2. PHYSIOLOGY.
In the treatment of the physiology of the various structures just described, we may well reverse the order of treatment, thus leading up step by step to a consideration of the more important organs.
a. Urethra. The canal or duct of the penis is called the urethra, and it is important in considering its physiology to remember that it has not only a double function to perform, but that the performance of one function in a measure temporarily unfits it for performance of the other and makes it necessary for a special measure of preparation.
The urinary excretion from the kidneys collecting in the urinary bladder is passed out periodically through the urethra. This same channel must transmit periodically secretions from the sexual apparatus.
b. Cowper's Glands secrete only under sexual excitement, and usually they secrete only when the sexual excitement reaches a stage which induces an erection. The secretion is composed of a clear alkaline mucus.
The purpose served in the natural economy by this alkaline mucus is a very important one and it is essential that every young man should understand it.
It will be remembered that the male urethra affords passage not only for the urine, but also for the generative products. The urine is acid in reaction and the frequent passage of urine along the urethra leaves that duct acid in reaction under usual conditions. The spermatozoa are very sensitive to acid and their vitality is seriously impaired by acid of any kind, particularly the acid of the urine. Nature has provided that the secretion from Cowper's glands should precede the generative products along the urethra, thus neutralizing the acid and insuring for the spermatozoa an alkaline passage from the body.
Besides this important function of the secretion from Cowper's glands, the slimy transparent mucus appearing at the glans penis under sexual excitement serves as a natural lubricant covering the glans of the male organ. A secretion from the female similarly prepares her organs for sexual contact so that the delicate mucous membrane, particularly of the female organs, shall not suffer abrasion.
Many young men have experienced the appearance of the secretion from Cowper's glands and wholly misunderstanding its nature have feared that they were losing some vital fluid. This misunderstanding of the nature of this fluid makes the young man especially subject to the misrepresentations of the advertising quack and charlatan who allege that he is losing vital fluid and will, if not treated, undergo general debility and loss of procreative power. This brief explanation of the significance of the secretion of Cowper's glands will protect the young man from any such misrepresentations.
c. The Prostate Gland.—That the prostate gland is intimately associated with reproduction is evident from the fact that in those male animals that have suffered castration before puberty, the prostate gland withers and practically disappears. What then is the role that this gland plays? Like Cowper's glands, it secretes only during sexual excitement. Under such excitement its ducts become gorged with a secretion peculiar to it and at the moment of the emission or the ejaculation of the semen the numerous ducts empty their contents into the urethra to be mingled with and made a part of the semen.
The secretion of the prostate is composed of a watery solution of protein and of alkaline salts and so closely similar to the secretion of the seminal vesicles that we will consider its action along with that of the secretion from the vesicles.
d. The Seminal Vesicles.—The seminal vesicles secrete continuously. The secretion is composed of an aqueous solution of albumin and of alkaline salts. This secretion together with the secretion from the prostate gland is poured into the urethra at the moment of sexual orgasm; they become mixed in their transit through the urethra with the secretion from the testes. This mixture is known as semen. [See pg. 42.]
It used to be supposed that the semen was secreted wholly by the testes; that the testes were secreting continuously and that the seminal vesicles were receptacles for the gradually accumulating semen from the testes. The researches of Steinach and others have made the old theory untenable and demonstrate that the semen is a mixture from three distinct sources; that the testicles secrete their contribution to the semen only during sexual stimulation; while the seminal vesicles secreting their products continuously become periodically filled and distended.
Let us inquire regarding the function of this alkaline albuminous secretion from the vesicles and prostate. For what purpose does Nature prepare such a secretion? The spermatozoa frequently remain several days in the organs of the female before the ovum is found and fertilized. During these several days the spermatozoa are exerting no small amount of energy in their vigorous flagellate movement. For such an expenditure of energy they must receive nourishment and stimulation. The nourishment is supplied by the albumin and proteid of the vesicular and prostatic secretions. The stimulation is supplied by the salts also secreted by these glands. The recent researches of Loeb and others have demonstrated the importance of mineral salts in stimulating the activity of living cells. One can cite no better example of this stimulant action than the influence of these vesicular and prostatic salts upon the activity of the spermatozoa.
