78 MAINE AGRICULTURAL EXPERIMENT STATION, I915. 



breasts. Heart and lungs normal. Uterus about size of Eng- 

 Hs'h walnut, ovaries, not palpafble. (Has been examined by 

 gymeoo'logist who told feer she could never have a child). Pel- 

 vis normal. Has had menstrual show of a few drops three or 

 four times during her life. Episitaxis very free at times. Sexual 

 feeling very slight, if at all, and! only very seldom. Several 

 members! of family have 'had mienstrua'l cligorders, but none Oif 

 this type. 



"Treatment and Result. April 6, 191 2: Paitienit was put on 

 extract o^f lulteum tablets, one three times daily for a week, 

 two itlhree times daily foir another week, then returming to the 

 first dosage. So^me uterine massage was given." 



"On May 20, 1912, menses appeared for a day. Patient had 

 sensation of ajpproadhing mensies in June, but only a pink 

 show. She bad a mild epistaxis. General condition is good ; 

 she seems to be irounding out. Becoming discouraged, patient 

 abandoned treatment. 



"Extract of luteuim treatment was advised and started again 

 in September, 1912. Uterus seems larger and cervix longer 

 than in June. Last part of October patient had slight men- 

 strual show, first time since June. 



"Nov. 3, 1912: Patient noticed more sexual feeling last 

 month. 



"Nov. 25, 1912: No menses since show in October. Patient 

 very muoh stouter, breasts enlarged, uiterus larger, cervix 

 longer. Pregnancy suspected and cautions given. 



"Jan. 24, 191 3: Uterus much larger, size of large pear, cer- 

 vix long and firm. Breasts much larger, hips larger; general 

 appearance of woman's figure instead of boy's. Side view, 

 prominent above ipubes, as in three and a half ito four months' 

 pregnancy." 



At 6 P. M. on July 2, 1913, the patient was delivered nor- 

 mally of a male child. 



In this case we have at thie ontstart an (infantile condition of 

 the uterus and essentially an indifferent condition of the sec- 

 ondary sex characters. Following the lutear medication there 

 was a marked change to the distinctively female condition. 



