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Ebook Review of forensic medicine and toxicology (2/E): Part 2

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Nội dung chi tiết: Ebook Review of forensic medicine and toxicology (2/E): Part 2

Ebook Review of forensic medicine and toxicology (2/E): Part 2

CHAPTER 23Impotence and SterilityDefinitions■Impotence: It is the inability of a person to perforin sexual intercourse and achieve gratification (unab

Ebook Review of forensic medicine and toxicology (2/E): Part 2ble to copulate).■Erectile dysfunction: Inability to develop and maintain an erection for satisfactory sexual intercourse in the absence of an ejacula

tory disorder such as premature ejaculation.■Quod (impolenư íỊitửde hone, "as regards'): A male may be impotent with one particular female, but not wi Ebook Review of forensic medicine and toxicology (2/E): Part 2

th another 1■Frigidity (Latin, coldness): It is the inability to initiate or maintain the sexual arousal pattern In female (absence ot desire for sexu

Ebook Review of forensic medicine and toxicology (2/E): Part 2

al intercourse or incapacity' to achieve orgasm) 2 *■Sterility: It is the absolute inability of either a male or a female to procreate. In male, it is

CHAPTER 23Impotence and SterilityDefinitions■Impotence: It is the inability of a person to perforin sexual intercourse and achieve gratification (unab

Ebook Review of forensic medicine and toxicology (2/E): Part 2rtile.■Infertility: Failure to conceive (regardless of cause) after 1 year of unprotected and regular intercourse?Question of impotence and sterility

arises in:■Civil cases, like divorce, adultery, nullity of marriage, disputed paternity and legitimacy, claims for damages where loss of sexual functi Ebook Review of forensic medicine and toxicology (2/E): Part 2

on is claimed.■Criminal cases, like ildultery, rape, or unnatural offences where impotence is cited as defense.Causes of Impotence and sterility in Ma

Ebook Review of forensic medicine and toxicology (2/E): Part 2

lesi.Psychological: Most important and frequent cause, though transient in nature.4 Absence of desirefor sexual intercourse may result from dislike of

CHAPTER 23Impotence and SterilityDefinitions■Impotence: It is the inability of a person to perforin sexual intercourse and achieve gratification (unab

Ebook Review of forensic medicine and toxicology (2/E): Part 2iat syndrome"—passage of whitish discharge in urineand believed to be semen), widower syndrome, post-traumatic stress disorder or over-indulgence. Exc

essive masturbation may also lead to impotence.ii.Age: Before puberty, boys are usually impotent and sterile with certain exceptions, like precocious Ebook Review of forensic medicine and toxicology (2/E): Part 2

puberty. Poor physical development of penis is common cause of impotence—examination depends more on its development than the age. In advanced age, li

Ebook Review of forensic medicine and toxicology (2/E): Part 2

bido diminishes, but they’ are not impotent or sterile. As long as live spermatozoa are present in seminal fluid, individual is presumed to be fertile

CHAPTER 23Impotence and SterilityDefinitions■Impotence: It is the inability of a person to perforin sexual intercourse and achieve gratification (unab

Ebook Review of forensic medicine and toxicology (2/E): Part 2linefelter syndrome, retrograde ejaculation and cryptorchidism (Fig. 23.1).iv. Local diseases: Priapism, hydrocele, elephantiasis, phimosis, Peyronie

disease, adherent prepuce, orchitis following mumps, syphilis and tuberculosis (Fig. 23.1). Mumps may cause sterility, not impotence. Exposure to X-ra Ebook Review of forensic medicine and toxicology (2/E): Part 2

ys may cause sterility.V. General diseases: Impotence is common during acute illness and in any severe or debilitating illnesses.•Neurological conditi

Ebook Review of forensic medicine and toxicology (2/E): Part 2

ons, like tabes dorsalis, multiple sclerosis, paraplegia, hemiplegia, syringomyelia, temporal lobe damage and 3rd ventricle tumors, endocrine disorder

CHAPTER 23Impotence and SterilityDefinitions■Impotence: It is the inability of a person to perforin sexual intercourse and achieve gratification (unab

Ebook Review of forensic medicine and toxicology (2/E): Part 2ve trauma (e.g. long-distance bicycle riding), CVS disorders, e.g. Leriche syndrome, and diseases like tuberculosis and nephritis may cause impotence

and sterility’.•Malnutrition, vitamin c and zinc deficiency’ may cause erectile dysfunction.vi.Injuries: Infertility' is a significant problem after S Ebook Review of forensic medicine and toxicology (2/E): Part 2

pinal cord injury. The two major causes are poor semen quality’ and ejaculatory dysfunction.346Review of Forensic Medicine and ToxicologyFig. 23.1: Ca

Ebook Review of forensic medicine and toxicology (2/E): Part 2

uses of impotence and sterility in males•Erectile dysfunction may occur following treatment for lower limb fractures due to perineal neurovascular tra

CHAPTER 23Impotence and SterilityDefinitions■Impotence: It is the inability of a person to perforin sexual intercourse and achieve gratification (unab

Ebook Review of forensic medicine and toxicology (2/E): Part 2ommonest causes of fracture of penis are coitus and penile manipulations, especially masturbation.vii Chronic poisoning: Exposure to poisons, e.g. lea

d, arsenic, pesticides or aphrodisiac agents may lead to impotence and/or sterility.xiii. Medications: Antidepressants (e.g. SSRIs), antipsychotics, a Ebook Review of forensic medicine and toxicology (2/E): Part 2

nti-hypertensives, antiulcer agents (e.g. cimetidine), cholesterol-lowering agents and finasteride may cause impotence.Lx. Behavioral factors: Lifesty

Ebook Review of forensic medicine and toxicology (2/E): Part 2

le choices—chronic alcoholism, smoking, being overweight and avoiding exercise are possible causes of impotence. Tight-fitting underwear causes increa

CHAPTER 23Impotence and SterilityDefinitions■Impotence: It is the inability of a person to perforin sexual intercourse and achieve gratification (unab

Ebook Review of forensic medicine and toxicology (2/E): Part 2obacco (smoking) may cause impotence and sometimes sterility’.• Penile erection is à complex process involving psychogenic and hormonal input, and a n

eurovascular nonadrenergic, noncholinergic mechanism. Nitric oxide (NO) is considered as the main vasoactive neurotransmitter and chemical mediator of Ebook Review of forensic medicine and toxicology (2/E): Part 2

penile erection. Impaired NO bioactivity is a major pathogenic mechanism of erectile dysfunction.■ Treatment of erectile dysfunction often requires c

Ebook Review of forensic medicine and toxicology (2/E): Part 2

ombinations of psychogenic and medical therapies. Oral phosphodiesterase type s (POE-5) inhibitors are useful In this respect.

CHAPTER 23Impotence and SterilityDefinitions■Impotence: It is the inability of a person to perforin sexual intercourse and achieve gratification (unab

CHAPTER 23Impotence and SterilityDefinitions■Impotence: It is the inability of a person to perforin sexual intercourse and achieve gratification (unab

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