MALE SEXUAL

DISORDERS
 ED/ IMPOTENCY

• Erectile dysfunction is a persistent or recurrent

inability to attain, or maintain until completion
of sexual activity, an adequate penile erection.
 RISK FACTORS & CAUSES

• Chronic Illness: Atherosclerosis, Diabetes,

Cardiovascular Disease, Renal Failure, Hepatic Failure,
Multiple Sclerosis, Spinal Pathology, Peyronie’s
Disease, Depression, Anxiety, Hyperthyroidism,
Hypothyroidism, Hypogonadism,
Hyperprolactinaemia.
• Surgery: Radical Prostatectomy, Resection of the
rectum, Major Pelvic Surgery.
• Trauma: Neurological, Spinal Cord Injury, Pelvic Injury.
• Drugs: Alcohol, Substance of abuse, Smoking.

• Radiotherapy: External beam, Irradiation of the pelvis.

• Medications: Antihypertensives, Thiazide Diuretics, Beta-Blockers,

Antidepressants (Tricyclics), Harmones (Steroidal Antiandrogens),
Tranquillzers (Phenothiazines), H2 Antagonists, Lipid Lowering Substances like
“Statins”.
• Majority of sexual dysfunctions are primarily psychogenic in origin. Anxiety
concerning sexual performance and fear of sexual failure are the most salient
immediate causes of erectile difficulties.
• A history of sexual abuse, guilt about sexuality, and early homosexual
experiences are among the more common factors that underline sexual
dysfunction.
• Psychological causes include depression like major depressive episode or
dysthymia, stress, anger, interpsychic problems, performance anxiety, low
self-esteem. A man may have a good erection with masturbation, but not
when sexually active with his regular partner.
 SPERM DISORDERS

• Oligospermia is a medical condition wherein the

sperm concentration in the ejaculation is low. As
per World Health Organisation, a 
low sperm count is defined as a count of less
than 15 million sperms/millilitres and is
associated with problems in conceiving because
of a lesser count of sperms in the semen.
• Azoospermia, on the other hand, is the male fertility issue
when the sperm count is zero, i.e. there are no sperms in the
semen.
• The cause of azoospermia may include the obstruction in the
reproductive tract or inadequate production of spermatozoa,
problems with ejaculation, Kallmann Syndrome, Prader-Willi
Syndrome and other genetic conditions.
• The diagnosis includes infertility investigation tests including
hormonal evaluation, ultrasounds, analysis of urine and
testicular biopsy. The procedure also includes past sexual
health, sexual activities, libido, past fertility, etc.
 Prophylactic
Measures
• Adequate nutrition
• Early correction of congenital defects such as
cryptorchitism
• Mumps immunization for children
• Adequate scrotal protection for boys and men
participating in sports
• Avoidance of habits which interfere with
normal
spermatogensis
• Adequate examination of children and youths to detect
genital abnormalities
• Early and specific care for injuries to the gonads
 Specific measures based on
history
• Careful review and counseling regarding sexual function
i.e. sexual techniques, coital frequency, avoidance of
lubricants etc.
• Proper nutrition, well-rounded
diet and vitamin supplements,
if indicated.
• Cessation of hot baths, sauna
baths or steam cabinets.
• Avoid tight undergarments.
• Reduce weight to optimal
level by physical exercise etc.
8
 Homoeopathic
medicines
• Agnus Castus • Lycopodium
• Baryta carb • Moschus
• Bufo rana • Onosmodium
• Caladium • Phosphoric acid
• Calc carb • Selenium
• Cantheris • Sulphur
• Conium • Yohimbinum
• Gelsemium • Tribulus terrestris
• Graphitis
 Agnus castus
• Yellow discharge from urethra. No
erections. Spermatorrhea with impotence.
• Impotence with parts cold, relaxed.
• Sexual desire almost lost or sexual desire gone.
(Sel., Con., Sabal.)
• Scanty emission without ejaculation. Loss of
prostatic fluid on straining. Gleety discharge.
• Testicles, cold, swollen, hard and painful. Penis
small, flaccid.
 Baryta carb.
• Enlarged prostate gland. Genitals flabby.
Testicles indurated.
• Impotency. Premature emissions.
• Diminished desire. Erections when
riding.
• Falling asleep during sex. Genitals feel
numb.
• Painful nodes in breast in old fat men.
 Baryta mur.

