THE FAR REACHING INFLUENCE OF ABNORMALITIES OF THE CLITORIS
1893
Journal of the American Medical Association (JAMA)
offers the following epigrammatic sentence regarding certain abnormal states of the clitoris : " The clitoris is a little electrical button, which when pressed by adhesions rings up the whole nervous system." He has found a large proportion of the highly evoluted females\p=m-\Americans and city dwellers\p=m-\of his practice, having the glans clitoridis and the prepuce agglutinated by adhesions. He has seen reflex neurotic disturbances of serious as well as trifling nature that were removed by
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... e freeing of the glands from those adhesions. He had a case of nymphomania of eight years' standing get well promptly after the breaking up of these adhesions, also a very serious epileptic case ; also others of less gravity. He refers to the experience of the late Baker Brown of London, who was expelled from the London Obstetrical Society in 1867, because he amputated the clitoris so very frequently. The mistake of Mr. Brown, according to the view of Dr. Morris, did not consist in magnifying the strong reflex influ¬ ence of the clitoris over the nervous life of woman ; but it consisted in cutting that organ away entirely, when all that was probably required, in many cases at least, was to liberate it from its imprisonment within the prepuce. If Brown had pondered a little on the rôle that clitorideal adhesions play, he might have secured for his patients the same amount of benefit that he claimed to get from the operation of amputation, and at the same time retained his lead¬ ing position among the British gynecologists. His energy carried him too far. The abnormal states of the clitoris may exist to a moderate extent without eliciting any reflex demonstration, but when they are extensive they are pretty sure to beget masturbation and attendant evils, from neurasthenic symptoms up to profound reflex neuroses. Dr. Morris formu-lates the following among his conclusions : " Preputial adhesions form a very common factor in invalidism in young women." If this is a true conclusion the time has fully come when there should be female physicians organically attached to all the female colleges and schools.
doi:10.1001/jama.1893.02420500027004
fatcat:ffu4co677jazzfq7rj6n5wygtq