512 



V. D. LESPINASSE 



cause first impotency, then general genital atrophy whose grade will cor- 

 respond to the amount of destruction of the anterior lobe of the pituitary 

 gland. These cases are easily recognized by the* 

 manifold and obvious signs of pituitary gland dis- 

 ease or thyroid disease. Their sexual deficiencies are 

 limited to impotency and sterility as the secondary 

 sex characteristics, bodily configuration and genital 

 development took place earlier in life when the glands 

 were functioning normally. In the late stages of hy- 

 perpituitary function when the gland is breaking 

 down and coming into a state of hypofunction, one 

 will have impotency develop, 

 but there will be no change in 

 the bodily secondary sex char- 

 acteristics, but there may be 

 changes in the sexual psychic 

 sphere. 



The testicle in common with 

 other glands breaks down after 

 excessive function. This con- 

 dition is excellently shown by 

 the Mujerados. These indi- 

 viduals are developed among 

 the descendants of the Aztecs 

 in Mexico for religious reasons. 

 They are a most excellent ex- 

 ample of the breaking down 

 of the testicular function by 

 excessive use or irritation of 

 it. Their production explains 

 many cases of clinical impo- 

 tence that consult us with his- 

 tories of marked sexual ex- 

 cesses either alone or in con- 

 junction with physical excesses. They are pro- 

 duced in the following manner : 



The man, anywhere from 20 to 35 years of age, 

 is masturbated several times daily, and made to ride 

 horseback constantly. This treatment soon pro- 

 duces an irritable weakness, so that the act of horse- 

 back riding produces ejaculations. Gradually as 

 this regime is continued, the testicles atrophy, the 

 penis atrophies, and the pubic hair may or may not disappear. In 

 addition to this, these men's breasts are suckled by babies, and con- 



Fig. 24. Mild grade 

 of eimuchoid who 

 states that he was 

 never sexually vigor- 

 ous, but broke down 

 completely at the age 

 of forty. Note the 

 feminine distribution 

 of hair, the small tes- 

 ticles, the tendency to 

 fat, but with a mas- 

 culine build through- 

 out. Normal penis. 



Fig. 25. Mild grade 

 of eunuchoid. Note 

 feminine distribution of 

 hair. Normal sized 

 penis. Testicles were 

 normal in size. Breast 

 not developed. No hair 

 on face, peaches and 

 cream complexion. 

 Slight elongation of 

 legs and arms. Weak 

 sexual libida. 



