Chapter 12

HERMAPHRODISM AND HYPOSPADIAS.

There exists a class of human beings whose description is connected with the subject of this work. They date back to mythological times, and the confusion incident to the misapplication of names and the want of proper observation on the part of the narrators has tended to carry the uncertainty of their real existence to the present day. One reason that this part of the subject would be incomplete without their description is on account of the origin of their existence being intimately connected with eunuchism, being, in fact, an outgrowth of this condition; and any history of eunuchism would be but half told, without the additional information concerning these persons.

Hermaphrodites, as stated, date back to mythology. Tradition tells us that Hermaphroditus, a son of Venus and Mercury, was educated by the Naiades dwelling on Mount Ida. At the age of fifteen years, he began his travels; while resting in the cool shades on the woody banks of a fountain and spring near Caira, he was approached by the presiding nymph of the fountain, Talmacis, who, becoming enamored of him, attempted to seduce him. Hermaphroditus, like Joseph, was the pattern and mirror of continence, and would not be seduced. Talmacis then, like Potiphar's wife, seized on the unlucky pattern of virtue, and prayed to the gods that they should so amalgamate poor Hermaphroditus to her body as to make them one. The prayer was heard on Olympus, and forthwith the two became one, but with the distinctive characteristics of each sex unchanged. Thus began that fabled race of the _androgynes_ of the ancients. Another tradition, which is probably correct, affirms that ancient Carnia, or Halicarnassus, was in those days the Baden-Baden of Asia Minor; that thither repaired all the victims of gluttony, debauchery, and general physical bankruptcy. Its name in ancient Caria denotes its seaside-resort location, Hali-Karnas-Sos meaning literally "Karnassus-by-the-sea," like Boulogne-sur-mer. The city was under the protection of Hermes and Aphrodite, whose temples were near each other. Human nature in the days of Halicarnassus did not much differ from human nature at Monte Carlo or Baden-Baden. The baths had a number of young and handsome eunuchs who waited on the old, debauched, and nervous wrecks, and the nymph who presided over the whole was Talmakis, a name derived from the salty nature of the springs which fed the baths; this nymph was worshiped as Aphrodite. Pederasty was one of the practices at these baths. From these conjoined conditions the place was said to be peopled with hermaphrodites,--meaning, at first, simply that they were under the protection of Hermes and Aphrodite; and latterly the name was attached to the passive agent in the pederastic art,--a name that has followed the class and crossed the ocean into the interior wilds of America, as in Powell's history of the manners and customs of the Omahas, an Indian tribe of the Missouri, we find that they at times practiced pederasty, the passive agent being called by the Indians an hermaphrodite, or double sexed.[38]

The relations that from eunuchism led to pederasty are very easy of explanation. Eunuchism induces an effeminate form, softer body, and prevents the growth of the beard; the voice is softer and more melodious; and their timidity renders them also more effeminate, obedient, and dependent. The peculiar commingling of the female form with that of the male furnished to the sculptors the models for those wonderfully well-made forms which are yet to be seen, representing in statuary the forms of Androgynes and Hermaphrodites; that of the favorite eunuch of the emperor Adrian being remarkable for the symmetry of its form and grace of pose.

Europe must have been astonished at the tales that were carried back by the early explorers and voyagers, in relation to the New World. The story of the immensity of the quantity of gold and silver, of great stores of hidden treasures, of the quantities of precious gems and priceless crystals was fully discounted when, from the Florida coast and the explorers of the Lower Mississippi, men returned with the tale that in the everglades and in the trackless forests, intersected by navigable sloughs, there dwelt a people half of whom were hermaphrodites. Neither the explorers nor their European historiographers seem able to have grasped the true state of affairs. Many believed in the actual existence of such numbers of these monstrosities, while others, arguing from what was then known regarding the extraordinary development of the nymphæ and clitoris, as well as of the great labia, of the women in the African regions, concluded that these supposed _androgynes_, or hermaphrodites, must be women, the dress assumed by these and the menial labors to which they were consigned assisting to favor this opinion. The early Franciscan missionaries to California found the men who were used for pederasty dressed as women.[39] Hammond mentions the practice as in vogue among the Indians of the southwest, which in a measure greatly resembled that of the ancient Scythians in its operation, the men being dressed as women, associating with women, and used for pederastic purposes during the orgies of their festivals. These men had previously been eunuchised by a process of continued and persistent onanism, which caused at the end a complete atrophization of the testicle.

