Identifier: diseaomenh00blan (find matches)
Title: The diseases of women : a handbook for students and practitioners
Year: 1897 (1890s)
Authors: Bland-Sutton, John, Sir, 1855-1936 Giles, Arthur E. (Arthur Edward), 1864-
Subjects: Women Generative organs, Female Genital Diseases, Female
Publisher: London : Rebman Philadelphia : W.B. Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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veopening into a cul-de-sac which corresponds to an incom-plete vulva. The two halves of the scrotum have failed tounite across the median line, and thus resemble labia majora.The right one contains a testis; the left testis was retainedin the inguinal canal. This individual was a hypospadiacmale, but to his misfortune was brought up as a girl. Imperfections of this kind in the external genital organsare associated with modifications of the secondary sexualcharacters. The distribution of hair on the pubes may resem-ble the female type; often it corresponds to that of a male.Menstruation depends on the co-existence of a uterus; of 56 DISEASES OF WOMEN. this more will be stated later on. The mammae may be aslarge as those of a woman; more often they are of the maletype. The hair on the head is no guide, for if an indi-vidual has been trained as a boy it is short; if a girl it willusually be long. The presence or absence of hair on theface varies. A pseudo-hermaphrodite may have an abun-
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Fig. 14.—The external genitals of a hypospadiac male or pseudo-hermaphrodite. dant beard and mustache. At puberty the voice changesto that of a man and sexual inclination is manifested forwomen. It is a significant fact that the condition of the externalgenitals in pseudo-hermaphrodites affords no reliable indica- tion of the nature of the internal genital An in- MALFORMATIONS OF REPRODUCTIVE ORGANS. 57 dividual with such imperfections as are presented in Fig. 15may or may not have a uterus and Fallopian tubes. Onthe other hand a uterus may be associated with a perfectpenis and testes. The presence of a uterus does not enableus to decide the sex in a doubtful case. In questionablecases of sex the only absolute test is the genital glands.The presence of ovaries is decisive proof of a female; testesindicate the male; and, as accurate discrimination between Uterus.

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