Impotence is an extreme degree of erectile dysfunction. At the same time, a man can completely lack erection - the rigidity, volume and directivity of the penis, necessary for having sexual intercourse. Premature ejaculation is also considered a sign of impotence. For a long time, the causes of impotence were only noted in fatigue, psychological discomfort or a high level of stress. However, sexual disorders can occur with a number of diseases.
Types of impotence
There are several forms of impotence:
- impotence, in which a man does not experience sexual desire;
- erectile impotence. The erection is not strong enough and long enough to have intercourse;
- impotence, in which a man is unable to insert the penis into the vagina or premature ejaculation;
- brief erection. Erection ejaculation comes quickly;
- impotence, in which ejaculation does not occur at all, or it takes much longer than in a healthy man;
- anorgasmia. A man does not achieve sexual satisfaction.
It is customary to separate primary and secondary impotence. In the primary form, the erection was always insufficient for sexual intercourse. Secondary impotence means that before sexual intercourse was possible, but over time the erection weakened.
In general, the disease can be divided into the following characteristics:
- organic impotence. It is caused by physiological causes. For example, diseases of the genitourinary sphere or endocrine disorders. Sexual desire can be saved, but sometimes an erection can disappear just during sex. Organic impotence progresses imperceptibly. Sometimes (and more and more often) breakdowns occur. Over time, for the appearance of an erection, you have to make more and more effort. With this type of impotence, spontaneous and nocturnal erections appear less and less.
- Psychological helplessness. Its cause is psychogenic factors - depression, neurosis, neurotic states. The disease manifests itself suddenly and only occasionally makes itself felt. At the same time, spontaneous and nocturnal erections are preserved. As a rule, the lack of "male preparation" is associated with certain circumstances or problems.
Impotence can be differentiated by the location of lesions:
- neuroreceptor. Occurs when receptors in the male penis head, seminal vesicles, or prostate are damaged;
- spinal. The reason for its occurrence is insufficiently sensitive vertebral centers;
- organic spinal. This occurs as a result of damage to the vertebral centers of the lumbar or sacrum;
- spinal functional. This can occur when the genital centers of the spine are affected against the background of overstrain.
The causes of impotence
Somatic disorders arise due to the pathological effect on the human nervous system of certain diseases and injuries. The weak links in a man's body are diseases of the heart and gastrointestinal tract. Although, overall, the somatogenic mechanism leading to impotence can be triggered by disease of any organ or system. Indeed, in the body of a man, many organs are closely related to the sexual sphere.
causesimpotence in menI can be:
- any injury leading to neurosecretory disorders. First of all, these are injuries of the spine and pelvic region;
- pathology of bone and cartilage tissue of the spine: osteochondrosis, spondylarthrosis, hernia, protrusion;
- degenerative changes in the peripheral nervous system: neuritis, plexitis, radiculitis, neuropathy;
- disorders of the hypothalamic-pituitary system;
- diseases of the liver, kidneys, intestines;
- vascular disorders.
- psychological trauma, including those suffered in childhood;
- physical fatigue and prolonged stress.
- overweight and diabetes;
- smoking, alcohol and drug abuse. In the presence of bad habits, impotence manifests itself even in young men.
Also, impotence is caused by taking certain medications and poisoning with toxic substances.
Potency Disorder Symptoms
A man may not realize that failures in his sexual sphere are not accidental, and negative changes are already happening in his body.
The main symptoms of impotence are:
- lack of erectionor its reduction. Even if a man desires to have intercourse, he cannot bring the penis into a state of tension. And, perhaps, the penis loses its hardness just during intercourse, so it is not possible to end the act with an orgasm;
- insufficient erection. In some circumstances, the penis grows, but remains soft and cannot be inserted into the vagina;
- lost erection. The member reaches the necessary hardness and grows in size, but quickly becomes lethargic and sexual intercourse is impossible;
- sexual intercourse does not bring pleasure, sensual sensations are blurred;
- the need for sex occurs less than twice a week;
- premature ejaculation. This feature is critical only when it appears in mature, experienced men who have sufficient experience of sexual relations;
- lack of spontaneous morning or night erections;
- lack of sexual desire or its decrease. In anticipation of sex there is anxiety, fear of intimacy, fear of failure.
Even if a man notices any of the listed symptoms in himself, you should consult a doctor. After all, the earlier the treatment is started, the faster and more successfully it will be possible to eliminate the problem. If there are a lot of symptoms and they are getting worse, it is much more difficult to stop the development mechanism.
