Impotency means inability to perform normal sexual intercourse due to either premature ejaculation or failure to have or maintain satisfactory erection. This should not be confused
with sterility. An impotent may be sterile or fertile, so also sterile man may
be potent or impotent.
is under the control of automatic nervous system. Sympathetic nerves (L2 & L3) through hypogastric nerve control the act of ejaculation; while parasympathetic nerves (S2, 3 & 4) through nervi erigentis control the erection. When the centre becomes hypersensitive or over sensitive, the
premature ejaculation occurs. While physiological stimuli transmitted by the central nervous system from the higher centre and androgen secretion in conjunction with higher cerebral impulses govern libido. Impotence may result from organic or psychic disturbances. It may be complete or partial. It may be with normal or impaired libido.
- Endocrine affections
- Neurological disturbances
- Toxic affections
- Atherosclerosis of the aorta and iliac arteries.
Addison’s disease, androgen deficiency, pigmentary cirrhosis, hypogonadism and
absence of libido.
endaterectomy or tumour of the spine, spina bifida, cauda equine, disseminated
sclerosis, and blocking of sympathetic ganglia by drugs for hypertension.
- Fear of inadequacy,
- Emotional conflicts,
- Faulty attitude towards sex,
- Fatigue, anxiety or convalescence,
- Guilty feeling, and
- Rejection by wife.
urgent attention. Premature ejaculation may be “post-partus” or “ante-partus”.
In the former the involuntary ejaculation occurs immediately on intromission or very soon after that. In the latter, the more serious of the two, ejaculation occurs even before the penis is introduced into the vagina. Ejaculation may take place with semi-erect condition or without erection.
- Physical causes such as tight prepuce or extra sensitivity of the glans penis,
- Pathological causes such as inflammatory condition or congestion of the posterior urethra, or
- Emotional cause such as fear, guilt feeling or an intense desire or passion especially after prolonged separation.
This finds itself in her behaviour, expression and talk. The male, being very touchy and sensitive of his potency, begins to feel inadequate, maladjusted and unhappy. He remains under constant tension and fear. This is the time when the wife has to be very tactful, considerate, and affectionate and refrain from remark and criticism. In fact she must do everything in her power to reassure him of his manliness and potency. This assurance must be by word, action, gesture and thought. In absence of her genuine co-operation, he is not likely to improve his functioning as a husband. A wife can be directly responsible for her husband’s poor performance. A tactless wife who often nags her husband, who is sarcastic or caustic in her remarks, who is over-critical of his actions,
which constantly argues or devalues her husband, is very likely to be neglected by her husband. Her attitude towards ‘sex is shameful’ or her refusal to participate in certain sexual fore-play may have profound effect on his
potency. In some cases, a man’s impotency may be due to his anxiety about the past experiences such as masturbation, guilt feeling or due to his homosexual tendencies. Occasionally, a man may be impotent with his own wife but potent with other women. This is called relative impotency.
achieve an erection. Impotence is a common complication of diabetes mellitus and hypertensive state. In actual practice, organic lesion count for about ten percent of cases of impotence; while the rest owe their condition to
psychological factors. History of these cases is very important, in making the diagnosis. Early morning erection with full bladder or rectum is a good evidence of normal anatomical and physiological function. It has been noted
that mean urinary testosterone level is significantly higher in psychogenic impotence than in constitutional impotence.
It must be impressed on every male that a man, at some time or other during his life, suffers from either want of erection or premature ejaculation or both, and that this does not mean that the condition is permanent. It should be regarded as temporary inconvenience, which passes of itself in majority of cases. It is a mistake to depend solely and immediately on drugs and their massive doses. The wife’s role in reclaiming and rehabilitating her husband’s manhood should not be belittle or made small. A good deal of success will depend on her sincere cooperation. Yet many wives are prone to be guilty in weakening and worsening their husband’s sexual power. She must learn not to feel rejected or hurt because of his failure. She must build up his ego and at the same time her ability to arouse him. At times which may suit her partner, she must take initiative in love-making. The wife who shows undue shyness and is afraid to manifest of evidence of being aroused, is really uninviting to her
husband. When she behaves in bed as she should, her husband is less likely to find himself impotent.
to my attention. He married and no more than one week after the ceremony his bride came weeping to me asking for advice. She coded that the young husband’s attempts at intercourse were revolting to her, as well as disturbing to her nervous system. Because she wished to have a family, she was crushed by grief at the predicament in which she found herself for she was in love with the man of her choice. Above everything else I recommended her to be patient, sympathetic and to do everything in her power to reassure him of her
confidence. Both were nervous frightened and thrown into the deepest chagrin. Rest and emotional relaxation
were needed and no attempts at intercourse should even be attempted for several weeks. Intimacy and affection and knowledge of each other were in this case the first essential. I advised the young woman that all the outgoing streams of affection and confidence should be strengthened before the final act of sex should be thought of again.
whether they are to be considered as valuable and reliable for the treatment of
Syco, ThaI, X-ray.
Gos, Iod, Nat.p, Pho, Sabal,
sexual powers, with periodic seminal emission and feeble erection or complete impotency. The erections are weak and inefficient, patients with hypochondria, melancholia and suicidal intent.
quick, spasms during coition.
person who needs this remedy often craves tobacco.
Dejection, after coition. Sometimes emission at mere presence of women.
egotistically). People who need this remedy often have digestive problems with gas and bloating, and an energy slump in the late afternoon and evening.
stiffness of the linen. Pain, burning along urethra when semen discharges.
Frequent and very debilitating pollutions. Onanism. Discharge of semen while straining at stool.
is usually still present. Unusual hair-loss (body hair or eyebrows) can also suggest a need for Selenium.
emotional suppression and very sensitive feelings.