In regard to the great number of hermaphrodites observed in Florida and on the Mississippi, the accounts are only reliable as far as they were present in female garb and in an apparent state of slavery, being compelled to do all the menial labor of the villages and camps, besides being used for pederasty, no examination having been made by any traveler. Their lot was different from those described by Hammond in his work on "Male Impotence," where the whole transaction seems to have some sort of religious and civil significance. In Florida, however, they tilled the ground, extricated and carried off the dead during a battle, and did all the work generally, being used for beasts of burden and not allowed to cut their hair; but all authorities are silent or in complete ignorance as to whether they had suffered castration. Pere Lafiteau, however, gives an explanation which was in the last century considered ridiculous, but which, in the light that has been thrown on the existence of a former continent, and of the undisputable relation that must, some ages in the past, have existed between Phoenicia and Central America, seems a strongly probable solution of these customs. The Father accounts for the presence of these American _androgynes_ in the following manner: The Carribeans, or Caribs, were originally a colony from Carnia; with these colonists was brought over the worship of their Pagan gods of Caria and Phrygia; these two localities were the homes of the Cybelian priesthood, who dressed in female garb, as did the sacrificial priests of the Temple of Venus Urania. It is true that the Java or Floridian priest had nothing in common with the priests of Cybele or of Venus Urania; but, still, Lafiteau gave as lucid an explanation for the existence of these conditions as any of his contemporaries. Charlevoix observed the same practices among the Illinois, which he attributed as being due to some principle of religion. The Baron de la Hontan insists that the missionary, Charlevoix, was mistaken; that the persons whom he saw in female attire, whom he took to be men, were not men. Hontan asserts that they were veritable hermaphrodites. The missionaries were, however, correct, as what has since been observed confirms their opinion. M. du Mont, who ascended the Mississippi for a distance of nine hundred leagues, also reported meeting Indians at different places attended by these petticoated androgynes.[40]

As strange as it may seem, many intelligent men were loth to part with their belief in the existence of these double-sexed individuals; the logic used by many of these insisters of hermaphrodism, although now very ridiculous, was no doubt sensible logic one hundred and fifty years ago. As a matter of curiosity, some of this reasoning will bear repeating. It is taken from a Latin edition of an ancient description of Florida, originally in the English, but translated into the Latin by the geographer, Mercator. In this book we find the roots of some of the myths that led Ponce de Leon and his steel-clad warriors to wander through Florida in a vain search of that spring or fountain of the waters of perpetual youth and of everlasting life which they were never to find. We there learn that, in the days of the good old Spanish knight, the inhabitants of Florida lived to a very old age, and that they did not marry until very late in life, as before that period it was very difficult to determine the sex of the individual.

From what has since been seen among the Indians, the probability is that these were really eunuchs, and probably in slavery, as the result of the fortunes of war, as their great number and servile condition will hardly admit of the belief that they belonged to the same tribe as their masters and oppressors. Pederasty was an old, very old practice, being mentioned before circumcision; it prevailed among many of the Orientals, and among the many peoples by whom the early Jews were surrounded, who were, according to the Old Testament, about as an immoral, dissolute, and bestial a set as one could well imagine. Their religions were nothing but a gross mixture of stupid superstition and blind idolatry, pederasty, fornication, and general cussedness. In the then state of the Jewish nation, to have allowed them to mingle freely with these people would have ended in having the Jews adopt all their customs and habits. The aim of the Jewish leaders was to prevent any too free intercourse of their people with these nations, that they might remain uncontaminated even while dwelling near them. To accomplish this it was necessary to raise a barrier that would be the distinguishing mark of the Jewish nation. Jahns, in his learned work on the "History of the Hebrew Commonwealths,"[41] lays down the idea that circumcision, as well as many articles in their laws,--which to us appear trivial,--were in reality intended to separate the Jews farther and farther from their idolatrous, bestial, and heathenish neighbors, while at the same time these same ordinances were intended to preserve a constant knowledge of the true and only God, and maintain their moral and physical health.