Important!Impotence can be temporary. Including, against the background of too frequent and active sexual intercourse. Or vice versa, premature ejaculation occurs in men unable to have a regular sex life. As soon as the frequency of intercourse becomes stable, a man's desire for sexual contact returns to normal. Short-term "failures" (with a frequency of up to several episodes per year) are normal and only indicate a man's overwork.
Sexual function declines in older men. When the end of the childbearing age arrives, the strength and duration of sexual intercourse gradually decreases. In this case, medical assistance is not required, a decrease in potency is natural for male physiology.
Common treatments for impotence
It is necessary to restore male sexual function in a complex way. First of all, the doctor will determine the causes of sexual impotence - both psychological and physiological characteristics.
The treatment regimen depends on the causes of the disease. As a rule, the doctor prescribes drugs that should be taken half an hour before the start of sexual contact. They will provide a temporary erection.
At the same time, it is necessary to restore the balance of vitamins and minerals necessary for the body. This problem is solved by taking dietary supplements, vitamin complexes and herbal remedies.
The achieved effect is enhanced by physiotherapy, acupressure and vacuum massage.
The condition of patients is facilitated by courses with a psychologist. An experienced specialist will restore a sense of self-esteem, eliminate depression, an inferiority complex and fear of failure.
Medical treatment
According to the method of application, drugs are divided into three groups:
- urethral drugs. They are inserted into the urethra just before intercourse. Rectal suppositories will have a similar effect;
- penis injections. To cause the expansion of the penis and its rapid filling with blood. In this case, the erection lasts at least an hour.
- Oral drugs for impotence. The most popular and provide a lasting effect. They provide good blood filling, compensate for vitamin deficiency.
Synthetic agents that suppress the production of a substance that causes premature termination of sexual intercourse are also effective. They provide a good blood supply to the penis and thus promote sexual arousal. These drugs have proven themselves as a maintenance tool for men over 50.
Food supplements of plant origin act well on the problem. They improve blood circulation, vitality, normalize the functioning of the central nervous system and increase libido.
Non-drug treatment
An active lifestyle, reasonable physical activity alone can solve the problem of insufficient erection. At the same time, it is worth changing your attitude to life and psychological traumatic factors.
For those who are not ready to radically solve the problem - for example, by changing their lifestyle, place of residence or area of professional activity, there are specially designed physiotherapy exercise complexes. They should be done daily, in order to provide the necessary physical activity and activate blood flow in the genital area and prostate.
Acupressure massage restores sexual function well. This procedure should be entrusted to a specialist. Acupressure is practiced not only in the area of the intimate organs, but also in the area of the feet.
Massage with a vacuum pump can provide an erection. At the same time, oxygenated blood more actively circulates through the blood vessels of the penis.
Folk methods of treatment
First of all, you need to consult a doctor and find out the causes of impotence. After that, in agreement with a specialist, it is possible to strengthen the recommended treatment with folk remedies.
Remember that instant results should not be expected from such therapy. Yes, and they will appear only if the complex of therapeutic measures is observed, lifestyle changes and rejection of bad habits.
Among the folk remedies are the preparation of tea from St. John's wort, squash, ginger, ginseng, the use of walnuts, garlic, coriander and parsley. For lovers of extreme sensations, we can recommend the method of contrast baths: when you need to alternately sit in a basin with cold and hot water. The dwell time in each basin is 1. 5 minutes, in total you need to perform 10 transplants.
Diet for violation of potency
If you have problems with potency, you should limit the use of salt, sugar and alcohol. Portions should be small and meals should be frequent, up to 6 times a day.
The main vitamins and minerals that restore male strength: iron, zinc, potassium, magnesium, selenium, calcium, vitamins C, B. E. For men's health are useful:
How common is erectile dysfunction in men?
Percentage of men with some form of mild erectile dysfunction (by age):
- up to 20 years - 5%;
- 20-30 years - from 10 to 30%;
- 30-40 years - from 30 to 40%;
- 40-50 years - from 40 to 50%;
- 50-60 years - from 50 to 60%;
- 60 years and older - from 60 to 80%.
The word "impotence" scares any man, but it is not always incurable. Let's take a closer look at the causes, treatment methods, and common myths surrounding this problem.
Impotence - is it forever?
Even in the most difficult cases, modern medical methods help patients regain their male power and return to a normal sex life. Age doesn't matter: even at 60 or older, you can live a full life if you use an individually selected set of medications and follow doctor's prescriptions.
