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The Midwife’s Vade-Mecum
Chapter 13. The External and Internal Organs of Generation in Women
Aristotle
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       _ CHAPTER XIII
       The External and Internal Organs of Generation in Women.
       If it were not for the public benefit, especially for that of the professors and practitioners of the art of midwifery, I would refrain from treating the secrets of Nature, because they may be turned to ridicule by lascivious and lewd people. But as it is absolutely necessary that they should be known for the public good, I will not omit them because some may make a wrong use of them. Those parts which can be seen at the lowest part of the stomach are the _fissure magna_, or the _great cleft_, with its _labia_ or lips, the _Mons Veneris_, or Mountain of Venus, and the hair. These together are called the _pudenda_, or things to be ashamed of because when they are exposed they cause a woman _pudor_, or shame. The _fissure magna_ reaches from the lower part of the _os pubis_, to within an inch of the _anus_, but it is less and closer in virgins than in those who have borne children, and has two lips, which grow thicker and fuller towards the pubis, and meeting on the middle of the _os pubis_, form that rising hill which is called the _Mons Veneris_, or the Hill of Venus.
       Next come the _Nymphae_ and the _Clitoris_, the former of which is a membrany and moist substance, spongy, soft and partly fleshy, of a red colour and in the shape of two wings, which are joined at an acute angle at their base, producing a fleshy substance there which covers the clitoris, and sometimes they extend so far, that an incision is required to make room for a man's instrument of generation.
       The _Clitoris_ is a substance in the upper part of the division where the two wings meet, and the seat of venereal pleasure, being like a man's _penis_ in situation, substance, composition and power of erection, growing sometimes to the length of two inches out of the body, but that never happens except through extreme lustfulness or some extraordinary accident. This _clitoris_ consists of two spongy and skinny bodies, containing a distinct original from the _os pubis_, its tip being covered with a tender skin, having a hole or passage like a man's yard or _penis_, although not quite through, in which alone, and in its size it differs from it.
       The next things are the fleshy knobs of the great neck of the womb, and these knobs are behind the wings and are four in number, resembling myrtle berries, and being placed quadrangularly one against the other, and here the orifice of the bladder is inserted, which opens into the fissures, to evacuate the urine, and one of these knobs is placed before it, and closes up the passage in order to secure it from cold, or any suchlike inconvenience.
       The lips of the womb, which appear next, disclose its neck, if they are separated, and two things may be observed in them, which are the neck itself and the _hymen_, or more properly, the _claustrum virginale_, of which I have spoken before. By the neck of the womb we must understand the channel that lies between the above-mentioned knobs and the inner bone of the womb, which receives the penis like a sheath, and so that it may be more easily dilated by the pleasure of procreation, the substance is sinewy and a little spongy. There are several folds or pleats in this cavity, made by tunicles, which are wrinkled like a full blown rose. In virgins they appear plainly, but in women who are used to copulation they disappear, so that the inner side of the neck of the womb appears smooth, but in old women it is more hard and gristly. But though this channel is sometimes crooked and sinks down yet at the times of copulation, labour, or of the monthly flow, it is erected or distended, which overtension occasions the pain in childbirth.
       The hymen, or _claustrum virginale_, is that which closes the neck of the womb, and is broken by the first act of copulation; its use being rather to check the undue menstrual flow in virgins, rather than to serve any other purpose, and usually when it is broken, either by copulation, or by any other means, a small quantity of blood flows from it, attended with some little pain. From this some observe that between the folds of the two tunicles, which constitute the neck of the womb there are many veins and arteries running along, and arising from, the vessels on both sides of the thighs, and so passing into the neck of the womb, being very large; and the reason for this is, that the neck of the bladder requires to be filled with great vigour, so as to be dilated, in order that it may lay hold of the penis better; for great heat is required in such motions, and that becomes more intense by the act of friction, and consumes a considerable amount of moisture, for supplying which large vessels are absolutely necessary.
       Another cause of the largeness of the vessels is, that menses make their way through them, which often occasions pregnant women to continue menstruating: for though the womb be shut up, yet the passages in the neck of the womb through which these vessels pass, are open. In this case, we may further observe, that as soon as the _pudenda_ are penetrated, there appear two little pits or holes which contain a secretion, which is expelled during copulation, and gives the woman great pleasure. _