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Swetha K N (none)     29 July 2013

Need suggestion before filing for divorce on ground of impot

Hi,

I am a software engineer and I got married to raman(name changed) on Feb 2013, and we were engaged 6 months before marriage.

Before marriage when we were engaged Raman used to speak well. But here also I want to add one thing we used to talk about our relations and his relations most of the time. When I used to ask him about what you like and more questions as about him he used to tell I am not specific about anything and used to defer questions where we could get too close. I used to think that probably he was shy and kept quite. And also I want to mention that he used to travel to his office which is in Whitefield with his lady colleague everyday and he used to many times talk only about her and her daughter many times. Initially though I did not like it, I kept quite but after a while it was very irksome for me to listen about some other lady, eventhough she was married. So I told I would not want to listen more about his friend and want to know more about him and his family. He agreed not to talk about her and though I observed he spoke little he used to speak OK.

After marriage things started to change. On the 1st night itself he told me that he wants to have physical relationship only after we understood each other. I would like to mention here that I had told him that it would be better that we have kids after 2 yes and we could use condoms when we want to have relationship. So I thought by the way he told that probably he is referring to that and probably he is also very shy to enter into relationship the very 1st day, so I agreed. After spending 1st night in hotel we went home and when sleeping in their home when I was about to close the door of the room, he told that he always slept with the door open and he would not like it if it was closed, I was shocked and then I explained him that it is not appropriate for a newly married couple to sleep with the doors open,then he agreed. 

After that in honeymoon also he did not come close to me, here I would like to mention that not only was did he ask for relationship, not was he in anyway behaving that he wants to be close, he used to walk seperately, sit seperately and maintain the distance. I thought probably he was shy. But in honeymoon I asked for the relationship and he took or acted as though he dint understand immediately. After that there were some close moments, but he used to never try to enter intercource and used to not take out his clothes all the time.

After we came back from honeymoon he started avoiding relationship at all with me, he used to come late from office by 9.30-10pm most of the times and he used to not look at me or talk with me. He used to sleep before me and if I used to wake him and tell him to speak at least for 2min before sleeping he used to scold me very badly telling he will not get sleep later. So I stopped speaking to him on weekdays. I would like to tell that when he used to come from office, even though I was in the room at that time he used to just keep his bag and go out to change the clothes, he used to not even look at me or talk to me, I used to feel very bad and lonely most of the time. Only his mother used to speak properly with me, his father also used to speak very less to everyone including my mother in law. I used to tell him that I feel very bad that he does not even speak to me for 2min everyday, he used to tell he is like dis only and that I could speak to his mother if I felt bored. 

Then he started making all small things and misunderstandings into big arguments and tell that as reason for not talking with me. He started to totally avoid me. I complained at least we can go out on weekends, he used to tell he was tired, but when I insisted he used to just take me to some picture and there used to be no attempt of conversation on the way, eventhough I tried to make he used to cut it short. And he avoided going for long drive or to go for dinner with me as he would be forced to talk during that time.

I tried a lot to convince him that we should talk and sort out our differences, but he used to never agree, he used to tell that he will not talk much and I have to understand him by not speaking with him. I want to mention here that he used to talk very well with my parents and his friends and outsiders and this behaviour of not talking was pi only with me and to some extent his family too, but at least he used to talk a little bit to his mom and dad whenever needed but was nil with me. 

As dis tirade was not ending and I could not know what to do I told all this to my mom , she advised me that not having physical relationship was abnormal in newly married couples and that I should ask for it. After dis even I read many articles in Google and told him that having good understanding and having physical relationship is 2 sides of the same coin and both is necessary for a good married relationship, but though I tried to convince him like this many times, he would not agree and he used to in turn tell that we need to have good understanding and that as there were many differences it would not be appropriate for us to get physical. And even for understanding he was not ready to speak properly to sort out differences, some times he used to tell that I will change and start talking and after some days he used to again tell that I am like did and you should understand me by not talking. I would also like to mention that many times he has avoided relationship by sleeping late knowing that I would be wake in the room.

After seeing all this for 4 1/2 months I have come back to my mom place. And I could only conclude for his behaviour and some articles that I have read in Google that he might be impotent. I want to file a case of impotence against him to get divorce, but I don't have any proof. After coming back he is telling that he would be willing to come to any marriage counceller and also even for the potency test. I want to get this potency test done for him and me also. Can you suggest where I should go to get this done?