It is far from always necessary to buy expensive drugs to increase potency: in most cases, it is necessary to eliminate the initial cause of the problem. Only a doctor can choose the right method of treatment, self-treatment can lead to negative consequences.
Types of malfunctions
- complete absence of erection;
- intermittent erection (soft penis during intercourse);
- episodic.
For a normal erection, you need:
- A healthy nervous system that responds flexibly to brain impulses.
- Healthy vessels of the penis.
- Healthy penis muscle and connective tissue.
- The required level of nitric oxide in the soft tissues of the genitals
Developmental risk factors
Vascular problems (hypertension and insufficient blood supply to the genitals).
About 50% of men with hypertension suffer from this problem. With hypertension, the ability of the arteries of the penis to expand is impaired, and in addition, the ability of the cavernous bodies to relax and fill with a sufficient volume of blood suffers. Collectively, it turns out that the penis is not getting enough blood for an erection.
Diabetes.
As you know, diabetes mellitus affects, without exception, all human organs and systems, while affecting the intimate sphere. Medical statistics tell us that about 30% of men with diabetes suffer from erectile dysfunction of varying severity. As mentioned above, diabetes affects the whole body, especially the production of the main male sex hormone - testosterone. The concentration of testosterone decreases in direct proportion to the increase in blood sugar levels, which ultimately leads to erectile dysfunction. Also, diabetes mellitus leads to impaired blood circulation, especially in small vessels. It turns out that the penis cannot be filled with blood in sufficient volume, and the erection weakens.
Low testosterone levels.
Hypogonadism, the medical term for low testosterone levels, leads to decreased libido and sex drive.
When the penis is injured, fibrosis can develop in the cavernous (cavernous) bodies. As a result, the cavities (cavities) that make up the cavernous bodies and which are filled with blood, providing an erection, are replaced by connective tissue. The connective tissue can no longer accumulate blood in itself and stretch, which deteriorates the quality of erection.
Bad habits.
A substance such as nicotine has a pronounced vasoconstrictor effect, so smoking tobacco before sex can make your erection worse. With prolonged nicotine abuse, these phenomena become chronic, and the quality of erection gradually decreases. Alcohol, through complex chemical processes, stimulates a shift in the balance between testosterone and estrogen towards female sex hormones, which leads to a gradual decrease in erectile function.
stressful situations.
Low erectile dysfunction that occurs after experiencing stress is called psychogenic or functional. As a rule, this can happen after a lot of stress at work, such as a dismissal or other mishap that is difficult to bear psychologically. Our many years of experience show that combination therapy, which includes, in addition to medication, also psychotherapy, is of great help in the treatment of this disease.
What tests should be done if you suspect erectile dysfunction?
- General blood test;
- Blood test for sugar;
- Blood test for hormone levels;
- Biochemical blood test for lipoproteins and cholesterol;
- General urinalysis;
- urinalysis for bacteriological culture;
Visual examination and palpation for impotence may reveal:
- testicular size that does not meet anatomical standards;
- scanty facial hair or its complete absence (hormonal failure);
- female breast enlargement;
- detection of a weakened arterial pulse in the lower extremities (a sign of the presence of atherosclerosis).
- defective structure of the penis.
Impotence - when is it not worth it?
It's a common myth. Impotence in the domestic sphere most often means various types of erectile dysfunction, in which a man cannot experience an erection at all or is unable to maintain it for long enough.
The boundaries of norm and pathology are blurred here, as people's abilities differ greatly. If you notice deviations from the usual norm that are not associated with stress or life changes, you should consult a doctor. It is better not to postpone a delicate problem, since it can be associated with serious pathologies in the body that require urgent treatment.
Signs and treatment at home, massage
The first signs of impotence are a reduction in erection time, the absence of spontaneous erection at night, over time it disappears completely and in adequate situations. Home treatment often includes massage of the prostate, external genitalia, as well as exposure to reflex points.
This type of treatment removes blood stasis, improves blood circulation and relieves the patient from pain. It is not difficult to master the massage technique: the procedure can be performed independently or with a partner - it helps to restore trust in relationships and restore harmony in family life.
Impotence: signs and treatment at home
It is not difficult to determine the signs of this disease: it is manifested by a lack of erection, a reduction in the duration of sexual intercourse and premature ejaculation. Over time, an erection can completely disappear, it does not appear either spontaneously or in adequate situations.
Home treatment can be carried out only in the absence of physiological and hormonal causes. Massage will help get rid of tension, eliminate blood stasis and improve its circulation. It should be carried out daily: self-massage and the impact of the partner's hands are useful.
