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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 associations with obscene playmates. It not infrequently happens, however, that the habit is learned independent of these evil associations. It has been explained above that secretions frequently accumulate under the prepuce and accumulating 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 puberty, it must be perfectly evident that if a boy enters puberty with this habit, the psychical and physical conditions of puberty 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 puberty, the habit of masturbation either acquired during puberty 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 sexual apparatus, it must be evident that a sexual orgasm could be produced
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