Impotence is an extreme degree of erectile dysfunction. At the same time, a man can completely lack an erection - the rigidity, volume and directness of the penis necessary for sexual intercourse. Premature ejaculation is also a sign of impotence. For a long time, the causes of impotence were only seen in tiredness, psychological problems or a high level of stress. However, sexual dysfunction can occur in a number of diseases.
types of impotence
There are different forms of impotence:
- impotence, in which a man does not feel sexual desire;
- erectile impotence. The erection is not strong enough and not long enough to have sexual intercourse;
- impotence, in which a man cannot insert the penis into the vagina, or premature ejaculation;
- short erection. erectile ejaculation 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 customary to separate primary and secondary impotence. In the primary form, the erection was always insufficient for sexual intercourse. Secondary impotence means that sexual intercourse was possible before, 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 system or endocrine disorders. Sexual desire can be saved, but sometimes an erection can disappear right during intercourse. Organic impotence progresses imperceptibly. Only sometimes (and then more and more frequently) do failures occur. Over time, it takes more and more effort to get an erection. With this type of impotence, spontaneous and nocturnal erections occur less and less.
- mental impotence. Its cause is psychogenic factors - depression, neurosis, neurotic states. The disease manifests itself suddenly and makes itself felt only from time to time. At the same time, spontaneous and nocturnal erections are preserved. As a rule, the lack of "male willingness" is linked to certain circumstances or problems.
Impotence can be distinguished based on the localization of the lesions:
- neuroreceptor. Occurs when the receptors of the head of the male penis, seminal vesicles or prostate are damaged;
- spine. The reason for its appearance are insufficiently sensitive spinal centers;
- spine organic. It happens as a result of damage to the spinal centers of the lumbar or sacral bones;
- spine functional. It can occur when the spinal genital centers are affected against the background of overload.
Causes of impotence
Somatic disorders arise due to the pathological effect of certain diseases and injuries on the human nervous system. Vulnerabilities in a man's body are diseases of the heart and gastrointestinal tract. Although, by and large, the somatogenic mechanism that leads to impotence can be triggered by a disease of any organ or system. In fact, in a man's body, many organs are closely related to the sexual sphere.
causesimpotence in menI can be:
- any injury resulting in disturbances of neurosecretion. First of all, these are injuries to the spine and pelvic area;
- Pathology of the bone and cartilaginous 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 diseases.
- psychological trauma, including those suffered in childhood;
- physical fatigue and prolonged stress.
- obesity and diabetes;
- Smoking, alcohol abuse and drugs. With bad habits, impotence also manifests itself in young men.
In addition, impotence is caused by taking certain medications and poisoning with toxic substances.
Symptoms of erectile dysfunction
A man may not realize that mistakes in his sexual sphere are not accidental, and negative changes are already taking place in his body.
The main symptoms of impotence are:
- lack of erectionor its reduction. Even if a man desires intercourse, he cannot put the penis in a state of tension. And perhaps right during intercourse the penis loses hardness, so that it is not possible to end the act with an orgasm;
- insufficient erection. The penis may grow but remain soft and cannot be inserted into the vagina;
- lost erection. The member acquires the necessary hardness and increases in size, but quickly becomes lethargic and sexual intercourse is impossible;
- Sexual intercourse is not pleasurable, sensations are blurred;
- the need for sex occurs less than twice a week;
- premature ejaculation. This trait is critical only when it occurs in mature and experienced men who have sufficient experience in sexual relations;
- lack of spontaneous morning or nighttime erections;
- Lack of sexual desire or its decrease. In anticipation of sex there is fear, fear of intimacy, fear of failure.
Even if a man notices any of the symptoms listed, you should see a doctor. Because the earlier treatment is started, the faster and more successfully the problem can be solved. If there are many symptoms and they grow, it is much more difficult to stop the mechanism of development.
Important!Impotence can be temporary. Including against the background of too frequent and active sexual intercourse. Or vice versa, premature ejaculation occurs in men who cannot have a regular sex life. As soon as the frequency of sexual intercourse stabilizes, the man's willingness to engage in sexual contact normalizes. Short-term (with a frequency of up to several episodes per year) "dropouts" are normal and only indicate overwork on the part of the man.
Sexual function declines in older men. As the end of the reproductive age approaches, 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 features.
The treatment regimen depends on the causes of the disease. As a rule, the doctor prescribes medication that must be taken half an hour before the start of sexual contact. They 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 effect achieved is enhanced by physiotherapy, acupressure and vacuum massage.
