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

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