Impotence is an extreme degree of erectile dysfunction. At the same time, a man can completely lack an erection: the stiffness, volume and straightness of the penis, which are necessary for having sexual intercourse. Premature ejaculation is also considered a sign of impotence For a long time the causes of impotence have been seen only in fatigue, psychological distress 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 sexual intercourse;
- impotence, in which a man is unable to 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. 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 intercourse. Secondary impotence means that before intercourse it was possible, but over time the erection has weakened.
In general, the disease can be divided according to the following features:
- 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 imperceptibly. Only sometimes (and then more and more often) do failures occur. 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 appear less and less.
- Psychological impotence. Its cause are psychogenic factors: depression, neurosis, neurotic states. The disease comes on 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 readiness" is associated with certain circumstances or problems.
Impotence can be differentiated by the location of the lesions:
- neuroreceptor. It occurs when the receptors in the male penis head, seminal vesicles or prostate are damaged;
- spinal. The reason for its occurrence is insufficiently sensitive spinal centers;
- spinal organ. It happens due to damage to the lumbar or sacral spinal centers;
- functional spinal. 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 bonds in a man's body are diseases of the heart and gastrointestinal tract. Although, in general, 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 interconnected with the sexual sphere.
Causesimpotence in menI can be:
- any lesion involving neurosecretion disorders. First of all, these are injuries of the spine and pelvic region;
- pathology of the bone and cartilage tissue of the spine: osteochondrosis, spondyloarthrosis, hernia, protrusion;
- degenerative changes in the peripheral nervous system: neuritis, plexitis, radiculitis, neuropathies;
- 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 also manifests itself in young people.
Also, impotence is caused by taking certain medications and poisoning with toxic substances.
Potency disturbance symptoms
A man may not realize that failures in his sexual sphere are not accidental and that 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 sexual intercourse, he cannot bring his penis into a state of tension. And, perhaps, the penis loses its hardness during sexual intercourse, so it is not possible to complete the act with an orgasm;
- insufficient erection. Under 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 give pleasure, sensual sensations are blurred;
- the urge 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 sufficient experience in sexual intercourse;
- lack of spontaneous morning or night erections;
- lack of sexual desire or its decrease. While waiting for sex, there is anxiety, fear of intimacy, fear of failure.
Even if a man notices any of the symptoms listed in himself, you should see a doctor. After all, the earlier the treatment is started, the faster and more successful it will be possible to get rid of the problem. If the symptoms are many and they are growing, 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 who are unable to have a regular sex life. As soon as the frequency of sexual intercourse becomes stable, a 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 declines in older men. When the end of the reproductive age arrives, the strength and duration of sexual intercourse gradually decreases. In this case, no medical assistance is required, a decrease in potency is natural for the 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 must 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 remedies.
The effect obtained is strengthened 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, an inferiority complex and the fear of failure.
Medical treatment
According to the method of application, drugs are divided into three groups:
- urethral medications. They are inserted into the urethra immediately before sexual intercourse. Rectal suppositories will have a similar effect;
- penile injections. It causes the penis to expand and rapidly fill with blood. In this case, the erection lasts at least an hour.
- Oral medications for impotence. The most popular and provides a lasting effect. They provide good blood filling, compensate for vitamin deficiency.
Synthetic agents that suppress the production of a substance that causes the premature completion of sexual intercourse are also effective. They provide a good blood supply to the penis and thus support sexual arousal. Such drugs have proven to be a maintenance tool for men over the age of 50.
Plant-based food supplements 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, 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 professional sphere of activity, specially designed physiotherapy exercise complexes are available. 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 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 circulates more actively in the blood vessels of the penis.
Folk methods of treatment
First of all, you need 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 immediate results should not be expected from such therapy. Yes, and they will appear only if the complex of therapeutic measures, lifestyle changes and the rejection of bad habits are observed.
