SEXUAL HYGIENE 



L95 



years of age presented himself for examination with 

 reference to a condition which he supposed might be 

 remedied by a surgical operation. On examination, 

 we found no evidence whatever of the presence of the 

 sexual glands in the usual location, and learned from 

 the young man that he had been informed that the 

 glands had remained in the abdomen, having failed to 

 descend at the proper period before birth. Careful ex- 

 amination satisfied us that the glands were present in 

 only a rudimentary state. On further investigation, we 

 found that the young man 

 presented many evidences 

 of the lack of the influence 

 of these glands upon devel- 

 opment. His hips were 

 broad and his thighs large, 

 like those of a young woman, 

 while his shoulders were 

 narrow. The difference be- 

 tween the breadth of shoul- 

 ders and hips was only half 

 what it should be. The ster- 

 n u m was proportionately 

 short, as in women. There 

 was an entire absence of beard and other external 

 evidences of development, the external genital or- 

 gans being infantile in appearance. Notwithstanding 

 the feminine appearance presented by the young man 

 in many respects, the legs and arms were long, as in 

 men, and the case was evidently not of the mixed but 

 of the neuter type. In Fig. 1 is a reproduction of a 

 photograph of this young man. In Fig. 2 his outline 

 (C) is placed, for comparison, between the outlines of 

 a typical man (A) and a typical woman (B). 



