Impotence is an extreme degree of erectile dysfunction. At the same time, a man can completely lack an erection - the stiffness, volume and directness of the penis, which is necessary for sexual intercourse. Premature ejaculation is also considered a sign of impotence. For a long time, the causes of impotence were seen only in fatigue, psychological disturbances or high levels 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 and long enough to have sexual intercourse;
- impotence, in which a man is unable to insert the penis into the vagina or premature ejaculation;
- short erection. Ejaculation erection comes quickly;
- impotence, in which ejaculation does not occur at all, or lasts much longer than in a healthy man;
- anorgasm. A man does not achieve sexual satisfaction.
It is customary to divide primary and secondary impotence. In the primary form, the erection was always insufficient for intercourse. Secondary impotence means that before sexual intercourse was possible, but over time, the erection weakened.
In general, the disease can be divided according to 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 the erection can disappear right during intercourse. Organic impotence progresses invisibly. Only sometimes (and then more and more often) do failures occur. Over time, it takes more and more effort to get an erection. With this type of impotence, spontaneous and nocturnal erections appear less and less.
- Psychological impotence. Its cause is psychogenic factors - depression, neurosis, neurotic conditions. The disease appears suddenly and makes itself felt only occasionally. At the same time, spontaneous and nocturnal erections are preserved. As a rule, the lack of "male readiness" is associated with certain circumstances or problems.
Impotence can be differentiated by the location of the lesions:
- neuroreceptor. Occurs when the receptors of the head of the male penis, seminal vesicles or prostate are damaged;
- spinal. The reason for its appearance is the spinal centers not sensitive enough;
- spinal organic. It occurs as a result of damage to the lumbar or sacral spinal centers;
- functional spine. It can happen when the genital centers of the spine are affected against the background of overwork.
Causes of impotence
Somatic disorders arise due to the pathological effect on the human nervous system of certain diseases and injuries. Weak links in a man's body are diseases of the heart and gastrointestinal tract. Although, in general, the somatogenic mechanism leading to impotence can be caused by a disease of any organ or system. Indeed, in a man's body, many organs are closely related to the sexual sphere.
Causesimpotence in menI can be:
- any damage that causes neurosecretory disorders. First of all, these are injuries to the spine and pelvic region;
- pathology of bones and cartilage tissues of the spine: osteochondrosis, spondylarthrosis, hernia, protrusion;
- degenerative changes in the peripheral nervous system: neuritis, plexitis, radiculitis, neuropathy;
- disorders in the hypothalamo-pituitary system;
- liver, kidney, intestinal diseases;
- vascular disorders.
- psychological trauma, including those suffered in childhood;
- physical fatigue and prolonged stress.
- obesity and diabetes;
- smoking, alcohol and drug abuse. In the presence of bad habits, impotence appears even in young people.
In addition, impotence is caused by taking certain drugs and poisoning with toxic substances.
Symptoms of power disorder
A man may not understand 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 wants sexual intercourse, he cannot bring the penis to a state of tension. And, perhaps, the penis loses its rigidity during sexual intercourse, so it is not possible to finish the act with an orgasm;
- insufficient erection. In certain circumstances, the penis increases in size, but remains soft and cannot enter the vagina;
- lost erection. The member reaches the necessary stiffness and increases in size, but quickly becomes lethargic and sexual intercourse is impossible;
- sexual intercourse does not give satisfaction, sensual sensations are unclear;
- the need for sex occurs less than twice a week;
- premature ejaculation. This feature is critical only when it appears in mature and experienced men who have enough experience in sexual relations;
- lack of spontaneous erections in the morning or in the evening;
- lack of sexual desire or its decrease. Waiting for sex, there is anxiety, fear of intimacy, fear of failure.
Even if a man notices one of the listed symptoms in himself, you should consult a doctor. After all, the sooner treatment is started, the faster and more successfully it will be possible to eliminate the problem. If there are many symptoms and they are increasing, it is much more difficult to stop the mechanism of development.
Important!Impotence can be temporary. Including, against the background of very frequent and active sexual relations. Or vice versa, premature ejaculation occurs in men who are unable to have a regular sex life. As soon as the frequency of intercourse becomes stable, the man's readiness 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 decreases in older men. When the end of the reproductive age comes, the strength and duration of sexual intercourse gradually decreases. In this case, medical help is not required, the decrease in potency is natural for male physiology.
Common treatments for impotence
It is necessary to restore the 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 medicines 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 medicines.
The achieved effect is enhanced by physiotherapy, acupressure and vacuum massage.
