Vagina

“ Unless first moistened with saliva the member cannot enter.
The odour it emits is full of charms."
It is also said that this name applies to the vagina of women who are plump and fat. When such a one crosses her thighs one over the other the vulva stands out like the head of calf. If she lays it bare it resembles a saa [16] for corn placed between her thighs; and, if she walks, it is apparent under her clothes by its wavy movement at each step. May God, in his goodness and generosity, let us enjoy such a vagina! It is of all the most pleasing, the most celebrated, the most wished for. ”

“ A careful study should be made of our illustration, in order that the relation of the vagina and uterus to the rectum behind and the bladder in front may be thoroughly understood; also the angle which is formed by the vagina and the uterus.
Notice should be taken, also, of the opening of the uterus into the upper part of the vagina; as inflammation of the uterus often causes a discharge which passes into the upper part of the vagina and finally out of the body. ”

“ Verdile records an instance of imperforate vagina in which rectovaginal wall was divided and the delivery effected through the rectum and anus. Lombard mentions an observation of complete occlusion of the vagina in a woman, the mother of 4 living children and pregnant for the fifth time. Thus, almost incredible to relate, it is possible for a woman to become a mother of a living child and yet preserve all the vaginal evidences of virginity. Cole describes a woman of twenty-four who was delivered without the rupture of the hymen, and Meek remarks on a similar case. ”

“ If she be far enough abandoned with her passion, such entrance may be made at a single stroke, not to say a furious plunge. But if the vulva and vagina are not yet fully dilated, the entrance should be carefully made, gently made, as she can bear it, as she wishes it to be. ”

“ If the vulva and vagina were situated between a woman's shoulder blades, and a man had a separate instrument for coitus, not used for any excretory purpose, I do not think women would feel about intercourse as they sometimes do. Again, in their ignorance of anatomy, women often look upon the vagina and womb as part of the bowel and its exit of discharge, and sometimes say, for instance, 'inflammation of the bowel', when they mean womb. Again, many, perhaps most, women believe that they pass water through the vagina, and are ignorant of the existence of the separate urethral orifice. ”

“ Preparation of the External Genitals and Vagina.—The pubis and the external genitals should be shaved. The woman should be drawn down to the edge of the bed, and the anus, the external genitals, and the vagina should be scrubbed with green soap. The vagina should be washed throughout. The nurse may do this by inserting one or two fingers, or she may retract the perineum with the Sims speculum, and scrub the vagina, the fornices, and the vaginal cervix with cotton held in forceps. ”

“ A woman with a deep lying uterus, and consequently a long vagina, only yearns for a member which is long and thick and of ample proportions, and thus fills her vagina in its whole extension; she will despise the man with a slender member, for he could never satisfy her in coition. ”

“ The vagina is preternaturally distended; the orifice of the uterus is soft and open, and capable of admitting the point of the finger without difficulty, as if a late discharge had been made from it; the womb itself, not having properly collapsed, and resumed its natural shape and dimensions, may be felt through the parietes of the abdomen, voluminous, firm, and globular, contracting and expanding under the hand, on pressure. ”

“ The vagina consists of a very soft, vascular, elastic, and contracting structure, constituting, when its sides are collapsed, liliputian rugæ, or ridges, like the impressions left on the sand by a receding sea. ”

“ The hymen may be occasionally imperforate and require incision. Cysts and painful carunculae may occur on the clitoris. Any part of the vulva may be the seat of new growths, simple or malignant.
Diseases of the Vagina.— (1) Malformations. The vagina may be absent in whole or in part or may present a septum. Stenosis of the vagina may be a barrier to menstruation. (2) Displacements of the vagina; (a) cystocele, which is a hernia of the bladder into the vagina; (b) rectocele, a hernia of the rectum into the vagina. The cause of these conditions is relaxation of the tissues due to parturition. ”

