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undergone early castration. Just what part the individual glands take in the emotions must at present remain a matter of specu- lation. Next to the adrenals, one would expect the thyroid to be the most important. The nervous manifestations of pathological hyperthyroidism are so well defined that not infrequently in the re- actions of functionally nervous patients one recog- nizes symptoms of an unmistakably hyperthyroidal Suhagra Online character. Furthermore we know that the adrenals and thyroid are rather closely and harmoniously related in their physiological properties. During sexual emotion it seems evident that all the glands of internal secretion become Suhagra 50 Mg active. Of these it is probable that the adrenals, thyroid and pituitary play the Suhagra For Women most important role, the ovaries apparently being of minor significance. With this brief survey of the subject we are justified in describing functional nervousness as a continuous state of emotional excitement, sensory in character, and induced by the reciprocal action, under stimulation, of the autonomic nervous sys- tem and certain glands of internal secretion. This definition is incomplete in that it leaves out of ac- count the element of causation, and to this we must now direct our attention. W'e have already referred to the lessons that we have learned from the Suhagra Tablets psychoanalysts. To Freud is due the lasting credit of proving the Cipla Suhagra 100 enor- Suhagra 100 Cipla mous Buy Suhagra influence on character and behavior of im- conscious repressions. In attempting, however, Suhagra 100 to apply his libidinistic theory of causation to the specific gynecological neuroses we at once meet with serious obstacles. It is indeed true that the gyneco- Suhagra Cipla logist encounters numerous sexual neurotics who are suffering from pelvic disease and in some cases the pelvic lesion bears some causal relationship to. the neurosis, but to attribute all female nervousness to sexual repression is an absurd fiction, requiring as it does an acceptance of the untenable doctrine of the extreme Freudians, that the libido in its literal sense is the basis of all human motivation. I have in other articles called the attention of gynecologists to the theories of Alfred Adier and shown how they may be applied to the subject in hand. Adler in brief explains the neurotic consti- tution on the ground of a Generic Suhagra sense of inferiority re- sulting from organ deficiency. He ably and con- vincingly deals with the confirmed neurotic whose constitutional habit has been established at an early age. The sense of inferiority continues Suhagra In India as an un- conscious repression in the Freudian sense and may or may not be of a sexual nature. In an unpub- lished monograph, in which an attempt is made to apply Adler's theory to motivation in general, I have endeavored to show that the perception of in- feriorit}' is the basic cause of all disquieting emo- tions such as anger, fear, pain, and other emotions. It is the exciting force that sets in action the reciprocal mechanism of the autonomic nervous system and the glands of internal secretion. This theory lends itself admirably to the explanation of the acquired gynecological neuroses. • A pelvic GRAJ-ES: ENDOCRINOLOGY IN GYNECOLOGY. 699 lesion, such for example as one due to the injuries of childbirth, constitutes a definite organ inferiority, and may in a short time produce in the most normal individual all the symptoms exhibited by the socalled constitutional neurotic. It is of the utmost importance that the gyneco- logist be able to classify his nervous patients with reference to causation for only in this way can he avoid making mistakes in treatment especially in cases that involve the question of a surgical opera- tion. One Buy Suhagra Online must distinguish the neuroses that Suhagra 100mg have definitely been acquired as a result of pelvic changes from the constitutional fixations of childhood, or from those of a purely psychic character. One must recognize those cases in which there is a super- activity of the glands in contradistinction to those in which there is a glandular deficiency. And above all it is necessary to detect the cases Cipla Suhagra wherein the nervous manifestations are due to the circulation of abnormal secretions like that in hyperthyroidism. The Cheap Suhagra differential therapy to be Suhagra Price employed in these various types of cases is of extreme importance, but does not come within the scope of this paper. The wise gynecologist will constantly seek the aid of the neurologist and medical internist, and in making the critical Suhagra Tablet decisions as to treatment will Suhagra 50 require all his resources of education, in which psychology and philosophy are assets of unequivocal value. In concluding this part of the paper Order Suhagra it may be remarked that the more one studies the socalled nervousness of women, the more one is impressed with the possibility that the purely nervous

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