Sullivan mentions a bride of four weeks, who called at the
doctor's office, saying that in coitus her partner had no
difficulty until the point of culmination or orgasm, when he was
seized with complete numbness and lost all pleasurable sensation
in the penis. The numbness was followed by a sensation of pain,
which was intensified on the slightest motion, and which was at
times so excruciating as to forbid separation for upward of an
hour, or until the penis had become flaccid. The woman asked for
advice for her unfortunate husband's relief, and the case was
reported as a means of obtaining suggestions from the physicians
over the country. In response, one theory was advanced that this
man had been in the habit of masturbating and had a stricture of
the membranous portion of the urethra, associated with an ulcer
of the prostate involving the ejaculatory ducts, or an
inflammatory condition of all the tissues compressed by the
ejaculatory muscles.
Hendrichsen quotes a case in which a spasmodic contraction of the
levator ani occurred during coitus, and the penis could not be
withdrawn while this condition lasted; and in support of this
circumstance Hendrichsen mentions that Marion Sims, Beigel, and
Budin describe spasmodic contractions of the levator and,
constricting the vagina; he also cites an instance under his
personal observation in which this spasm was excited by both
vaginal and rectal examination, although on the following day no
such condition could be produced.
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