بررسي مرجوعين ناتواني جنسي به سازمان پزشكي قانوني كشور مهر 1377 تا مهر 1379

Study of impotent men referred to Iranian Legal Medicine Organization during 1998-2000

Background: Sexual dysfunction in male refers to problems with erection, ejaculation or both. Erectile dysfunction is called: impotency, The synonym "Enan" in our religion. As Sexual dysfunction is one of conditions that provide the permission of divorce by legal authorities, hence patients are referred to Legal Medicine Organization for the diagnosis to be verified. So we decided to make a survey on the frequency of impotency in those referred to Legal Medicine Organization (LMO). Methods: In this research we studied 300 cases referred to LMO during 2 years. Evaluation included an interview and filling a questionnaire (from) which was filled by researchers. Physical examination and evaluation of laboratory data was done by a physician. Complementary and NPT tests were performed in Kowsar infertility center and Sina hospital. Papaverin injection test was asked whenever indicated and physiological consultation recommended in those with positive NPT tests. The spouse was also interviewed and examined. Results: Most cases (142 patients) were 21-30 years old. 292 had one spouse, 216 had no children. Only 19 patients accepted their problem. Most spouses (97 spouses) were 21-30 years. NPT result was positive in 150, weakly positive in 96, and negative in 27 patients. Papaverin injection in negative and weakly positive cases revealed 36 positive and 85 negative results. In conclusion, 91 patients had psychological and 85 had organic impotence while 97 were not impotent. Conclusion: Problems in married life mostly occurs during primary after marriage period that is usually 30-40 years age range. On the other hand organic impotency increases in middle-ages and it seems that men deny declaring it. In this study about one-third of patients had psychological cause. This may disclose a full of tension relationship between couples that had led to formal complaint.