Impotence is an extreme degree of erectile dysfunction. At the same time, a man can completely lose 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 discomfort or 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. Erection is not strong and long enough for sexual intercourse;
- impotence, the inability of a man to insert his penis into the vagina or premature ejaculation;
- short erection. Erectile dysfunction occurs quickly;
- impotence, ejaculation does not occur at all or takes longer than a healthy man;
- anorgasmia. A man does not achieve sexual satisfaction.
It is customary to distinguish between primary and secondary impotence. In its original form, an erection was not always enough for sexual intercourse. Secondary impotence means that previously 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 reasons. For example, diseases of the genitourinary sphere or endocrine diseases. Sexual desire may be saved, but sometimes the erection may disappear during intercourse. Organic impotence progresses invisibly. It's just that sometimes (and then more often) failures happen. Over time, more and more effort is needed for the appearance of an erection. With such impotence, spontaneous and nocturnal erections appear less and less.
- Psychological impotence. Its cause is psychogenic factors - depression, neurosis, neurotic conditions. 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 training" is associated with certain situations or problems.
Impotence can differ by the location of the lesions:
- neuroreceptor. Occurs when the receptors of the head of the male genital organ, seminal vesicles or prostate are damaged;
- spine. The reason for its occurrence is that the spinal centers are not sensitive enough;
- spine organic. It occurs as a result of damage to the lumbar or sacral spinal centers;
- spine functional. It can happen when the genital centers of the spine are affected against the background of excessive work.
Causes of impotence
Somatic disorders arise due to the pathological effect 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, as a whole, the somatogenic mechanism that causes impotence can be triggered by a disease of any organ or system. Indeed, many organs in a person's body are closely related to the sexual area.
Reasonsimpotence in menI can be:
- any injury causing disruption of neurosecretion. First of all, these are injuries of the spine and pelvis;
- pathology of the bone and cartilage tissue of the spine: osteochondrosis, spondylarosis, hernia, protrusion;
- degenerative changes in the peripheral nervous system: neuritis, plexitis, radiculitis, neuropathy;
- disorders in the hypothalamic-pituitary system;
- liver, kidney, intestinal diseases;
- vascular disorders.
- psychological trauma, including those who suffered in childhood;
- physical fatigue and long-term stress.
- overweight and diabetes;
- smoking, alcohol abuse and drugs. In the presence of harmful habits, impotence manifests itself even in young men.
In addition, impotence is caused by taking certain drugs and poisoning with toxic substances.
Symptoms of potency disorder
A man may not realize that failures in the sexual sphere are not random and that negative changes are already taking place in his body.
The main symptoms of impotence are:
- lack of erectionor its decline. Even if a man wants to have sex, he cannot tense his genitals. And perhaps, during sexual intercourse, the penis loses its rigidity, so it is not possible to complete the action with orgasm;
- insufficient erection. Under certain conditions, it grows to the size of the penis, but remains soft and cannot be inserted into the vagina;
- lost erection. The penis reaches the necessary hardness and increases in size, but quickly becomes lethargic and sexual intercourse is impossible;
- sexual intercourse is not pleasant, sensitive feelings are blurred;
- the need for sexual intercourse occurs less than twice a week;
- premature ejaculation. This feature is important only when it appears in mature and experienced men who have had enough experience in sex;
- lack of spontaneous morning or night erection;
- 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 one of the symptoms listed in himself, you should consult a doctor. After all, the sooner treatment is started, the sooner 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.
It is important!Impotence can be temporary. Including, against the background of very frequent and active sex. 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 readiness for sexual intercourse normalizes. Short-term (with a frequency of up to several episodes per year) "failures" are normal and only indicate the overwork of a man.
Sexual function decreases in older men. At the end of the reproductive age, 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.
General treatment of impotence
It is necessary to comprehensively restore male sexual function. First of all, the doctor will determine the causes of sexual weakness - both psychological and physiological characteristics.
The treatment regimen depends on the causes of the disease. As a rule, the doctor prescribes drugs to be taken half an hour before 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 dietary supplements, vitamin complexes and herbal remedies.
The obtained 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 application, 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 medications for impotence. It is the most popular and has a lasting effect. They ensure good filling with blood, supplement vitamin deficiency.
