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impotence

Article by Dr.Ramgopal Sarabu
MBBS,M.Ch
Penile implant surgeon..hyderabad

What is impotence?

Impotence word is confusing in medicine. If a male genital organ cannot penetrate the female genital organ is impotency.

What is potence test?

In the potence test a drug is injected into the male organ. After the stimulation, the organ becomes hard. The hardness and sustenance duration of the hardness is evaluated by the doctor. This test has a lot of limitations and subjective variations are present. This is a purely clinical test.

Use of Potence Test

For the evaluation of

1)Rape accused
2) Evaluation of male partner in the disputed marriage (Applied divorce).

Absence of sperms in the ejaculate, does not rule  out potency.  The presence of sperms does not confirm the potency.

Infertility

Infertility to make a woman pregnant is infertility. It may be due to several reasons like inadequate no of sperms, inadequate quality of sperms or contamination with pus cells and infection. Hormonal deficiency CABD varicocele, Ejaculatory duct obstruction etc are some of the known causes for  sperm problems. In most of the patients, the cause is not known they are labeled under idiopathic group.

Generic

Trade Names

Only 3 varieties of tablets are available throughout the world. All of them are only need based, usually to be taken by mouth 1 hr prior to the food intake, which tablet suits to you will be decided by your consulting Andrologist. If medical treatment fails to give results penile implant surgery is the best solution

What is premature ejaculation?

Premature ejaculation is replaced with early ejaculation in the modern medicine.

What is ejaculation?

Fluid Coming out of the male organ (Sperms/No Sperms)

Absence of fluid

What are the drugs to be used, just prior to the intercourse DEPOXETINE
What are the drugs used for long term treatment PARAXETINE/Daily

What is Penile Doppler?

Penile Doppler study tells us the speed of blood flow into the male organ Sponge like tissue holds the blood 3 minutes to several minutes. Anything less than 3 minutes is early ejaculation. Veins take away the blood makes the male organ soft.

What is Penile Rigidity ?

Sponge like tissue holds the sufficient blood leading the hardness of male organ. The hardness is measured in terms of Axial rigidity of 550 gms.

Ref: Campbell Urology 7th Edition Volume II, page no 1186, regiscan failed to discriminate axial rigidities between 450 and 900 gms of buckling force. Because an axial rigidity of more than 550 gms is necessary for vaginal penetration.

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