Can any of the lawyers respond to this question?



Learning

 49 Replies


(Guest)

@ apoorva,


I had Gone trough your post and come to the following points:


1. Your husband may be or may be not called as impotent bcz he might be having some other reasons of avoiding s*x with you:


a. He must having an affair in past due to this he is still not come out from his memories.

b. Either he may be forgotten his past but still not attracted to you.

c. He may be acting as to rid out from the relation as he had done marriage due to some force or facts which has made him to do so.

d. He must be a greedy husband thinking of dowry from you parents.

e. Last but not least he must be suffering from impotency.


Now,it's your homework to find out what is the real cause behinf the disattaraction from him to you.


As per legal point of view if impotency is not confirmed you can't get divorce from him by simple allegation of not having s*x with you.But yes he can file for divorce by saying that you had cause a mental cruelity to him reffering him as impotent.


So,go for a rigorous counselling and test before entering into legal battle of divorce.


Thanks & regards,


A sufferer.....

Swetha K N (none)     29 July 2013

For your 1st 2 points I am not sure of any answer, yes he travels with a lady colleague who is married and has a child, he used to talk a lot about her before marriage. But I am not sure they have any relationship. I had suggested that we travel in car together so that atleast we get to spend time, but he had refused and his reasons were that mine and his office timings might not match. I had not taken that further.

For your 3rd point that he might be forced into this marriage, I have asked him many times whether he married becoz of force and each time he very clearly told he had got married from his own will and no one had forced him.

He does not want dowry too otherwise he would have already made some demands till now.

And as for your suggestion for impotency I strongly believe he is, eventhough he had another relationship he could have acted with me also if he was capable. And he gives some reason that he wants to understand and before relationship and then makes no attempt to let alone sort the differences, he does not even talk to me. And many times he has told u live life or way and I will do my way and I should not interfere with his life nor will he do.

How can I live a life with such a person!! If he had problems with relationship also there are ways to come out of it. But if he treats me so badly then there is no point in continuining relationship.

Can anyone tell me what tests they conduct during potency tests and if he consumes any drugs will he be termed as potent??


(Guest)

@ Apoorva,


Then go for his impotency test or court may ask him to go for such test once you file divorce on non consummation of marriage within one year as nul and void,due to suppression of impotency prior to the marriage,as since first night he is not able to perform legal s*x with you.

Even you go for contested divorce as null and void marriage you will be freed by the above fact.


Do you ever ask for MCD,if he is ready you will be free within a year,No need of waiting 1 year of seperation,as there are so many judgements where marraiges are dissolved within 1 year where exceptional hardship was there.And you have a very strong ground.


No consummation of marriage = Dead marriage in the eyes of law.

Swetha K N (none)     29 July 2013

He does not want divorce. According to me he has married for the sake of the society and he wants me to go back. But after facing all this I do not want to..

But I want to know about these impotency tests, and by taking drugs is it possible to show that you are potent by taking certain drugs??

gd dy (gd dy)     30 July 2013


@ apoorva:
apprecaite ur anxiety to knw " But I want to know about these impotency tests, and by taking drugs is it possible to show that you are potent by taking certain drugs??"
bt being a legal platform chances r one may not get porper guidance related to medical query.
hwever @ sufferer try level best.

u forget to mention abt ur present stay.

in one place u mention ur willingness "  I want to file a case of impotence against him to get divorce."
and in other place "
He does not want divorce. According to me he has married for the sake of the society and he wants me to go back. But after facing all this I do not want to.

understand the meaning of "He does not want divorce. According to me he has married for the sake of the society and he wants me to go back." 
bt fail to understand the meaning of " But after facing all this I do not want to."

r u trying to say tht u want to go to ur matrimonial home.
thn go. who stops u ?

if my conclusion is true thn after filing any type of case, may not u feel something awkward to go there ?

Swetha K N (none)     30 July 2013

Hi,

I am telling I don't want to go to his home but he wants me to. Please don't waste my time if you don't know the ans to the questions I have asked.

Can a lawyer please ans dis question? Wat report will dey expect in the court and from which specialist for the impotency test?

gd dy (gd dy)     30 July 2013

@ apoorva :

extremly sorry not to understand wht u want to say.
only court can decide report of which lab would be considered. bt why do u worry. read somewhere in ur post tht u r ready for it. u knw frm court order where test will be tkn ?
ur legal adviser didnot tell u basic procedure. file the case with ur report,if u hv, as evidence. so simple.
let court decide to consider or not.

gd dy (gd dy)     30 July 2013

i have read a nice sentance frm posting in this forum. feel it may be written by .......

