Cyclic impotence in male infertility
Lew-Starowicz, Z.
Ginekologia Polska 59(11): 690-694
1988
ISSN/ISBN: 0017-0011 PMID: 3253157 Document Number: 379577
23 men were treated during 1977-87 in a special hospital in Warsaw for infertility by administering the Mell-Krat scale, the Rorschach test, and a test consisting of drawing figures. Most of them were in the 26-35 age group and had secondary and higher level education. 15 of them had a domineering mother, and 13 were only children. 14 had been married for 5 years and had used a biological method of contraception for 5-8 years. The personality tests indicated that 16 were immature and 5 were neurotic; in 13, the marital roles were reversed; the need for fatherhood was lacking in 7, and it was deficient in 9; 17 had disorders of erection, 4 had premature ejaculation, and 2 half diminished libido; the partners of 9 were tolerant and passive concerning the sexual dysfunction, 7 were critical and castrating, and 4 were understanding and helpful. The causative factors and the effectiveness of treatment were: partner-related in 13 cases (9 treated), stereotypical transformation of cohabitation in 23 cases (14 treated), burdensome sexual activity in 3 cases (1 treated), and 4 unknown factors (1 treated). Various therapeutic methods were used: hypnosis, psychotherapy of married couple, and training. 14 patients were successfully treated and rehabilitated; however, 9 patients did not improve. Although the small number of this sample does not permit the drawing of sweeping conclusions, some inferences could be made on forms of impotence of psychogenic origin. Implicated factors were: having a domineering mother, being an only child, and immature personality. Other causes had to do with the partner, sexual duty, and stereotypical sexual cohabitation of many years' duration during a nonfertile period of the woman using a natural method of contraception.