SCIENCE, MEDICINE, AND THE TALMUD
This year we are living through both a shemitta year and a pandemic in Israel, and exactly 120 years ago these same conditions were also present as the Jewish inhabitants of Ottoman Palestine faced the threats of a shemitta year and a terrible wave of pandemic cholera.
To read a new essay published at TraditionOnline about how the Jews of the First Aliyah faced that terrible year, and how it differs from the present shmitta-pandemic conjunction, click here.
On today’s page of Talmud there is a discussion about whether a mamzer may perform the mitzvah of yibbum:
יבמות כב, א
מַתְנִי׳ מִי שֶׁיֵּשׁ לוֹ אָח מִכל מָקוֹם זוֹקֵק אֶת אֵשֶׁת אָחִיו לְיִבּוּם וְאָחִיו הוּא לְכל דָּבָר
גְּמָ׳ מִכל מָקוֹם לְאֵתוֹיֵי מַאי אָמַר רַב יְהוּדָה לְאֵתוֹיֵי מַמְזֵר פְּשִׁיטָא אָחִיו הוּא מַהוּ דְּתֵימָא לֵילַף אַחְוָה אַחְוָה מִבְּנֵי יַעֲקֹבמָה לְהַלָּן כְּשֵׁרִין וְלֹא פְּסוּלִין אַף כָּאן כְּשֵׁרִין וְלֹא פְּסוּלִין קָא מַשְׁמַע לַן
MISHNA: In the case of anyone who has a brother of any kind, that brother creates a levirate bond causing his yevama to be required to perform levirate marriage if the first brother dies childless….
GEMARA: The Gemara asks: With regard to the statement that a brother of any kind causes his yevama to be required to perform levirate marriage, what additional case does this come to add? Rav Yehuda said: This adds the case of a mamzer, who, notwithstanding his status, is considered a brother…
A mamzer is a child born of a certain union that is forbidden in the Torah. Examples would be a child born from an adulterous relationship (where the woman is married to another person) or an incestuous one. A mamzer is not a child born out of wedlock, and who was once known as a bastard. The Torah prohibits a mamzer from entering into marriage with an ordinary Jew:
דברים כג, ג
לֹא־יָבֹ֥א מַמְזֵ֖ר בִּקְהַ֣ל יְהֹוָ֑ה גַּ֚ם דּ֣וֹר עֲשִׂירִ֔י לֹא־יָ֥בֹא ל֖וֹ בִּקְהַ֥ל יְהֹוָֽה׃
The mamzer shall be admitted into the congregation of God; no descendant of such, even in the tenth generation, shall be admitted into the congregation of God
According to Rabbi Abahu in the Talmud Yerushalmi (Kiddushin 3:12) the word mamzer comes from the Hebrew מום זר - mum zar - “a strange defect.” It is on the basis of this etymology that many have tried to find defects in the anatomy or the personality of a mamzer. Today on Talmudology we will examine rabbinic attitudes towards the mamzer.
According to the famous medieval scholar Rabbi Jacob ben Asher (c. 1269 - c. 1343), who was also known as the Ba’al Haturim, a mamzer is infertile:
בעל הטורים דברים כג, ג
לא יבא ממזר בקהל ה' סמך ממזר לפצוע דכה שממזר אינו מוליד כפצוע דכא
The verse about the mamzer is written close to the verse about the person with crushed genitalia to teach that just like that person, a mamzer cannot reproduce.
In a variation on this theme, the medieval Sefer Hasidim wrote that a mamzer can indeed reproduce, but his or her children will be infertile:
מכאן יש לומר למוליד ממזר לא מבעיא דלא קיים מצות פריה ורביה אלא שמעכב את המשיח דקאמר ממזר לא חי אותו ממזר שמוליד לא יוליד בנים דלא חיי כטרפה
Both of these assertions are at odds with the Torah itself, in which the verse stated that no descendants of the mamzer were to be admitted into the congregation, which surely implies that a mamzer can indeed reproduce. And while I know of no clinical study looking at the fertility of the children of prohibited unions, there is, prima facie, no reason whatsoever to believe that children born, say, of an adulterous relationship, are infertile.
Of course, this is not true of children born of incestuous unions. In these cases, there is indeed a higher likelihood of all manner of genetic problems, of which infertility may be one expression. A paper published in 1979 titled A Study of Chidren of Incestuous Matings noted that in a group of 161 children from incestuous matings, prenatal, neonatal and infant mortality was higher than among half-siblings who were offspring of unrelated parents, and this group also had a higher rate of congenital malformations. Thus, the observation of Rav Huna in the Talmud Yerushalmi (קידושין ד, א) that “a mamzer does not live for more than thirty days” (אֵין מַמְזֵר חַיי יוֹתֵר מִשְּׁלֹשִׁים יוֹם) might actually have some factual basis, at least for a subset of mamzerim.
