518 



V. D. LESPINASSE 



the axillae, and a slight beard which develops more on the upper lip and 

 chin than on any other portion of the face. The body configuration may 

 be typically feminine or may grade from this to 

 a normal masculine shape. The penile develop- 

 ment is usually below normal, but may be nor- 

 mal. Testicles vary in size from practically noth- 

 ing to relatively normal, and in location all 

 grades of non-descent are frequently met. 



Clinically we have the pure eunuchoid or 

 gonadal type, and then we may have the various 

 other types, in which one or more other internal 

 secretion glands are involved, and then the pic- 

 ture is clouded by the changes due to the particu- 

 lar gland involved. The mental attitude of the 

 eunuchoid varies greatly. Some of them are 

 distinctly masculine in their outlook upon life, 

 and others are decidedly feminine, and we find 

 many peculiar mixtures of the different mental 

 sex characteristics in these individuals. Their 

 sexual libido as a rule is below normal. Fig. 27 

 is that of a Russian Jewish man who stated that 

 he had intercourse approximately once a month. 

 The ejaculation from this individual was very 

 small ; simply enough to moisten the inside of 

 the condom. It contained a few lecithin granules 

 and prostatic bodies but no spermatozoa. 



The individual depicted in Fig. 26 has testi- 

 cles about the size of the kernels in a peanut, with 

 a penis in a non-erect state of approximately the 

 size of the last joint of the thumb. He, however, 

 has a very marked libido, practically normal, but 

 as you can see from the picture, his bodily configuration and his breast 

 development are decidedly feminine. Tie is a boy about 19 years old with 

 six brothers in the family, all normal, and all relatively short. He is six 

 feet four; no hair on the face; no Adam's apple; and no abdominal hair. 

 Evidently his pituitary and adrenal are compensating for his testicular 

 loss or his small testicle is composed entirely of excellently functionating 

 interstitial cells ! 



Many of the milder grades of eunuchoid individuals marry, and ap- 

 parently get along about as well as other sorts of individuals. The lesser 

 grades may produce spermatozoa of sufficient development to impregnate, 

 and consequently have children. There is a tendency in these types to re- 

 produce the eunuchoid type just as there is in the extraordinary early 

 development of puberty a tendency to reproduce that condition. 



Fig. 28. Typical eu- 

 nuchoid. Note the femin- 

 ine distribution of hair, 

 feminine breasts, feminine 

 shaped pelvis and thighs, 

 normal sized penis and 

 very small testicles. Also 

 note the characteristic 

 careworn expression of the 

 face. 



