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
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