I have been married over a year now, and have never experienced any satisfaction in initu. The glands seem to secrete the fluids, and the cupido congressus is there, but no satisfaction. I am always sleepless and nervous afterwards and sometimes suffer from headaches the following morning. I am at times bothered with leukorrhoea. When a child faciebam stuprum manu, but not since my sixteenth year of age, and I am at present twenty-five years old. I have never been pregnant. The following case is extremely interesting, because the patient is able to induce orgasm only in one certain position. In all other positions she is impotent of experiencing libido. In March, 1908, the patient consulted the author about her anomaly. Being a highly educated woman (she was a school teacher before she married) she was asked to write in a letter the history of her case, and the following are the contents of her letter: I am forty-one years of age, eleven years married, have two children, one ten, the other eight years old. I began to menstruate at the age of thirteen and was always regular, the menstruation lasting three to four days. The flow was always scanty. As a child I was sad and dreamy. I can recall times when I would weep, I scarcely knew for what. When I was nearing puberty coepi me stuprare manu. No one taught me. I could not help it; I did not know what I did it for (I was reared on a farm). The method was sitting on a chair and moving to and fro. I must have continued till I was eighteen or nineteen years old. I stopped it long before I knew it was wrong, long before I have ever read it in books. No one told me it was wrong. I was a good girl in the eyes of every one. At the age of twenty I went to college. I think the reason I stopped stuprum manu was that my mind was greatly engrossed in my studies. True, I often had the desire, but the association with the opposite sex would lessen it. I was fond of men in a silent way. I never, even though in their company, was familiar with them. When twenty-three years of age I met one towards whom I was changed. I could not keep away from his presence. I remained a virgin till we married, when I was thirty years of age. I had known him seven years, but only saw him often, say three or four times a week, for the last two years. We spent only one or two evenings each week together. I allowed and deeply enjoyed all caresses, but they were not of the lewd fashion. I must have been excited sexually, for I would experience excessive humorem ut in initu.