Congenital malformations and other abnormalities. From E. Seemanova. A study of children of incestuous matings. Human Heredity 1971: 21: 108-128.
Some rabbis believed that the mamzer was endowed with certain talents, while others wrote that he (or she) was physically different to other people. According Abba Shaul in the Talmud Yerushalmi (Kiddushin 4:11), “most mamzerim are intelligent - רוֹב מַמְזֵירִין פִּקְחִין. (Abba Shaul may also have been behind the famous aphorism that “the best physicians should go to hell”, but we have dealt with that elsewhere.) Still, Abba Shaul’s sweeping statement was not seen as a compliment. Here is the standard commentary on the Yerushalmi, called Korban Ha’edah. It was written by the German rabbi David ben Naphtali Frankel (~1704-1762):
רוב ממזרים פקחי. שדומין לאביהן שהם בעלי ערמה לפתות הנשים ולהסתיר מעשיהם מבני האדם ונ"מ להזהר מהם
Most mamzerim are intelligent: Because they are like their fathers, who are crafty in their ability to seduce women and hide their actions from others. It is important to be aware of this characteristic, so that we can beware of them.
The other standard commentary on the Yerushalmi, Moshe Margolies’ Pnei Moshe, makes exactly the same point:
רוב ממזרים פקחין. שהן דומין לאביהן בעלי ערמה ומתנכלים בתחבולות לפתות הנשים ולהסתיר מעשיהם מבני אדם
So a better translation of the original Yerushalmi, according to these two commentaries, would be: “Most mamzerim are crafty, and therefore they should not be trusted.” It was this belief that led the authors of the early medieval Hebrew work Toldot Yeshu - “A History of Jesus,” to claim that Jesus was himself a mamzer, because he had acted in a brazen manner in front of the Sanhedrin.
A similar observation is made in the minor tractate Kallah:
עז פנים רבי אליעזר אומר ממזר רבי יהושע אומר בן הנדה רבי עקיבא אומר ממזר ובן הנדה
The bold-faced, Rabbi Eliezer said, is the mamzer; the son of a niddah, said Rabbi Joshua; Rabbi Akivah said: Both a mamzer and the son of a niddah.
Given the long tradition of ascribing personality characteristics to the mamzer, it is not surprising that some went one step further and claimed that the mamzer has certain specific physical characteristics. Rabbi Elijah ben Solomon Abraham Hacohen, of Smyrna (~1650-1729) was a mystic who produced over thirty books. Like many of his time, Rabbi Elijah was a strong believer in palm reading, the belief that lines on the palm reflect the personality and future fate of a person. He also believed in a version of phrenology, in which bumps on the skull indicate a person’s intelligence and other qualities. In his work Midrash Talpiot, which was a collection of rabbinic sayings mixed with his own observations, Rabbi Elijah wrote that “the shape of the ear will reflect if there is any degree of mamzerut” - “באזן ניכר מי שיש בו צד ממזרות.” Alas, the rabbi did not give any more details, fearing that they might be misused.
Elijah Hacohen. Midrash Talpiot, Lemberg 1875, 30.
Avot de’Rabbi Natan is companion text to the Mishnaic Pirkei Avot, and is usually printed along with the minor tractates of the Talmud. It was composed sometime in the era of the Gaonim, between 650-900 CE. In its eighth chapter we read the following:
אבות דרנבי נתן יב, ח
וכן מי שעובר עבירה והוליד ממזר אומרים לו ריקה חבלת בעצמך חבלת בו [שאותו ממזר היה רוצה ללמוד תורה עם אותן התלמידים] שהיו יושבין ושונין בירושלים והיה הממזר הולך עמהן עד שהגיע לאשדוד עומד שם ואומר אוי לי אילו לא הייתי ממזר כבר הייתי יושב ושונה בין התלמידים שלמדתי עד עכשיו ולפי שאני ממזר איני יושב ושונה בין התלמידים לפי שאין ממזר נכנס לירושלים כל עיקר שנאמר (זכריה ט) וישב ממזר באשדוד (והכרתי גאון פלשתים
So, too, with someone whose sexual transgression produces a mamzer. They say to him: Empty one! You have ruined yourself and you have ruined him as well! [For this mamzer would have wanted to study Torah with the rest of the students] who sit and study in Jerusalem. But this mamzer would go with them only up to Ashdod, and then would stop there and say: Woe is me! If I were not a mamzer, I would have gone to sit and study among the students whom I have been studying with until now. But because I am a mamzer, I cannot sit and study among these students. For a mamzer cannot enter Jerusalem at all, as it says (Zechariah 9:6), “The mamzer will stay in Ashdod, (and I will cut off the pride of the Philistines.”
