ii, pp. 217-226; also
Dickinson, loc. cit.) It was formerly thought that the clitoris
is easily enlarged by masturbation, and Martineau believed that
in this way it might be doubled in length. It is probable that
slight enlargement of the clitoris may be caused by very
frequent masturbation, but only to an insignificant extent, and
it is impossible to diagnose masturbation from the size of the
clitoris. Among the women of Lake Nyassa, as well as in the
Caroline Islands, special methods are practiced for elongating
the clitoris, but in Europe, at all events, it is probable that
the variations in the size of the organ are mainly congenital. It
may well be that a congenitally large clitoris is associated with
an abnormally developed excitability of the sexual apparatus.
Tilt stated (_On Uterine and Ovarian Inflammation_, p. 37) that
in his experience there was a frequent though not invariable
connection between a large clitoris and sexual proclivity.
(Schurig referred to a case of intense and life-long sexual
obsession associated with an extremely large clitoris,
_Gynaecologia_, pp. 16-17.) Of recent years considerable
importance has been attached by some gynecologists (e.
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