ere inflammation of the bladder.

Another variety of sexual excitation which is often substituted for
coitus among women, is the practice of mutual licking of the clitoris
with the tongue (_cunnilingus_). Although not so dangerous as has been
maintained, these habits are aberrations of the sexual appetite, and
it is needless to say that every human being should abstain from them
out of self-respect.

The man who, for some reason or another, cannot obtain normal coitus
should content himself with nocturnal emissions, and the woman with
voluptuous dreams, and should both abstain from active and voluntary
excitations. For my part, I consider prostitution, or "love" which is
bought, as a variety of compensatory masturbation, and not as normal
copulation. Coitus with a prostitute, generally infected with venereal
disease, who receives new clients continually, has as little affinity
with love as with the normal object of the sexual appetite--reproduction;
and its moral value is certainly inferior to that of onanism.

A second form of masturbation occurs in very young children from
accidental irritation; in boys from phimosis; in girls from itching
due to worms (oxyuris) about the anus and vulva. Innocent as regards
its cause, this form of onanism may become dangerous by habit.
Attention should therefore be paid to phimosis and worms, and the
former treated by circumcision and the latter by the usual remedies.

A third kind of masturbation is caused by example and imitation. This
often occurs in schools and among children in general; and in this way
very precocious sexual excitation may develop and become a habit
difficult to suppress. The onanism of young children is certainly
worse than that which begins after puberty; it not only renders the
child idle and bashful, or increases these faults; but it also
interferes with nutrition and digestion and develops a tendency to
sexual perversion and to impotence. It often ceases, however, after
careful supervision, combined with physical exercise and fresh air,
and direction of the attention to other things. On the whole, the
danger of this form of onanism has also been exaggerated. In most
cases it is cured, when it is not based on abnormal predispositions or
on an indolent and feeble character. Love and normal sexual
intercourse are naturally the best remedies for masturbation due to
seduction and habit, as soon as the subject has reached sexual
maturity.

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