She
experienced the desire for sexual gratification under the
following circumstances: (1) spontaneously, directly before or
after menstruation; (2) as a method to cure sleeplessness; (3)
after washing the parts with warm (but not cold) water; (4) after
erotic dreams; (5) quite suddenly, without definite cause. The
phenomena of the masturbatory process fell into two stages: (1)
incomplete excitement, (2) the highest pleasurable gratification.
It only took place in the evening, or at night, and a special
position was necessary, with the right knee bent, and the right
foot against the knee of the extended left leg. The bent index
and middle fingers of the right hand were then applied firmly to
the lower third of the left labium minus, which was rubbed
against the underlying parts. At this stage, the manifestations
sometimes stopped, either from an effort of self-control or from
fatigue of the arm. There was no emission of mucus, or general
perspiration, but some degree of satisfaction and of fatigue,
followed by sleep. If, however, the manipulation was continued,
the second stage was reached, and the middle finger sank into the
vagina, while the index finger remained on the labium, the rest
of the hand holding and compressing the whole of the vulva, from
pubes to anus, against the symphysis, with a backwards and
forwards movement, the left hand also being frequently used to
support and assist the right.
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