L'impuissance: Aspects diagnostique et thérapeutique

This study reports on 100 cases of males, aged 21 to 63 years, consulting for difficulties or inability to perform an intercourse erection with a partner of their choice. Every patient was investigated by the same psychiatrist the same psychologist and the same endocrinologist. Testosterone blood level was found insufficient (2 sigma under the mean) in 48 cases. The psychological tests emphasized an important but clinically inconspicuous psychopathology. Anxious and depressive trends were very frequent. The result of the investigations oriented the treatment, which used several methods, single or in association : brief psychotherapy, nasal stress, hormones, psychotropic drugs. After one year of follow-up, 67 men were improved or recovered and 22 unchanged.