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REPRODUCTION: DEVELOPMENT OF MEN AND WOMEN
After puberty, the sex hormones are busy, and many secondary sex characteristics are due to them. Boys and girls before puberty are much alike. Then fat begins to fill in the furrows of the female, giving the pleasing curves; the pelvis broadens and the breasts fill out. Some of the distinctions between the two sexes at this time are due not to changes in the female but to the fact that the male changes and the female does not. In early life the larynx grows in about the same manner in boys and girls. That is why boys can sing soprano. At puberty it increases in size, relatively more in males than females, and especially from front to back. Then the lengthened vocal cords give deeper notes in men than in women. If a boy is castrated well before puberty, the larynx may not enlarge and the voice may remain high pitched. It is said that through the eighteenth century this was sometimes done to keep an exceptional soprano. Terrible things have been done in the name of art. Up to puberty girls and boys both have soft skins and peaches-and-cream complexions. Males in general seem content to take the changes as they come. I have seen no advertisements of male hormone preparations to hasten the appearance of manly beards. Women are different. Commercial enterprise is persuading many young women to use sex hormones. The glorification of the female breast solely because of its pulchritude and aesthetic quality has been seized upon by rather unscrupulous business. Hormonal creams are being urged to keep the skin soft and youthful. Not only are these preparations expensive and of exceedingly little value, but if they ever do succeed in getting into the system there is a good chance of upsetting a very delicate balance.
How valuable are the sex hormones in treatment? I have talked with gynecologists, genito-urinary specialists, and the head of one of the highest-grade drugstores in the country and have found, as was to be expected with the modern emphasis on sex, and the irresistible power of advertising and publicity, that they are sold in enormous quantities. Possibly less is known accurately about them than about any of the other hormones.
Adolescence, the period of developing maturity just after puberty, is a time of rearrangement of hormones or internal secretions. Although some of the disturbances are physical, the greater proportion is psychic. A rough-and-ready member of our profession, now dead, gave a striking example when he told of a young girl whose parents had been advised by a specialist to give a hormone for her adolescent troubles. He carefully removed the seal from a bottle of pellets and substituted similarly shaped pills of cooking soda. He got a prompt and excellent cure.
Our laws have fixed a definite upper limit of adolescence. Our hormones conform to this law much more often than our mentalities. Gilbert and Sullivan knew of a perfect world where the fairy, Iolanthe, was still seventeen although her half-human son was already five-and-twenty. However, the young lady would not be allowed to vote in either Britain or America for it is the chronological, not mental, age which determines the right to suffrage.
Although both male and female reproductive organs are developed at puberty, adolescence, during which the sex hormones mature, is the period before the adult man and woman are really prepared, psychically as well as physiologically, for that vital function, reproduction.
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