In one of his volumes of responsa, Rabbi Chezkiah Fivel Plaut (1818-1894) was asked whether it was permissible to call a mamzer up to the Torah. Rabbi Plaut, who was a student of the Chatam Sofer, concluded that it is indeed permitted, but was not certain that it was permitted to say the general prayer for the well-being of the person called to the Torah, known as the Mi Sheberach (מי שברך). “I am uncertain whether to say the Mi Shebarch, because the focus of this blessing is on his children, and God forbid that there would be more mamzerim among the Jewish people.”
Chezkiah Feival Plaut. Likutei Chaver ben Chaim. Munkach 1883. 104b.
Rabbi Yishmael Hacohen (1723-1811), came from a distinguished rabbinic family and took over the mantle of leadership in the Italian city of Modena from his older brother who died in 1781. In 1881 he was asked by Rabbi Avraham Yona of Venice whether it was permitted to tattoo the forehead of a mamzer with the word “mamzer,” which would serve as a warning sign not to allow this person to marry into the Jewish community. The halakhic concerns revolve around the question of tattooing, and not, as we might think today, as to whether this was a reasonable thing to do.
Rabbi Yona was an enthusiastic supporter of the idea, but Rabbi Yishmael was, at least initially, not sure. But at the end of his lengthy responsa he concluded that it was indeed permitted, since although tattooing was forbidden, if it was performed by a Gentile it was allowed in this case, for it prevented “a greater transgression.” This opinion is cited in דרכי תשובה יורה דעה קפ, סק’א.
It is permitted to tattoo the forehead of a mamzer. From Yishmael ben Avraham Hacohen. Zera Emet. Vol 3, 140b.
There are certain caterogical rulings in the Torah that the rabbis did their best to ignore. The Torah demand “an eye for an eye, a tooth for a tooth” (Exodus 21:23–27), but the rabbis ignored this and interpreted the verse as requiring monetary compensation (Bava Kamma 83b–84a). The Torah demanded that loans be forgiven every seven years during the shmitta year (Deuteronomy 15:1–6), but the rabbis found this law to be unworkable. So Hillel Hazaken created the prozbul which protected the investment of the lenders. Despite the severity of the prohibition of mamzer, and not withstanding some of the later rabbinic statements that we have seen, talmudic and contemporary rabbis were often very sympathetic to the plight of the mamzer, and went to extreme legal lengths to remove the label. So, for example, later in this tractate (Yevamot 80b) Rava ruled that a child born twelve months after a married woman’s husband left her and travelled abroad was not a mamzer. Perhaps, he argued, the pregnancy had just been unusually long.
יבמות פ, ב
אֶלָּא הָא דַּעֲבַד רָבָא תּוֹסְפָאָה עוֹבָדָא בְּאִשָּׁה שֶׁהָלַךְ בַּעְלָהּ לִמְדִינַת הַיָּם וְאִישְׁתַּהִי עַד תְּרֵיסַר יַרְחֵי שַׁתָּא וְאַכְשְׁרֵיהּ כְּמַאן כְּרַבִּי דְּאָמַר מִשְׁתַּהֵא
With regard to the action taken by Rava Tosfa’a concerning a woman whose husband went overseas and her baby was delayed in her womb for the twelve months of the year following her husband’s departure, and Rava Tosfa’a rendered the child fit, arguing that the husband is presumed to be the father and the child is not a mamzer…
Perhaps the best example recent example of this effort comes from the late Rabbi Ovadia Yosef (1920-2013) who was the Sephardi Chief Rabbi of Israel from 1973-1983. He was asked about the case of a young woman who believed that she was a mamzeret. Her mother had been married by a haredi rabbi to a man who subsequently left her, converted to Christianity, married another woman, and refused to give his first a Jewish divorce. This wife later obtained a civil (but not a Jewish) divorce, remarried civilly and had the daughter. This daughter was indisputably the result the union of a woman who is married (under Jewish law) and a man who was not her husband, that making her children mamzerim.
