IMPOTENCE AND STERILITY

Definitions:

Impotence:

Physical inability of either sex to perform sexual act.

Sterility:

Inability to procreate,

Inability to impregnate in case of males,

Inability to conceive in case of females.

Causes of impotency

1. Pathological

Organic causes,

General diseases.

2. Psychological

Organic causes:

Congenital developmental malformations:

In males:

Absence of penis

Infantile penis

Double penis

Hypospadias & Epispadias

In females:

Absence of vagina

Ill developed or small vagina

Imperforated hymen

Female pseudo hermaphroditism

Acquired conditions:

In males:

Acute diseases of penis

Injuries to penis

Adhesions of penis

Hydrocele, scrotal hernia

Elephantiasis

In females:

Vaginal obstruction

Vaginal strictures

UV prolapse

General diseases

In males:

Heart disease

DM

Acute febrile illness

Chronic general disease

Drug addiction

Masturbation

Neurological diseases

Vit. B deficiency

In females: no general disease renders impotence

Psychological causes:

In males:

Stress

Fear

Guilt

Homosexuality

In females:

Vaginismus (reflex spasm of vaginal orifice & all the muscles of pelvis)

MLI of impotency and sterility:

Divorce

Disputed paternity

Legitimacy

Adoption

Adultery

Rape

Un-natural sexual offences