The Biology, Physiology and Sociology of Reproduction / Also Sexual Hygiene with Special Reference to the Male

by Winfield Scott Hall

The brain of an individual adds no nerve cells after a very early age. The brain increases only very slightly in size and weight after the age of puberty, and then only under special conditions and this increase in weight and size is not due to the addition of any new cells, but simply to a slight increase in the bulk of those cells already present. In a similar way the sexual apparatus undergoes, during the period of puberty (fifteen to seventeen) a very rapid growth, reaching by the end of the period of puberty (seventeenth or nineteenth year) their full size.

4. Are enlarged veins in the scrotum dangerous?

Enlarged veins of the scrotum represent dilatation of the veins of the epididymis. These are thin walled vessels that respond to any increased internal blood pressure, perhaps showing a special tendency in this direction during that period of rapid growth of the sexual apparatus in the early part of the adolescent period. If the enlargement is only moderate, it may disappear, or at least become spontaneously arrested in its growth, in which case it need cause no concern. If these veins, however, dilate until they form a considerable mass, known as VARICOCELE, they may affect the sexual apparatus deleteriously in two ways: (1) The increased weight in the scrotal sac may cause the sac to become elongated and to annoy the subject by its traction on the spermatic cord. This lengthened scrotum with its contents may also be exposed to mechanical pressure or even to injury from the clothing, etc., which would not occur if the scrotal sac were short, holding the testes close to the body. (2) Of far more importance is the danger of the varicocele gradually encroaching by pressure upon the testis, perhaps to cause a partial atrophy of that gland. This condition is a comparatively rare one, and inasmuch as it seldom occurs in both testes, the possibility of causing sterility on the part of a man is remote.

The extension of the scrotum and the "bearing-down" sensation may be relieved through the wearing of a suspensory bandage. Such a bandage may be obtained at any drug store or surgical instrument house, and if properly fitted, will usually relieve any such discomfort as described above. If the varicocele is quite large, the subject will do well to consult a competent surgeon and to take his advice.

5. Is the emptying of the seminal vesicles thru nocturnal emission a universal phenomenon among continent men?

The nocturnal emission is not a universal method of emptying the seminal vesicles. Some continent men never have nocturnal emissions. The reason may be sought in one of two directions: (1) The usual cause of absence of nocturnal emissions is to be found in the fact that in the man in question the seminal vesicles are periodically drained by involuntary diurnal emissions, occurring usually when the individual is at stool. These emissions are likely to occur once in two to four weeks and take the place of the nocturnal emission. (2) Rarely we find virile, continent men whose vesicular secretion is so scanty that they are never conscious of its emission.

6. (a) Should a man who for three to six years of his boyhood practiced masturbation think of wedlock?

(b) If one has not lived a pure life but has reformed, may he ask a pure woman to be his wife?

Such questions as these are very frequently asked and with most serious motives. A vast majority of boys and young men who practice self-abuse, do so either wholly ignorant of the fact that it is wrong or cognizant only in a vague way of the evil of the practice.

To consign a man to the Hades of homelessness and the sorrow of childlessness because through ignorance he lapsed from purity during a few months or years of his life, would be meting out a retribution far in excess of the sin. If nature intended such a retribution to be meted out she would have led the way by causing an atrophy or some other form of disease in the subject who had abused his sexual organs. But nature does not do that. If the young man who, from his twelfth to his eighteenth year, has practiced masturbation, is shown the error of his way and breaks the habit absolutely, nature quickly comes to his rescue and rehabilitates his virility completely, unless he has been guilty of extreme excess in the habit. This rehabilitation of virility after self-abuse is usually experienced in from one to three years, according to the case and the extent of the practice.