The condition of patients is facilitated by classes with a psychologist. An experienced specialist restores self-esteem, eliminates depression, inferiority complexes and fear of failure.
Medical treatment
Depending on the method of application, drugs are divided into three groups:
- urethral medication. They are inserted into the urethra just before intercourse. Rectal suppositories have a similar effect;
- penis injections. Causes expansion of the penis and its rapid filling with blood. In this case, the erection lasts at least an hour.
- Oral medication for impotence. The most popular and ensure a lasting effect. They ensure good blood circulation and compensate for the lack of vitamins.
Also effective are synthetic agents that suppress the production of a substance that provokes the premature completion of sexual intercourse. They ensure good blood flow to the penis and thus support sexual arousal. Such drugs have proven themselves as a maintenance tool for men over 50 years old.
Dietary supplements of plant origin work 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 and adequate physical activity can solve the problem of insufficient erection. At the same time, it is worth changing your attitude towards life and psychological trauma factors.
For those who are not ready to radically solve the problem - for example, by changing their lifestyle, place of residence or professional activity - there are specially designed complexes of physiotherapeutic exercises. They should be carried out daily so that you provide the necessary physical activity and activate blood circulation in the genital area and in the prostate.
Acupressure massage restores sexual function well. This procedure should be entrusted to a specialist. Acupressure is performed 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, oxygen-rich blood circulates more actively in the blood vessels of the penis.
Folk methods of treatment
First of all, you need to see a doctor and find out the causes of impotence. After that, in consultation with a specialist, it is possible to strengthen the recommended treatment with folk remedies.
Remember that immediate results cannot be expected from such therapy. Yes, and they appear only when observing the complex of therapeutic measures, lifestyle changes and rejection of bad habits.
Folk remedies include 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 have to alternately sit in a pool of cold and hot water. The length of stay in each pool is 1. 5 minutes, in total you need to make 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 every man, but it's not always incurable. Let's take a closer look at the causes, treatments, and common myths surrounding this problem.
Impotence - is it forever?
Even in the most difficult cases, modern medical methods help patients regain their masculine vigor and normal sex life. Age doesn't matter: Even at 60 years of age or later, you can lead a fulfilling life if you use an individually selected medication set and follow the doctor's instructions.
It is far from 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-treatment can lead to negative consequences.
types of dysfunctions
- complete lack 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 vessels of the penis.
- Healthy muscle and connective tissue of the penis.
- The required level of nitric oxide in the soft tissues of the genitals
risk factors for development
Vascular problems (high blood pressure and impaired blood supply to the genitals).
About 50% of men with high blood pressure suffer from this problem. With high blood pressure, the ability of the arteries of the penis to expand is impaired and the ability of the erectile tissue to relax and fill with sufficient blood also suffers. Overall, it turns out that the penis does not receive enough blood for an erection.
diabetes mellitus.
As you know, diabetes mellitus affects all human organs and systems without exception, including the intimate area. Medical statistics tell us that around 30% of men with diabetes suffer from erectile dysfunction of varying degrees. As mentioned above, diabetes affects the entire body, in particular 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. Diabetes mellitus also leads to impaired blood circulation, especially in small vessels. It turns out that the penis cannot be filled with blood in a sufficient amount, and the erection weakens.
testosterone deficiency.
Hypogonadism, the medical term for low testosterone levels, results in a decrease in overall sex drive and libido.
When the penis is injured, fibrosis can develop in the corpus cavernosum (corpora cavernosa). As a result, the cavities (cavities) that make up the erectile tissue, which are filled with blood and cause an erection, are replaced with connective tissue. The connective tissue can no longer accumulate and stretch with blood, thereby deteriorating the quality of the erection.
Bad habits.
A substance like nicotine has a pronounced vasoconstrictive effect, therefore smoking tobacco before sexual intercourse can worsen your erection. With prolonged abuse of nicotine, such phenomena become chronic, and the quality of erection progressively decreases. Through complex chemical processes, alcohol stimulates a shift in the balance between testosterone and estrogen toward female sex hormones, leading to a gradual decline in erectile function.
stressful situations.
Mild erectile dysfunction that occurs after stress is called psychogenic or functional. This can usually happen after a lot of stress at work, such as a dismissal or another misfortune that is difficult to bear psychologically. Our many years of experience show that a combination therapy, which includes psychotherapy in addition to medication, is of great help in the treatment of this disease.
What tests should be performed if erectile dysfunction is suspected?