Among the folk remedies are the preparation of tea based on St. John's wort, pumpkin, ginger, ginseng, the use of walnuts, garlic, coriander and parsley. For lovers of extreme sensations, we can recommend the method of contrast baths: when it is necessary to sit alternately in a basin with cold and hot water. The duration of the stay in each pelvis is 1. 5 minutes, in total it is necessary to carry out 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 is not always incurable. Let's consider 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 masculine power and regain a normal sex life. Age doesn't matter - even at 60 or older, you can live a full life if you use a number of individually selected medications and follow your 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 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 genital organs
Risk factors for development
Vascular problems (hypertension and impaired blood supply to the genital organs).
About 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. Collectively, it turns out that the penis does not get enough blood for an erection.
Diabetes.
As you know, diabetes mellitus affects, without exception, all human organs and systems, while it affects 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 entire 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 level.
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 (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 accumulate 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 intercourse can worsen an erection. With prolonged nicotine abuse, these phenomena become chronic and the quality of the erection progressively 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 fading of erectile function.
stressful situations.
Weak erectile dysfunction that has occurred after undergoing stress is called psychogenic or functional. As a rule, this can happen after a lot of stress at work, such as a layoff or other misfortunes that are difficult to cope with psychologically. Our many years of experience shows that combined therapy, which includes psychotherapy in addition to drugs, is a great help in the treatment of this disease.
What tests should be done if erectile dysfunction is suspected?
- General blood test;
- Blood test for sugar;
- Blood test for hormone levels
- Biochemical blood test for lipoproteins and cholesterol;
- General urine analysis;
- Urinalysis for bacteriological culture;
Visual examination and palpation for impotence can reveal:
- testicle size that does not meet anatomical standards;
- little facial hair or its complete absence (hormonal failure);
- female breast enlargement;
- detection of a weakened arterial pulse in the lower limbs (as a sign of the presence of atherosclerosis).
- defective structure of the penis.
Impotence: when is it not worth it?
This is a common myth. Impotence in the domestic sphere very 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.
The boundaries of the norm and pathology are blurred here, as people's abilities differ 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 associated with serious pathologies of the body that require urgent treatment.
Signs and treatment at home, massage
The first signs of impotence are a reduction in the time of erection, the absence of spontaneous erection at night, over time it disappears completely and in suitable situations. Home treatment often includes massage of the prostate gland, external genitalia, and exposure to reflex points.
This type of treatment removes blood stasis, improves blood circulation and relieves the patient's pain. It is not difficult to master the technique of massage - the procedure can be carried out independently or together with a partner - this 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 suitable situations.
Home treatment can only be carried out in the absence of physiological and hormonal causes. Massage will help to get rid of tension, eliminate blood stasis and improve blood circulation. It should be performed 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 in the genitals.
Treatment of impotence in men after the age of 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 in old age leads to impotence.
A feature of this condition is the gradual fading of sexual possibilities. Libido decreases, 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 circulation in the prostate and penis, 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 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 comprehensively 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 the intimate life will become more vivid and memorable.
Treatment with pills after 60 years
Use tablets for the treatment of impotence in the elderly should be used with caution, specialist advice is required. Such drugs cause 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 and the elimination of 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 extinction of testosterone production and decreased libido. In addition, many other diseases are often present over the age of 50.
However, folk remedies help to 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 maintain male strength in old age.
Advantages of impotence treatment in a specialized center:
- Treatment is done after diagnosing the cause and making an accurate diagnosis. Therefore, the success rate of the treatment is very high - 98%.
- The clinic employs all the necessary specialists: andrologists, urologists, sexologists, endocrinologists, surgeons, therapists and other doctors.
- The most effective methods of treatment are used to increase potency.
- The goal of erectile dysfunction treatment is to increase natural potency throughout life and not to prescribe one-time sexual stimulants.
- The ability to restore sexual desire and 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 for impotence treatment. 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 dietary supplements and their numerous generics - they help relax the smooth muscle of blood vessels. Such drugs are taken in a course of at least 2 weeks after consulting a doctor. Patients note its long-term high efficiency.
Causes in young people
The first signs of erectile dysfunction can appear even at a young age up to the age of 30 - it is associated with physical and psychological causes. Young people are more likely to suffer not from physical problems, but from psychological experiences: parental-inspired shame, 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 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 to avoid the onset of erectile dysfunction is to maintain an active and healthy lifestyle:
- stop drinking 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 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.