Although hermaphrodism on a large scale, as an existing condition, was a matter of serious belief at the end of the eighteenth century, it has occupied no little attention in this. Courts have been called to decide on cases to invalidate marriages, or to decide the sex, more than once; and physicians are often asked the question, Do hermaphrodites really exist? Dr. Debierre, of Lyons, published in 1886 a valuable paper, entitled "Hermaphrodism Before the Civil Code: its Nature, Origin, and Social Consequences," which was published in the _Archives of Criminal Anthropology_ of Lyons, France. In this short but very concise treatise, Debierre gives us a complete review of the subject from mythological times to 1886. It must be quite evident to all that there exists no logical reasons why the sexual or generative organs should be exempt from, at times, being subject to variations from the normal, either through the commingling of two conceptions or of faulty development affecting other parts of the body,--conditions that go to form monstrosities. Debierre gives one peculiar case of a duplication of vagina and uterus in a girl of nineteen, the appearance of the parts and the septum between the vaginæ giving to the whole an appearance precisely similar to that of a double-barreled shot-gun. These monstrosities are as likely to happen as the different forms that affect--either by arrested development or some abnormality of excessive development--the head, which is a very prolific subject of anomalies.

Hermaphrodism is a common attribute in the vegetable kingdom, where fixed habitation or position makes such a condition necessary; it is also common to many of our lower forms of animal life, and even in the human foetus the presence of the Wolfian bodies and the canal of Müller in the same individual attest a primitive case or condition of hermaphrodism. In other words, humanity begins its existence in a state of hermaphrodism. This condition is found up to the end of the second month of foetal life in the human being, in common with all mammals, as well as all the vertebrates, where, however, it is subject to variations as to time of development and limit of existence in the normal condition. In the chick, it is only after the fourth day that the genital gland begins to determine whether it will turn into an ovary or a testicle; in the rabbit it is on the fifteenth day, and in the human embryo on the thirtieth day. Hermaphrodism does not occur, however, from this at first uncertain state of affairs, but rather from subsequent developments of the external organs that by their abnormality of formation simulate one or the other sex, while the internal organs may belong without any equivocation of structure to its definite sex; as it has often happened that some of these cases, having been the subject of differences of opinion among experts during life, were, after death, unanimously assigned to one sex by all of the same experts, the organs readily defining the sex being completely of the one sex. As observed by Debierre, where the subject is really a female, even where the vagina or uterus is unperceived, the presence of the menstrual function or some physical disturbance at its stated periods are sufficient evidences, as a rule, by which to determine the sex. The case of Marzo Joseph, or Josephine, reported by Crecchio in 1865, had rudiments of an hypospadic penis ten centimetres in length and a prostate of the male sex, with a vagina 6 centimetres in length and 4 in circumference, ovaries, oviducts, and uterus of the female; it was not until her death, at the age of fifty-six, that her sex was fully determined. The case reported by Sippel in 1880, supposed to be a male from external evidences, was at death found to be a female. Guttmann reported a like case in 1882. The celebrated case of Michel-Ann Dronart is remarkable; this case was declared a male by Morand Pere and a female by Burghart, as well as by Ferrein; declared asexual or neutral by the Danish surgeon, Kruger; of doubtful sex by Mertrud. The case of Marie-Madeleine Lefort, to which Debierre devotes four figures, is full of interest. One of the figures is her portrait at the age of sixteen, and another is from her photograph at the age of sixty-five. She has a man's head in every particular of physiognomy and expression, having in the latter figure a full beard and the peculiar intellectual development of a male sage; she has the hairy breast of the man, with the mammary development of the female, and an abnormally-enlarged clitoris, which was often mistaken for the male organ. The vagina at its lower end was narrow, and the urethral aperture opened into it some distance from its outer opening; otherwise she was sexually a perfect woman, and menstruated regularly. Debierre quotes the case which Duval gives in his work on hermaphrodites, wherein a man asked for a dissolution of marriage, claiming that his wife had a male organ, which, although she was a woman in every other sense, prevented by its interference the consummation of the marriage act. The court had the case examined, when it was found that the erection of the clitoris, which was large, was enough to interfere as the husband had stated. It decreed that the young woman should have the objectionable and interfering member amputated, and on the refusal to have this done the marriage should be dissolved. She refused, and the divorce was consequently granted to the man.

