The marriage thrived even though Martha and George lacked children. Many theories have been advanced to explain this barren marriage. Martha may have sustained injury during the birth of Patsy, her final child, making additional births impossible. Some scholars have speculated that George’s early bout of smallpox or some other disease left him infertile. We know that George Washington didn’t think he was sterile, because, in writing once to a nephew, he stated that if Martha died and he remarried, he “probably” wouldn’t have children, but only because he would marry a woman suitable to his
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