Vascular surgical treatment of erectile dysfunction
Surgical treatment (called "dorsal vein resection") of erectile dysfunction involves restoring normal blood flow to the cavernous bodies of the penis and restoring blood balance to the genitals.
Treatment of impotence in men after 50 and 60 years
Erectile dysfunction at this age is due to age-related hormonal changes. Since testosterone is responsible for sexual desire and erection, a decrease in its concentration in old age leads to impotence.
A characteristic feature of this condition is the gradual disappearance of sexual possibilities. The libido decreases, the erection becomes insufficient for the full realization of sexual intercourse.
This applies to natural processes. In old age, due to hypertension, diabetes mellitus, chronic prostatitis, blood circulation in the prostate and penis suffers, which affects erectile function.
After 50 years, the main methods of treatment are:
- hormone therapy. This technique is used if impotence has developed against the background of insufficient production of sex hormones by the body.
- Medical therapy. It can be used both as an independent treatment and as a complementary technique.
- injection therapy. Usually this method is used for vasoconstriction. By injecting drugs directly into the urethra or corpora cavernosa, they can be dilated.
For each patient, the doctor draws up an individual treatment plan that allows you to quickly and effectively restore male power.
It is difficult to name the most effective and fastest remedy for increasing potency after 60 years. But, it is better to approach the solution of this intimate problem in a holistic way and start healing your body by normalizing your diet, increasing physical activity and taking medications that eliminate nutritional deficiencies. In this case, the increase in potency will be more persistent and long-term, and intimate life will become more vivid and memorable.
Treatment with pills after 60
The use of tablets for the treatment of impotence in the elderly should be used with caution, consultation with a specialist is necessary. These drugs cause a rush of blood to the genitals, which can be dangerous for people with heart and blood vessel diseases.
The treatment is chosen personally: it includes the rejection of bad habits, gymnastics, massage, as well as the elimination of comorbidities that interfere with intimate life.
Impotence in old age: treatment with folk remedies
Impotence in the elderly is a common problem: it is associated with the extinction of testosterone production and a decrease in libido. In addition, a number of other pathologies are often present beyond the age of 50.
However, folk remedies help to prolong male youth: among them, ginseng tincture with pronounced tonic properties, seafood, honey, nuts, rosehip broth. Daily gymnastics and increased physical activity also help maintain male strength in old age.
Advantages of treating impotence in a specialized center:
- Treatment is carried out after diagnosing the cause and making an accurate diagnosis. Therefore, the percentage of successful treatment is very high - 98%.
- The clinic employs all the necessary specialists: andrologists, urologists, sexologists, endocrinologists, surgeons, therapists and other doctors.
- The most effective treatment methods are used to increase potency.
- The goal of erectile dysfunction treatment is to increase natural potency for life, not to prescribe one-time sexual enhancers.
- The ability to restore sexual desire and at any age
- Possibility of independent control and erection planning
- Effective treatment of other male sexual disorders: premature ejaculation, decreased libido, penis enlargement.
Impotence: pills for treatment
There are many pills for the treatment of impotence. The most common and well-known drugs are based on phosphodiesterase inhibitors.
They relax muscle tissue, increasing blood flow to the penis. Another group includes dietary supplements and their many generics - they help relax smooth muscles in blood vessels. These drugs are taken in a course of at least 2 weeks after consulting a doctor. Patients note its high long-term effectiveness.
Causes in young people
The first signs of erectile dysfunction can appear even at a young age up to 30 years old - they are associated with physical and psychological causes. Young men are more likely to suffer not because of physical problems, but because of psychological experiences: shame inspired by parents, fear of rejection, low self-esteem or guilt.
Stress leads to problems in relationships with a partner, which eventually turn into dysfunction. In difficult cases, the help of a psychologist is necessary. Hormonal causes are also common - a lack of testosterone can lead to underdevelopment of the genitals and lack of erection.
Prevention
One of the effective methods to avoid the appearance of erectile dysfunction is to maintain an active and healthy lifestyle:
- give up alcohol, tobacco and other bad habits
- Balanced diet
- active lifestyle
- regular sexual life without prolonged abstinence.
It is necessary to reduce the negative impact of stress on the body, for which it is recommended to study several effective methods of relaxation of the body and use them regularly.
But the most important thing is to undergo regular medical examinations and promptly contact specialists so that therapeutic measures take a minimum of time and ensure maximum effectiveness.