“ Sometimes during life the cause of the sterility is entirely overlooked, and only discovered by chance or in post mortem examination. Although the vagina usually shares to a marked extent in the defects of the uterus, and at puberty undergoes a rudimentary development merely, the marital intercourse of such individuals commonly appears to be perfectly normal. As a result of frequently repeated and vigorous attempts at intercourse, the rudimentary vagina becomes accommodated to the needs of the case ”

“ There are also women who love the coitus only on the edge of their vulva, and when a man lying upon them wants to get his member into the vagina, they take it out with the hand and place its gland between the lips of the vulva. ”

“ If the parties get tired, or sleepy, part the organs, kiss good-night, and go to sleep. Although it is not at all uncommon for such lovers, who have fully learned this art, to go to sleep thus, in each other's arms, their sex organs united; and, in this position, have the organs detumesce, the penis grow limp and slip out of the vagina of its own accord, while the vagina also grows small and the clitoris subsides. This experience is most delightful and if once experienced, once well mastered by the husband and wife, it will continually grow in favor, to their mutual benefit. ”

“ Imperfections of the female genital organs are sometimes met with. The external parts may be well formed, while the vagina is short, and the uterus and its appendages are wanting; or these may be perfect, and the vagina closed at its external orifice, either by a thin and dense membrane, or by a thick and fleshy substance. Young children are not unfrequently presented with the latter kind of imperfection, but in them there is no need for interference; the urine is not obstructed, and it is only towards puberty that a necessity arises for removal of the deficiency. ”

“ But when the woman is what is physiologically called tumescent (that is, when she is ready for union and has been profoundly stirred) , these parts are all flushed by the internal blood supply and to some extent are turgid like those of the man, while there is a plentiful secretion of mucus, which lubricates the channel of the vagina. In a really ardent woman the vagina may even spontaneously open and close as though panting with longing. ”

“ We threw ourselves on the bed and assumed a hundred different positions. At last I caused her to kneel before me, and handled at will her belly, her thighs, her bubbies, and at last, though not the least delicious, her con, pressing the two lips together, playing with the hair on her mount, titillating her clitoris and exploring the innermost recesses of her vagina. ”

“ OBSTRUCTIONS IN THE VAGINA, AND NARROWNESS OR OBSTINATE RESISTANCE OF THE VULVA AND PERINEUM.
The Vagina may be partly closed by its sides growing together, or it may be united by bands and membranes stretching across; and these obstructions may be sufficient to impede or prevent delivery. Most usually they give way, and are gradually broken down by the pressure of the child's head; but if they prove too strong, after waiting a reasonable time, they must be cut through. ”

“ The vagina is a membranous canal which joins the internal outlet with the womb, which projects slightly into it. The opening into the vagina is nearly oval, and in those who have never indulged in sexual intercourse or in handling the sexual organs is more or less closed by a membrane termed the hymen. ”

“ Function of the vagina.—The function of the vagina is to serve as a receptacle of penis and semen. The erectile tissue which runs along the entire length between the different membranes, forming the vaginal wall, helps the vagina to adjust itself to the volume of the penis and to augment its turgescence. The muscular fibres, situated within the tunica media of the vaginal mucous membrane, contract during the ejaculation of the semen. ”

“ Duplex vagina has been observed by Bartholinus, Malacarne, Asch, Meckel, Osiander, Purcell, and other older writers. In more modern times reports of this anomaly are quite frequent. Hunter reports a case of labor at the seventh month in a woman with a double vagina, and delivery through the rectum. Atthill and Watts speak of double vagina with single uterus.
Robb of Johns Hopkins Hospital reports a case of double vagina in a patient of twenty suffering from dyspareunia. The vaginal orifice was contracted; the urethra was dilated and had evidently been used for coitus. ”