Synthetic agents that inhibit the production of a substance that causes 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 care for men over 50 years old.
Herbal dietary supplements 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 itself. At the same time, it is worth changing your attitude to life and psychological traumatic factors.
For those who are not ready to fundamentally solve the problem - for example, by changing their lifestyle, place of residence or professional activity, there are specially designed 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 left 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 remedies
First, you should consult 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 instant results from this type of therapy. Yes, and they appear only if a complex of therapeutic measures is observed, lifestyle is changed and bad habits are abandoned.
Folk remedies include the use of St. John's wort, pumpkin, ginger, ginseng tea, walnuts, garlic, cilantro and parsley. For those who like extreme sensations, we can recommend the method of contrasting baths: when you need to sit in a basin with cold and hot water alternately. The duration of each basin is 1. 5 minutes, a total of 10 transplants are necessary.
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. Useful for men's health:
How common is erectile dysfunction in men?
Percentage of men with mild erectile dysfunction (by age):
- up to 20 years - 5%;
- 20-30 years - 10-30%;
- 30-40 years old - from 30 to 40%;
- 40-50 years - 40-50%;
- 50-60 years - 50-60%;
- 60 years and older - 60-80%.
The word "impotence" scares every man, but it is not always incurable. Let's take a closer look at the causes, treatments and common myths about this problem.
Impotence - is it forever?
Even in the most difficult cases, modern medical methods help patients to restore male strength and restore normal sex life. Age does not matter: even at 60 or later, if you use an individually selected set of medicines and follow the doctor's prescriptions, you can live a full life.
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 treatment method, self-treatment can lead to negative consequences.
Types of dysfunction
- complete absence of erection;
- intermittent erection (soft penis during intercourse);
- episodic.
For a normal erection, you need:
- A healthy nervous system that responds flexibly to brain impulses.
- Healthy veins 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 genitals).
About 50% of men with hypertension suffer from this problem. With hypertension, the ability of the arteries of the penis to expand is disturbed, and in addition, the ability of the corpus cavernosum to relax and fill with a sufficient volume of blood suffers. Collectively, it turns out that the penis does not receive enough blood for an erection.
Diabetes.
As you know, diabetes affects all human organs and systems, without exception, and also affects the intimate area. Medical statistics show 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. The concentration of testosterone decreases in direct proportion to the increase in blood sugar levels, resulting in erectile dysfunction. Also, diabetes mellitus causes a violation of blood circulation, especially in small vessels. It turns out that the penis cannot be filled with a sufficient volume of blood and the erection weakens.
Low testosterone.
Hypogonadism, the medical term for low testosterone, causes a general decrease in sex drive and libido.
When the penis is damaged, fibrosis can develop in the corpora cavernosa. As a result, the blood-filled spaces (cavities) that make up the cavernous bodies and provide erection are replaced by connective tissue. The connective tissue can no longer collect blood and stretch on its own, so the quality of the erection deteriorates.
Bad habits.
A substance like nicotine has a pronounced vasoconstrictive effect, so tobacco smoked before sex can worsen an erection. With long-term abuse of nicotine, such events become chronic and the quality of erection gradually decreases. Through complex chemical processes, alcohol stimulates a shift in the balance between testosterone and estrogen towards the female sex hormones, which causes a gradual decline in erectile function.
stressful situations.
Weak erectile dysfunction that occurs after stress is called psychogenic or functional. As a rule, this can happen after a lot of stress at work, for example, layoffs or other misfortunes that are difficult to bear psychologically. Our long-term experience shows that in the treatment of this disease, combination therapy, which includes psychotherapy in addition to drugs, is of great help.
What tests should be done 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;
- Urine analysis for bacteriological culture;
Visual examination and palpation for impotence may reveal:
- testicular size that does not meet anatomical standards;
- little hair or its complete absence (hormonal failure);
- female breast enlargement;
- detection of a weakened arterial pulse in the lower extremities (as a sign of atherosclerosis).
- defective structure of the penis.
Impotence - when is it not worth it?
This is a common myth. In the domestic sphere, impotence most often means different types of erectile dysfunction, when a man either cannot get an erection at all or cannot maintain it for a long enough time.
Here, the borders of norm and pathology are blurred, because 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, because it can be associated with serious pathologies in the body that require urgent treatment.
