Part 4 (1/2)

The disease manifests itself in from three to seven days after exposure by swelling of the orifice of the urethra, peculiar sensations between tickling and itching, and smarting or burning during urination. The peculiar sensations fix the attention to the genitals, thus causing frequent pa.s.sage of urine.

These symptoms increase for about a week, when the disease reaches its maximum degree of severity, which is maintained a variable time, the discharge from the urethra being thick, creamy and of a greenish yellow color.

In the majority of carefully treated cases, the discharge ceases in from three to six weeks with apparent recovery. Unfortunately, however, there is frequently a tendency for the disease to become chronic. The discharge becomes thin and more watery and persists for an indefinite period. This condition--chronic gonorrhea--is commonly known as ”gleet.”

c. =Syphilis=, popularly termed the ”pox,” is a const.i.tutional affection of the type known as ”blood diseases.”

It is by far the most important and most greatly to be feared of the venereal diseases. No disease has been so wide-spread in its dissemination or more potent in its influence upon humanity.

It has been known for centuries, having been mentioned by j.a.panese historians and in Chinese writings two thousand years ago.

Syphilis is contagious and is transmitted by inoculation. The infectious material enters the broken surface of either the skin or mucous membrane, called ”contact” or ”acquired” syphilis. When it is transmitted by the mother to the embryo, it is called ”hereditary” or ”inherited” syphilis.

The disease manifests itself first in a ”_primary lesion_” which is a local ulcer (hard chancre) at the point or points of inoculation at a period ranging from ten to thirty days after exposure. It may appear as an erosion or as a dry scaling and indurated papule, varying in size from a pin-head to a silver dollar. The base of the ulcer is indurated. It is oval in shape, perhaps somewhat irregular, with a raw surface and red colored base devoid of pus.

Immediately following the appearance of the chancre, the glands in direct connection with it become enlarged, hard and rarely painful, but they have no tendency to suppurate like the enlarged glands of chancroid.

The chancre disappears in a few weeks and then there is a period when the individual has no outward manifestations of the disease. In about six weeks after the chancre the so-called _secondary symptoms_ make their appearance. They are heralded by headache, pains in the limbs and back, nausea, sleeplessness and nervous irritability and fever, followed by the appearance of a rash upon the face and body, falling out of the hair, sore throat and mouth. These symptoms disappear to be again followed by a period free from symptoms. After a longer or shorter time the so-called _tertiary symptoms_ make their appearance, which are many and varied.

The disease presents a succession of morbid const.i.tutional disturbances, appearing at variable intervals, and pursues a chronic course.

This disease remains in the body for years and affects the most vital organs, particularly the brain and spinal cord.

When one is infected with this disease he should seek the services of a reputable physician. The treatment of this extends over a long period, usually about three years, and must be strictly and conscientiously carried out. Marriage upon the part of an individual once infected should be only upon the approval of a physician.

After having detailed, as above, the terrible consequences of the venereal diseases, it is hardly necessary to add that the young man who deliberately seeks any of the usual chances for illicit intercourse, is more than taking his life in his hands. If infection with a venereal disease meant simply the death of the infected individual, it would really be very much less deleterious to society than is the present condition. When the young man ”sows wild oats” and catches incidently gonorrhea, that twenty years ago was considered a sort of a ”good joke,” he will, in a large proportion of cases, lay the foundation for broken health and will run a serious risk of transmitting the disease to an innocent, pure wife.

When a woman catches this disease, particularly from her husband, she is very likely to interpret the discharge as a leucorrhea, may say nothing about it to her husband or her physician, but adopt simple home treatment with antiseptic and astringent douches. Such treatment will usually result in allaying the inflammation in the superficial organs, but will not eradicate it from the deeper organs. It spreads to the uterus, Fallopian tubes and ovaries and may even affect peritoneal tissues, first of the pelvis, then of the abdomen--may even finally affect the heart and joints. Of course, these are rather the extreme limit, but they are not at all rare cases. Once this terrible disease gets into a woman's organs, it is very likely to lead to a sojourn in a hospital where she loses some portion of her body as a sacrifice to this mogul of gonorrhea.

It is claimed by specialists in this field that at least sixty-five per cent. of the operations that women are subjected to in the hospitals for diseases of the pelvic organs are the results of gonorrheal infection. Besides the cases that require operation, a large proportion of cases of sterility is due to gonorrheal infection, either in the man or woman, or both.

If we consider the revolting sequences of syphilis with its train of operations, and progeny of scrofulous children, it would seem to make the natural retribution for illicit intercourse infinitely outweigh any brief pleasures derived from the enjoyment of the stolen fruits.

It hardly seems possible that any young man who knows the whole truth about these venereal diseases and their terrible after-effects could be tempted to indulge in illicit intercourse.

2. MASTURBATION.

The vice of masturbation or self-abuse is very likely to be learned in boyhood, perhaps even by boys of six or eight years of age through their a.s.sociations with obscene playmates. It not infrequently happens, however, that the habit is learned independent of these evil a.s.sociations. It has been explained above that secretions frequently acc.u.mulate under the prepuce and acc.u.mulating there serve as a local irritation, causing itching of the organ. This local irritation leads the boy to attempt to allay the irritation through rubbing. Such manipulation of the organ is very likely to excite it and to lead to the discovery on the part of the boy that such local manipulation may lead to pleasurable sensations of momentary duration. If he has not been instructed by his parents that these organs are sacred to the uses of manhood and that they will be injured if handled during childhood, he is very likely to repeat this act until it becomes a more or less fixed habit.

While it must be admitted that anything short of extreme excess in this habit among little boys will not be permanently injurious if the habit is stopped at p.u.b.erty, it must be perfectly evident that if a boy enters p.u.b.erty with this habit, the psychical and physical conditions of p.u.b.erty are such as to make the habit very difficult to stop. If it is not stopped a serious injury may result. So the necessity hardly need be further urged for explaining to young boys that these organs should not be handled.

After the boy enters p.u.b.erty, the habit of masturbation either acquired during p.u.b.erty or carried into that stage from early boyhood, begins to have a distinctly deleterious effect.

Let us now consider just what is the character of this deleterious effect. From what we know of the physiology of the s.e.xual apparatus, it must be evident that a s.e.xual o.r.g.a.s.m could be produced during waking hours only through strong stimulation of the activity of the testes, accompanied by liberation of spermatozoa and of the other elements of the vital fluid. Let us not forget in this connection, the statement made above: that the testis produces two forms of secretion, the internal secretion and the external secretion, the internal secretion being absorbed, produces those male characteristics which we group together under virility, while the external secretion is used for procreation. Spermatozoa do not make any part of the internal secretion. One reason for this must be evident, i.e., that being cellular elements, they could not pa.s.s through the vessel walls and be absorbed into the blood current, and if they could, by some special adaptation, get into the blood current, there is no conceivable action which they could perform in the body. We must then look upon the internal secretion as composed of the liquid elements of the testicular secretion.

So far as physiologists know at present, the external secretion differs from the internal secretion only in possessing spermatozoa.