_Case._――Nymphomania, with nocturnal involuntary orgasm. Miss U.――She was aged 19, very small in stature, only weighing 90 pounds, of very respectable family and herself perfectly respectable. She was refused by her probable “intended,” who had discovered signs entirely unnatural for her, in whom he had placed implicit trust. When the condition was first manifested in her, the intended, not thinking of anything wrong on her part, attempted to gratify her morbid erotic desire by coition, which only made her, as he said, “nearly crazy.” She had heretofore been modest and distant, but now she was on his lap, and all over him or leading him to a place of decumbiture. When she visited my office, and imparted to me her whole confidence, my first treatment toward her was so rigid and distant that my examination revealed the parts before orgasm had taken place; but as soon as I touched the nymphæ; they became lubricated with a thin viscid fluid which was profuse. At first the clitoris and nymphæ were red, dry and hot; but as my digit came in contact with the soft parts, she forgot the rough treatment and my cold conduct toward her, which I had assumed to prevent, if possible, her venereal crisis, and she became unmanageable for the time, until she had passed three or four orgasms, as I supposed, one immediately following the other, when she became more governable. To carefully portray in words what she said and did would be shocking to a fastidious doctor. With a speculum in the vagina the os uteri would contract and dilate in alternation, and undergo orgasms in rapid succession, with only a few seconds interval. She begged of me not to withdraw the instrument, but when I had completed my examination she was partially exhausted and docile. I could discover a mucoid fluid emitting from the os uteri which evolved a strong venereal odor.
She informed me that she had voluptuous dreams nightly――as many as three in a night. Her figure is small and round, eyes black, hair coal black, countenance very sallow and chlorotic. She seemed to know that this condition was not right, but her modesty was entirely gone, when in company with a male. The presence of a woman restrained her. Her own mother had not determined the true nature of her difficulty, only noticed that something was peculiar with her daughter. The patient had judgment enough left to go out of the room and isolate herself when a man would come about. The advent of this disease she says was first known by a peculiar thrill at the sight of a male, which became more aggravated from day to day. Now, one year has she suffered from this intolerable mania.