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If the woman has a hump as well as the man, they may take any of the various positions for the coition, always observing that if one of them lies on the back, the hump must be environed with cushion, as with a turban, thus having a nest to lie in, which guards its top, which is very tender. In this way they can embrace closely.

If the man is humped both on back and chest he must renounce the embrace and clinging, and can otherwise take any position he likes for coition. But, generally speaking, the action must always be troublesome for himself and the woman. I have written on this subject:

If both the woman and the man have double humps, the best position they can take for the coitus is the following. "Whilst the woman is lying on her side, the man introduces his member after the fashion described previously in respect to pregnant women. Thus the two humps do not encounter. Both are lying on their sides, and the man attacks from behind. Should the woman be on her back, her hump must be supported by a cushion, whilst the man kneels between her legs, she holding up her posterior. Thus placed, their two humps are not near each other, and all inconvenience is avoided.

The same is the case if the woman stoops down with her head, with her croup in the air, after the manner of El kouri, which position will suit both of them, if they have the chest malformed, but not the back. One of them then performs the action of come-and-go.