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sion of the ovule and of its fecundation, as well as the changes in the womb which result from these phenomena. =Menstruation.=--About every four weeks, one or two ovules (rarely more) mature and are discharged into the Fallopian tubes, down which they pass by the movement of the vibratile cilia of the mucous membrane, to the uterus, to the walls of which they become attached if they have been fecundated on the way (Fig. 18). Fecundation or conjugation takes place most often in the Fallopian tube, sometimes in the uterus. The maturation and expulsion of the ovule are generally accompanied in women by a nervous phenomenon closely related to erection in man. The mucous membrane of the cavity of the uterus is very rich in blood vessels which become dilated and gorged with blood under the inhibitory influence of certain nerve centers. As the mucous membrane is very thin, the result is otherwise than in man; the blood transudes through the mucous membrane and flows away. This is called _menstruation_ ("courses" or monthly periods). The object of this is, no doubt, to prepare the mucous membrane of the womb for the fixation of the fecundated egg which will become grafted on its surface. The courses in women generally last three or four days, but are often very irregular. It is necessary to point out that they do not depend on ovulation (expulsion of the egg). The two phenomena may take place independently of each other, for menstruation in itself depends only on nervous irritation, which may be provoked or averted by hypnotic suggestion, for example. Moreover, there are women who never menstruate and who, in spite of this, not only regularly discharge ovules but may be fecundated and become pregnant. Usually, however, the two phenomena are associated by nervous reflexes, so that menstruation takes place first and then the ovule commences its migration. =The Mechanism of Coitus.=--Copulation, or coitus, takes place as follows: After a certain degree of excitation, both mental and sensory, the male introduces the erect and stiffened penis into the vagina. In the case of advanced pregnancy he should place himself behind, so as to avoid injuring the unborn child. Rhythmic movements of the two individuals, especially of the man, gradually increase the excitation of the mucous membrane or skin of the genital organs of each party, till voluptuous sensations, arising chiefly in the glans penis and clitoris, spread to the whole
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