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BY –
DISHA MISHRA
3rd
YEAR B.Sc.(Hons.) HUMAN DEVELOPMENT
ROLL NO. - 02
Impotence (sometimes called 'erectile dysfunction')
is the inability to get or maintain a penile erection
during sexual performance.
It is thought to affect one in every ten men.There
are two types of Impotence :
-Erectile Dysfunction
- Premature Ejacuation.
-The first description of Impotence or Erectile
Dysfunction about 2000 B.C. , was set down
on Egyptian.
-Hippocrates concluded that too much Horse
back riding was the cause of this disease.
-Aristotle, air influx into penis.
 -Blood Test
 -Vascular Assessment
 -Sperm Analysis Test
 -Urine Test
-Ultra Sound
-Sensory Testing
-Nocturnal Penile
Tumenescence and Rigidity
Testing.
ORGANIC CAUSES:
 -Pre-testicular causes
-Psychogenic Factors
-Neurogenic Factors
-Tobacco smoking
-Diabetes
-Post-testicular causes
-Poor quality sperm
Environmental Causes :
 -Over-exposure to industrial chemicals
 -Heavy metal exposure
 -Radiation
 -Over-heating of testicles
Some other causes are :
Health, Lifestyle and Stress.
EMOTIONAL IMPACT :
 -Doubt in self-worth
 -Infidelity
 -Guilt and shame
 -Despair and Isolation
 -Denial and Shock
 -Anger
PSYCHOLOGICAL IMPACT :
-Frustration
-Anxiety
-Feeling of Defectiveness and Incompetency
-Depression
-Stress
SOCIO-EMOTIONAL IMPACT :
 -Isolation from friends and relatives.
 -Avoiding social gatherings.
 -Sense of loss
 -Social stigma
-Loss of identity
IMPACT ON PERSONAL RELATIONSHIP :
 -Bitter relationship with the spouse.
 -Frequent conflict
 -Loss of faith.
 -Weaker bonding.
FINANCIAL IMPACT:
 -Add on expenses on medication and
doctor’s visits.
 -Expensive Fertility treatment.
 - Sildenafil
 -Prostaglandin E-1 (alprostadil)
 - Apomorphine (Hcl)
 - Phentolamine
 -Testosterone Replacement Therapy (TRT)
 -Psychological Therapy and Sex Therapy
 - Oral Medication
 -Vacuum Devices(pump,cylinder,penis elastic band)
 -Penile Injection Therapy
 -Ayurveda, Unani and Yoga Therapy
 -Intra-cytoplasmic Sperm Injection (ICSI)
 They are also asked to follow doctor’s treatment
plan, quit smoking, alcohol, drugs and giving up
stress and increase talk with partner.
 -Learn about the normal responses to
impotence.
 -Counseling
 -Improve communication with your
spouse about impotence.
 -Adoption may be done if treatments are
not successful.
Method of Data Collection : Self Prepared
Questionnaire.
Sample Size : 15
Age-Group : 28-35 Years
Group : Female
87%
Adoption
No Plans
NaturalTreatment
ArtificalTreatment
On Going Medication
Neutral
33%
27%
7%
13%
 -Self Help Counseling Centre- Family 
Counseling, Students counseling.(Ph: 
4758252 )
 -Healing Arts - Counseling, Psychotherapy, 
Psychometry, Diagnosis and Medicine.(Ph: 
4749737)
 -Anubhav Counseling- Therapy, Stress 
Management, Psychometry. (Ph: 4667907/ 
4010830 )
    From the seminar we can conclude that ‘The impact 
of male impotence on the female spouses’ are both 
positive  and negative. In some cases, the couples 
became more closer  and empathetic towards each 
other. They faced this situation  with utmost support 
and belief. Whereas other spouses went through 
emotional problems and had difficulty in coping with 
their partner’s physical disturbance. It is also seen 
that counseling and therapies helped the couples 
rebuild their relationship to a greater extent.
 -Lavania ,Vinita(2006) , Childless couples-Social 
consequences of sterility and Infertility, Rawat 
publication,Jaipur.
 -Gupta, C.L.(1997) ,Sex and sexuality, Galgotia 
Publishing Company, New Delhi.
 -www.andrology.com/Edriskfactors.htm
 -EN.wikipedia.org/wiki/erectile dysfunction
 -http://www.sexhealthmatters.com
 - http://www.urologicalcare.com
 - http://www.impotence.org
 -The Times Of India
 - http://www.rightdiagnosis.com
M ale impotence

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