Kolischer, of Chicago ("Sexual Frigidity in Women," _American Journal of Obstetrics_, Sept., 1905), points out that it is often the failure of the husband to produce sexual excitement in the wife which leads to voluntary repression of sexual sensation on her part, or an acquired sexual anesthesia. "Sexual excitement," he remarks, "not brought to its natural climax, the reaction leaves the woman in a very disagreeable condition, and repeated occurrences of this kind may even lead to general nervous disturbances. Some of these unfortunate women learn to suppress their sexual sensation so as to avoid all these disagreeable sequelæ. Such a state of affairs is not only unfortunate, because it deprives the female partner of her natural rights, but it is also to be deplored because it practically brings down such a married woman to the level of the prostitute." In illustration of the prevalence of inhibitions of various kinds, from without and from within, in suppressing or disguising sexual feeling in women, I may quote the following observations by an American lady concerning a series of women of her acquaintance:-- "Mrs. A. This woman is handsome and healthy. She has never had children, much to the grief of herself and her husband. The man is also handsome and attractive. Mrs. A. once asked me if love-making between me and my husband ever originated with me. I replied it was as often so as not, and she said that in that event she could not see how passion between husband and wife could be regulated. When I seemed not to be ashamed of the matter, but rather to be positive in my views that it should be so, she at once tried to impress me with the fact that she did not wish me to think she 'could not be aroused.' This woman several times hinted that she had learned a great amount that was not edifying at boarding school, and I always felt that, with proper encouragement, she would have retailed suggestive stories. "Mrs. B. This woman lives to please her husband, who is a spoiled man. She gave birth to a child soon after marriage, but was left an invalid for some years. She told me coition always hurt her, and she said it made her sick to see her husband nude. I was therefore surprised, years afterward, to hear her say, in reply to a remark of another person, 'Yes; women are not only as passionate as men, I am sure they are more so.' I therefore questioned the lack of passion she had on former occasions avowed, or else felt convinced her improvement in health had made intercourse pleasant.