes, thick

skin, and dark complexion, menstruation begins earlier than in blondes

with blue eyes and delicate white skin. _Brierre de Boismont_ states in

this connection that not fair hair only, but also chestnut-tinted locks,

indicate a late onset of menstruation. _L. Mayer_ found that:

_Of blondes._ _Of brunettes._

17.20 per cent. 18.84 per cent. began to menstruate at the age of 14

16.89 per cent. 18.02 per cent. began to menstruate at the age of 15

15.14 per cent. 16.59 per cent. began to menstruate at the age of 16

According to the same author, the average age at which menstruation

begins is:

In blondes 15.55 years.

In brunettes 15.26 years.

As regards race, it is well known that in Jewesses menstruation begins

at an early age. According to _Joachim_ the age of puberty varies very

greatly among the different races inhabiting Hungary. The first

menstruation appears:

In Slavonic girls between the ages of 16 and 17

In Magyar 15 and 16

In Jewish 14 and 15

In Styrian 13 and 14

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