The vesicles and prostate may be looked upon as the commissariat of the army of spermatozoa; the vesicles accumulating a stock of supplies to be drawn upon at short notice; the prostate representing a factory where a considerable quantity of supplies can be prepared at short notice.
This periodic distention of the seminal vesicles is a matter of very considerable hygienic importance and must be thoroughly understood by every young man who would lead a normal sexual life.
These organs in common with all other organs of the body are supplied with two sets of nerves, one set passing away to the spinal cord and carrying messages which indicate the condition of the organ or the presence and character of any local stimulus; the other passing away from the spinal cord to the organ and carrying secretory and motor impulses. The secretory impulses are more or less continuous and as a result, these glands secret continuously and become periodically distended as described above. The motor impulses pass to the muscles within the walls of the vesicles, causing a strong spasmodic contraction of these muscles at the moment of emission of semen, thus throwing the contents of the vesicles into the urethra at the same moment when the epididymis the vas deferens and the ducts of the prostate are emptying their secreted contents into the urethra.
Now the sensory nerves passing from the seminal vesicles up to the erection and emission centers are stimulated by any unusual pressure within the vesicles. Unusual pressure may be caused either by distention due to accumulated secretion or by pressure upon the vesicles from over-distended rectum or bladder. It sometimes happens that two or more of these influences are acting at the same time. These impulses are most likely to be effective when the subject is asleep, and particularly if he is lying upon his back. The result of the stimulus is to cause an erection, accompanied usually by an erotic dream, the whole phenomenon culminating in an emission of the contents of the seminal vesicles and followed, of course, by a relief of the pressure which was the cause of the condition. This phenomenon has been variously called nocturnal emission, "pollution" and "dreaming-off."
Vecki, a specialist in physiology, hygiene and pathology of the sexual apparatus, says that the nocturnal emission is a normal physiological phenomenon, the object of which is to relieve pressure in the seminal vesicles, and that in normal cases it occurs in fairly regular periods, these periods varying in length with different individuals, according to their physical condition and habits, the period being two to four weeks, usually; though a considerably longer or shorter period would not be looked upon as pathological. Vecki describes the normal nocturnal emission as being accompanied by an erection, erotic dreams, and an orgasm, the subject being wholly unconscious of the condition until he is awakened at the moment of orgasm. Normally, the subject experiences on the following day a feeling of relief and well-being and should, normally, be wholly free from headache, depression or languor.
Inquiry among a large number of normal healthy men convinces the author that it is not at all unusual for these emissions to occur as infrequently as once in two months in normal healthy men. On the other hand, it is not unusual for them to occur as frequently as once in ten days or even once a week and still be within the physiological limit. However, when the emission occurs as frequently as once per week, it should be looked upon as abnormal if it is followed by depression, headache or lassitude. Cases are not unusual in which the nocturnal emission is experienced as often as three times in a week after which there will be a period of two to four weeks without an emission, followed again by very frequent emissions, and a free period. This phenomenon is an individual peculiarity, and is not to be looked upon as abnormal.
Cases of too frequent nocturnal emissions accompanied by languor and headache are usually caused by irritability or lack of tonicity of the sexual apparatus, particularly of the seminal vesicles and the ducts. This irritability and loss of tone is not infrequently caused by masturbation, though it may also be caused by excessive sexual intercourse, making itself manifest, of course, in either case, on cessation of the habit of masturbation or the excessive sexual intercourse.
Another cause of too frequent nocturnal emissions and one wholly separate from any abuse of the sexual function is irritability and mechanical irritation of the sexual apparatus—perhaps especially the membranous and prostatic portion of the urethra—caused by the presence of an excessive amount of oxalates in the urine. Oxalates occur in the urine in sharp angular crystals and would seem to be in a high degree irritating to the tender mucous membrane of the upper part of the urethra. The almost invariable presence of these crystals in excess in those cases that have not been accounted for by abuse of the sexual function leads one to adopt the plausible theory that the crystals are the cause of the irritability. However, we must not lose sight of the fact that these crystals may be simply an accompaniment of the too frequent emissions, and that the presence of oxalates in the urine may be caused by some disturbance in the nutritive processes that go on in the body, which disturbance causes not only the irritability of the sexual apparatus, but also the presence of the crystals.
