Impotence is an extreme degree of erectile dysfunction. At the same time, a man may completely lack an erection - the hardness, volume and straightness of the penis, which are 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 feel sexual desire;
- erectile impotence. The erection is not strong and long enough to perform sexual intercourse;
- impotence, in which the man cannot insert the penis into the vagina or premature ejaculation;
- short erection. Erection ejaculation comes quickly;
- impotence, in which ejaculation does not occur at all or takes much longer than in a healthy man;
- anorgasmia. The man does not achieve sexual satisfaction.
It is accepted to divide primary and secondary impotence. In the primary form, the erection was always insufficient for sexual intercourse. Secondary impotence means that before sexual contact 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 reasons. For example, diseases of the genitourinary sphere or endocrine disorders. Sexual desire may be preserved, but sometimes the erection may disappear right during intercourse. Organic impotence progresses imperceptibly. It's just that sometimes (and then increasingly) failures happen. Over time, for the appearance of an erection, it is necessary to make more and more efforts. With this type of impotence, spontaneous and nocturnal erections occur less and less.
- Psychological impotence. Its cause is psychogenic factors - depression, neurosis, neurotic states. The disease appears suddenly and is felt only from time to time. 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 according to the location of the lesions:
- neuroreceptor. Occurs with damage to the receptors of the head of the male penis, seminal vesicles or prostate;
- spinal. The reason for its occurrence are insufficiently sensitive spinal centers;
- spinal organic. This happens as a result of damage to the spinal centers of the lumbar or sacral department;
- spinal functional. It can occur when the spinal genital centers 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 the gastrointestinal tract. Although in general the somatogenic mechanism leading to impotence can be triggered by a disease of any organ or system. In fact, in the male body, many organs are closely related to the sexual sphere.
reasonsimpotence in menI can be:
- any injury that results in neurosecretory disorders. First of all, these are injuries to the spine and pelvic area;
- pathology of the bone and cartilage tissue of the spine: osteochondrosis, spondylarthrosis, hernia, protrusion;
- degenerative changes in the peripheral nervous system: neuritis, plexitis, radiculitis, neuropathies;
- disorders in the hypothalamic-pituitary system;
- diseases of the liver, kidneys, intestines;
- vascular disorders.
- psychological trauma, including childhood trauma;
- physical fatigue and prolonged stress.
- overweight and diabetes;
- smoking, alcohol and drug abuse. In the presence of bad habits, impotence appears even in young men.
In addition, impotence is caused by taking certain drugs and poisoning with toxic substances.
Symptoms of potency disorder
A person 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 wants intercourse, he cannot bring the penis to a state of tension. And maybe the penis loses its hardness right during intercourse, so it is not possible for the act to end in orgasm;
- insufficient erection. Under certain circumstances, the penis grows in size, but remains soft and cannot be inserted into the vagina;
- loss of erection. The penis reaches the necessary hardness and increases in size, but quickly becomes lethargic and sexual intercourse is impossible;
- sexual contact does not bring pleasure, sensual sensations are blurred;
- the need for sex occurs less than twice a week;
- premature ejaculation. This characteristic is critical only when it appears in mature and experienced men who have enough experience in 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 person notices one of the listed symptoms in himself, he should consult a doctor. After all, the sooner the 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 mechanism of development.
important!Impotence may be temporary. Including against the background of too frequent and active sexual contacts. Or vice versa, premature ejaculation occurs in men who cannot have a regular sex life. As soon as the frequency of intercourse becomes stable, the man's readiness for sexual intercourse returns to normal. Short-term (with a frequency of up to several episodes per year) "failures" are normal and only show the man's overwork.
Sexual function declines in older men. When the end of the reproductive age comes, the strength and duration of the sexual act gradually decreases. In this case, no medical help is 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 features.
The treatment regimen depends on the causes of the disease. As a rule, the doctor prescribes drugs that must be taken half an hour before the start of sexual intercourse. 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 nutritional 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-respect, eliminate depression, inferiority complex and fear of failure.
Medical treatment
According to the method of administration, drugs are divided into three groups:
- urethral drugs. They are inserted into the urethra immediately before intercourse. Rectal suppositories will have a similar effect;
- penile injections. It causes the penis to expand and quickly fill 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 supply, compensate for the lack of vitamins.
Synthetic agents that suppress the production of a substance that provokes the premature completion of sexual intercourse are also effective. They provide good blood supply to the penis and thus support sexual arousal. Such drugs have proven themselves as a means of maintaining men over 50 years old.
Dietary supplements of plant origin work well on the problem. They improve blood circulation, vitality, normalize the work of the central nervous system and increase libido.
Non-drug treatment
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 trauma factors.
For those who are not ready to solve the problem radically - for example, by changing their lifestyle, place of residence or field of professional activity, there are specially developed complexes of physiotherapy exercises. They should be performed daily, so you will 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 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, you should visit a doctor and find out the causes of impotence. Then, 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 they will appear only if the complex of therapeutic measures, lifestyle changes and rejection of bad habits are followed.
