Ebook Review of forensic medicine and toxicology (2/E): Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội 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 ejaculatory 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 2th another 1■Frigidity (Latin, coldness): It is the inability to initiate or maintain the sexual arousal pattern In female (absence ot desire for sexuEbook 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 isCHAPTER 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 2on is claimed.■Criminal cases, like ildultery, rape, or unnatural offences where impotence is cited as defense.Causes of Impotence and sterility in MaEbook 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 ofCHAPTER 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. Excessive 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 2puberty. Poor physical development of penis is common cause of impotence—examination depends more on its development than the age. In advanced age, liEbook 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 fertileCHAPTER 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 2ys may cause sterility.V. General diseases: Impotence is common during acute illness and in any severe or debilitating illnesses.•Neurological conditiEbook 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 disorderCHAPTER 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 2pinal cord injury. The two major causes are poor semen quality’ and ejaculatory dysfunction.346Review of Forensic Medicine and ToxicologyFig. 23.1: CaEbook 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 traCHAPTER 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. lead, 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 2nti-hypertensives, antiulcer agents (e.g. cimetidine), cholesterol-lowering agents and finasteride may cause impotence.Lx. Behavioral factors: LifestyEbook 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 increaCHAPTER 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 neurovascular 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 cEbook 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 (unabCHAPTER 23Impotence and SterilityDefinitions■Impotence: It is the inability of a person to perforin sexual intercourse and achieve gratification (unabGọi ngay
Chat zalo
Facebook