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Psychosomatic Medicine 1:461-485 (1939)
© 1939 American Psychosomatic Society
1 Institute for Psychoanalysis, Chicago, Illinois and the Brush Foundation and Department of Gynecology, Western Reserve University. Dr. Rubenstein is a Fellow of the Rockefeller Foundation
We have presented and discussed a selection of premenstrual-menstrual phases of 125 cycles of 15 patients. Careful study of vaginal smears and basal body temperatures on the one hand, and of psychoanalytic records on the other hand confirm the correlations inferred in Part I of this publication.
The presence of estrone (cornification in the vaginal smears) corresponds to the presence of active heterosexual libido.
The presence of progesterone (desquamation, aggregation, folding, secretion in the vaginal smears) corresponds to a passive, receptive instinctual tendency.
Since the premenstrual-menstrual phase of the cycle is one of low hormone production, certain other characteristics appeared, as summarized in the following table which is self-explanatory in the light of the material presented.
In addition to confirming the correlations, we have described and discussed the psychological concomitants of regression in hormone production.
The data also suggest the possibility that psychological factors influenced the gonad function. In this phase of the cycle, this may account for the occasional maintenance of progesterone production.
During the late premenstrual-menstrual phase of the sex cycle, emotional reactions are more intense and complex than can be explained on the basis of the then existing hormone production. After the menstrual flow is established, there is an emotional relaxation which again corresponds to the low hormone production characteristic for this period.
Note:
This work was in part supported by a grant from the Rockefeller Foundation to the Brush Foundation, Cleveland, Ohio.
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