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Medicine and Anatomy

341. Intercourse, conception and pregnancy. Cos, 4th cent. B.C. (Hippocrates, On the Generating Seed and the Nature of the Child 4-7, 13, 30.4=VII.474-80, 488-92, 536-8 Littré. Tr. I.M. Lonie. G)

Doctors, who were throughout antiquity with very few exceptions male (see p. 264), concerned themselves only with diseases. The normal female functions of menstruation, childbirth, nursing, menopause, were dealt with by women-midwives and wet-nurses. Hence few records exist of normal procedures and reactions.

(4) In the case of women, it is my contention that when during intercourse the vagina is rubbed and the womb is disturbed, an irritation is set up in the womb which produces pleasure and heat in the rest of the body. A woman also releases something from her body, sometimes into the womb, which then becomes moist, and sometimes externally as well, if the womb is open wider than normal. Once intercourse has begun, she experiences pleasure throughout the whole time, until the man ejaculates. If her desire for intercourse is excited, she emits before the man, and for the remainder of the time she does not feel pleasure to the same extent; but if she is not in a state of excitement, then her pleasure terminates along with that of the man. What happens is like this: if into boiling water you pour another quantity of water which is cold, the water stops boiling. In the same way, the man's sperm arriving in the womb extinguishes both the heat and the pleasure of the woman. Both the pleasure and the heat reach their peak simultaneously with the arrival of the sperm in the womb, and then they cease. If, for example, you pour wine on a flame, first of all the flame flares up and increases for a short period when you pour the wine on, then it dies away. In the same way the woman's heat flares up in response to the man's sperm, and then dies away. The pleasure experienced by the woman during intercourse is considerably less than the man's, although it lasts longer. The reason that the man feels more pleasure is that the secretion from the bodily fluid in his case occurs suddenly, and as the result of a more violent disturbance than in the woman's case.

Another point about women: if they have intercourse with men their health is better than if they do not. For in the first place, the womb is moistened by intercourse, whereas when the womb is drier than it should be it becomes extremely contracted, and this extreme contraction causes pain to the body. In the second place, intercourse by heating the blood and rendering it more fluid gives an easier passage to the menses; whereas if the menses do not flow, women's bodies become prone to sickness.

(5) When a woman has intercourse, if she is not going to conceive, then it is her practice to expel the sperm produced by both partners whenever she wishes to do so. If however she is going to conceive, the sperm is not expelled, but remains in the womb. For when the womb has received the sperm it closes up and retains it, because the moisture causes the womb's orifice to contract. Then both what is provided by the man and what is provided by the woman is mixed together. If the woman is experienced in matters of childbirth, and takes note when the sperm is retained, she will know the precise day on which she has conceived.

Male and female sperm

(6) Now here is a further point. What the woman emits is sometimes stronger, and sometimes weaker; and this applies also to what the man emits. In fact both partners alike contain both male and female sperm (the male being stronger than the female must of course originate from a stronger sperm). Here is a further point: if (a) both partners produce a stronger sperm, then a male is the result, whereas if (b) they produce a weak form, then a female is the result. But if (c) one partner produces one kind of sperm, and the other another, then the resultant sex is determined by whichever sperm prevails in quantity. For suppose that the weak sperm is much greater in quantity than the stronger sperm: then the stronger sperm is overwhelmed and, being mixed with the weak, results in a female. If on the contrary the strong sperm is greater in quantity than the weak, and the weak is overwhelmed, it results in a male. It is just as though one were to mix together beeswax with suet, using a larger quantity of suet than of the beeswax, and melt them together over a fire. While the mixture is still fluid, the prevailing character of the mixture is not apparent: only after it solidifies can it be seen that the suet prevails quantitatively over the wax. And it is just the same with the male and female forms of sperm.

(7) Now that both male and female sperm exist in both partners is an inference which can be drawn from observation. Many women have borne daughters to their husbands and then, going with other men, have produced sons. And the original husbands-those, that is, to whom their wives bore daughters-have as the result of intercourse with other women produced male offspring; whereas the second group of men, who produced male offspring, have with yet other women produced female offspring. Now this consideration shows that both the man and the woman have male and female sperm. For in the partnership in which the women produced daughters, the stronger sperm was overwhelmed by the larger quantity of the weaker sperm, and females were produced; while in the partnership in which these same women produced sons, it was the weak which was overwhelmed, and males were produced. Hence the same man does not invariably emit the strong variety of sperm, nor the weak invariably, but sometimes the one and sometimes the other; the same is true in the woman's case. There is therefore nothing anomalous about the fact that the same women and the same men produce both male and female sperm: indeed, these facts about male and female sperm are also true in the case of animals.

A spontaneous abortion

(13) As a matter of fact I myself have seen an embryo which was aborted after remaining in the womb for six days. It is upon its nature, as I observed it then, that I base the rest of my inferences. It was in the following way that I came to see a six-day-old embryo. A kinswoman of mine owned a very valuable danseuse, whom she employed as a prostitute. It was important that this girl should not become pregnant and thereby lose her value. Now this girl had heard the sort of thing women say to each other-that when a women is going to conceive, the seed remains inside her and does not fall out. She digested this information, and kept a watch. One day she noticed that the seed had not come out again. She told her mistress, and the story came to me. When I heard it, I told her to jump up and down, touching her buttocks with her heels at each leap. After she had done this no more than seven times, there was a noise, the seed fell out on the ground, and the girl looked at it in great surprise.[1] It looked like this: it was as though someone had removed the shell from a raw egg, so that the fluid inside showed through the inner membrane-a reasonably good description of its appearance. It was round, and red; and within the membrane could be seen thick white fibres, surrounded by a thick red serum; while on the outer surface of the membrane were clots of blood. In the middle of the membrane was a small projection: it looked to me like an umbilicus, and I considered that it was through this that the embryo first breathed in and out. From it, the membrane stretched all around the seed. Such then was the six-day embryo that I saw, and a little further on I intend to describe a second observation which will give a clear insight into the subject. It will also serve as evidence for the truth of my whole argument-so far as is humanly possible in such a matter.

(30) ... In fact it is impossible for pregnancy to last longer than ten months, and I shall explain why. The nutriment for growth which the mother's body provides is no longer sufficient for the child after ten months are up and it is fully grown. It is nurtured by drawing the sweetest part of the blood towards itself, although it is fed to some extent from the milk as well. Once these are no longer sufficient and the child is already big, in its desire for more nutriment than is there it tosses about and so ruptures the membranes. This occurs more frequently in women who are bearing their first child; with them, the supply of nutriment for the child tends to give out before the ten months are up. This is the reason; the menstrual flow of some women is sufficiently abundant, while with other women the flow is less. (If this is always the case it is the result of the constitution which the woman has inherited from her mother.) Now it is the women whose menses are small in quantity who also provide their infants with insufficient nutriment towards the end of their term when the infant is already large, and so cause it to toss about and bring on birth before ten months are up. The reason is their small flow of blood. Usually too these women cannot give milk; this is because they have a dry constitution and their flesh is densely packed.


Notes:

1. The flute-girl's gymnastics would not have aborted a healthy pregnancy, but they helped eject more quickly an early defective embryon (or 'blood mole') that would soon have been miscarried in the normal course of events. The embryon was of course much older than six days. See A. Guttmacher's note in Ellinger 1952, 113-7.