OBSERVATION VI.--Unmarried, actively engaged in the practice of her profession. Well-developed, feminine in contour, but boyish in manner and movements; strong, though muscles small, and healthy, with sound nervous system; never had anæmia. Thick brown hair; pubic hair thick, and hair on toes and legs up to umbilicus; it began to appear at the age of 10 (before pubic hair) and continued until 18. A few stray hairs round nipples, and much dark down on upper lip, as well as light down on arms and hands. Hips, normal; nates, small; labia minora, large; and clitoris, deeply hooded. Hymen thick, vagina, probably small. Considerable pigmentation of parts. Menstruation began at 15, but not regular till 17; is painless and scanty; the better the state of health, the less it is. No change of sexual or other feelings connected with it; it lasts one to three days. "I believe," she writes, "my first experience of physical sex sensations was when I was about 16, and in sleep. But I did not then recognize it, and seldom, indeed, gave the subject of sex a thought. I was a child far beyond the age of childhood. The accompanying dreams were disagreeable, but I cannot remember what they were about. It was not until I was nearly 19 that I knew the sexual orgasm in my waking state. It surprised me completely, but I knew that I had known it before in my sleep. "The knowledge came one summer when I was leading a rather isolated life, and my mind was far from sex subjects, being deep in books, Carlyle, Ruskin, Huxley, Darwin, Scott, etc. I noticed that when I got up in the morning I felt very hot and uncomfortable. The clitoris and the parts around were swollen and erect, and often tender and painful. I had no idea what it was, but found I was unable to pass my water for an hour or two. One day, when I was straining a little to pass water, the full orgasm occurred. The next time it happened, I tried to check it by holding myself firmly, of course, with the opposite result. I do not know that I found it highly pleasurable, but it was a very great relief. I allowed myself a good many experiments, to come to a conclusion in the matter, and I thought about it. I was much too shy to speak to any one, and thought it was probably a sin. I tried not to do it, and not to think about it, saying to myself that surely I was lord of my body. But I found that the matter was not entirely under my control. However unwilling or passive I might be, there were times when the involuntary discomfort was not in my keeping. My touching myself or not did not save me from it. Because it sometimes gave me pleasure, I thought it might be a form of self-indulgence, and did not do it until it could scarcely be helped. Soon the orgasm began to occur fairly frequently in my sleep, perhaps once or twice a week.