From the history of Marie Lefort, it can well be conceived how the popular mind, in ignorant times, could easily be imposed upon. Montaigne relates the history of a Hungarian soldier who was confined of a well-developed infant while in camp, and of a monk brought to a successful accouchement in the cell of a convent; while Duval reports the case of a priest in Paris who was found to be pregnant with child, who was in consequence imprisoned in the prison of the ecclesiastical court. These cases were strongly females in every sense, but with some male characteristic sufficiently developed, like in the case of Marie Lefort, to allow them to believe themselves men and to pass for such.

On the other hand, males have had some female characteristics so well pronounced that they have passed for females. Debierre mentions a number of cases, to wit: Ambroise Paré reported such a case in his time; Ladowsky, of Reims, reports the case of Marie Goulich, who, up to the age of thirty-three, was believed to be a female, at which time the descent of the testicles removed all doubts as to sex. Sheghelner and Cheselden have reported analogous cases, and Girand's case--who was happily married to a man with whom he lived until the death of the husband, in which the only female attribute was a blind vagina, which, in his case, seems to have answered all purposes--was a most remarkable case. As a rule, the cases of males who have been mistaken for hermaphrodites have been cases of hypospadic urethræ in a greater or lesser sense of deformity.

Debierre, however, mentions some cases of true hermaphrodism. He quotes a number of cases, the earliest being from the writings of Coelius Rhodigin, who claimed to have seen in Lombardy a case in which the organs of the two sexes were side by side; Ambroise Paré records that in 1426 a pair of twins were born, joined back to back, wherein both were hermaphrodites. Among the many reporters that he quotes, he mentions Rokitansky, who reported a case in 1869, at Vienna, this being the autopsy of Hohmann, who had two ovaries and oviducts, a rudimentary uterus, and a testicle, with a sperm-duct containing spermatozoa. This individual menstruated regularly, and it is an interesting question as to what the result would have been had some of the spermatic fluid come in contact with some of the ovules that were periodically discharged. Hohmann had an imperforate penis and a bifide scrotum. Ceccherelli, who gives a more minute description of this interesting case, relates that Hohmann, who died at the age of forty, had menstruated regularly to the age of thirty-eight. The penis was imperforate but hypospadic, from whence came the urinary and spermatic discharges, and Hohmann could in turn copulate as either male or female. Odin is also quoted in relation to the case seen at the Hôtel-Dieu-de-Lyon, during the service of M. Bondet. The subject was aged sixty-three, and named Mathieu Perret. The case greatly resembled that of Hohmann, at the autopsy being found to be double sexed. So that, while most of the cases mentioned are fictitious and only apparent, the fact remains that the existence of true hermaphrodites is indisputable.[42]

