"In the Polyclinic, Reich had the opportunity to study, with his students, hundreds of patients who came for treatment and to evaluate Freud's assertion that, when the unconscious conflicts were made conscious, the symptoms disappeared. He found that this did not always occur. Some of the most thoroughly analyzed cases remained in their neurotic morass or relapsed shortly. The problem then was to find out why. What factor was missing in the uncured cases that must be present in the cured ones? This factor proved to be that the latter had attained a satisfying sexual life, while the former had not. During analysis, symptoms frequently improved when the patient had a satisfying sexual experience or even masturbated with pleasure. Genital release was, therefore, necessary to maintain health. This did not mean that the uncured cases remained in abstinence, as many of them did have a sexual life. At that time, analysts simply took the patient's word for it that his sexual life was adequate and refrained from detailed probing. Reich found that all these patients suffered from sexual inadequacy consisting of premature ejaculation or orgastic impotence in the male and anesthesia or absence of orgasm in the female. The cured cases regularly achieved a pleasurable orgasm with total involvement of the body. This brought in the quantitative factor of discharge of libido or excess energy. This was significant, as it meant that the libido, which Freud had postulated as a psychic concept, is a reality. The libido must be a real energy which, unless discharged at more or less regular intervals, increases in the body, causing tension, and exciting the vegetative and vasomotor systems, causing nervousness, irritability, and other symptoms."