The sexual life of woman in its physiological, pathological and hygienic aspectsKisch, E. Heinrich (Enoch Heinrich)
Science
The sexual life of woman in its physiological, pathological and hygienic aspects
Kisch, E. Heinrich (Enoch Heinrich)
Gynecology; Menstruation; Women -- Diseases
marriage, the latter occurrence being almost always attributable to the
husband. Syphilitic or gonorrhœal infection may also arise in some other
way than by copulation, and to this women are more exposed than men,
owing to the greater size of the genital passage in the former.”
Very numerous are the disorders of the nervous system referable to the
sexual functional activity of woman during this epoch of her sexual
life.
_Freund_, in his description of a neurasthenic symptom-complex to which
he gives the name of _angst-neurosis_,[36] maintains that the cause of
these attacks of anxiety[36] is very frequently to be found in a number
of injurious influences in the sphere of the sexual life. In women,
these anxiety-neuroses occur:
_a_) As virginal anxiety, or anxiety of adolescents. _Freund_ has
observed a number of unequivocal instances showing that a first
encounter with the sexual problem, a rather sudden unveiling of what has
hitherto been concealed, as, for instance, the sight of some sexual act,
or something read or heard in conversation, may, in a girl at the time
of puberty, give rise to an anxiety-neurosis, which is in a very typical
manner combined with hysteria.
_b_) As anxiety of the newly married. Young wives who have been without
sexual feeling in their first experience of intercourse are not
infrequently attacked by an anxiety-neurosis, which, however, disappears
as soon as the sexual feeling becomes normal. Since, indeed, the
majority of young women who lack sexual feeling in their first
experience of sexual intercourse remain nevertheless quite healthy, it
is evident that some other cause must coöperate in arousing the
anxiety-neurosis.
_c_) As anxiety in married women whose husbands suffer from _ejaculatio
praecox_ or from great diminution of sexual potency, or
_d_) Whose husbands practice _coitus interruptus_ or _coitus
reservatus_. Cases in these two classes are closely associated, since it
is easy to ascertain, from the analysis of a sufficiently large number
of cases, that the really important question is, whether during coitus
the wife obtains or fails to obtain sexual satisfaction. In the latter
event, the condition requisite to arouse the anxiety-neurosis is
supplied.
_e_) As anxiety in widows and in voluntary abstinents, not infrequently
in typical combination with impulsive ideas.
_f_) As anxiety in the climacteric period, during the final flare-up of
sexual passion.
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