" Though I love you I can't ask you to don't leave me,but yes I will wait for you till you don't come"

somewhat it matches ur story. is this case of urs ?


(Guest)

@ apoorva,

 

Impotency is one of the grounds for divorce under the provisions of the Hindu Marriage Act, 1955. In Sharada (supra), the Supreme Court held that without proper medical examination, it would be difficult to arrive at a conclusion as to whether the husband is suffering from impotency or not and that if the husband avoids such medical examination on the ground that it violates his right of privacy or personal liberty as enshrined under Article 21 of the Constitution of India, it would become impossible to arrive at the definite conclusion on the impotency or otherwise of the husband. The Supreme Court further held that avoidance of medical examination to ascertain the impotency of the husband may render the very ground on which the divorce is permissible nugatory and that where the legislature has conferred a right upon the spouse to seek divorce on the ground of impotency, it would be right of that spouse which comes in conflict with the so called right to privacy of the husband and that the Court has to reconcile these competing interests by balancing the same. As noted herein above, the very potency certificate issued by Dr. Surender Reddy has come under serious cloud. This event has occurred after the dismissal of I.A.No.222 of 2011. This being a very relevant circumstance, it has become inevitable to subject the petitioner again for further proper medical examination to ascertain the truth or otherwise of the allegation of impotency. If the request of the respondent is rejected, that may render her right to seek divorce on the ground of impotency otiose as held by the Supreme Court in the aforementioned judgment. In the light of these facts, I am of the opinion that the lower Court has not committed any error in reconsidering his earlier view in view of the changed circumstances by directing the petitioner for being subjected to the potency test by a team of experts.

 

Andhra High Court
Smt. Sreevani @ Vani vs Counsel For Petitioner: Sri ...

Citation;AIR 2013 AP 22

https://www.lawweb.in/2013/06/husband-can-be-directed-to-undergo.html

Adv. Chandrasekhar (Advocate)     30 July 2013

As finally your husband agreed to accompany you for marriage counselling and potency test, it is really a silver line in dark cloud. My suggestion is that first you both visit marriage counsellor who has a degree in psychology. In the Govt. hospital as well as private hospital, psychologists would unravel this problem. You get appointment by finding the names of psychologists of your city by googleinng. A different set of marriage counsellors are there in the market, who have Socialogy degree and are well versed in human behaviour science and they are not much helpful in your case.  Once, psychological counselling is complete, one out of these four conclusions comes out - (1)  He is incurably impotent qua you and not to the entire society, means he may be capable to do s*xual act with any one, but not with you (This is a ground for annulment of marriage or for divorce).  (2) He is incurably impotent qua society. (This is also a ground for annulment of marriage or divorce). (3)  He may be impotent by various physical or social reasons, which can be curable by medication and psychological treatment. (4) He is not impotent at all.(This is less likely)  If the case is third, no doubt, you will go for medication.  If the case pertains to 1st or 2nd, to prove his potency/ impotency there are certain medical examinations which will be conducted by doctors of that particular branch.  About these tests a lot of postings have been made on this forum and you can find them by searching.  If it is conclusive proved that he is impotent or in the case you fail to take him undergo all these tests and still you believe that he is impotent, you can file a petition for annulment of marriage on the ground of his impotency.  Even though you do not have any proof to prove his disability, during the legal proceedings, you have to move an application seeking the court to direct him to go for potency test.  The court will allow your application and direct the superintendent of the Govt. Hospital of that area to test him and submit the report.  The supdt. of the Hospital will constitute a committee (generally) of doctors and they after testing submit the medical report.  If the medical report is positive, despite his various objections, the court will dissolve the marriage by a decree of annuity.   


(Guest)

@ apoorva,

 

Now,in the medical point of view read the following things related term "Impotency"

 

Firstly semen analysis for know whether the semen is good for produce a baby.
The Semen contains Sertolli cells and Ledic Cells = Semen
If Ledic cells are absent the semen report is called as Sertolli Cell only in syndrome/ Azospermia.
If Azospermia is a report the man never become a Father,The only option is Adoption, Artificial Insemination and Serogecy.

