ch a man is not able to
beget his species. It may be because he has lost his erectile power (and
this is how it is most commonly understood), or because he has lost all
desire, or lastly, because the +vital fluid+ has become so +weakened+
and +degenerated+ as to have lost its +procreative power+.

Impotence is most common in men past middle age. It may come on as _the
second or third stage of Spermatorrhoea_, or it may develop slowly or
suddenly _without any symptoms of Spermatorrhoea_. It may be accompanied
by various +nervous+ and +exhausting+ symptoms, or these may be _wholly
absent_. If vital fluid is being lost, and the Impotence is due to the
weakness thus caused, +nervous exhaustion+ is sure to come sooner or
later.

Impotence and Spermatorrhoea may exist together in the same person.

Many impotent men have no other bad symptoms than simply this failure of
the +sexual organs+ to respond when called upon. The trouble in these
cases usually lies in the erectile muscles, which are +weakened+ or
+paralysed+, and in the +nervous bulbs+ or +ganglia+, that are blunted
or exhausted.

A perfectly healthy man should be able to beget his species until he is
+at least+ 80 years of age. Instances of such power at the age of 97 are
on record. In these days of +exhaustion+, +early decay+, +excesses+ and
+abuse+, most men begin to lose their power at or before 40. This is not
right, and can +certainly+ be remedied by proper treatment.

IMPOTENCY, COMPLICATED WITH BLADDER OR PROSTATE DISEASE.

In such cases the Prostate Gland is usually congested, enlarged and
irritated, and needs prompt and thorough treatment. (See page 26.) The
tone of the nervous system is also lowered, even though it may not be
apparent to the individual himself. Hence, some good, strong, special,
general and sexual tonic, such as +Civiale's Tonic Regulator+ (see page
30) is needed, as is shown by the rapid improvement that follows its
use, especially when combined with effective measures for strengthening
the +erectile muscles+, invigorating the +Sexual Nerve Ganglia+, and
reducing the +Prostatic congestion+. Some of the most remarkable cases
of the thorough cure of Impotence and restoration to full sexual vigor
that appear in the 53d Volume of the French Hospital Reports, were in
men +past 60 years of age+.

IMPOTENCY AND WASTING OF THE ORGANS.

In many of these cases of impotence (as well as of Spermatorrhoea)
the organs were either small and