The unsatisfied intercourse will in the long run cause a number of nervous troubles which take the form of hysteria or assume the character of neurasthenia. The unsatisfied initus repeatedly practised, in not leading to the acme of libido and to the relief from the congestion by the ejaculation, is the cause of chronic hyperaemia and stasis. This leads, in its farther progress, to chronic inflammations of the tissues, which are known under the respective names of metritis, perimetritis, parametritis, endometritis, salpingitis and ovaritis. The labia are tumefied and dry, the meatus urinarius inflamed and the urethra pouted out. The clitoris is elongated, inflamed and often abraded. The external genitals are in a state of burning heat. The vaginal mucous membrane is hard and excoriated, the cervix is congested and the external orifice inflamed. Apart from these pathological changes caused by the failure or the retarding of the orgasm, the anomaly is of grave social importance. The woman with whom orgasm is impossible generally repels her husband. Her nerves never being exhausted, as in the normal woman (it is little known that a woman is more affected and fatigued by a real orgasm than a man), spatium congressus may last as long as the vaginal epithelia can endure it, which means a considerable length of time. This is mistaken by the husband for increased potency. He believes her to be more potent than he is, and, in the long run, a man dislikes a lascivious woman. What he wishes is a modest woman who never asks for conjugal embrace when he is not disposed to it, and at times even knows gently and tactfully to refuse her favors when they are asked. Orgasmus retardatus is hence not simply a question for the physician; it is a matter of serious social importance. The correct treatment for this anomaly is, in the first place, total abstinence from sexual excitement in any form, and then strengthening of the nerves by tonics, hydrotherapeutics and electricity by Apostoli’s method. _Orgasmus praecox._—The exact opposite to orgasmus retardatus is the anomaly of orgasmus praecox. In men, suffering from this anomaly where ejaculation occurs before the penis has time to enter the vagina, the precipitated orgasm has the same effect as the real impotence of concubitus. In women suffering from orgasmus praecox, the orgasmus is induced as soon as the mentula reaches the vestibule.