Potency means ability to perform sexual intercourse and to achieve gratification. Impotency means inability to perform the sexual intercourse and inability to achieve gratification.
Dictionary meaning of Impotency is —- (1) lack of power, (2) specially, lack of copulative power in the male due to failure to initiate an erection or to maintain an erection until ejaculation; usually classified either psychological or organic (erectile dysfunction).
In males, it essentially includes failure to have adequate erection of the penis and ejaculation.
The sexual intercourse / coition consist of a chain of events. The usual stages are —-
1ST – Sexual drive.
2ND – Sexual arousal.
3RD – Genital union.
4TH – Orgasm in female and Orgasm & ejaculation in male.
5TH – Resolution.
Some authorities staging the sexual intercourse as —-
Phase 1 – Desire.
Phase 2 – Excitement.
Phase 3 – Orgasm.
Phase 4 – Resolution.
Whatever may be the staging; sexual drive is mostly psychologically controlled and is an effort to materialize a desire of sexual performance. The question of impotence may arise in the legal issues – viz.
- Civil Issue:
- Nullity of marriage.
- Divorce [Secale 12 of Hindu Marriage Act, 1955; Secale 24 of Special Marriage Act, 1954].
- Disputed Paternity.
- Suits of Adoption.
- Compensation cases due to loss of sexual function (Grievous Hurt) [Secale 320, IPC]
- Criminal Issue: Where impotency is pleaded as a defense.
- Unnatural sexual offences.
- Breach of promise of marriage.
- Criminal slander.
- Defamation cases.
There are several causes of impotency in males. One of them is the Psychic cause. This is the most frequent, though transient in nature. Worry and depression are the most common causes of impotency in present day practice. Emotional disturbances and fear are commonly responsible for temporary impotence. Disgust of the sexual act or dislike towards the sex-partner may produce temporary or permanent impotency.
Fear of inability to complete the act of intercourse may actually lead to the conditions viz. non-erection, early flaccidity of the organ, premature ejaculation etc. It may also be due to shyness, timidity, guilt-sense, overindulgence to sex, excessive sexual desire or passion etc.
The words ‘QUODE HANC‘ mean ‘as far as this‘. A man may be particularly impotent with a particular woman – but not with others. This is called Impotence Quode Hanc. A man may be potent only in some specific environmental conditions or personal effects of the woman and in other circumstances, he may find himself impotent.
This is purely a Psychological Impotency and categorize under Psychological Impotence DSM-IV.
[DSM º Diagnostic & Statistical Manual of Mental Disease]
Repertorial approach to Impotence Quode Hanc: – As it is a psychic disorder; so, for the repertorization Schroeyen’s Synthesis (version 8.1), Murphy’s Medical Repertory and Kent’s Repertory have been studied.
The following rubrics are suggested ———
- Frederik Schroeyen’s Synthesis (version 8.1):
- Male genitalia / sex – IMPOTENCE [CR] Ejaculation – falling; Erections – wanting; Sexual desire – wanting.
- Male genitalia / sex – EJACULATION – failing during coition.
- Male genitalia / sex – Erections – wanting.
- Male genitalia / sex – Sexual Desire – wanting.
- Male genitalia / sex – FLACCIDITY – Penis.
- Mind – INDIFFERENCE – sex, to opposite.
- Mind – INDIFFERENCE – women, to.
- Mind – FEAR – sex, of opposite.
- Robin Murphy’s Medical Repertory:
- Mind – INDIFFERENCE, apathetic – sex, during.
- Mind – INDIFFERENCE, apathetic – sex, after.
- Mind – FEAR, phobias – sex, impotence from fear during sex.
- Mind – FEAR, phobias – women, of.
- Male – ERECTIONS, penis – incomplete, psychical.
- Male – FLACCIDITY, genitalia – flaccidity, penis.
- James Tyler Kent’s Repertory to Homeopathic Materia Medica:
- Mind – FEAR, women, of.
- Mind – AVERSION, persons, to certain.
- Genitalia – IMPOTENCY [CR] Genitalia – ERECTION.
- Genitalia – ERECTIONS, incomplete.
- Genitalia – ERECTIONS, incomplete, coition, during.
- Genitalia – ERECTIONS, incomplete, penis becomes relaxed.
- Genitalia – FLACCIDITY, Penis.
- Dorland’s Illustrated Medical Dictionary.
- Kent, Dr. James Tyler – Repertory to Homeopathic Materia Medica.
- Murphy, Robin – Homeopathic Medical Repertory.
- Nandy, Dr. Apurba – Principles of Forensic Medicine.
- Reddy, Dr. K. S. Narayan – The Essential of Forensic Medicine and Toxicology.
- Sadock, Dr. Benjamin James & Dr. Virginia Alcott – Synopsis of Psychiatry.
- Schroeyens, Dr. Frederik – Synthesis (version 8.1).