Gynecological diagnosis . t only that,it may impregnate itself. Accord-ing to this definition true hermaphroditism occurs in the loweranimals, as in the cestopods. The gastropods, on the other hand,can fructify each other but not themselves. True hermaphroditismin the functional sense does not occur in man, but in the sense thatan individual may have a genital gland which contains bothovarian and testicular tissue, an ovotestis, five undoubted caseshave been reported, by V. Salen, Garre, Pick, and Schickele. Oneof Picks two cases was that of a woman who had borne severalchildren and Garres cas


Gynecological diagnosis . t only that,it may impregnate itself. Accord-ing to this definition true hermaphroditism occurs in the loweranimals, as in the cestopods. The gastropods, on the other hand,can fructify each other but not themselves. True hermaphroditismin the functional sense does not occur in man, but in the sense thatan individual may have a genital gland which contains bothovarian and testicular tissue, an ovotestis, five undoubted caseshave been reported, by V. Salen, Garre, Pick, and Schickele. Oneof Picks two cases was that of a woman who had borne severalchildren and Garres case was that of a male hermaphrodite twentyyears old. Therefore, true hermaphroditism, defined as the occur-rence of a combination gland of both ovary and testicle in the sameperson, does occur. A preponderating number of the reportedcases are instances of pseudohermaphroditism. Neugebauer in hisexhaustive work has gathered together 1,886 cases of pseudoher-maphroditism in addition to the five cases of true Fig. 173.—Hematocolpos, Hemato-metra and Hematosalpinx. 400 DISEASES OF THE VULVA Pseudohermaphroditism.—Pseudohermaphroditism is more oftenof the male variety. Male False Hermaphroditism.—Here the body form, stature,hair, and breasts are of the male type; testicles are always present,but the external genital organs are malformed. The penis is un-dersized and the glans imperforate, while the penile urethra isrepresented by a groove running into a cul-de-sac which corre-sponds to an incomplete vulva. The two halves of the scrotumhave failed to unite in the median line, thus resembling the labiamajora, and enclose a rudimentary vulvar orifice scarcely admit-ting a finger tip. One half of the scrotum may contain a testis, andthe other testicle may be in the inguinal canal. It is a condition ofhypospadias in the male. There are many varieties of this cases are apt to be regarded as females and are brought up asgirls until after puberty when they sh


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectwomen, bookyear1910