Furthermore, as this practice of coitus interruptus does not allow the impulse of detumescence to be gratified, after every preliminary step has been taken to arouse it, the woman often takes her refuge to stuprum manu. Hence we find after a certain lapse of time, the clitoris to be considerably enlarged in volume as well as in length. The prepuce is thickened, the labia minora are enlarged, wrinkled, contracted and slate-colored. They are frequently covered with black spots, due to an accentuated pigmentation. Repeated friction produces coxcomb labia, and thigh friction, mostly found in young girls, is the cause of one lip being larger than the other. The urinary and the vaginal orifices are open, the constrictores vesicae and cunni having lost their tonicity. To avoid all these serious consequences in the woman, it has been suggested fascinum non est extrahendum until the woman’s impulse of detumescence has been satisfied and the tumefaction muliebrium removed. Such initus has been claimed to be of the same value for the woman as the normal. But the greatest drawback to this mode of concarnatio is that very few men will be able to perform such a delicate act. It requires a great concentration of mind to succeed. Besides, it would be an error to consider such concarnatio normal, even for the woman. For it is not entirely a matter of indifference to the woman whether the sperma flows into the vagina or not.[DD] Initus involves the transmission into the female organism of certain fluids from the man, which have a beneficial effect upon the woman. This is often demonstrated by the helpful effect marriage has upon weak and anaemic girls. A happy union is the charm wherewith to banish chlorosis and many other female ailments and irregularities. The influence of the seminal excitation is quite different from the copulative excitation. If the latter is induced while the former does not follow, the practice will cause in the woman debility and sometimes even nervous prostration. Any device to prevent the entrance of the sperma into the vagina or uterus, such as condoms, cervical obturators or sponges, for the same reason, have an injurious effect upon the woman’s general health. Besides, all these devices do not prevent at all, especially the sacrifices at the door of the temple do not always afford security against an accidental conception. The spermatozoa with their faculty of motion may penetrate into the female genital tract without the introduction of the mentula into the vagina, and no obturator or sponge can close up the os uteri so tightly that the spermatozoa will not be able to find their way into the uterine cavity. No condom is strong enough that it will not occasionally burst, and all the precautions of months are suddenly set at naught. The following history shows that the introduction of the fascinum into the vagina is not an absolute necessity for pregnancy.