Coming to your Question Impotency is nothing but Man penis Erectile while undergoing s*x / masturbating if the penis never stand while doing s*x it is called as Impotency.

What is impotency?

"A consistent inability to sustain an erection sufficient for s*xual intercourse. Commonly known as impotence. Medically, the term erectile dysfunction is used to properly differentiate this form of impotence from other problems that interfere with s*xual intercourse, such as disease, injury, drug side effects, or a disorder that impairs the nerve supply or the blood flow to the penis. Other forms of impotence include lack of s*xual desire and problems with ejaculation and orgasm."

 

So,you can consult any s*xologist near your place and ask for the above tests. In general view a wife is the only doctor of his husband to check whether he is impotent or not and have difficulty in performing s*x.


Why the way just go trough the following very useful for those who are suffering from impotency and it's remedies.

 

Not many people are aware that in most cases physical rather than psychological causes are responsible for impotence (ED), and that ED is usually eminently curable.

 

Even today,
Sexual impotence is perhaps the most poorly understood and mismanaged of all medical disorders. Two factors are responsible for this unfortunate state of affairs.

  1. Ignorance, myths, superstition, guilt and the stigma and taboo attached to anything s*xual in the minds of the people.
  2. Abysmal s*xual ignorance : on account of which people continue to believe that impotence is something that is largely psychological in origin.

These two factors explain why most cases of impotence do not come to light and why the few that do are grossly mismanaged. It is not surprising, therefore, that the general impression is that impotence is something largely incurable.

This is unfortunate because not only are most cases of impotence NOT psychological in origin but most are EMINENTLY CURABLE as well.

Impotence, or erectile dysfunction (ED, E.D.), as andrologists prefer to call it, has always been and continues to remain an extremely common disorder. It is said to afflict as much as 10 percent of the male population. Above the age of 40, nearly 52 % of men are affected. Despite this staggering incidence, few cases come to light.

Contrary to popular belief, impotence is almost never an 'all or none' phenomenon. Most laymen (and several doctors) believe that a man can either have an erection of very good quality or none at all. Nothing can be farther from the truth. Most men with erectile dysfunction have normal desire and can obtain an erection, only the erection is not hard enough or doesn't last long enough, Hence the term erectile dysfunction (which suggests partial loss) is preferred to impotence (which suggests a total loss). Not many are aware that in most cases organic rather than psychological causes are responsible.


In as many as 80-90 percent of cases of chronic impotence, the cause is NOT in the mind but IN THE BODY.

However, the trend is slowly but definitely changing. This is largely due to tremendous advances in andrological research over the past few years which have conclusively established that in as many as 80-90 percent of cases of chronic impotence, the cause is not in the mind but in the body. These causes can be identified using modern andrological investigative modalities, quantified and often successfully treated using totally non-psychological methods.

In an era where so many advances have been made in nearly all other branches of medicine, it is surprising that male reproductive system research has remained so woefully neglected and backward. For instance, the branch of obstetrics and gynecology (the female analogue of andrology) which deals with disorders of the female reproductive system has been with us for several decades now and is a well recognised specialty. In fact, so advanced is the understanding of the subject that today, in most countries, gynecologists restrict themselves to sub-specialty areas within their subject such as gynecological oncology, high-risk pregnancies, female infertility etc. because it is so difficult to keep pace with all the developments in the subject.


A man's ego often does not permit him to admit that there is something wrong with his 'manhood'

It may be of interest to our readers to deliberate in passing the reasons for this delayed understanding of the subject.

Clinical States associated with impotence

Primary

Impotent since birth

Secondary

Impotence sets in after years of normal s*x

.

Causes of Secondary Impotence

  1. Diabetes mellitus
  2. Hypertension (high blood pressure)
  3. Atherosclerosis
  4. Renal (kidney) failure
  5. Heart disease
  6. Neurological disorders - multiple sclerosis, stroke, paraplegia, spinal cord lesions, Parkinsonism, etc.
  7. Injuries - sudden - e.g. pelvic and perineal
  8. Injuries - gradual - as in bicycle-riders etc.
  9. Surgery-operations on bowel, rectum, bladder, rectroperitoneum, spine, urethra, prostate etc.
  10. Local e.g. Peyronie's disease
  11. Medication e.g. drugs administered for duodenal ulcer, hypertension, mental disease etc.