The condition of patients is eased by classes with a psychologist. An experienced specialist will restore the sense of self-esteem, eliminate depression, 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 immediately before sexual intercourse. Rectal suppositories will have a similar effect;
- penile injections. It causes the enlargement of the penis and its rapid filling with blood. In this case, the erection lasts at least an hour.
- Oral medications for impotence. The most popular and provide a lasting effect. They ensure good blood supply, fill the lack of vitamins.
Synthetic agents that suppress the production of a substance that provokes the premature termination of sexual intercourse are also effective. They ensure a good blood supply to the penis and thus support sexual arousal. Such drugs have proven themselves as a means of maintenance for men over 50 years old.
Dietary supplements of herbal origin work well in 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 can solve the problem of insufficient erection. At the same time, it is worth changing your attitude towards life and psychological traumatic factors.
For those who are not ready to solve the issue radically - for example, by changing the lifestyle, place of residence or the sphere of professional activity, there are specially designed complexes of physiotherapy exercises. They should be performed every day, so you will provide the necessary physical activity and activate blood circulation in the genital area and prostate.
Acupressure massage restores sexual function well. This procedure should be entrusted to a specialist. Acupressure is performed not only in the area of intimate organs, but also in the area of the feet.
Vacuum pump massage can provide erection. At the same time, oxygenated blood circulates more actively in the blood vessels of the penis.
Folk methods of treatment
First of all, you should visit 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 immediate results from such therapy should not be expected. Yes, and they will appear only if the complex of therapeutic measures, lifestyle changes and rejection of bad habits are observed.
Among the folk remedies are the preparation of tea from St. John's wort, gourd, ginger, ginseng, the use of walnuts, garlic, cilantro and parsley. For lovers of extreme sensations, we can recommend the method of contrast baths: when you have to alternately sit in a basin of cold and hot water. The duration of stay in each pelvis is 1. 5 minutes, in total you need to do 10 transplants.
Power Violation Diet
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?
Proportion 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 every man, but it is not always incurable. Let's examine in more detail the causes, methods of treatment and common myths about this problem.
Impotence - is it forever?
Even in the most difficult cases, modern medical methods help patients regain their male power and regain a normal sex life. Age does not matter: even at the age of 60 or later, you can live a full life if you use a group of individually selected drugs and follow the doctor's prescriptions.
It is not always necessary to buy expensive drugs to increase potency: in most cases, it is necessary to eliminate the original cause of the problem. Only a doctor can choose the right method of treatment, self-medication can lead to negative consequences.
Types of malfunctions
- complete absence of erection;
- intermittent erection (soft penis during sex);
- episodic.
For a normal erection, you need:
- A healthy nervous system that responds flexibly to brain impulses.
- Healthy penile vessels.
- Healthy muscle and connective tissue of the penis.
- The required level of nitric oxide in the soft tissues of the genital organs
Risk factors for development
Vascular problems (hypertension and impaired blood supply to the genitals).
Approximately 50% of men with hypertension suffer from this problem. With hypertension, the ability of the penile arteries to expand is impaired and, in addition, the ability of the corpora cavernosa to relax and fill with a sufficient volume of blood suffers. Together, it turns out that the penis does not receive enough blood for an erection.
Diabetes.
As you know, diabetes mellitus affects, without exception, all human organs and systems, affecting the intimate sphere. Medical statistics show 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. Testosterone concentration decreases in direct proportion to increased blood sugar levels, which eventually 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.
Hypogonadism, the medical term for low testosterone, leads to a decrease in overall sex drive and libido.
When the penis is injured, fibrosis can develop in the corpora cavernosa. As a result, the cavities (cavities) that make up the corpora cavernosa and which are filled with blood, providing an erection, are replaced by connective tissue. The connective tissue can no longer collect blood in itself and stretch, so the quality of the erection deteriorates.
Bad habits.
A substance like nicotine has a pronounced vasoconstrictive effect, so smoking tobacco before sexual intercourse can worsen your erection. With prolonged nicotine abuse, such phenomena become chronic and the quality of erection decreases progressively. Alcohol, through complex chemical processes, stimulates a change in the balance between testosterone and estrogen towards female sex hormones, which leads to a gradual decline in erectile function.
stressful situations.
Weak erectile dysfunction that occurred after stress is called psychogenic or functional. As a rule, this can happen after a great stress at work, such assh. a layoff or other adversity that is difficult to cope with psychologically. Our many years of experience show that combined therapy, which includes, in addition to medication, psychotherapy, is a great help in the treatment of this disease.
