"The physical pains begin abruptly. Sudden congestions of blood in the brain and in the abdomen. Sudden perspirations, heat and cold. Great nervous pains in the small of the back, also in the nerve-centers of abdomen and stomach. Sharp, shooting pains in the breasts and especially the nipples. Sudden toothache which stops as suddenly. The skin becomes darker, sometimes mottled. I have the whole time a taste of blood in my mouth and often everything I eat tastes of blood. I have great difficulty at that time in eating meat. Physical longings for erotic adventure, counterbalanced by mental nausea at the bare idea.
"The mental symptoms are: sudden feeling of deep depression, suicidal tendencies, alternating with sudden inexplicable lightheartedness. Capriciousness and great dissatisfaction with myself and life generally. Horror at my own incompleteness of sex and sudden fits of hatred toward women and a great longing to be loved by men. This condition changes slowly back to the normal one. It takes several days for me to lose my physical weakness owing to it.
"Physically I was developed at 16 years of age. Mentally I was developed at a very early age, but I kept my inner life quite dark, always playing the innocent. Nobody at home believed me to know anything about life. They were at times very surprised when I fell out of the rôle I had planned for myself. Up till I was 17 years of age nothing to do with other people's morals was ever discussed before me. I looked so pure, and do now, that people are always careful in front of me. My father never discussed such things with me. From my earliest childhood I loved men dearly, though I was always at daggers drawn with my father and brother. I worshipped my mother then, as I do now. My sister and I did not at all get on as children, though we are the best of friends now. She and her husband as well as my mother have been kindness itself ever since they knew of my condition. Not till I was over 30 years did I meet a man I loved as well as my mother, and he is heterosexual. I must have loved my father and brother at first, but continual conflicts, incompatible temperaments and mutual misunderstandings and want of sympathy made life at home horrible. I must admit from my earliest childhood I had a certain contempt for my father and brother because I found them so materialistic. I had all my childhood rows with my brother. My father took his part, my mother mine. After I had recovered from my father's sudden death (my first words were after reading the letter: 'Thank God it isn't mother!') I felt a great relief, but it took a long time for me to grasp that I was really free.
"I have always liked women's society and, as a youth, I was very fond of gossip, which I by no means am now. I have many women friends, more than men friends. These women friends are all heterosexual except one. I very often like elderly women; I suppose I see mother in such women. A woman never could make me blush, but a man I admired could easily.
"I was 23 years of age when a married woman of good family asked me to come and spend the night with her. I went, and though she was beautifully built, cleanly, and though her garments and apartments were of the utmost good taste, I did not have any erection. On the other hand, I felt myself to be most unclean and bathed three times each of the following three days. Since then I have never tried to have sexual intercourse with women.
"In Copenhagen I tried to excite my feelings with every class of woman, in vain. I suppose it is that my nature is so like woman's that there can be no reaction. With men I am often very shy and nervous, tongue-tied, and my hands perspire. Never so with women.
"As a child I loved men and used to fall desperately in love with some who came to the house. I would, when no one was there, kiss their hats, or gloves, or even their sticks.
"I can remember, when I was about 6 years, how I fell in love with a very good-looking 26-year-old German. He had very curly hair and his hands were very beautiful. He was very fond of me and I used to call him 'my Boy.' When visiting us he often used to 'tuck me in' after the nurse had gone down. He always had sweets or something for me. I can remember how I used to fling my arms round his neck and cover his face with kisses. I would then draw his head down on my pillow and he would tell me fairy-tales and I would go off to sleep quite happy.
"At 7 years of age, while staying in the country, a very good-looking groom, about 25 years of age, misbehaved himself with me. I often used to visit him in the stables, as this man had a strange attraction for me. One day he tickled me. While doing so he produced my penis and also his own, which was in full erection. He tried in every way to excite my feelings, in vain. For him the occasion terminated in an ejaculation. He forbade me to tell anyone, and I did not do so, but tried to find out all I could on the subject, with little or no result. From that day I hated the groom and I felt a sort of guilt, as if I had 'lost something.' Not till I was 12 years did I understand.
"From my earliest childhood I had one ideal of a man. From that ideal I have never swerved. At the age of 30 I found a friend who, though quite heterosexual, has, without giving me any sexual intercourse, given me the love I have always needed. He has been for the last couple of years a second mother, father, sister, brother, and lover. Through him I have regained my health, my love of nature, and he has helped to deaden my hatred toward human nature and my bitterness. A better friend I never wish to find. It has made up for all the years of mental and physical suffering. One strange thing is that the feeling is mutual. He has had a tragic life, for his wife, whom he loved beyond everything, died under very sad circumstances. He says I am the best male friend he has ever had. While with him, much of the lower nature in me was stamped out. I shall always look upon him as the turning point in my life. I think he wrought some of his finest influence through his music. He played Beethoven and Wagner for me for a couple of hours every day for months, and thus opened up a new world to me.... He is six years older than I am.