Two factors are predominant. The first of these is male chauvinism. Throughout human history, most of our societies have been patriarchal and male-dominated. Men's egos would not let them admit that there could be something wrong with their 'jewels of manhood'. Ironically, it is these very men who researched the female reproductive system and helped develop the branch of gynecology and obstetrics. But they refused to look into themselves.

The second reason is a misinterpretation of the teachings of Sigmund Freud. This led to the erroneous conclusion that most male s*xual problems had their roots in the mind.

Whereas most branches of medicine have taken their roots from biology - the study beginning with an understanding of the anatomy(structure) and physiology(function) of that part, and proceeding to then figure out what happens when anatomy or physiology goes wrong thus causing disease (pathology), the male reproductive system alone took its roots from psychology rather than biology, thus causing tremendous damage.

This explains why most people know that it takes a complex concatenation of neuromuscular phenomena to lift a finger but fail to realize that equally complex phenomena are needed to lift the penis!! Most think that all that is needed for the latter event to occur is a naughty thought.

What then causes impotence(ED) ? Although ED (impotence) can afflict anyone from 13 to 90 and is associated with a wide variety of clinical conditions and disease states (see box above), the basic mechanisms causing impotence are only a few. All of these can be accurately identified using modern andrological investigative techniques.

TYPES OF IMPOTENCE

Impotence can be of several types :

Arteriogenic

Where the arteries supplying blood to the penis do not bring in enough blood to cause an erection. This can occur because of a narrowing of the arteries such as occurs in the elderly, diabetics and those with high blood pressure or because of injury to the genital region which causes a block in the artery to the penis. The last is very common in the young. The injury can be major and sudden as after a vehicular accident causing a fracture of the pelvis or pubic bones, or low grade and gradual, as in bicycle and other riders, and occurs because sustained friction in that region causes a clot-like substance (thrombus) to develop in the artery to the penis. This clot gradually grows and ultimately blocks the blood supply to the penis completely.

Today, it has been established that erectile dysfunction (ED) is a marker, a warning sign, for future cardiovascular diseases like heart attacks and strokes. Diseases of arteries affect the smaller arteries (penis) before they affect the larger ones (coronaries of the heart and carotids of the brain).

This makes a very strong case for the early diagnosis and management of ED, and this, in turn, will allow the early detection of diseases like diabetes, high blood pressure, high cholesterol, high lipids, etc..

CASE STUDY
College student S.V.S., 23, became totally impotent following a vehicular accident in which he sustained a fracture of the pelvis and a rupture of the urethra. This involved hospitalisation for nearly a month and an operation.

Before the accident, he had had a normal s*x life with his fiance. When he went back to the doctors who treated the primary problem, he was told that his was a purely psychological problem and that everything would be all right in a couple of months. A year later, there was still no improvement and he wanted to break his engagement. An article in a magazine brought him to an andrologist. A phalloarteriogram study showed that the main artery to the penis was blocked. The patient was finally cured with a microsurgical bypass operation - a penile revascularization procedure.

Arteriogenic impotence resulting from injuries is very common but often unsuspected because of ignorance of the causative conditions. Many such patients are to be found in orthopedic and urology wards. The impotence is often discovered much later, after the more obvious wounds and fractures have healed. Ironically, it is most often discovered by the patient himself and not by the doctor.

Venogenic

Where the veins of the penis leak blood and prevent the development of a rigid erection. In a normal man during full erection the veins close down almost completely and practically no blood flows out from the penis. This allows blood to accumulate in the sinusoids of the penis, thus raising pressure and allowing for the development of rigidity or hardness.

Venogenic impotence is extremely common. It is said to account for as much as 30-70 percent of all impotence. Some men have venogenic impotence from birth (primary). Such men have never had a rigid erection all their lives. Others develop venogenic impotence suddenly after years of normal s*xuality (secondary).

Neurogenic

The nerve supply to the penis is very complex. A proper conduction of impulses along these is basic for the initiation and maintenance of an erection. It is these nerves that activate the arteries and the veins and alter the dynamics of blood flow within them.

Many things can go wrong with the nerve supply to the penis. Injuries to the back, especially if they involve the vertebral column and the spinal cord can cause impotence. So also can injury to other nerves supplying the penis such as occurs after pelvic or perineal trauma. A wide variety of operations performed for other conditions can cause incidental injury to the nerves of the penis and cause impotence. These include operations on the rectum, prostate, urethra, spine, retroperitoneum, urinary bladder etc..