What tests should be done if you suspect erectile dysfunction?
- General blood analysis;
- Blood test for sugar;
- Blood test for hormone level;
- Biochemical blood test for lipoproteins and cholesterol;
- General analysis of urine;
- Urine analysis for bacteriological culture;
Visual examination and palpation for impotence may reveal:
- testicle 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 (as a sign of the presence of atherosclerosis).
- damaged structure of the penis.
Impotence - when is it not worth it at all?
This is a common myth. Impotence in the domestic sphere most often means various types of erectile dysfunction, in which a man either cannot experience an erection at all, or is unable to maintain it for a long time.
The boundaries of norm and pathology here are unclear, as people's abilities vary significantly. If you notice deviations from the usual norm that are not associated with stress or changes in life, you should consult a doctor. It is better not to postpone a delicate problem, as it can be accompanied by serious pathologies in the body that require urgent treatment.
Signs and treatment at home, massage
The first signs of impotence are the reduction of 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 gland, 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 together 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 disappear completely, it does not appear either spontaneously or in adequate situations.
Treatment at home can be carried out only in the absence of physiological and hormonal causes. The massage will help to remove tension, eliminate blood stasis and improve its circulation. It should be done every day: both self-massage and the influence of the partner's hands are useful.
Vascular surgical treatment of erectile dysfunction
Surgical treatment (so-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
Erectile dysfunction at this age occurs due to age-related hormonal changes. Since testosterone is responsible for sexual desire and erection, the decrease in its concentration in old age leads to impotence.
A characteristic feature of this condition is the gradual fading of sexual opportunities. Libido decreases, erection becomes insufficient for complete 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 treatment methods are:
- hormonal 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 as an independent treatment or as an additional technique.
- injection therapy. Usually this method is used for vasoconstriction. By injecting drugs directly into the urethra or corpus cavernosum, they can be enlarged.
For each patient, the doctor develops an individual treatment plan that allows you to quickly and effectively restore male power.
It is difficult to name the most effective and fastest medicine for increasing potency after 60 years. But, it is better to approach the solution of this intimate problem in a comprehensive way and start healing your body by normalizing your diet, increasing physical activity and taking medicines that eliminate nutritional deficiencies. In this case, the increase in potency will be more stable and long-lasting, and intimate life will become more lively and memorable.
Pill treatment after 60 years
The use of tablets for the treatment of impotence in the elderly should be used with caution, a specialist consultation is required. Such drugs provoke a sharp flow of blood to the genitals, which can be dangerous for people with diseases of the heart and blood vessels.
The treatment is selected personally: it includes the rejection of bad habits, gymnastics, massage, as well as the removal of concomitant diseases that interfere with intimate life.
Impotence in old age: treatment with folk remedies
Impotence in old age is a common problem: it is associated with the disappearance of testosterone production and a decrease in libido. In addition, a number of other pathologies are often present over the age of 50.
However, folk remedies help prolong male youth: among them are ginseng tincture with pronounced tonic properties, seafood, honey, walnuts, rose juice. 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 establishing an accurate diagnosis. Therefore, the percentage of successful treatment is very high - 98%.
- The clinic employs all necessary specialists: andrologists, urologists, sexologists, endocrinologists, surgeons, therapists and other doctors.
- The most effective treatment methods are used to increase potency.
- The goal of treating erectile dysfunction is to increase the natural power for life, and not to prescribe sex stimulants once.
- The ability to restore sexual desire and at any age
- The possibility of independent control and planning of erection
- 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, ensuring increased blood circulation in the penis. Another group includes dietary supplements and their many generics - they help relax the smooth muscles of blood vessels. Such drugs are taken in a course of at least 2 weeks after consulting a doctor. Patients note its high efficiency in the long term.
Causes in young people
The first signs of erectile dysfunction can appear even at a young age of up to 30 years - it is associated with physical and psychological causes. Young boys 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 feelings of guilt.
Stress leads to problems in the relationship with the partner, which eventually develops into dysfunction. In difficult cases, the help of a psychologist is required. 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 occurrence of erectile dysfunction is to maintain an active and healthy lifestyle:
- giving up alcohol, smoking and other bad habits
- Balanced diet
- active lifestyle
- regular sex life without prolonged abstinence.
It is necessary to reduce the negative impact of stress on the body, for which it is recommended to study some effective methods of relaxing the body and use them regularly.
But the most important thing is to undergo regular medical examinations and contact specialists at the right time, so that therapeutic measures take a minimum time and ensure maximum effectiveness.