But Rabbi Yosef found a way to demonstrate that the daughter was not technically a mamzeret, although he never explicitly stated any discomfort with the notion of mamzer. In his work Yabiah Omer (volume 7, Even Ha’ezer 6) he refused to allow any testimony from the mother, since she was an interested party. He also refused to allow any testimony from the haredi rabbi who performed the marriage, since he was but a single witness, and two witnesses are required to establish proof in Jewish law. He continued along this vein until he concluded that there was enough uncertainty in the case to remove the label of mamzerut from the daughter, and allow her to marry into the Jewish people.
שו׳ת יביע אומר, חלק ז, אה׳ע סימן ו
The rabbinic attitude towards mamzerut demonstrates that there really has never been a single rabbinic attitude towards the problem. Some made the life of the mamzer extraordinarily difficult, and even suggested that the mamzer had physical or character flaws. One even suggested that the mamzer be tattooed as a warning to others. But others went to great efforts to remove the need to categorize any person as a mamzer. Let’s end with a reminder that in classic Jewish teaching, the mamzer can rise to great religious heights, regardless of the actions of his or her parents.
משנה הוריות ג, ח
מַמְזֵר תַּלְמִיד חָכָם קוֹדֵם לְכֹהֵן גָּדוֹל עַם הָאָרֶץ
But if there were a mamzer who is a Torah scholar and a High Priest who is an ignoramus, a mamzer who is a Torah scholar is rescued before a High Priest who is an ignoramus, as Torah wisdom surpasses all else.
On today’s page of Talmud, Rav Dosa calls his brother Yonatan a little devil. Literally:
יבמות טז, א
אָמַר לָהֶם: אָח קָטָן יֵשׁ לִי, בְּכוֹר שָׂטָן הוּא, וְיוֹנָתָן שְׁמוֹ, וְהוּא מִתַּלְמִידֵי שַׁמַּאי
I have a younger brother who is the firstborn of the Satan, and his name is Yonatan, and he is among the disciples of Shammai…
Rashi explains that he meant this in a good way:
בכור שטן הוא: חריף ועומד על שמועה ועושה מעשה ואינו שב משמועתו לעשות כרבים
The first born of Satan: He is very sharp. He stands by what he teaches, and doesn't give in to the majority…
which is why the Schottenstien Talmud translates the phrase as “he is a first-class adversary.”
Following Rashi’s lead, many other commentators explain that the phrase “firstborn of the Satan” is really a compliment. It means clever, or crafty, or, as we might say today, “devilishly clever.” But that is not how it was used by Tuviah Cohen, the seventeenth century physician who wrote an important encyclopedia called Ma’aseh Tuviah.
We learned about Tuviah in a previous post, which you can read here. To recap, Tuviah studied in a yeshivah in Cracow, and at the age of twenty-six, entered the University of Frankfurt, where he began to study medicine. Despite being taken under the wing of Fredrick William, the elector of Brandenburg, and receiving a stipend from him, anti-Jewish sentiment prevented Tuviah from graduating. As a result, he left for the University of Padua, where he graduated with a degree in medicine in 1683 and soon found employment as a physician in Turkey. He published his only work, Ma’aseh Tuviah (The Work of Tuviah), in Venice in 1708 and moved in 1715 to Jerusalem, where he died in 1729.
Portrait of Tuviah Cohen, from his work Ma’aseh Tuviah, Venice, 1708.
Tuviah Cohen has long been a favorite of historians of science and Judaism. Perhaps this is because he was a reformer of sorts, ready to sweep away old superstitions and replace them with scientific knowledge. Perhaps it is because his book, Ma’aseh Tuviah, was “ ... the best-illustrated Hebrew medical work of the pre-modern era,” full of wonderful drawings about astronomy and anatomy. Perhaps it is because his book is so clearly printed and a pleasure to read in the original. Or perhaps it is because Cohen was so adamantly opposed to Copernicus that he called him the “Firstborn of Satan”—which made his the first Hebrew work to attack Copernicus and his heliocentric system.
Front page of the first edition of Ma’aseh Tuviah, Venice 1707.