Of course, disorders of the nervous system such as multiple sclerosis, myelitis, tumour etc. are wont to cause impotence if they involve the nerve supply to the penis.

Another disease affecting the nerves to the penis is diabetes mellitus. Impotence is extremely common among diabetics. In fact, as many as 50 per cent of all diabetics are impotent. Impotence in diabetics is almost always organic in origin. Appropriate therapy for diabetes can never restore erectile function because the basic diabetic process can never be reversed. Only the blood sugar levels and the complications of diabetes are controlled. Modern andrology, however, can offer a cure to nearly all patients with diabetes-related impotence. This is another fact that is, unfortunately, not known to most people. Few diabetologists address erectile dysfunction (ED, impotence) in their patients.

CASE STUDY
R.K., 47, a senior corporate executive married happily for 20 years with three children, complained of declining erections. Over the preceding six months, his erections had become so weak that he could not penetrate. He stopped trying three months ago.

He thought that this was due to his highly stressful lifestyle and pressures at the workplace. He even took a vacation with his wife hoping that this would improve matters. It only made them worse. His wife, at first very co-operative, eventually began to feel rejected and there was a palpable friction in their marriage.

When first seen at the Andromeda Andrology Center, R.K. was defensive. "How can this happen to a guy like me doc ? I could do it all night, several times a night, night after night. My family doctor says that this kind of thing is quite common these days and it's probably the stress".

It turned out that R.K. was a diabetic of 8 years' standing. He also had high blood pressure for which he was on beta blockers. He was obese (209 lbs - 175 cm) and smoked 40 cigarettes a day. He partied 7 days a week and drank quite heavily. He had never exercised in his life. Sadly, his family doctor had never connected any of these to his s*xual problem.

Andrologic tests at Andromeda Andrology Center revealed that his overall rigidity levels were well below normal and that he had problems both with his arteries and his veins. He was eventually cured with an inflatable penile prosthesis implantation operation.

Many drugs also cause neurogenic impotence by affecting the neurotransmitters at the nerve endings. Notable among these are anti-hypertensives (BP lowering) and psychotropics. The list is very large. Often, it is not known that the medicine (which is prescribed for some unrelated disease, such as duodenal ulcer) is the culprit.

Endocrinologic (or hormonal)

This occurs when there is an imbalance or insufficiency of s*x hormones in the blood stream. It accounts for about 5 to 10 per cent of all organic impotence. Generally, hormonal changes affect the libido (or s*x drive) rather than the quality of the erection per se. A variety of disease conditions can cause these changes.

In recent years, a condition known as the andropause has been identified in men. Men in their middle age and beyond, are known to develop drops in their bioavailable levels of testosterone, resulting in a condition quite analogous to the menopause in women. The andropause is frequently associated with ED. More information about this condition is available on our andropause
Mixed

Sometimes, more than one factor can be operative in the same patient. Such patients generally have systemic disease. Notable examples are diabetes, kidney failure and liver failure.

Another group where mixed factors operate is where long standing impotence has led to secondary psychiatric disorders such as depression etc.. Here, the basic causative factor is organic but being unrecognised and untreated (or maltreated) it eventually takes its toll on the mind, often because the patient thinks or has been led to believe that the condition is incurable and that it's all in his mind.

Psychogenic

When there is no organic factor and the problem lies purely in the mind, it is labeled a case of psychogenic impotence. But before such hasty labeling it is necessary to prove by andrological investigation that no organic or bodily cause exists.

Only then can treatment proceed in a scientific and systematic manner.

CURRENT TREATMENT OPTIONS FOR IMPOTENCE

There are several treatment options for impotence. This is a very brief discussion on some of the options.

Sexual Counselling

Counseling and s*x therapy are sometimes effective in helping patients with minor s*xual problems, especially when these are caused by s*xual ignorance and psychological factors.

Oral Medication

The introduction of Viagra by Pfizer in March, 1998,, marked the beginning of a revolution in the oral medical management of erectile dysfunction (ED, E.D., impotence). The launch of Viagra was soon followed by that of Levitra and Cialis. Other (even better) drugs are in the pipeline.

Effective oral medication has re-written the management of ED and is effective in nearly 70 - 75 % of cases. Several internet resources are available for more detailed information about these drugs and these will not be discussed in detail here.

