In the female sex, also, there are notable differences in the condition
of the genital organs between the adult and the child. In the first
place, the relative sizes of the various organs differ greatly. But
other differences are also noticeable, not dependent, however, on
differences in age, but on whether there has or has not been experience
of sexual intercourse, and on whether pregnancy and parturition have
occurred. When we compare a female child with an adult woman, the first
obvious difference is in the shape of the external genital organs. In
the child, the vulva is placed much higher and more to the front, so
that it is distinctly visible even when the thighs are in close
apposition. In the child, also, the labia majora are less developed, for
as womanhood approaches a great deposit of fat takes place in these
structures. Again, in the child, the outer surfaces of the labia majora
and that part of the skin of the abdomen just in front of the labia (the
_mons veneris_) are as hairless as the rest of the body, whereas in the
adult woman these regions are covered with the pubic hair. According to
Marthe Francillon,[10] to whom we are indebted for an elaborate study of
puberty in the female sex, during the puberal development changes occur
also in the clitoris. The genital corpuscles of Krause and the
corpuscles of Finger (_Wollustkoerperchen_), the terminals of the nerves
passing to the erectile tissue of the clitoris, undergo at this time a
marked increase in size. The clitoris itself, hitherto comparatively
small, now attains a length of three to four centimetres (1.2 to 1.6
inch), in the quiescent state, and of four and a half to five
centimetres (1.8 to 2 inches) when erect. In the virgin also, as
previously mentioned, the hymen is present, a structure of very variable
form. After defloration its remnants persist in the form of small
prominences around the margin of the vaginal inlet (_carunculae
myrtiformes_). But, quite independently of defloration, in the child the
vaginal orifice is much smaller than in the riper girl. The uterus
undergoes remarkable changes. In the foetus, during the latter part of
intra-uterine life, this organ grows very rapidly; but immediately after
birth its growth is arrested, so that in a girl of nine it is little
larger than in the new-born infant. During the period of puberal
development, however, the growth of the organ is once more extremely
rapid. Its shape also changes at this time. In the child, the uterus is
longer in proportion to its thickness; in childhood, too, the
comparative length of the cervix in relation to that of the body of the
organ is much greater than in the adult woman. We need only allude in
passing to the fact that later in life marked changes occur in the
uterus as a result of pregnancy and parturition. The hyperaemia and the
bleeding that take place periodically during menstruation lead to
certain changes in the mucous surface of the uterus. Ovulation, which in
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