Among the folk remedies are the preparation of St. John's wort, gourd, ginger, ginseng tea, the use of walnuts, garlic, coriander and parsley. For lovers of extreme sensations, we can recommend the method of contrast baths: when you have to take turns 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.
Diet for impotence
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 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 strength and regain a normal sex life. Age does not matter: even at 60 or later, you can live a full life if you use an individually selected set of medicines and follow the doctor's prescriptions.
It is not always necessary to buy expensive drugs to improve 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-medication can lead to negative consequences.
Types of dysfunctions
- complete lack of erection;
- periodic 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 penile muscle and connective tissue.
- The necessary level of nitric oxide in the soft tissues of the genital organs
Developmental risk factors
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 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 amount of blood suffers. In general, 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 also 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. Testosterone concentration decreases in direct proportion to the rise in blood sugar levels, ultimately leading to erectile dysfunction. Also, diabetes leads to impaired blood circulation, especially in the small vessels. It turns out that the penis cannot be filled with a sufficient amount of blood and the erection weakens.
Low testosterone.
Hypogonadism, the medical term for low testosterone, results in a decrease in overall sex drive and libido.
Fibrosis can develop in the corpora cavernosa (corpora cavernosa) with injury to the penis. As a result, the cavities (cavities) that make up the corpora cavernosa and that are filled with blood, providing an erection, are replaced by connective tissue. The connective tissue can no longer accumulate blood in itself and stretch, so the quality of the erection deteriorates.
Bad habits.
A substance like nicotine has a pronounced vasoconstrictive effect, so tobacco that is smoked before intercourse can worsen your erection. With long-term abuse of nicotine, such phenomena become chronic and the quality of the erection progressively decreases. Alcohol, through complex chemical processes, stimulates the shift of 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 spent stress is called psychogenic or functional. As a rule, this can happen after a strong stress at work, such as a dismissal or other misfortune that is difficult to bear psychologically. Our long-term experience shows that combined therapy, which includes in addition to medication and psychotherapy, helps a lot in the treatment of this disease.
What tests should be done if erectile dysfunction is suspected?
- General blood analysis;
- Blood sugar test;
- Blood test for hormone levels;
- Biochemical blood test for lipoproteins and cholesterol;
- General urinalysis;
- Urine analysis 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 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 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 long enough.
Here, the boundaries of normality and pathology are blurred, since the capabilities of people differ significantly. If you notice deviations from the usual norm that are not related to stress or life changes, you should consult a doctor. It is better not to postpone a delicate problem, as it may 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 decrease in the time for erection, lack of spontaneous erection at night, over time it disappears completely and in adequate situations. Treatment at home often includes massage of the prostate gland, the external genital organs, as well as impact on reflex points.
This type of treatment removes blood stasis, improves blood circulation and relieves pain. It is not difficult to master the massage technique: the procedure can be performed alone or together with a partner - this helps restore trust in relationships and restore harmony to 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 decrease in the duration of intercourse and premature ejaculation. Over time, the erection may disappear completely, it does not appear spontaneously or in adequate situations.
Treatment at home can be carried out only in the absence of physiological and hormonal reasons. Massage will help to get rid of tension, remove blood stagnation and improve blood circulation. It should be done daily: both self-massage and the impact 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 corpora cavernosa 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 occurs 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 fading of sexual possibilities. Libido decreases, erection becomes insufficient to fully 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 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 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 dilated.
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 fast means of increasing potency after 60 years. But it is better to approach solving this intimate problem in a holistic way and start treating your body by normalizing the diet, increasing physical activity and taking drugs that eliminate nutritional deficiencies. In this case, the increase in potency will be more sustainable and long-term, and the intimate life will become brighter and more memorable.
Treatment with pills after 60 years
The use of tablets for the treatment of impotence in the elderly should be used with caution, consultation with a specialist 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.
Treatment is selected individually: it includes giving up bad habits, gymnastics, massage, as well as eliminating 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, nuts, rosehip broth. Daily gymnastics and increased physical activity also help preserve male strength in old age.
Advantages of impotence treatment in a specialized center:
- Treatment is carried out after establishing the cause and making an accurate diagnosis. Therefore, the rate of successful treatment is very high - 98%.
- All necessary specialists work in the clinic: 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 sex stimulants.
- The ability to restore sexual desire and at any age
- Possibility of independent control and planning of the installation
- Effective treatment of other male sexual disorders: premature ejaculation, decreased libido, penis enlargement.
Impotence: pills for treatment
There are many pills for treating impotence. The most common and well-known drugs are based on phosphodiesterase inhibitors.
They relax muscle tissue, providing increased blood flow to the penis. Another group includes nutritional supplements and their many generic products - they help to 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 effectiveness 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 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 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 of avoiding the occurrence of erectile dysfunction is maintaining 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 learn 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 a minimum of time and ensure maximum effectiveness.