In an appendix to this volume I am able to present the results of another long series of observations of nocturnal ecbolic manifestations carried out by Mr. Perry-Coste, who has elaborately calculated the results, and has convinced himself that on the basis of a strictly lunar month, thus abolishing the disturbing influence of the weekly rhythm, which in his case also appears, a real menstrual rhythm may be traced.[127] It does not appear to me, however, even yet, that a final answer to the question whether a menstrual sexual rhythm occurs in men can be decisively given in the affirmative. That such a cycle will be proved in many cases seems to me highly probable, but before this can be decisively affirmed it is necessary that a much larger number of persons should be induced to carry out on themselves the simple, but protracted, series of observations that are required. Since the first edition of this volume appeared, numerous series of ecbolic records have reached me from different parts of the world. The most notable of these series comes from a professional man, of scientific training, who has for the past six years lived in different parts of India, where the record was kept. Though the record extends over nearly six years, there are two breaks in it, due to a visit to England, and to loss of interest. Both involuntary and voluntary discharges are included in the record. The involuntary discharges occurred during sleep, usually with an erotic dream, in which the subject invariably awaked and frequently made an effort to check the emission. The voluntary discharges in most cases commenced during sleep, or in the half-waking state; deliberate masturbation, when fully awake, was comparatively rare. The proportion of involuntary to more or less voluntary ecboles was about 3 to 1. A third kind of sexual manifestation (of frequency intermediate between the other two forms) is also included, in which a high degree of erethism is induced during the half waking state, culminating in an orgasm in which the power of preventing discharge has been artificially acquired. The subject, E.M., was 32 years of age when the record began. He belongs to a healthy family, and is himself physically sound, 5 feet 6 inches in height, but weight low, due to rickets in infancy. In early life he stammered badly; his temperament is emotional and self-conscious, while his work is unusually exacting, and he lives for most of the year in a very trying climate. As a boy he was very religious, and has always felt obliged to resist sexual vice to the utmost, though there have been occasional lapses.