- General blood analysis;
- 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:
- testicle size not conforming to anatomical standards;
- sparse facial hair or its complete absence (hormonal failure);
- female breast augmentation;
- 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. In the domestic context, impotence most often means various types of erectile dysfunction in which a man either cannot get an erection at all or cannot maintain it long enough.
The boundaries between the norm and pathology are blurred here, since people's abilities differ significantly. 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.
Characters and treatment at home, massage
The first signs of impotence are a decrease in the time of erection, the absence of a spontaneous erection at night, which over time and in suitable situations completely disappears. Home treatment often includes massage of the prostate, external genitalia, and exposure to reflex points.
This type of treatment eliminates congestion, improves blood circulation and relieves pain in the patient. Mastering the massage technique is not difficult: the procedure can be done alone or together with a partner - this will help restore confidence in relationships and restore harmony in family life.
Impotence: signs and home treatment
It is not difficult to determine the signs of this disease: it is expressed in the absence of an erection, a decrease in the duration of sexual intercourse, and premature ejaculation. Over time, an erection can disappear completely, it does not appear either spontaneously or in appropriate situations.
Treatment at home can only be carried out in the absence of physiological and hormonal causes. The massage helps to relieve tension, eliminate blood congestion and improve blood circulation. It should be done daily: both self-massage and the action of the partner's hands are useful.
Vascular surgical treatment of erectile dysfunction
Surgical treatment (called "dorsal vein resection") for 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, a decrease in its concentration with age leads to impotence.
A characteristic feature of this state is the gradual fading of sexual possibilities. The libido decreases, the erection becomes insufficient for the full completion of sexual intercourse.
This applies to natural processes. In old age, due to hypertension, diabetes mellitus, chronic prostatitis, blood flow to the prostate and penis suffers, which affects erectile function.
After 50 years, the main methods of treatment are:
- Hormone therapy. This technique is used when 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 an additional technique.
- injection therapy. Usually this method is used for vasoconstriction. By injecting drugs directly into the urethra or cavernous tissue, they can be dilated.
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 means of increasing potency after 60 years. However, it is better to approach the solution of this intimate problem comprehensively and heal your body by normalizing your diet, increasing physical activity and taking drugs that eliminate nutritional deficiencies. In this case, the increase in potency will be more constant and long-lasting, and intimate life will be more vivid and memorable.
Treatment with pills after 60 years
Use tablets for the treatment of impotence in the elderly with caution, specialist advice is required. Such drugs provoke a strong flow of blood to the genitals, which can be dangerous for people with diseases of the heart and blood vessels.
Treatment is selected personally: it includes the rejection of bad habits, gymnastics, massage, as well as the elimination 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 cessation of testosterone production and a drop in libido. In addition, a number of other pathologies are often present at the age of over 50 years.
However, folk remedies help to prolong male youth: among them are ginseng tincture with pronounced restorative properties, seafood, honey, nuts, rosehip broth. Daily gymnastics and increased physical activity also contribute to maintaining male strength in old age.
Advantages of impotence treatment in a specialized center:
- Treatment is carried out after diagnosing the cause and 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.
- To increase potency, the most effective methods of treatment are used.
- The goal of erectile dysfunction treatment is to increase natural potency for life and not to prescribe one-time sexual stimulants.
- The ability to restore sexual desire, and at any age
- Possibility of independent control and planning of assembly
- Effective treatment of other male sexual disorders: premature ejaculation, decreased libido, penis enlargement.
Impotence: pills for treatment
There are many pills to treat impotence. The most common and well-known drugs are based on phosphodiesterase inhibitors.
They relax the muscle tissue and ensure increased blood flow to the penis. Another group are dietary supplements and their numerous generics - they help to relax the smooth muscles of the 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 from a young age up to the age of 30 - it is associated with physical and psychological causes. Young men are less likely to suffer from physical problems than from psychological experiences: parent-inspired shame, fear of rejection, low self-esteem or guilt.
Stress leads to problems in a relationship with a partner, which eventually develop 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 sex organs and a lack of an erection.
prevention
One of the most effective ways to prevent erectile dysfunction from occurring is to maintain an active and healthy lifestyle:
- Refraining from alcohol, smoking and other bad habits
- balanced nutrition
- active lifestyle
- regular sex life without prolonged abstinence.
It is necessary to reduce the negative effects 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 have regular medical examinations and timely contact specialists so that therapeutic measures take a minimum of time and ensure maximum effectiveness.