“…Gooch remarked that if someone conversant with mental maladies were introduced to a patient suffering from puerperal insanity, he would not be able to tell, without inquiry, that the case was of puerperal origin'", The specificity of puerperal insanity -indeed, the nosology of mental disorders -rested on aetiology rather than symptomatology; and the specific cause of puerperal insanity was supposed to be the close connection between the sexual organs and the mental state of women15, 20,23,26,27. This connection could be seen not only in puerperal insanity but also in the mental disturbances of the menarche, menstruation and the menopause as well as the 'fads and fancies, the obliquities and affections of the mind' which were so frequent in childbearing women'".…”