The venereal feeling also proceeds from different causes; in men from the desire of emission, and in women from the desire of reception. All these things, then, considered I cannot but wonder, he adds, how any one can imagine that the female genital organs can be changed into the male organ, since the sexes
can be distinguished only by those parts, nor can I well impute the reason for this vulgar error to anything but the mistake of inexpert midwives, who have been deceived by the faulty conformation of those parts, which in some males may have happened to have such small protrusions that they could not be seen, as appears by the example of a child who was christened in Paris under the name of Ivan, as a girl, and who afterwards turned out to be a boy, and on the other hand, the excessive tension of the clytoris in newly-born female infants may have occasioned similar mistakes. Thus far Pliny in the negative, and notwithstanding what he has said, there are others, such as Galen, who assert the affirmative. "A man," he says, "is different from a woman, only by having his genitals outside his body, whereas a woman has them inside her." And this is certain, that if Nature having formed a male should convert him into a female, she has nothing else to do but to turn his genitals inward, and again to turn a woman into a man by a contrary operation. This, however, is to be understood of the child whilst it is in the womb and not yet perfectly formed, for Nature has often made a female child, and it has remained so for a month or two, in its mother's womb; but afterwards the heat greatly
increasing in the genital organs, they have protruded and the child has become a male, but nevertheless retained some things which do not befit the masculine sex, such as female gestures and movements, a high voice, and a more effeminate temper than is usual with men; whilst, on the other hand, the genitals have become inverted through cold humours, but yet the person retained a masculine air, both in voice and gesture. Now, though both these opinions are supported by several reasons, yet I think the latter are nearer the truth, for there is not that vast difference between the genitals of the two sexes as Pliny asserts; for a woman has, in a way, the same pudenda as a man, though they do not appear outwardly, but are inverted for the convenience of generation; one being solid and the other porous, and that the principal reason for changing sexes is, and must be attributed to heat or cold, which operates according to its greater or lesser force.
FOOTNOTES:
Attributed to George IV (Translator).