Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
Science
Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
=Sterility.=--Sterility denotes the incapacity for procreation of
children; is also applicable to both sexes, but more usually in
reference to the female. A person may be impotent without being
sterile, although the former is usually regarded as implying the
latter. On the other hand, a person may be sterile without being
impotent, the former not necessarily denoting the latter. In reference
to nullity of marriage, if natural sexual relations are not and cannot
be consummated, the marriage will be declared null and void, provided
that such inability of consummation was unknown to the person bringing
the action for nullity before marriage. Impotence is sufficient ground
for bringing an action for nullity, provided it was present at the date
of the marriage, that it is irremediable, and that the person bringing
the action was not informed of it previously. Should, however, the
marriage have been consummated and impotence develop later, there will
be no grounds for such an action.
=Impotence and Sterility in the Male.=--This may arise from some
_organic defect_ of the organs or _functional disorder_. In reference
to the former there are certain abnormalities of the male organs which
have to be considered. Monorchids, men in whom one testis is absent
from the scrotum, are not necessarily impotent or sterile; nor are
cryptorchids, where both testes are undescended. In many of these
cases spermatozoa are absent from the seminal fluid with consequent
sterility; on the other hand, procreation has taken place, proving that
cryptorchids are not necessarily sterile.
Absence of the penis may be the result of want of development, injury,
disease, or operation. The penis may be present but attached in its
whole length to the scrotum; this may be remedied by operation.
Epispadias, so often associated with ectopion vesicæ, as a rule renders
an individual impotent and sterile. On the other hand, hypospadias
does not necessarily bar procreation; it will depend largely upon the
position of the urethral opening, and the possibility of its being
remedied by operation.
Removal or destruction of both testes renders a man sterile eventually,
but not necessarily impotent.
Functional disorder due to disease may give rise to impotence,
although the organs may remain anatomically perfect. Diseases such as
diabetes and influenza, neurasthenia, tabes dorsalis, myelitis, mumps,
and orchitis, and injuries to the head may be causative factors in
impotence.
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