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
It is no longer possible to accept the view of earlier physiologists
that the purpose of this erection of the lower segment of the uterus is
“to constitute with the penis a continuous canal between the male and
the female genital organs.” Contact between the glans penis and the os
uteri externum is not indeed an occurrence of extreme rarity; but, on
the other hand, it is in no sense a constant nor even a frequent
incident of sexual intercourse. It is ejaculation, especially, which is
subserved by the erection of the vaginal portion of the cervix. In the
female, ejaculation occurs at the moment of the most intense sexual
pleasure, and is marked by the evacuation from the os uteri externum of
a moderate quantity of mucous fluid with an alkaline reaction. In some
cases, in which a chronic discharge of this cervical mucus occurs, it
forms an elongated coagulum of delicate vitreous jelly, the
“mucus-string” of _Kristeller_. The last-mentioned author is of opinion
that the spermatozoa slowly, but by active movements, find their way
along this string into the cavity of the uterus. This assumption,
however, is met by _C. Mayer_ and _Marion Sims_ with the objection, that
_Kristeller’s_ observations were for the most part carried out on women
who were out of health, and that a gelatinous secretion of this
character obstructs the orifice of the cervical canal, and hinders the
occurrence of conception. From the erection of the portio vaginalis
during sexual excitement, and its sudden relaxation post cohabitationem,
_Wernich_ deduces the occurrence of a process of aspiration, by which
the semen is drawn up through the cervical canal into the cavity of the
uterus; a process which has been seen in actual occurrence in vivisected
animals. It is said that to many women this feeling of a process of
suction is so well known, that thereon, in association with the
consequent almost complete absence of mucus and seminal fluid from the
vagina, they are accustomed to base a belief that conception will occur.
It is said that this aspiratory activity on the part of the uterus may
be perceived during coitus by the male also (?). It is assumed by
_Grohe_ that the wave motion of the cilia of the epithelium lining the
cervical canal, is of importance in promoting the ascent of the
spermatozoa; it may be that the vibration of the cilia exercises a
motile stimulus on the spermatozoa, it may be that the continually
repeated stroke of the cilia serves to prevent the permanent
agglutination of the spermatozoa into groups.
According to _Sims_, the aspiratory action of the uterus is effected in
the following manner: By the contraction of the constrictor vaginae
superior muscle, the cervix is pressed downwards against the glans
penis, and by this pressure its contents are evacuated; the parts then
relax, the uterus suddenly returns to its normal state, and thus the
seminal fluid with which the vagina is filled is drawn into the interior
of the cervical canal.
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