170 THE SEX-COMPLEX 



DERANGEMENTS OF THE FULLY -ESTABLISHED GENITAL 

 FUNCTIONS 



Derange- In considering derangements of the fully -established 



established functions I shall take in order each of the chief organs 

 functions. f internal secretion, and endeavour to show how they 

 are individually related to various gynaecological and 

 obstetrical disorders. In some cases we have to take 

 into account certain correlations ; especially is this so 

 when the ovary is concerned. 



It will make this complicated subject clearer if it 

 be treated in this manner, instead of being subdivided 

 into the pathological anomalies themselves, although the 

 latter is undoubtedly the more scientific method. Some 

 day, when many more clinical observations have been 

 recorded, and conditions such as those we are discuss- 

 ing here become matters of daily consideration, it will 

 be possible intelligibly to describe the pathological 

 phenomena related to the internal secretions as definite 

 disorders. 



It will be remembered that consideration has 

 already been given to disturbances of genital develop- 

 ment — anatomical and physiological — and of the sex- 

 characteristics ; consequently the further discussion of 

 the individual relationships of the hormonopoietic organs 

 to derangements of the fully-developed functions will be 

 largely complementary, and in many particulars necess- 

 arily fragmentary. 



Primary derangements of the cryptorrhceic organs 

 may be considered as giving rise to insufficiency or excess 

 of the normal secretions ; and I shall deal with them from 

 these points of view. 



Disturbances of the Ovarian Secretion 



Absence and Absence and insufficiency of ovarian secretion. 

 oTovarian° y — These conditions are rare as primary disorders during 

 secretion. the reproductive period, except when produced by 



