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
_Eichstadt_ also attributes to the uterus an aspiratory force, dependent
upon coitus, and competent to force into the interior of the uterus the
semen ejaculated into the os uteri. The changes in the uterus which are
the necessary antecedents of this aspiration, namely, an engorgement
with blood whereby the flattened form of the uterus gives place to a
more rounded form, and the cavity of the organ is increased in capacity,
take place, in the opinion of this author, only when during intercourse
the woman has attained the acme of sexual gratification, by which alone
can the aforesaid change in the uterus be brought about. _E. Martin_ and
_Chrobak_ have also directed attention to the fact, that some importance
in this connexion must be attached to the facultative enlargement in the
size of the os uteri externum.
_Lott_, by his researches into the behaviour of the cervix uteri in
relation to the act of conception, is led to the conclusion that the
locomotive capacity of the spermatozoa forms the principal factor in
effecting a fertilizing contact between the spermatozoa and the ovum.
This locomotive capacity may be increased or diminished by a number of
conditions, among which the principal are: the activity of the cervix
uteri (the ciliated epithelium); the character of the secretions; and
the position, shape, and size of the cervix. Thus, this author
concludes, the part played in conception by the normal cervical canal is
a purely passive one, with the sole exception of the activity of the
ciliated epithelium—and the influence of this factor must be regarded as
extremely doubtful. That during ejaculation the external orifice of the
male urethra and the os uteri externum are in close apposition, is
denied by _Lott_, who adduces in support of his views data derived from
comparative investigations on various animals. In the dog, the
configuration of the genital organs is such that it is impossible to
suppose that any apposition can occur; the same is the case with the
sheep; and still more so with the rabbit, who possesses two quite
distinct portions vaginales, projecting freely into the vagina. In the
human species also, the character of the walls of the cervical canal,
where in the normal state the plicae palmatae may almost be said to
interlock, separated only by a thin stratum of mucus, offers a hindrance
to the entrance of the ejaculated semen by the direct force of
ejaculation itself. As regards the independent motile powers of the
spermatozoa, the researches of _Lott_ showed that not only can they
overcome strong capillary currents, and can traverse the width of a
coverglass (18mm.—about ¾ in.) in about five minutes; but further that
they are capable of migration through the finest interstices (those of
an animal membrane) provided that the fluid with which the membrane is
moistened is one favourable to their vital activity.
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