At the age of forty-one, libidinem capio ex initu, yet experience no orgasm save in the position “vir infra,” and in this position very, very little sensation till the orgasm comes. I am fond of the concarnatio, but aside from the position just mentioned, I have not the least libido inter initum. It is a pleasure, you know, to give, but my own libido is wanting in any of these positions. My husband prefers alios positus to the one in which I have orgasm; præbente majorem libidinem. Multum humesco in initu. Quamquam comisceor quot noctibus præferrem longum quam parvum temporis spatium concarnationi. I am never ill, no aches or pains. The only premonition I have of the approach of the menses is a fulness and tenderness of the breasts. I menstruate very regularly. Believe me when I say that once only in the seven years I knew the one I eventually married—I must have been twenty-three and a half years old, when I had spent hours in his company, with no more familiarity than a kiss at parting—I was so excited ut pulvillum premerem usque ad orgasmum. I could not have helped it, no matter what had occurred. Often I have been excited thus, but I never before or since did the same. I never yielded to desire, though gently pressed to do so. Had I been urged beyond my power of endurance I cannot tell what I would have done. Yet I trust my virtue was due to a predominance of will-power and not a lack of passion. I cannot say the lapse of years has changed my desires or lessened what I call my passions. I am affectionate by nature, but I trust my emotions are more than affection. The patient makes these last remarks because she is unable to bring in accord her own feelings with the diagnosis frigidity,[AZ] received from several physicians whom she had consulted. She herself knows well that she is passionate enough to exclude any possibility of frigidity. Hers is a typical case of orgasmus retardatus of a slight degree (for, in the position “vir infra” orgasm is possible, for in this position coition lasts considerable longer), due probably to masturbation but mostly to the tactile eroticism, practised during the seven years of her engagement. In pronounced orgasmus retardatus the sexual impulse is very vivid, but the patient can never find the acme of gratification in coition. It may often require hours concarnationis continuæ before the orgasm is induced, and sometimes it may never be experienced. While there is a strong desire and a theoretical ability to induce the orgasm,—the patients are able to experience the orgasm in all its intensity by masturbation—in practice it is seldom or never attained, because the male will always reach the acme of coition before the woman has arrived at this point. Her nervous system remains, therefore, excited to the highest pitch and brought to a state of expectancy which is not realized.