"Aristotle’s Masterpiece" remained popular into the 1800s – more than a century after its initial publication. Published before concerns were raised about the sexual propriety of male midwives, the text did not change to fit new societal standards. After it was first published, “quickly became the most popular English-language guide to sexuality, conception, pregnancy, and childbirth.” As a result, the book that highlighted sexual pleasure to the extent that it once “proved to be so titillating [… it caused trouble in at least one respectable town" continued to be published alongside more conservative texts for decades.