160 THE SEX-COMPLEX 



Conditions woman are active, since, as I have shown elsewhere 1 , 



puberty Qplete tne Y are not necessarily concerned in the production of 



the secondary characteristics. If, however, the woman 



have strong sexual feelings and potency we may presume 



the presence of active sexual glands. 



Causes of The causes of underdevelopment of the uterus are 



development now gradually being recognized. In the presence of 



of uterus. normal ovaries we must seek for anomalies of the 



pituitary or the thyroid ; in the latter especially there 



may be insufficiency not amounting to congenital 



cretinism. Occasionally both organs are at fault. 



On several occasions I have seen under-development 

 of the pituitary in cases of infantile or rudimentary 

 uteri. 

 Causes of In the second class of case with incomplete puberty 



development tne ovaries are under-developed or inactive, and the 

 of ovaries. u terus is usually rudimentary or infantile, and may be 

 imperfectly developed. Such a condition is not very 

 common, and of course nothing can be done to remedy 

 the state of affairs. If the experiments of Paulesco 2 

 and of Crowe, Cushing and Homans 3 be correct, con- 

 genital under-development of the pituitary might be 

 responsible for the pelvic anomalies. As already stated, 

 my own experiments largely confirm the results obtained 

 by the investigators mentioned. 



In many cases, moreover, the condition of affairs 

 just described must undoubtedly be due to local lesions, 

 such as tuberculous or gonococcal infections, with pelvic 

 peritonitis, and possibly in some cases to pelvic infection 

 from appendicitis 



Delayed Delayed Puberty. — An undue delay in the appearance 



Puberty. Q j p U b er ty is a matter of considerable importance in 



1 Bell, W. Blair, Proc. Roy. Soc. Med. (Obstet. and Gyncecol. Sect.), 

 1913, vol. vii, p. 47 ; Arris and Gale Lectures, Lancet, 1913, vol. i, pp. 

 809, 937. 



2 Paulesco, N. C, Journ. Physiol. Path. Generate, 1907, vol. ix, 

 p. 441 ; Uhypophyse du cerveau, 1908. 



3 Crowe, S. J., H. Cushing, and J. Homans, Bull. Johns Hopk. 

 Hosp., 1910. vol, xxi, p. 127. 



