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As to Man's growth, first within his mother's womb and afterward to old age, the course of nature, in so far as man is specially concerned, is after the following manner. And, by the way, the difference of male and female and of their respective organs has been dealt with heretofore. When twice seven years old, in the most of cases, the male begins to engender seed; and at the same time hair appears upon the pubes, in like manner, so Alcmaeon of Croton remarks, as plants first blossom and then seed. About the same time, the voice begins to alter, getting harsher and more uneven, neither shrill as formerly nor deep as afterward, nor yet of any even tone, but like an instrument whose strings are frayed and out of tune; and it is called, by way of by-word, the bleat of the billy-goat. Now this breaking of the voice is the more apparent in those who are making trial of their sexual powers; for in those who are prone to lustfulness the voice turns into the voice of a man, but not so in the continent. For if a lad strive diligently to hinder his voice from breaking, as some do of those who devote themselves to music, the voice lasts a long while unbroken and may even persist with little change. And the breasts swell and likewise the private parts, altering in size and shape. (And by the way, at this time of life those who try by friction to provoke emission of seed are apt to experience pain as well as voluptuous sensations.) At the same age in the female, the breasts swell and the so-called catamenia commence to flow; and this fluid resembles fresh blood. There is another discharge, a white one, by the way, which occurs in girls even at a very early age, more especially if their diet be largely of a fluid nature; and this malady causes arrest of growth and loss of flesh. In the majority of cases the catamenia are noticed by the time the breasts have grown to the height of two fingers' breadth. In girls, too, about this time the voice changes to a deeper note; for while in general the woman's voice is higher than the man's, so also the voices of girls are pitched in a higher key than the elder women's, just as the boy's are higher than the men's; and the girls' voices are shriller than the boys', and a maid's flute is tuned sharper than a lad's.

Girls of this age have much need of surveillance. For then in particular they feel a natural impulse to make usage of the sexual faculties that are developing in them; so that unless they guard against any further impulse beyond that inevitable one which their bodily development of itself supplies, even in the case of those who abstain altogether from passionate indulgence, they contract habits which are apt to continue into later life. For girls who give way to wantonness grow more and more wanton; and the same is true of boys, unless they be safeguarded from one temptation and another; for the passages become dilated and set up a local flux or running, and besides this the recollection of pleasure associated with former indulgence creates a longing for its repetition.

Some men are congenitally impotent owing to structural defect; and in like manner women also may suffer from congenital incapacity. Both men and women are liable to constitutional change, growing healthier or more sickly, or altering in the way of leanness, stoutness, and vigour; thus, after puberty some lads who were thin before grow stout and healthy, and the converse also happens; and the same is equally true of girls. For when in boy or girl the body is loaded with superfluous matter, then, when such superfluities are got rid of in the spermatic or catamenial discharge, their bodies improve in health and condition owing to the removal of what had acted as an impediment to health and proper nutrition; but in such as are of opposite habit their bodies become emaciated and out of health, for then the spermatic discharge in the one case and the catamenial flow in the other take place at the cost of natural healthy conditions.

Furthermore, in the case of maidens the condition of the breasts is diverse in different individuals, for they are sometimes quite big and sometimes little; and as a general rule their size depends on whether or not the body was burthened in childhood with superfluous material. For when the signs of womanhood are nigh but not come, the more there be of moisture the more will it cause the breasts to swell, even to the bursting point; and the result is that the breasts remain during after-life of the bulk that they then acquired. And among men, the breasts grow more conspicuous and more like to those of women, both in young men and old, when the individual temperament is moist and sleek and the reverse of sinewy, and all the more among the dark-complexioned than the fair.

At the outset and till the age of one and twenty the spermatic discharge is devoid of fecundity; afterwards it becomes fertile, but young men and women produce undersized and imperfect progeny, as is the case also with the common run of animals. Young women conceive readily, but, having conceived, their labour in childbed is apt to be difficult.

The frame fails of reaching its full development and ages quickly in men of intemperate lusts and in women who become mothers of many children; for it appears to be the case that growth ceases when the woman has given birth to three children. Women of a lascivious disposition grow more sedate and virtuous after they have borne several children.

After the age of twenty-one women are fully ripe for child-bearing, but men go on increasing in vigour. When the spermatic fluid is of a thin consistency it is infertile; when granular it is fertile and likely to produce male children, but when thin and unclotted it is apt to produce female offspring. And it is about this time of life that in men the beard makes its appearance.