Symptoms and treatment at home, massage
The first signs of impotence are a decrease in the duration of erection, the absence of a spontaneous erection at night, which disappears completely and in adequate situations over time. Home treatment often includes massage of the prostate gland, external genitalia, as well as exposure to reflex points.
This type of treatment eliminates blood stagnation, 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 the harmony of family life.
Impotence: symptoms and home treatment
It is not difficult to identify the symptoms of this disease: it is manifested by the absence of erection, reduced duration of sexual intercourse and premature ejaculation. Over time, the erection may disappear completely, neither spontaneously nor in adequate situations.
Treatment at home can be carried out only in the absence of physiological and hormonal reasons. Massage will help relieve tension, eliminate blood stagnation and improve blood circulation. It should be carried out daily: both self-massage and the influence of the partner's hands are useful.
Vascular surgical treatment of erectile dysfunction
Surgical treatment of erectile dysfunction (called "dorsal vein resection") involves the restoration of normal blood flow to the cavernous bodies of the penis and the restoration of blood balance in the genitals.
Treatment of impotence in men after 50 and 60 years
Erectile dysfunction at this age occurs as a result of 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 a gradual decrease in sexual potential. Libido decreases, erection is insufficient for complete sexual intercourse.
This refers to natural processes. In old age, hypertension, diabetes, chronic prostatitis, blood circulation in the prostate gland and genital organ is disturbed, which affects erectile function.
After 50 years, the main treatment methods are:
- hormone therapy. This method is used if impotence develops 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 body, they can be dilated.
For each patient, the doctor prepares an individual treatment plan that allows to restore male strength quickly and effectively.
After 60 years, it is difficult to name the most effective and fastest means of increasing potency. However, it is better to take a comprehensive approach to solving this intimate problem and begin to heal your body by normalizing your diet, increasing physical activity and taking drugs that eliminate nutritional deficiencies. In this case, the increase in potential will be more sustainable and long-term, and intimate life will be brighter and more memorable.
Treatment with pills after 60 years
Use tablets for the treatment of impotence in the elderly should be used with caution, a specialist consultation is required. Such drugs cause a sharp flow of blood to the genitals, which can be dangerous for people with heart and blood vessel diseases.
Treatment is selected individually: it includes giving up bad habits, gymnastics, massage, as well as getting rid of comorbid diseases that interfere with intimate life.
Impotence in old age: treatment with folk remedies
Impotence is a common problem in old age: it is associated with depletion of testosterone production and decreased 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, seafood, honey, nuts, and rose hip juice, which have clear tonic properties. Daily gymnastics and increased physical activity also help to maintain male strength in old age.
Advantages of treating impotence in a specialized center:
- Treatment is carried out after the cause is diagnosed and an accurate diagnosis is made. Therefore, the percentage 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 the natural potential for life and not to prescribe one-time sexual stimulants.
- The ability to restore sexual desire 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 treating impotence. The most common and well-known drugs are based on phosphodiesterase inhibitors.
They relax the muscle tissue by providing increased blood flow to the penis. Another group includes dietary supplements and their numerous generics - they help relax the smooth muscles of blood vessels. Such drugs are taken for at least 2 weeks after consulting a doctor. Patients note its high efficiency for a long time.
Causes in young people
The first signs of erectile dysfunction can appear even as young as 30 years old - this is associated with physical and psychological causes. Young men suffer not because of physical problems, but because of psychological experiences: parentally inspired shame, fear of rejection, low self-esteem or guilt.
Stress leads to problems in the relationship with a partner and eventually becomes dysfunctional. In difficult cases, the help of a psychologist is required. Hormonal causes are also common - a lack of testosterone can lead to the underdevelopment of the genitals and the absence of an erection.
Prevention
One of the effective ways to prevent erectile dysfunction is to lead an active and healthy lifestyle:
- giving up alcohol, smoking and other bad habits
- balanced diet
- active lifestyle
- regular sex life without long duration.
It is necessary to reduce the negative impact of stress on the body, for this it is recommended to learn several effective methods that relax the body and use them regularly.
However, the most important thing is to undergo regular medical examinations and contact specialists in time to ensure that therapeutic measures take minimum time and ensure maximum effectiveness.