Tuviah painfully remembered one particular area in which he lacked knowledge: the discipline of astronomy. It was astronomy that the Talmud considered to be the example par excellence of Jewish wisdom that would be acknowledged by Gentiles. Examining the verse “For this is your wisdom and understanding among the nations” [Deut. 4:6], the Talmud had concluded that it referred to “the calculation of the seasons and the constellations,” that is, the ability to create an accurate calendar and to forecast the positions of the stars and planets. Tuviah was especially troubled by the taunts that Jews had no proper astronomical understanding, given the pride of place of astronomy in the Talmud. He recalled his days in the university:
We would undertake long debates with us every day about questions of belief, and would many times embarrass us asking “where is your wisdom and understanding—it has been taken from you and given to us!” Although we were knowledgeable in Bible, Talmud and Midrashim, we were like paupers when we debated them. This is why I became a zealot for the Lord and swore that before I died I would neither sleep nor rest until I had written a work that included knowledge and skills...for although we walk in this dark and bitter exile God has been our light and there are still wise and learned men among us. . . .
He therefore addressed this topic in detail in his encyclopedic Ma’aseh Tuviah.
The first depiction of the heliocentric system in Hebrew literature. From Ma’aseh Tuviah, Venice, 1708, 50b.
Which brings us, finally, to the phrase on today’s page of Talmud. Tuviah’s section on astronomy included the first depiction in Hebrew literature of the new(wish) heliocentric model of the universe, first published by Nicolas Copernicus in 1542. But having explained the new model (which by then was nearly two centuries old) he rejected it in favor of the traditional earth centered or geocentric model. And he did so with an unforgettable chapter title:
Chapter Four.
Bringing all the claims and proofs used by Copernicus and his supportersshowing that the Sun is at rest and the Earth is mobile;
and know how to refute him, for he is the Firstborn of Satan.
Is it possible that since the phrase could be taken as a backhanded compliment, Tuviah also meant it that way? One historian, Noah Rozenbloom, believes that this may indeed be the case. He suggested that Cohen may actually have been a secret admirer of Copernicus, and that the name “Firstborn son of Satan” should not be understood as an affront.
Although Rozenbloom’s suggestion is an intriguing possibility, it is highly unlikely that Tuviah Cohen was a closet Copernican. The entire structure of the chapter (as well as its very title Olam Hagalgalim—The World of the Spheres) demonstrated Cohen’s allegiance to the old Ptolemaic system in which the earth was stationary, and he laid out several objections to the Copernican model. Tuviah was not a closet Copernican. But he was certainly persistent in his opposing the new astronomy. He was gifted, and refused to be swayed by others. Perhaps, then, it is Tuviah who should be given the accolade “the firstborn of Satan.” In a good way, of course.
[Want to read more about Ma’aseh Tuviah? Checkout Chapter Five of this book.]
Today’s page of Talmud reveals an intimate medical detail about one of the daughters of Rabban Gamliel. She was an aylonit:
יבמות טו, א
בִּתּוֹ שֶׁל רַבָּן גַּמְלִיאֵל, דְּאַיְלוֹנִית הֲוַא
Earlier in this tractate, Rav Assi ruled that if a woman is an aylonit, she exempts her co-wife from the ritual of yibbum:
יבמות יב, א
אָמַר רַב אַסִּי: צָרַת אַיְלוֹנִית אֲסוּרָה, שֶׁנֶּאֱמַר: ״וְהָיָה הַבְּכוֹר אֲשֶׁר תֵּלֵד״ — פְּרָט לָאַיְלוֹנִית שֶׁאֵינָהּ יוֹלֶדֶת
Rav Asi said: The rival wife of an aylonit is forbidden.
Rashi (loc cit) explains the nature of the aylonit (basing his explanation on the Talmud in Ketuvot):
אילונית: דוכרניתא דלא ילדה לשון איל זכר מן הצאן
Aylonit - she is known as a duchranita, and is infertile.As if she is a ram [דכר is the Aramic translation of the Hebrew word איל– a ram] which [being a male] cannot give birth"
And so today on Talmudology we will examine the science behind the aylonit syndrome.
“ איילונית - אין לה לא קנס ולא פיתוי
There is no fine for the rape or seduction of an Aylonit
”
An Aylonit is a woman who is congenitally unable to have childern. In the fifth chapter of Niddah (47b) the Mishnah describes the signs which suggest that a woman is an Aylonit:
תלמוד בבלי נדה דף מז עמוד ב
...בת עשרים שנה שלא הביאה שתי שערות, תביא ראיה שהיא בת עשרים שנה - והיא איילונית, לא חולצת ולא מתיבמת
A woman who is twenty years old and has not grown two pubic hairs..is classified as an Aylonit...
In tractate Ketuvot (11a), the Talmud suggests the etymology of the word Aylonit: "איילונית - דוכרנית דלא ילדה - an Aylonit [is given this name] as if she is a ram [דכר is the Aramic translation of the Hebrew word איל– a ram] which [being a male] cannot give birth." This is where Rashi got his explanation on today’s daf.