When the seminal vesicles are much distended it occurs not infrequently that the passage of a hard mass of fecal material through the rectum will, by simple mechanical pressure on the seminal vesicles, force out a few drops, perhaps as much as a teaspoonful, of the contents of the vesicles. This would be called an involuntary emission, but the liquid passed out must not be looked upon as semen. It is simply the secretion of the seminal vesicles, and in losing it, one is not losing a vital fluid or a fluid, any portion of which would be reabsorbed; he is simply losing a fluid which would, in the natural course of events, have passed away within the next few days as a nocturnal emission.
These details have been explained in order that the young man may fully understand the physiology of his sexual apparatus and not be disturbed by the advertisements or the pamphlet literature of charlatans who make a business of frightening young men into the belief that in these experiences they are losing "vital fluid"—that they are victims of "lost manhood," or that they are entering into a condition of "general debility" and "impotence." As an actual fact, involuntary loss of vital fluid (spermatorrhea), is a rare case even in the practice of specialists in genito-urinary diseases, and in these rare cases, the condition is usually a result of very great excesses, sexual debauchery or one of the sequelæ of venereal disease. [Read: Appendix 1, 13 and 17.]
e. Testes. No rational idea of the physiology of the testes can be given without laying down as a fundamental physiological law, that the testes secrete under sexual stimulation only. This same general principle applies to all glands, i.e., that they secrete only under the influence of some special stimulation. In harmony with that law, the testes secrete only under the influence of sexual stimulation.
The sexual stimulation may be sub-divided into two general categories, i.e., conscious sexual stimulation and subconscious sexual stimulation.
Conscious sexual stimulation is partly psychical and partly physical. The physical stimulation is produced by physical proximity of a member of the opposite sex. The physical and psychical phases of conscious sexual stimulation are so intimately interwoven that it is exceedingly difficult to discuss one without constant reference to the other, and it may be said in this connection that the psychical attitude of the two individuals of opposite sex who are brought into close physical proximity will modify very greatly their local sexual responses.
Reverting to the lower animals: when a female in rut or heat is brought into proximity to the male, there seems to be on the part of each animal a consciousness of the character and attitude of the other animal and both animals are step by step excited by various physical contacts and probably also psychical conditions to a high state of sexual excitement, leading to the natural ultimate result, coitus, in which event the sexual excitement culminates in the orgasm of the male, which empties the secreted semen into the organs of the female.
It will be easily understood that, in human subjects whose social relations permit them to indulge in coitus, close physical proximity, and various caresses lead, step by step in the normal course of nature to sexual excitement and sexual desire which culminates as described above for the lower animals.
To revert to the function of the testes, we may say that during these various stages of sexual stimulation and excitement the testes are actively secreting thousands upon thousands of nascent spermatozoa, which being released, are hurried along, partly by their own flagellate movements and partly by the action of the cilia in the ducts of the epididymis and the peristaltic contractions of the vas deferens—hurried along the vas to the ampulla. If the period of sexual excitement extends over fifteen to thirty minutes, the whole duct system from the epididymis to the ampulla becomes gorged with the secreted testicular product. This secretion consists of active motile spermatozoa, of spermatic granules and of mucus. The latter is secreted by the ducts of the epididymis and the vas deferens, the testicle itself furnishing only spermatozoa, spermatic granules and a small amount of liquid, just sufficient in quantity to float the spermatozoa out of the testes into the ducts.
