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  The Indian Practitioner (1974): April, 187
Common male sexual disorders and their treatment by indigenous drugs Hasan, M., M.B.,B.S., M.D. (Med.), F.A.G.S. (U.S.A.),
F.I.C.A. (U.S.A.), F.C.C.P. (U.S.A.),
Consulting Physician, Mutriban, Saharanpur,
Sharma, S.P., B.Sc., M.B.,B.S., Ex-P.M.S.,
Rao, S.A., M.Sc., M.B.,B.S., Sex Specialist
and Singh, K.K., B.Sc., M.B.,B.S., Ex-P.M.S.,
Biochemist and Pathologist.
 
 
 Introduction

The sexual life is a very complicated and delicate one. It is affected by various physical, somatic, environmental, social and psychological factors as well as by the higher centre of the central and autonomic nervous system. A slight disturbance or a missing link may create a difficulty. Sexual disorders are extremely common in our modern society. It would be seen that modern conditions of living are not conducive to sexual efficiency. Sexuality is ultimately connected with many other activities in man, any disturbance of this particular function is usually associated with disturbances in a much wider area (Cooper et al. 1970).

Today our knowledge regarding the relationship of body and mind is not enough, otherwise we may find that some organic factors often play a part in the genesis of what are today regarded as psychogenic or psychological trouble; also organic lesions of the genital organs almost always have psychological repercussions (Nigam, 1973).

Unsatisfactory sexual adjustment may give rise to neurotic or somatic symptoms. The most common symptoms are fear, fatigue, feeling of shyness, headache, depression, insomnia, irritability, unhappiness, vague pains all over the body, coccygeal pain, loss of interest in life, anorexia, nausea, constipation, palpitation, tightness in the chest, pallor, flushing, sweating, coldness of the skin, giddiness, cardiac irregularity and signs of autonomic imbalance like fainting spells and disturbances of vision. Apart from psychotherapy a specific treatment has a definite role in the management of various male sexual disorders. The present study was undertaken to evaluate the efficacy of the indigenous drugs "Confido" (Speman forte) and "Tentex forte" in the cases of male sexual disorders

 Materials & Methods

Fifty cases of various male sexual disorders were selected for the present study. Their ages ranged between 10 and 50 years as shown in Table I. A detailed clinical history of socio-economical status, present or past illness was taken and the possibility of gastro-intestinal, endocrinal and metabolic disorders ruled out by clinical examination or by investigations.

Table I: Showing age distribution

Sl. No.

Age group

No. of cases

1

11-20 years

20

2

21-30 years

14

3

31-40 years

10

4

41-50 years

6

Total

50


The various male sexual disorders were premature ejaculation, masturbation, nocturnal emission, impotence, diminished libido and painful coitus as shown in Table II. The symptomatology is shown in Table III.

Table II: Showing various male sexual disorders

Sl. No.

Various sexual disorders

No. of cases

Percentage

1

Premature ejaculation

14

28%

2

Masturbation

12

24%

3

Nocturnal emission

8

16%

4

Impotence

6

12%

5

Diminished libido

6

12%

6

Painful coitus

4

8%

Total

50

100%


Table III: Showing the symptomatology

Symptomatology

No. of cases

Percentage

Weakness

45

90%

Palpitation

44

88%

Loss of interest in life

40

80%

Pallor

30

60%

Fear

28

56%

Fatigue

25

50%

Pain in the body

20

40%

Giddiness

16

32%

Premature ejaculation

14

28%

Masturbation

12

24%

Shyness

12

24%

Depression

10

20%

Painful coitus

4

8%

Sweating

3

6%


All the patients were put on "Tentex forte’, one tablet morning and night, and in addition "Confido" (Speman forte) 2 tablets morning and night. In a few patients tranquillisers and multi-vitamins were also given. The patients were followed-up at intervals of 2, 4, 6, 8 and 12 weeks.
 Observations

The results were classified as good or cured when there was full recovery of physical and psychological complaints, satisfactory when there was satisfactory improvement in sexual or emotional and mental attitude, slight when some response was observed and poor when there was no response. The response of the therapy is shown in Table IV.

Table IV: Showing response of the therapy

Sl. No.

Degree of response

No. of cases

Percentage

1

Good or cured

25

50%

2

Satisfactory

10

20%

3

Slight

9

18%

4

Poor

6

12%


Good response was observed in 25 cases (50%). Satisfactory response was observed in 10 cases (20%). In 9 cases (18%) the response was slight and in 6 cases (12%) there was no response. The side effects were mild and responded to symptomatic treatment

 Discussion

Both chemotherapy and psychotherapy play an equally important role in the management of various male sexual disorders as reported by various authors2,3,5. Cases treated with testosterone with or without thyroid extract showed good response in 36% and partial response in 32% cases while there was no response in 32% of cases as reported by Banerjee (1973). Banerjee (1973) also reported 73% good response and 16.3% slight response in cases of male sexual disorders treated with "Tentex forte" and "Confido" (Speman forte) combination. Nigam (1973) observed good response in 70% of cases and no response in 12.2% of cases. In our series 88% response was observed (good 50%, satisfactory 20% and slight 18%). Poor response was observed in 12% of cases. From the above findings it is quite clear that the combination of "Tentex forte" and "Confido" (Speman forte) is very effective in the treatment of male sexual disorders.

 Summary

Fifty cases of various male sexual disorders were treated with "Tentex forte" and "Confido" (Speman forte) combination. Good response was observed in 50%, satisfactory response in 20% and slight response in 18% cases. No response was observed in 12% of cases. Side effects were mild and responded to symptomatic line of treatment.

 Acknowledgement

We are very much thankful to Dr. Mahesh Chand, M.D., M.R.C.P., Physician, S.B.D. Hospital and Dr. Sant Kumar, M.B.,B.S., P.M.S., for their help and co-operation during this study.

 References

  1. Banerjee, N. (1973): Management of Sex Disorders through Family Welfare Planning Centre. Probe.

  2. Bhargava, N.C. (1970): Sex Problem treated with indigenous drug. Ind. J. Derm. & Vener., 1: 62.

  3. Cooper, A.J., (1972): Diagnosis and Management of Endocrine impotence. Brit. Med. J., 5804: 34.

  4. Montesano Paud Evangelista, I. (1966): Methyl Testosterone for treatment of sexual impotence. J. Clin Med. 4: 69.

  5. Nigam, K.P. (1973): Observations on the therapeutic effects of indigenous therapy on sexual malfunction. Probe.

  6. Rajasekharapa, M. (1970): The approach to and Management of Male Sexual complaints. Probe, 4: 169.

  7. Vaidya, M.D. (1970): Male Sexual Disorders and their treatment. Probe: 21: 32.

  8. Varadani, B.P. (1970): Impotency and its treatment with indigenous drugs, Probe, 4: 164.