Later in Yevamot (80b) the Talmud gives four other signs of this condition, which are codified by Maimonides:
רמב"ם הלכות אישות פרק ב הלכה ו
ואלו הן סימני אילונית, כל שאין לה דדין, ומתקשה בשעת תשמיש, ואין לה שיפולי מעיים כנשים, וקולה עבה ואינה ניכרת בין איש לאשה
These are the signs that a woman is an Aylonit: She has not developed breasts, she has difficulty during sexual intercourse [that is, she has a diminished libido], the mons pubis is lacking, and she has such a deep voice that it is indistinguishable from that of a man...(Mishneh Torah, Hil. Ishus, 2:6)
There are many reasons for a woman to be infertile, but because the Talmud lists a number of signs other than infertility, we are able to narrow down the possible causes in the special case of the Aylonit. As many have previously noted, the cause of the Aylonit is likely to be what, (since 1938) we now call Turner's Syndrome.
In 1938 an American endocrinologist names Henry Turner published a paper describing a newly observed syndrome in seven female patients. (A syndrome is a series of medical abnormalities which occur together.) It consisted of a triad of infantilism, a webbed neck, and a deformity of the elbow. It was found only in female patients, and was associated with delayed or absent sexual development. We now know (and Turner did not) that it is caused by a genetic aberration in which the patient has a missing X chromosome. Instead of carrying 44 regular and two X chromosomes, a woman with (what we now call) Turner's Syndrome has one missing X chromosome. (It gets a little more complicated: in some cases of Turner's Syndrome the woman has only part of one of the X chromosomes missing. And in others, the women's cells contain a mixture of both normal - 45XX - and abnormal - 45X - chromosomes. This is called mosaicism. But let's keep our focus.)
Sex chromosome analyses in Turner's Syndrome. Here the 22 pairs of autosomes are grouped according to size and the sex chromosomes placed at the end; in this case, there is only one X chromosome. From Saenger and Bondy. Turner Syndrome. In Sperling M. (ed.) Pediatric Endocrinology. Pittsburgh PA, Elsevier 2014.
Turner's Syndrome occurs in about 1 out of every 2,000 live-born girls. In addition to infertility in most, there are liver problems, high blood pressure, cardiac disorders and various metabolic disorders. Most of the girls with Turner's Syndrome have skeletal abnormalities and a short stature. In girls with the 45X variant, there is ovarian failure and hence infertility, although the cause is not yet clear.
The variable appearance of Turner syndrome. Both of these 7-year-old girls with short stature have the 45X variant of Turner syndrome. The girl on the left was diagnosed at birth due to prominent neck webbing and low-set and posteriorly rotated ears. She also has micrognathia and a low posterior hairline. In contrast, the girl on the right was diagnosed at age 7 due to short stature without “classical” stigmata of Turner syndrome, and she is more typical of the clinical presentation of the majority of girls with Turner syndrome diagnosed in the 21st century. From Saenger and Bondy. Turner Syndrome. In Sperling M. (ed.) Pediatric Endocrinology. Pittsburgh PA, Elsevier 2014.
“Girls and women with Turner syndrome may have low self-esteem and more shyness and social anxiety than controls. In a population-based study of 566 French women with Turner syndrome, low self- esteem was associated with hearing impairment and limited sexual experience, whereas age at first sexual intercourse was related to age at puberty and paternal socioeconomic class.”
A study of Polish women with Turner's Syndrome, found that these women had less "...interest in males, less frequent sexual activity, later initiation of sexual life and a less frequent orgasm rate." Other studies found that women with this syndrome were less likely to establish a relationship with a partner, and were less sexually active than women from the general population. All this suggests that the Talmud's description in which they suffer from "difficulties during intercourse" (מתקשה בשעת תשמיש) may be correct.
Let's remember that behind these scientific findings are real women with the same range of sensitivities, feelings, hopes and aspirations as those of us who have two functioning sex chromosomes. Let's give the last word to Harley Gould, a researcher at the National Institutes of Health:
“Moreover, it is important to remember that society continues to dis- criminate against people that are different, and that being short, or infertile, or looking different impose quite a social burden on individuals... Our demonstration of very similar academic, employment...suggests that genomic imprinting of X-linked genes has little to do with functioning in school or socially...We would like to add to that concept the positive observation that many individuals with Turner Syndrome display excellent coping skills, including perseverance in the face of adversity and equability of temperament.”
