Impotence is an extreme degree of erectile dysfunction. At the same time, a man can completely lack an erection - 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 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 for sexual intercourse;
- impotence, in which the man cannot insert the penis into the vagina or premature ejaculation;
- short erection. The ejaculation of the erection comes quickly;
- impotence, in which ejaculation does not occur at all or lasts much longer than in a healthy man;
- anorgasmia. A man does not achieve sexual satisfaction.
It is common 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 has 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 immediately during intercourse. Organic impotence progresses imperceptibly. Only sometimes (and then more often) malfunctions occur. Over time, for the appearance of an erection, it is necessary to invest more and more effort. With this type of impotence, spontaneous and nocturnal erections occur more and more rarely.
- Psychological impotence. Its cause is psychogenic factors - depression, neurosis, neurotic conditions. The disease manifests itself suddenly and is felt only from time to time. At the same time, spontaneous and nocturnal erections were preserved. As a rule, the lack of "male readiness" is associated with certain circumstances or problems.
Impotence can differ according to the location of the lesions:
- neuroreceptor. It occurs when the receptors of the head of the male penis, seminal vesicles or prostate are damaged;
- spinal. The reason for its appearance is insufficiently sensitive centers of the spine;
- spinal organ. It occurs as a result of damage to the spinal centers of the lumbar or sacral part;
- spinal functions. It can appear when the genital centers of the spine are affected against the background of excessive work.
Causes of impotence
Somatic disorders are caused by the pathological effects of certain diseases and injuries on the human nervous system. Weak links in a man's body are diseases of the heart and gastrointestinal tract. Although, generally, the somatogenic mechanism leading to impotence can be triggered 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 injury that entails a neurosecretory disorder. First of all, these are injuries to 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 in the hypothalamic-pituitary system;
- diseases of the liver, kidneys, intestines;
- vascular disorders.
- psychological traumas, including those suffered in childhood;
- physical fatigue and long-term stress.
- overweight and diabetes;
- smoking, alcohol and drug abuse. In the presence of bad habits, impotence manifests itself even in young men.
In addition, impotence is caused by taking certain drugs and poisoning with toxic substances.
Symptoms of impotence disorders
A man may not understand that failures in the sexual sphere are not accidental and that 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 into a state of tension. And, perhaps, the penis loses its hardness during sexual intercourse, so it is not possible to end the act with an orgasm;
- insufficient erection. In certain circumstances, the penis grows in size, but remains soft and cannot be inserted into the vagina;
- lost erection. The member reaches the necessary hardness and increases in size, but quickly becomes lethargic and sexual intercourse is impossible;
- sexual intercourse does not provide pleasure, sensual feelings are blurred;
- 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 morning or night erection;
- lack of sexual desire or its reduction. In anticipation of sex, anxiety, fear of intimacy, and fear of failure appear.
Even if a man notices one of the above symptoms, he should consult a doctor. After all, the sooner treatment begins, the faster and more successfully it will be possible to eliminate the problem. If there are many symptoms and they grow, it is much more difficult to stop the development mechanism.
Important!Impotence can be temporary. Including, in the background of too frequent and active sexual intercourse. Or vice versa, premature ejaculation occurs in men who are unable to have a regular sex life. As soon as the frequency of sexual intercourse stabilizes, the man's readiness for sexual contact returns to normal. Short-term (up to a few episodes a year) "failures" are normal and only indicate a man's overwork.
Sexual function decreases in older men. When the reproductive age comes to an end, the strength and duration of intercourse gradually decreases. In this case, no medical help is needed, 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 need to 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 food supplements, vitamin complexes and herbal medicines.
The achieved effect is enhanced by physiotherapy, acupressure and vacuum massage.
The condition of patients is facilitated by classes with a psychologist. An experienced specialist will restore a sense of self-worth, eliminate depression, inferiority complex and fear of failure.
Treatment
According to the method of administration, drugs are divided into three groups:
- urethral drugs. They are inserted into the urethra just before sexual intercourse. Rectal suppositories will have a similar effect;
- penile injections. They cause the penis to expand 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 the lack of vitamins.
Synthetic agents that suppress the production of substances that cause premature termination of sexual intercourse are also effective. They provide a good blood supply to the penis and thus support sexual arousal. Such drugs have been proven as a means of maintenance in men over 50 years of age.
Dietary supplements of plant origin work well on the problem. They improve circulation, vitality, normalize the work of the central nervous system and increase libido.
Treatment without drugs
An active lifestyle, reasonable physical activity can solve the problem of insufficient erection by themselves. At the same time, it is worth changing your attitude towards 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 sphere of professional activity, there are specially designed complexes of physiotherapy exercises. They should be performed daily, so you will ensure 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 performed not only in the area of 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 circulates more actively in the blood vessels of the penis.
Folk methods of treatment
First of all, it is necessary to 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 you should not expect immediate results from such therapy. Yes, and it will appear only if a 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, pumpkin, 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 need to alternately sit in a basin with cold and hot water. The duration of stay in each pelvis is 1. 5 minutes, a total of 10 transplants are required.
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, the following 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 every man, but it is not always incurable. Let's take a closer look at the causes, treatment methods 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 doesn't matter: even at 60 or later, you can live a full life if you use an individually selected set of medicines and follow your doctor's prescriptions.
It is far from always necessary to buy expensive drugs to improve potency: in most cases, it is necessary to eliminate the root cause of the problem. Only a doctor can choose the right method of treatment, self-medication can lead to negative consequences.
Types of dysfunctions
- complete lack of erection;
- occasional 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 genital organs).