If the subject of either apparently or true hermaphrodism is one of unhappiness, and oftentimes of discomfort and misery, history relates that this unfortunate class has suffered additionally, from the laws and action of ignorant and barbarian times, as such freaks of nature must of necessity have occurred at all times; only in the then ignorant state of medicine and anatomy they must have been considered as occurring much oftener--every deviation from the normal being considered as hermaphroditic. Opmeyer relates that in excavating in the neighborhood of the capitol in Rome, the laborers discovered the bronze tables on which were inscribed the twenty-two laws of Romulus, termed by many historians "The Double Decalogue of Romulus." Article XV of this law, as well as Articles IX and X, seem to be directed against the life of these androgynes. In Roman history, however, we have an event which would seem to contradict that there existed any laws in actual force against this unfortunate class. It happened during the existence of the Punic wars, when the people were more or less laboring under fear and excitement, which would readily prepare them to accept any superstitious notion. It was during these times that three of these androgynes were known to exist in Italy. Titus Livius mentions that the existence of one of these was denounced during the consulships of C. Claudius Nero and of Marcus Livius. Etruscan soothsayers and seers were summoned to Rome, that they might consult the signs and the conditions of the constellations that accompanied the nativity of this hermaphrodite, or androgyne. These impostors, after a careful consultation of all attending circumstances, gave it as their opinion that the occurrence was an unfortunate impurity, and that it could only result to the disadvantage of Rome, unless she at once took steps to purify herself of such a monstrosity, with the conclusion that the androgyne should be first exiled from Roman soil, and then drowned in the depths of the sea. The unfortunate being was accordingly inclosed in a chest and put on board a galley, which put immediately to sea; when the vessel was out of sight of land the chest was thrown into the Mediterranean.[43]

A hermaphrodite born in Umbria during the consulship of Messalus and C. Lucinius was condemned to death, as well as was the one born at Luna during the consulship of L. Matellus and Q. Fabius Maximus. Debierre states that in the reign of Nero this barbarous custom was discontinued, as this emperor admired these freaks of nature from their novelty, as it is related that his chariot was drawn by four hermaphroditic horses.[44]

In connection with hermaphrodism it has been shown that the males who have been supposed to be so malformed were really, in most instances, but cases of hypospadias. It may not be uninteresting to observe that, while during nearly four thousand years circumcision has been practiced without the habit or condition ever having become transmissible or hereditary, hypospadias has shown a decided tendency to being transmitted. In Virchow's _Archives_, Lesser reports having treated eight subjects during one generation in a family.[45] Fodéré records the case of hypospadias reported by Schweikard, in a person of forty-nine years of age, whose urethral orifice was near the junction of the penis and scrotum, but who, nevertheless, had three fine children. The same author records the remarkable case reported by Hunter to the Royal Society of London, also so deformed, who successfully impregnated his wife by receiving the spermatic fluid in a warm spoon and immediately injecting it into the vagina.[46] Another interesting case is taken from _L'Union Médicale_ of August 26, 1856. It instances both the heredity connected with hypospadias and the peculiar circumstances under which impregnation at times takes place; it is reported by Dr. Trexel, of Kremsier, and is as follows: "On April 1, 1856, a newborn infant was brought to Dr. Trexel, that he might determine its sex. The father and mother were servants of a peasant. On an examination of the alleged father, he was found to have all the external characters of a male; the urethra, which was rather shorter than ordinary, but of large size, was imperforate; the scrotum was divided into two pouches, each containing a testicle. The apposed surfaces of the scrotal pouches were covered with a red skin, and the division extended through their entire length. At the root of the penis, in the anterior angle of these pouches, was an opening of the size of a lentil; this was the orifice of the urethra. The lower surface of the penis was grooved from the above-mentioned orifice to the end of the glans. There was no prepuce. Almost in a line behind the corona of the glans, and in the groove, were two elliptical openings, which readily admitted a large hog-bristle; there was a third smaller opening two lines from the orifice of the urethra. This man had always passed for a woman. He lay in the same room with the mother of the child; and they acknowledged having had frequent connection. The woman declared that she had had no commerce with any other man for three years, and the man did not deny this assertion. The idea of cohabitation with another man was further negatived by the circumstance that the infant had the same conformation of the genital organs as the father. How did fecundation take place? The three openings in the penis were probably the orifices of the excretory ducts of Cowper's glands. But might not these have been the openings of the ejaculatory ducts? It is to be regretted that Dr. Trexel did not examine these canals; their length and direction would have thrown light on the subject. The fact of fecundation may also be explained by supposing that during coition the posterior wall of the vagina supplied the place of the absent floor of the urethra, thus forming a complete canal. This is the most probable explanation."[47]

