The slipperiness of premodern sex

(For Ginger, to whom I promised anatomical drawings.)
Over the last couple of months, I’ve been following the various discourses swirling around the case of South African athlete Caster Semenya with some interest. The tragedy of her situation makes me wonder whether medieval concepts of sex and gender could offer us an opening to ways of conceptualising biological sex that are more holistic (and realistic) than the strictly male/female binary into which we keep trying to rigidly divide the entire human species in all its marvellous variety and diversity.

Medieval mentalities were coloured by incredibly complex and nuanced perceptions of sexuality, gender and the body*. According to medieval medical theory**, physical sex was not an immutable oppositional binary grounded in biological difference; in fact, one’s biological sex was a very slippery and unstable state indeed. Humoral medicine held that all humans started with a common set of male reproductive organs (the male being the generative first principle). A favourable combination of hotter and drier humors resulted in the penis and testicles becoming fully formed (and reaching a state of perfection) external to the body – et voila, you have a male baby. By contrast, females were the result of a kind of under-cooking in utero, with a combination of less favourable cool and humid humors creating an imperfect internal construction of the penis and testicles as womb and ovaries.

Medical texts and anatomy illustrations from the period*** reflect this conception of the female as inverted (and therefore imperfect) male. At top left is an illustration from a 1523 anatomy by Jacopo Berengario da Carpi. It shows the female reproductive system, but the schematic and labelling clearly indicates it is based on a male model. And below is a beautifully detailed illustration of the female generative organs from the famous 1543 De humani corporis fabrica of Andreas Vesalius. The resemblance to a male penis is marked (right down to a certain suggestion of hairiness).

The fortuitous combination of hot and dry humors that created male physical sex was also believed to produce such superior masculine characteristics as strength, reason, continence and a bent for action. By contrast, cool, damp humors rendered women passive, weak and ruled by emotion or passion rather than reason. Women were also characterised as more lustful and sexually disordered than men, and medieval commentators speculated this was the result of a constant yearning by women to heat themselves up.

Sex as continuum instead of opposition

Within this worldview, physical sex was conceived of as a continuum that may have had ‘clearly male’ and ‘clearly female’ marked at each end, but where there could be slippage between a whole range of men-women and women-men in between. For example, the lactating Christ-as-mother figure, a popular motif of late medieval piety, blurred the boundaries between male and female just as it did between human and god.

With no clearly determined biological binary of male or female sex, sexual difference was grounded in a masculine/feminine gender dichotomy, and it was the individual’s social role, behaviour and character that defined, and could potentially even alter, their physical sex. A trope that appears in the fabliaux of late medieval France is that of the female who presents as male – adopting male clothing and exhibiting such masculine attributes as boisterousness and physical prowess – and in the denouement, has a penis spontaneously spring from her body.

Virago as a strategic performance of gender

In a subtler act of gender-bending, ‘lordly women’ could adopt the self-representation of virago (derived from ‘virgin’, which was also a much more ambiguous state in medieval thinking than it is today). As virago, they overcame to varying degrees their innate female weaknesses in order to lay claim to the masculine virtues of reason, strength and continence that made them fit to wield power. Magistra et Mater recently posted about Kimberly LoPrete’s work on perceptions of ‘lordly women’ in the high Middle Ages. It’s interesting to consider whether they were seen simply as unusually competent women filling a masculine role, or whether they actually became gendered as masculine. A third possibility may be that they occupied an indeterminate position, taking on some aspects of maleness but in other ways remaining female (and this position may have shifted towards more or less masculinity/femininity depending on the context and circumstances).

Gender as the starting point for sex

In medieval thought, then, it was gender – the social and cultural role and behaviour of the individual – that was the starting point for determining physical sex and not the other way around. For those of us living now, there are some obvious problems with this model, with the privileging of the male as first principle being the most glaring. But on the other hand, the fluidity and mutability of medieval conceptualisations of sex seem to me to offer some potential avenues to thinking about sex and gender that could relax our grip on a reductionist and repressive biological opposition. It occurs to me that by questioning the definitions and the limits of this ‘self-evident’ and ‘natural’ binary, what I’m really seeking is to foster some dialogue between the premodern and the postmodern that will eventually enable us to comprehend and accept the rich heterogeneity of the human species.

* For more on this, see for starters the work of Caroline Walker Bynum, Karma Lochrie, Joan Cadden, Thomas Laqueur, Danielle Jacquart and Claude Thomasset.

** When I say ‘medieval’ here, I’m talking about the eleventh century re-discovery of Galen and the translation of Arabic texts such as Avicenna’s Canon into Latin

*** The two examples here are from early 16thC printed anatomies, but the illustrations are consistent with those in much older manuscripts. Berengario, for example, was heavily influenced by the texts of Mondino dei Luzzi (d. 1326).

Image credits:
Jacopo Berengario da Carpi
Isagogae breues, perlucidae ac uberrimae, in anatomiam humani corporis a communi medicorum academia usitatam. (Bologna: Beneditcus Hector, 1523).
NIH National Library of Medicine

Andreas Vesalius
De humani corporis fabrica. (Basel: Oporinus, 1543).
Wellcome Library

Incidentally, the Wellcome Library has a fantastic store of historical and contemporary images online in categories including illness and wellness, nature, culture and war. They're freely available for download for personal, academic teaching or study use. (Why didn’t they have cool stuff like this when I was at school??)