Approximately 50% of men with hypertension suffer from this problem. With hypertension, the ability to expand the arteries of the penis is reduced, and in addition, the ability of the corpora cavernosa to relax and fill with a sufficient amount of blood also 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, while affecting the intimate sphere. Medical statistics tell us that about 30% of men with diabetes suffer from erectile dysfunction of varying severity. As already mentioned, diabetes affects the whole body, especially the production of the main male sex hormone - testosterone. Testosterone concentration decreases in direct proportion to the increase in blood sugar levels, which ultimately leads to erectile dysfunction. Also, diabetes mellitus leads to blood circulation disorders, especially in small vessels. It turns out that the penis cannot be filled with blood in sufficient quantity 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 (corpora cavernosa). As a result, the cavities (cavities) that make up the corpora cavernosa and are filled with blood, ensuring 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 such as nicotine has a pronounced vasoconstrictive effect, so tobacco smoked before sexual intercourse can worsen your erection. With long-term abuse of nicotine, such phenomena become chronic and the quality of erection progressively decreases. Through complex chemical processes, alcohol stimulates a change in the balance between testosterone and estrogen towards female sex hormones, which leads to a gradual weakening of erectile function.
stressful situations.
Weak erectile dysfunction that occurred after suffering stress is called psychogenic or functional. As a rule, this can happen after a great stress at work, such as a dismissal or another accident that is psychologically difficult to bear. Our long-term experience shows that combined therapy, which in addition to drugs also includes psychotherapy, is of 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 levels;
- Biochemical blood test for lipoproteins and cholesterol;
- General urinalysis;
- Urine analysis for bacteriological culture;
Visual inspection and palpation for impotence may reveal:
- testicular size that does not meet anatomical standards;
- scanty facial hair or its complete absence (hormonal deficiency);
- female breast enlargement;
- detection of a weakened arterial pulse in the lower extremities (as a sign of the presence of atherosclerosis).
- defective structure of the penis.
Impotence - when is it not worth it at all?
This is a common myth. Impotence in the domestic sphere usually means various types of erectile dysfunction, in which a man either cannot experience an erection at all or cannot maintain it long enough.
The boundaries of norm and pathology are blurred here, because people's abilities differ significantly. If you notice deviations from the usual norm that are not related to stress or changes in life, you should consult a doctor. It is better not to postpone a delicate problem, because 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 a spontaneous erection at night, with time it completely disappears even in adequate situations. Treatment at home often includes massage of the prostate, external genitalia, as well as exposure to reflex points.
This type of treatment removes blood stagnation, improves blood circulation and relieves the patient of pain. It is not difficult to master the massage technique: the procedure can be carried out independently or together with a partner - it helps 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, shortening of the duration of sexual intercourse and premature ejaculation. Over time, the erection may 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. Massage will help to get rid of tension, eliminate blood stagnation and improve blood circulation. It should be carried out daily: self-massage and the influence of the partner's hands are also 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 in the genitals.
Treatment of impotence in men after 50 and 60 years
Erectile dysfunction at this age is caused by 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 weakening of sexual possibilities. Libido decreases, erection becomes insufficient for the complete completion of sexual intercourse.
This refers to natural processes. In old age, due to hypertension, diabetes mellitus, chronic prostatitis, circulation in the prostate and penis suffers, which affects erectile function.
After 50 years, the main treatment methods are:
- hormone therapy. This technique is used if impotence has developed against the background of insufficient production of sex hormones in the body.
- Medical therapy. It can be used both as an independent treatment and 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 spread.
For each patient, the doctor develops an individual treatment plan that allows you to quickly and effectively restore male strength.
It is difficult to name the most effective and fastest medicine for increasing potency after 60 years. But it is better to approach solving this intimate problem in a comprehensive way and start treating 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 persistent and long-lasting, and intimate life will become more vivid and memorable.
Treatment with tablets after 60 years
Tablets for the treatment of impotence in the elderly should be used with caution, specialist consultation is required. Such drugs cause a sharp flow of blood to the genitals, which can be dangerous for people with diseases of the heart and blood vessels.
Treatment is chosen personally: it includes discarding bad habits, gymnastics, massage, as well as solving comorbidities 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 death of testosterone production and a decrease in libido. In addition, numerous other pathologies are often present at the age of over 50.
However, folk remedies help prolong male youth: among them are ginseng tincture with pronounced tonic properties, seafood, honey, walnuts, 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 determining the cause and establishing an accurate diagnosis. Therefore, the percentage of successful treatment is very high - 98%.
- All necessary specialists are employed in the office: 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 natural potency for life, not to prescribe one-time sexual stimulants.
- The ability to regain sexual desire at any age
- Possibility of independent control and assembly planning
- Effective treatment of other male sexual disorders: premature ejaculation, decreased libido, penis enlargement.
Impotence: treatment pills
There are many pills to treat impotence. The most common and well-known drugs are based on phosphodiesterase inhibitors.
They relax muscle tissue, ensuring increased blood flow to the penis. The second group includes dietary supplements and their numerous generics - they help relax the smooth muscles of blood vessels. Such medicines are taken for at least 2 weeks after consultation with the 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 men suffer more often 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 severe cases, the help of a psychologist is needed. Hormonal causes are also common - a lack of testosterone can lead to underdevelopment of the genital organs and a lack of erection.
Prevention
One of the effective methods for avoiding erectile dysfunction is maintaining an active and healthy lifestyle:
- giving up alcohol, smoking and other bad habits
- a 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 several effective methods of relaxing the body and use them regularly.
But the most important thing is to undergo regular medical examinations and contact specialists in a timely manner so that therapeutic measures take the minimum time and ensure maximum effectiveness.