“ That generated by the man is called "prostatic flow;" that produced by the woman "pre-coital secretion."
Now, if time is given for this fluid to be secreted and exuded, all the parts become covered or saturated with it, and they are admirably equipped for easy union. The glans penis is then covered with the slippery fluid, and the vulva and all the walls of the vagina are laved with the substance. At the same time, the vaginal walls have widened and grown soft, and all the parts of the vulva (which are yet to be named and described in detail) are in like condition. ”

“ In association with absence or a rudimentary condition of the uterus, the vagina also may be wanting, or may be represented merely by a small, blind pouch; the Fallopian tubes may in such cases either be normally developed or rudimentary. The number of instances of this kind that have been observed is very large (Kussmaul, Klebs, Cusco, Klinkosch-Hill, Cruise, Freund, Fürst, Engel, Gusserow, Nega, Kiwisch, Rokitansky, Braid, Jackson, Lucas, Duplay, Dupuytren, Renaudin, Crédé, Saexinger, and many others) . ”

“ The discharge from the vagina is mucoid, muco-purulent, sanguinolent or fœtid, according to circumstances. It is small in quantity, and occurs only when the animal lies down or makes expulsive efforts. Examination with the speculum reveals the existence of slight secondary vaginitis and more intense inflammation of the neck of the uterus, which remains half open. Rectal examination shows that the uterus is abnormally large and more difficult than usual to displace. ”

“ If the position with the husband superior is taken, let him, after he has gotten into place and before the organs are united, have his wife take his penis in her hand, and, as he moves his hips up and down, stroke her vulva, especially the clitoris, with the glans penis—not entering the vagina at once, but continuing this form of exterior contact of the organs, for a longer or shorter time—slipping past the wide open vaginal mouth, even when the wife raises her thighs and, as it were, begs for an entrance ”

“ Berard mentions a similar deformity and operation in a girl of eighteen. Gooding cites an instance of absent vagina in a married woman, the uterus discharging the functions. Gosselin reports a case in which a voluminous tumor was formed by the retained menstrual fluid in a woman without a vagina. An artificial vagina was created, but the patient died from extravasation of blood into the peritoneal cavity. Carter, Polaillon, Martin, Curtis, Worthington, Hall, Hicks, Moliere, Patry, Dolbeau, Desormeaux, and Gratigny also record instances of absence of the vagina. ”

“ The skin darkens in the axilla and in the areola of the breasts. A dark line presents itself down the middle of the abdomen. The vagina takes on a violet tint, the cervix becomes purple, the various colors becoming more marked with the progress of pregnancy. ”

“ The vagina may also be partially occupied, and coitus may be impeded, by elongation of the hypertrophied cervix uteri, by inversion or prolapse of the uterus, by cystocele or rectocele, and by uterine polypi. Horwitz records the case of a woman aged twenty-two years in whom impotentia coeundi was dependent upon the occlusion of the vaginal orifice by a rounded, strongly projecting body, which proved on closer examination to be a hypertrophied vaginal bulb. ”

“ In very rare cases of uterus bicornis associated with double vagina, an obstacle to conception is offered by the fact that one side only of the double vagina, the larger, is utilized in sexual intercourse, and that this is a blind passage. ”

“ The female genitals occupy the same relative situation in the pelvis as the male, but they are an antithesis to each other. The male are constructed to deposite, and the female to receive; consequently, in the female there is a conduit or passage, in place of the male penis, termed the vagina, leading to the womb—the receptacle for the impregnating fluid. The vagina is placed between the bladder and rectum. ”

“ Late in the puerperium vaginal douches are unobjectionable, and patients may take them unassisted, for then the fluid will not penetrate the womb so long as it has a free escape from the outlet of the vagina. ”

“ The female organs open into the rectum, as in the bird. The vagina is 11⁄2 inches long: its internal membrane is rugous, the rugae being in a longitudinal direction. At the end of the vagina, instead of an os tincae, as in other quadrupeds, is the meatus urinarius; on each side of which is an opening leading into a cavity, resembling the horn of the uterus in the quadruped, only thinner in its coats. ”