At the moment of sexual orgasm occurs what is known as, the emission of semen. In this act the whole contents of the ampulla, vas deferens and ducts of the epididymis, the contents of the seminal vesicles, and the contents of the ducts of the prostate gland are all poured out by spasmotic muscular contractions into the urethra and by contraction of the walls of the urethra, ejected from that tube through the mouth of the urethra. Thus, in the act of emission, there is an intimate mixing together of the three contributions to the semen, i.e., the testicular, vesicular and prostatic.
Sub-conscious Sexual Stimulation.—Sub-conscious sexual stimulation is not accompanied by erection or any mental or physical manifestation of sexual excitement.
When a sexually mature individual is brought into more or less intimate relations with a sexually mature individual of the opposite sex under conditions where the secondary sexual qualities may have free and unrestricted play, there can be no reasonable doubt that both individuals experience a sub-conscious sexual stimulation which will influence them both physically and psychically through sub-conscious response of their sexual apparatus. One can easily imagine, for example, that a young man may meet upon the skating rink in winter a young lady for whom he has a very sincere admiration and respect; she on the other hand entertains for him a similar admiration and respect. They may skate together the whole afternoon and converse upon politics, art or philosophy, the young woman feeling herself swung along—almost actually carried on her companion's strong arm. The whole experience is, in the highest degree, pleasurable and exhilarating to her, yet she may be conscious of absolutely no sexual stimulation. On the other hand, the young man experiences most exalted pleasure in the company of his young lady friend—through the pressure of her hand upon his arm, the lithe, graceful movement of body and limbs, the smile, the light in the eye and the soft voice. All of these give him an exquisite pleasure that he will be unable to analyze, even if he were inclined to do so.
In his case, as in the case of the young woman, there has been absolutely no conscious sexual stimulation; in the case of neither individual has there been a thought of sex as such or of their sexual apparatus, yet without a shadow of doubt, the sexual organs of both individuals have been more or less active during this period—they have been subject to sub-conscious sexual stimulation.
In the case of the male, his testes have been awakened into an activity of probably considerably less degree than in the case of conscious sexual stimulation, and during this activity of the gland a certain amount of the secretion has been formed.
The most natural question at this point is—What becomes of this secretion? It is not likely that any great number of spermatozoa are released, those that are probably make their way along the vasa deferentia to the ampullæ. The liquid secretion of the testes probably does not leave the testes but is reabsorbed. While there are many features of this mysterious influence of the testes which have never yet been cleared up, this seems certain, that the testes elaborate what may be called an internal secretion, and that the elaboration of this internal secretion is influenced by such stimulation as has just been described above, under the head of sub-conscious sexual stimulation.
An internal secretion is a secretion formed by a gland, to be poured into the blood or lymph system, while an external secretion is poured out through ducts to the exterior. The thyroid and adrenal glands form internal secretions only, which secretions, poured into the blood and lymph, profoundly affect the nutrition of the body. The salivary glands and gastric glands form external secretions only; which, when poured upon the food, digest it. The liver, pancreas and testes form both external and internal secretions. The external secretion of the testes is that which is poured out in a sexual emission, as described above; the internal secretion of the testes consists of substances formed by the testes of sexually mature individuals, which substances, poured into the blood, profoundly affect the development of the individual and his whole physical and psychical character.
VIRILITY.
The best example that can be cited of the effect of this internal secretion is the male of the horse kind.
Most young men have seen either at horse shows or upon farms or ranches pedigreed stallions. No person can see one of these splendid animals without admiring, if not actually standing in awe of his inimitable physical force, beauty of form and grace and power of action. He is a physical ideal of the horse kind. What is the source of his strength and beauty?
The physical features that one notes peculiar to the stallion are, first, the great breadth and depth of chest, great mass of shoulder and hip muscles, and the high arched neck, fiery eye and luxuriant mane and tail. Second, the functional features next noticeable are the greater alertness and evident physical exuberance as manifested especially in the gait and the frequent whinnying. The thoughtful observer at the horse show or on the ranch cannot but compare these animals with the gelding.