– Frequent emission of semen. Swelling of the

testes. Buboes after suppressed gonorrhea.
 Bufo rana
• Buboes. Disposition to handle organ.
(Hyos., Zinc.)
• Disposition to masturbation.
• Effects of onanism. Involuntary
emissions.
• Impotence, discharge too quick.
• Spasms during sex.
 Caladium
– Flaccid, sweaty genitals. Impotency, relaxation of penis during
excitement.
– Impotency after gonorrhea with mental depression. No emission and
no orgasm during embrace.
– Pruritus. Organs seem larger, puffed, relaxed, cold, sweating, skin of
scrotum thick.
– Erections when half-asleep, cease when fully awake. Glans very
red. Glans like a rag. Atonic pollution.
– Prepuce retracted after sex. Genitals cold.
 Calc. carb.
– Increased sexual desire with retarded erections. Frequent
emissions.
– Burning with seminal emission.
– Sex, followed by profound weakness, vertigo, irritability,
lameness of back and knees, headache and sweat.
– Itching and burning in genitals.
– Impotence from sexual abuse or from overindulgence.
– Seminal discharge premature.
 Conium
• Testicles hard and enlarged. Ill effects of
suppressed sexual desires.
• Sexual nervousness with feeble erection. Desire
increased, power decreased.
• Impotence. Prostate cancer. Erections imperfect
and of too short duration. Seminal discharge,
provoked by mere presence of a woman or
contact.
• Sexual nervousness, dejection after sex. Cutting
in urethra while semen passes.
• Dribbling of prostatic fluid worse stools,
emotions etc.
• Itching in prepuce. Sexual desire
erection.
without
 Cantharis
– Painful swelling of genitals. Priapism. Pulls at penis.
– Sexual desire increased not better by sex.
– Bloody semen. Pollutions. Burning in urethra after
sex.
– Strong desire, painful erection. Pain in glans.
 Gels.
• Genitals cold, relaxed (Ph-ac.)
• Sexual power exhausted, slightest caress
causes an emission.
• Spermatorrhea without erections.
• Scrotum continually sweating.
• Gonorrhea, in first stage, discharge scanty,
tendency to corrode, little pain, but much
heat, smarting at meatus.
 Graphites
• Herpetic eruption on organs.
• Sexual debility with increased desire.
• Averse to sex.
• Ejaculation too early or failing during sex.
• Hydrocele. Priapism.
• Lack of sexual enjoyment. Cramps in calves
during sex.
• Impotence from excessive indulgence or
masturbation.
 Lycopodium
• Vagina, dry, burning, worse during and after
sex. Sex painful.
• Sexual exhaustion, impotence, erections
feeble.
• Falls asleep during sex. No erectile power,
impotence.
• Premature seminal emission. (Agn.,
Calad., Sel.)
• Exhausting pollutions.
 Moschus
• Sexual desire increased with insupportable
tickling in the parts and tensive pain in penis.
• Impotence with diabetes. (Coca)
• Involuntary emissions without erections.
• Erection with desire to urinate.
• Premature senility.
• Nausea and vomiting after sex.
 Onosmodium
• Burning in urethra with itching.
• Loss of sexual desire.
• Psychological impotence.
• Speedy emissions. Deficient erections.
• Sexual excitement. Constant severe erections.
 Phos. Acid
• Weakness and pollutions after sex.
• Nightly emissions with lascivious dreams.
• Sexual power deficient.
• Testes tender and swollen.
• Weak relaxed genitals, during sex, preventing
emission. (Nux-v.)
 Selenium
• Sexual weakness. Dribbling of semen during sleep.
• Prostatitis, prostatic adenoma. Dribbling of prostatic
fluid. Irritability after sex.
• Loss of sexual power with lascivious fancies. Lascivious
but impotent.
• Increases desire, decreases ability. On attempting sex,
penis relaxes.
• Easy loss of semen during sex with feeble erection, but
long continued voluptuous thrill during stools.
• Semen watery, odorless. Oozing of prostatic fluid
during sleep, while sitting, walking and at stool.
 Sulphur
• Fetid sweat on genitals. Itching of genitals when going to
bed.
• Organs cold, relaxed and powerless.
• Involuntary emissions. Seminal emission with burning in
urethra.
• Sexual power weak, impotence. Exhaustion in the morning
after seminal emission.
• Backache and weakness of the limbs after sex with sadness
and irritability.
• Seminal emission on touching a woman.
• Semen, odorless, watery. Discharge of prostatic fluid after
urination and stool.
• Hydrocele. Testes hang low. Induration of testes.
• Stitches in penis. Penis cold. Prepuce stiff, hard like leather
with copious smegma, causes itches.
 Yohimbinum
• Sexual neurasthenia with impotence.
• Strong and lasting erections in the morning
without increase of desire.
• Enlargement of testicles and epididymis.
 Tribulus terrestris
• Ikshugandha is an East Indian remedy useful in
urinary affections, especially dysuria and in
debilitated states of the sexual organs, as expressed
in seminal weakness, early emissions and infertile
semen.
• Tribulus has kidney stones and sexual
neurasthenia.
• Trib. meets the self-abuse of masturbation,
correcting the emissions and spermatorrhea.
• Prostatitis. Impotence caused by overindulgence of
advancing age or when accompanied by urinary
symptoms incontinence, painful urination, etc.
 Salix Nigra

