First Appearance of Menstruation 45 Anatomical Changes in the Female Genital Organs at the Period of the Menarche 50 Menarche Praecox et Tardiva 78 Precocious and Retarded Menstrual Activity 78 Pathology of the Menarche 82 Anomalies of Menstruation 83 Inflammatory Processes 87 Disorders of Haematopoiesis 89 Cardiac Disorders 94 Diseases of the Nervous System 99 Masturbation 104 Disorders of Digestion 107 Diseases of the Respiratory Organs 107 Diseases of the Organs of the Senses 108 Hygiene during the Menarche 111 Menstruation 128 Pathology of Menstruation 143 Amenorrhœa, Menorrhagia, and Dysmenorrhœa 160 Vicarious Menstruation 164 The Sexual Impulse 166 Nymphomania, Anæsthesia and Psychopathia Sexualis 184 II. THE SEXUAL EPOCH OF THE MENACME 200 Anatomical Changes in the Female Genital Organs in the Period of the Menacme 209 Pathology of the Menacme 218 Dyspepsia Uterina 227 Cardiopathia Uterina 235 Nervous Diseases Secondary to Diseases of the Genital Organs 243 Competence for Marriage of Women suffering from Disease 250 Hygiene during the Menacme 261 Copulation and Conception 284 Copulation 284 Conception 304 Pathology of Copulation 323 Vaginismus 337 Cardiac Troubles Due to Sexual Intercourse 344 Dyspareunia 347