The above case, as stated, had passed for a woman; these cases are by no means such rarities. The case of Marie Dorothee, mentioned by Debierre in his work, was as peculiar. Hufeland and Marsina had pronounced Marie a woman, while Stark and Martens pronounced her a man, and Metzger could not determine on the sex. The case of Valmont, noticed by Bouillaud and Manee, is on a par with that of Giraud, in which the party was married as belonging to one sex and where it was not until after death ascertained that the person belonged to the other sex. Valmont had a hypospadic urethra and penis; a scrotum without testicles; ovaries with the Fallopian tubes; a uterus opened into a vagina of two inches in length, which, gradually narrowing, ended in the male urethra, to which was attached a prostate gland. Valmont contracted marriage as a man and was not discovered to have been a female until the autopsy revealed her to be a woman. The relation does not state anything in regard to menstruation; so that her condition in that regard is unknown.[48]

There has also been reported a number of cases in the male analogous to the double organed female mentioned by Debierre. Geoffrey St. Hilare reports a case where the penis was double, one being above the other, urine and semen flowing through both urethras. Gorè mentioned a like case to the Academy in 1844. Dr. Vanier (Du Havre) records the case reported by Huguier to the Academy, where the organs in the anatomical preparation which he exhibited were so anomalous that it was impossible to decide the sex. Aside from the medico-legal aspects that these cases present, there is an interesting Jewish theological question connected with them. The law is explicit as to circumcision; the cases presenting, if males, should be circumcised, but how to determine the sex where an autopsy alone will decide the question is not defined. It has been decided, in such cases where the presumption is that the child is of the male sex, that, like in cases of absence of prepuce, a suppositious circumcision should be performed, so that the covenant should be observed; this being in keeping with the sentiment shown by the Jews when persecuted by the Romans, or, later, by the Spaniards, who often were not able to circumcise until after death; but they never fail to comply with the covenant as far as it is possible.

Cases are liable to occur, however, which, without leaving the question as to sex in doubt, if reasoned by exclusion, would not furnish any possible opportunity for circumcision. Such a case is reported in Virchow's _Archives_, vol. cxxi, No. 3; also in the _British Medical Journal_ of December 6, 1890, and in the _Satellite_ for January, 1891. It is one of congenital absence of penis. "Dr. Rauber records very briefly the case of a shoe-maker, aged 38, who complained of pain and trouble in the anus. On examining him, Rauber found a well-formed scrotum containing two testicles, each with a vas deferens and spermatic cord, but no trace of a penis. The urethra opened apparently into the anterior wall of the rectum. The man occasionally experienced sexual excitement, followed by an emission into the rectum. The burning pain complained of in the rectum and about the anus was due to the irritation caused by the urine. The man would not allow an ocular inspection of the interior of the rectum. Unfortunately, the details of this very rare condition are incomplete."

It would be interesting to know where the seat of his sexual desire is situated, unless an aching testicle is such. I once knew a Spiritualist who claimed to feel the pains suffered by any friends with whom he was in sympathy; he once tried to argue with me that a certain lady patient--a warm personal friend of my questioner and a Spiritualist--had ovaritis, because he felt an intense burning pain in his _right ovarian region_ whenever he went near to her. I tried to reason with him that that pain should be in his right testicle, but he would insist on having the sympathetic pain in _his_ ovarian region.