After masturbation , excessive sexual desire with erotomania ,

spermatorrhoea with lascivious dreams , it cures nocturnal emissions .
 AVENA SATIVA

After excessive indulgence in onanism and masturbation ,

opium or morphine addiction , it is a great stimulant builder
and nutrient to the nervous system , mental nervousness and
physical debility due to excessive indulgence in spermatorrhoea
and nocturnal emissions marked
 Staphysagria

Gentle-natured, quiet men with deep emotions may respond to this

remedy. Problems with impotence often occur from embarrassment
or shyness. People who need this remedy often have a history of
emotional suppression and very sensitive feelings.
 Argentum
Nitricum

Argentum Nitricum is prescribed in cases where the man has problems

maintaining the erection while attempting sexual intercourse. This can
be due to nervousness and the problem becomes worse on thinking
about erectile issues. Argentum Nitricum can act as the savior here. Not
only does Argentum Nitricum help in erectile issues, it also works
amazingly in cases where sexual intercourse is painful for the man.
 WITHANIA
SOMNIFERA
• after exposure to syphilis and gonorrhoea , it acts very fast in
impotency and all kinds of seminal deficiencies .

• in co-ordination of muscular power with spermatorrhoea and

weakness of nerves and muscles .

• Impotency may be associated with deficient intellect , where

the power of thinking , memory and expression is paralysed .
 CINCHONA
OFFICINALIS
Impotency with excited, lascivious fancy. Swelling of the testes and
spermatic cord. Quick discharge of semen during intercourse
followed by profound neurasthenia
 NUX VOMICA

Excitement easy. Strong sexual desire with painful erection. Increased

sexual desire with frequent erections and pollution in the morning.
Pollution with flaccidity of penis followed by coldness and weakness
in lower extremities. Involuntary seminal emission. Nightly emissions
with lascivious dreams. Impotency due to masturbation and sexual
excess. Flaccidity of penis during coition.
 MEDORRHINUM

Impotency after suppression of gonorrhoea. Emission during sleep.

Semen watery, causing no stiffness of the linen. Pain, burning along
urethra when semen discharges
 SABAL
SERRULATA

Discharge of prostatic fluid. Pain in back much aggravates

after coitus. Drawing pains in spermatic cords; shrunk
testes. Penis shrunk and cold with urinary troubles. Hard
erection, slight twisting chordee as if stretched from the
root. Organs feel cold. Coitus painful at the time of emission.
Sexual neurotics
 DAMIANA

An excellent remedy for impotency. Give 5-10 drops a dose

thrice daily. Sexual debility from nervous prostration. Chronic
prostatic discharge
 NUPHAR
LUTEUM

Excessive depression of the male generative system. Entire absence of

erections and desire; voluptuous ideas which fill imagination do not
cause erections. Penis retracted, scrotum relaxed. Complete absence of
erections; inability to effect coitus