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
In all social circumstances, and in all times the great principle of
sexual morality must dominate the sexual life of woman. As the ethical
characteristics of the three great epochs in that sexual life we
recognize the purity of the maiden, the faithfulness of the wife, and
the love of the mother. But within the limits imposed by these demands
it is still possible to satisfy the modern claim for a free development
of the personality, and to accommodate the circumstances of the sexual
life to the individual vital needs and vital claims of the present day.
I. THE SEXUAL EPOCH OF THE MENARCHE.
(PUBERTY.)
The term _menarche_ (μήν, a month, ἀρχή, the beginning) was introduced
by me into medical literature to denote the period of life in which, as
a sign of puberty, menstruation first makes its appearance.
The age at which this occurs is subject to variations depending upon
race, occupation, hereditary tendencies, and climate; but in Germany and
Austria the average age at puberty is 14 or 15, the extreme limits being
12 to 19.
Until about the age of 13, the physical differentiation of the sexes,
except for the anatomical peculiarities of the genital organs, is in our
climates a trifling one. But at puberty the important changes occur by
which the sexes are so strikingly differentiated. Whereas in the growing
boy all physical change takes the form of increasing strength and
energy, in the development of the girl, we note the appearances of the
rounded outlines so characteristic of womanhood. At the same time the
voice alters, becoming less sharp, with a softer quality, and yet a
fuller tone; and we may observe that young brunettes have commonly a
contralto voice, young blondes, more often a soprano. The intellectual
changes undergone by the girl at puberty are no less extensive and
characteristic than the physical changes. In brief, the
undifferentiated, neuter girl is transformed into a young woman, endowed
with all the attributes, mental and bodily, characteristic of
femininity.
As regards the age at which the menarche usually occurs, and the manner
in which its occurrence is anticipated or retarded by the various
influences already mentioned, the following propositions may be put
forward, based on the available statistics and observations:
1. Climate is an important factor. In the torrid zone, menstruation
appears at a very early age, on the average from 11 to 14; in the
temperate zone, it appears later, on the average from the age of 13 to
16; in the frigid zone, later still, on the average from the age of 15
to 18. The mean temperature of the atmosphere appears to have a direct
influence on the age at which menstruation begins, the hotter the
climate, the earlier being the menarche. The height of the place of
residence above the sea level and its distance from the coast also have
a certain influence.
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