6. If a person is in good health, and of a proper age, the seminal fluid is rapidly formed. This takes place in those that have not done growing and in those that are grown. Women rarely know when they are first pregnant; for they do not think that they have conceived unless they perceive that the semen has been emitted, suspecting that it ought to be emitted at the same time both by the female and the male; and it escapes their notice, more especially when they think that they are unable to conceive, unless they have become dry, and that which they have received has disappeared entirely; but it sometimes happens that both the male and the female emit more than could possibly disappear, and more than enough for conception. When sufficient has been drawn in and much left out, they become pregnant without knowing it.
7. That it is possible that this should take place, and that the affection does not arise from the whole of the seminal fluid, we may learn from those animals which produce many young ones from a single act of intercourse, or from the case of twins produced by a single act. It is evident that they are not produced from the whole semen, but each place receives some portion of it, but the larger portion is left behind; and if many young are produced from a single act of intercourse, which appears to be the case with swine and with twins, it is evident that the semen cannot come from every part of the body, but it is divided out to each form. It is possible, therefore, that it may be separated from every part of the body, and that the whole may be divided among many, so that it is not possible that all should have every part. The female also projects her semen into the os uteri, where the man also emits his, when he approaches her. From thence she imbibes with inhalation as if it were with the mouth or nostrils; for whatever is not joined to the members is either hollow above and united by a symphysis, or is sucked in from this place by the act of inhalation. For which reason they take care that it should be dry, as if this had happened before.
8. The path along which it passes is thus formed in women. There is a tube enclosed in the body like the penis of the male. The inhalation takes place through this by a small passage above the passage for the urine. When, therefore, they desire sexual intercourse, this part is not in the same condition as it was before. A falling down takes place from this passage, and the fore part of the uterus becomes much larger than the part where it falls into this passage. This resembles the nostrils; for, as the nostrils have a passage into the pharynx and into the external air, so this tube has a very small and narrow passage, like a passage out for the wind. That to the fore part of the uterus is wide and broad, as the nostrils are to the external air between the mouth and the pharynx. So women have a larger passage to the fore part of the uterus, and wider than the external passage.
9. Whatever conjecture is formed concerning these affections, it makes to the same conclusion, that the woman also emits a seminal fluid. The same things arise from the same cause, for to some it seems to be the cause of disease or of death; and these consider the end at the beginning as it ought to be considered; for to some women these are important causes, to some of no importance; and of these causes some are and some are not of consequence. They divide also in proportion the consequences which may result from them. To some it happens to pass through all these affections; to those who have many, through many of them: others through few; and others, again, who have none, through none of them.
10. There are some persons who suffer from the affection called inflation. This ought not to be. The affection is of this kind. In copulation they neither evidently emit semen, nor do they become pregnant. Wherefore they are said to be inflated. The excessive dryness of the uterus is the cause of this complaint; and when it has drawn the fluid into itself, it ejects it again. This becomes dried up, and having become small falls out, without any notice being taken of the circumstance on account of its size. When the uterus is violently affected in this way, and becomes very dry, and ejects it very soon, it is plain that pregnancy cannot take place. If this does not take place very soon, impregnation appears for a time to have taken place until it is ejected. The same thing also takes place at times in those who have conceived properly; if a long time has elapsed, the uterus becomes elevated, so that it plainly appears as if impregnation had taken place until it falls out. Then all becomes as it was at first. They refer this affliction to a divine origin. It is curable, unless it is natural, or the disease has gone a great way. It is a sign that this disease is not present, when women appear neither to have emitted semen, nor to have conceived after sexual intercourse.
Chapter IV.
1. Pregnancy is prevented also by spasm in the uterus. This complaint attacks the uterus when it is either distended with inflammation, or in the act of parturition. When any large quantity of matter suddenly enters it, and the os uteri is not open, spasm then arises from distension. It is a sign of the absence of spasm, if the uterus does not appear to reach inflammation in its functions: whereas, if spasm were present, there would be some signs of inflammation. Again, a swelling at the mouth of the uterus, if it is much drawn out, will prevent conception. It is a sign that this is not the case, when the uterus appears to open and close properly after the discharge of the catamenia, or the use of the male.
2. In some, also, the os uteri is closed, either from the period of birth, or in consequence of disease. Sometimes this is curable, and sometimes not so. It is not, however, difficult to ascertain the state of the case, for it is not possible either to receive or to emit anything in a proper manner. If it appears to have received and rejected the seminal fluid of the male, it is an evidence of the presence of the disease. But those who have no impediment in the way of conception, but are, as it has been said, as they ought to be, unless the man is impotent, or they are not able to have children together, being unable to emit their semen at the same time, and differ very much, such persons will have no children.
Chapter V.
In order to understand of sterility in the male, we must take other symptoms. These will appear very easy, if he copulates with other women, and impregnates them. When the sexes do not appear to concur with each other, although all the before-mentioned circumstances are present, they do not have children together. For it is evident that this is the only reason of sterility: for if the woman contributes to the semen and generation, it is evident that both the sexes should be concurrent: for if the man is quick, and the woman slow, in the emission of the semen (and many women are comparatively slow), this will prevent conception; for which cause they do not produce children by sexual union with each other. They do so, however, when they happen to be concurrent with each other; for if the woman is desirous, and prepared for the intercourse, and is inclined for it, but the man is suffering previous pain, and of a cold disposition, it is then also necessary that they should be concurrent.