Hormone Replacement Therapy

Testosterone is the major male hormone that gives men their s*xual characteristics (deep voice, beard, chest hair). As men age, their level of testosterone decreases (andropause) and this may have an adverse effect on s*xual performance. In proven cases of andropause, testosterone preparations may enhance potency and improve s*x drive. However, this therapy must be only offered under expert medical supervision because many side effects can occur. Other endocrine disorders causing low testosterone, elevated prolactin, and other abnormal hormonal states, will require specialist endocrinologist attention.

External Vacuum Devices

Vacuum therapy involves the use of an external vacuum device, and one or more tension rings. This therapy is purported to be effective for over 90% of the men who use it. In fact, most can technically master its use in one day, and can use it to maintain erections for up to 30 minutes, even after ejaculation and/or orgasm.

CASE STUDY
K.M., 65, decided to remarry 8 years after his wife's death. He married a lady considerably younger and though he was not totally impotent, there was a major libido mismatch and he felt that he was not being fair to his wife. A vacuum device solved his problem. He has been using it satisfactorily for more than 2 years.

Side effects, include petechiae (reddish, pinpoint-size dots) and ecchymoses (bruising). These conditions are not painful or serious and generally occur only during an initial learning period. Penile temperature may decrease 1-2 degrees during use. Vacuum devices are generally favoured by elderly patients with erectile dysfunction.

Penile Injections

The need for the use of injections has declined enormously since the advent of orally effective drugs like Viagra for ED. Papaverine, phentolamine, prostaglandin E1, and combinations of these drugs may be self-injected into the penis with a fine, small gauge hypodermic needle. Men must first be taught the procedure in the physician's office. These drugs produce erections of good quality for about 75-85% of patients who select this option. Some patients combine this method with the use of an external vacuum device. Not too many injections are used nowadays.

Self Injection Kit A Self-Injection Kit

Erections obtained by injection usually last 30-60 minutes and may not subside when a man has an orgasm or ejaculates, and may interfere with the patient's social/business agenda. An overdose can cause a prolonged and painful erection that may require medical or surgical intervention. Frequent use may lead to the build-up of scar tissue in the penis, further complicating the process of erection.

Penile Implants

A penile prosthesis (implant) is a fixed or mechanical device surgically implanted within the two corpora cavernosa of the penis, allowing erection as often as desired. Penile prosthetic implantation surgery gives good results and high satisfaction ratios with low complication rates when performed at centers of excellence. The incidence of side effects is low. Penile prostheses are available in semi-rigid, self-contained 2-piece inflatable, and 3-piece inflatable models. Newer advances in implant design have reduced the complication rates and increased satisfaction rates further.

How the Inflatable Penile Prosthesis works
Microsurgery
Penile revascularisation and venous ligation are microsurgical procedures similar in technical complexity to a heart by-pass operation although they clearly do not carry anywhere near the same risk to the life of the patient. ! With the advent of oral drugs, the need for microsurgical intervention nowadays is not frequent. Some patients, however, will request a microsurgical cure rather than have silastic devices inserted into their penises. They would prefer that implantable penile prostheses be tried only as a last resort.
The Chief Medical Consultant of Andromeda Andrology Center, Hyderabad, India, Dr.Sudhakar Krishnamurti, performing microsurgery on a patient Our Consultant
Also check out
Ejaculatory Disturbances.
The Male Factor in Infertility.
Varicocele
Andropause (Male Menopause) - Does it really exist ?
Curves, Bends, and Peyronie's Disease.
Penis Lengthening and Girth Enhancement
Why some Women want to become Men (and vice versa).
The Science of Andrology.
Are You at Risk of turning Impotent ?
Male Impotence - A Woman's Perspective.
3 Like

Swetha K N (none)     30 July 2013

Thank you for all your replies.. But still it would hv been better if I would hv come to know if by taking any drugs dey can come out of this tests clean..

(Guest)

what drugs?

Come out with your clear cut question. What he takes,which drugs he takes and for what purpose?


See you can't alleged any one for just sake of having any drugs or medicines.


Better you take the sample of drugs,collect the prescripttions if any you have.Go to laboratory near your place,ask them to check which kind of drugs these are.They will tell you better.

And based on that act further.......

 

Now my questions to you:

 what you want exactly? to get rid out from him and dissolve this marriage or you want to just check wether he is impotent or not?

 

 

Regards,

 

A sufferer....


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