Two colts on the ranch may be full brothers,—from the same pedigreed stallion and the same pedigreed dam. At the age of two years these two young horses may be as alike as two peas in a pod. One of these promising young animals is chosen, because of some commendable peculiarity of temperament or action, to remain unmutilated, as a procreator of his kind upon the ranch. The other is subjected to the veterinarian's knife and ecraseur and deprived of the testes,—the male sexual glands. From the day of this operation these two animals (in every respect alike, except that one is unmutilated while the other is deprived of the glands mentioned above) develop along radically different lines. The stallion develops during his third year into the noble animal described above. This third year is his period of puberty and the changes which he undergoes physically and psychically are closely parallel to the changes which the human subject undergoes during his period of puberty. The gelding, on the other hand, develops into an animal that is in every respect a neuter. Physically this animal develops a body almost identical with that of the female of the same species. Temperamentally the gelding is a patient, plodding, beast of burden, and though under good grooming he may show considerable life, while under the control of his driver, he seldom shows any interest in other members of the horse family, either male or female, and in the pasture or on the ranch his neutral sex temperament is ever apparent. While he may contend mildly for a place at the feeding trough, he never essays the defense of any weaker members of the herd, and one stallion would put a hundred like him to flight.
The thoughtful observer of this phenomenon cannot help wondering what has made this radical difference in the development of these two animals. The solution is not far to seek. From the beginning of puberty to the beginning of senile decay, the stallion derives from the testes what is referred to above as an internal secretion.
Physiologists have endeavored to determine exactly what substance formed by the testes is reabsorbed into the lymph and blood. It may be a substance called spermin, but whatever the substance is, the physiologists agree that the testes form some substance which is absorbed by the blood and lymph, is carried to the brain and spinal cord and there produces these profound effects indicated above. So we have discovered the source of the stallion's strength and beauty.
What is true of the horse is true of man. The young man at puberty begins to receive from his testes the internal secretion which leads to the development of his full manly powers. The sum total of the qualities peculiar to manhood has been called VIRILITY. For want of a better word, this term has been applied to the sum total of the male qualities of any animal whatsoever, so that the male qualities of the stallion are also compassed in the term virility.
The thoughtful and inquiring young man will naturally wish to know at this point if this lesson from the beast of the field can be applied in all its details to the human subject; if man, without any artificial or unnatural means would develop a full and complete virility; if like the horse, he can maintain a strict continence for months or even years without suffering any abatement of virility and of physical powers in general. The unequivocal answer of the medical profession to these questions would be in the affirmative.
An exact parallel to the gelding referred to above can be found in the eunuch of the Orient. If the human male is castrated before puberty he develops into a being as different from a virile man as the gelding is different from the stallion;—a being whose physique resembles in many respects that of a woman, and whose temperament manifests qualities of cringing servility and lack of initiative.
The external secretion of the testes differs from the internal secretion in containing spermatozoa; it may be that there are other differences. It is, however, generally believed that one or more of the substances found in the external secretion appear in the internal secretion. If this is true, it must be evident that excessive sexual indulgence or masturbation can draw away from the system this precious vital substance that is necessary to produce or maintain the virility.
It cannot be assumed that the condition of virility once attained will necessarily always continue—it must be maintained. To be maintained, this vital substance produced by the testes must be continuously absorbed into the blood. When once the man or boy understands this, it must be evident to him that he has, to a certain extent, the making or marring of his own virility; that it is not simply an inexhaustible endowment of nature; but, like such a natural resource as a forest or a coal mine, may be exhausted and will be exhausted if not husbanded carefully.
It is a well known fact in the medical profession that the ovaries of the female exert upon her development an influence analogous to that which the testes exert on the development of the male. For that reason, a surgeon should, under no condition, remove both ovaries (sexual glands) unless they are diseased in such a way as to necessitate their complete removal in order to save the life of the individual. If a woman of twenty-five were to suffer the loss of both ovaries, she would go very early into a condition of senile decay. If a female before puberty is deprived of both ovaries, it leads her to develop masculine physical characteristics and her temperament is wholly lacking in those characteristics which, summed up, might, for the want of a better term, be called FEMININITY.