Many men are interested in: "Impotence - what is it? What causes erectile dysfunction? What are the signs and how is it treated?"
Such a violation is considered the most common male problem. It is characterized by the fact that the representative of the stronger sex is not able to maintain an erection sufficient for sexual intercourse, or cannot achieve ejaculation.
The risk group is mainly men of mature and old age, but a similar problem can also occur in young people. At the first sign of a problem, you should definitely consult a doctor for diagnosis and treatment.
Feature of the problem
Impotence - what is it? How is it manifested? It is important for every man to know exactly the answers to these questions, since many doctors make such a diagnosis simply in violation of the strength and duration of an erection.
Impotence is the lack of erection in men and, as a result, the impossibility of sexual intercourse.
Often such a pathological condition is accompanied by a lack of sexual desire and feelings of orgasm. It can also manifest itself in the form of accelerated ejaculation, which significantly reduces the quality of sexual life and has a negative impact on the psycho-emotional state, family and interpersonal relationships.
Doctors distinguish between primary and secondary impotence. The primary violation is characterized by the fact that the man did not have a normal erection at all, and the secondary impotence occurs in the presence of provoking factors.
Classification
To be able to make a correct diagnosis and prescribe treatment, it is important for the doctor to understand that this is impotence. Andrologists distinguish several different types of sexual dysfunction. The classification is based on the prerequisites that provoked the disease. Among the main types you need to highlight:
- psychological;
- vascular;
- hormonal.
Psychological impotence can be triggered by emotional trauma or nervous strain. According to sexologists, such a pathology is characterized by the fact that a man is not able to have sexual intercourse due to the fact that emotional overstrain blocks the nerve centers responsible for arousal.
Often with psychological impotence, spontaneous erections can be observed at night and in the morning. Among the main provoking factors of such a violation, it is necessary to highlight:
- negative attitude towards women;
- phobias;
- constant stress;
- very high amount of sex;
- too much excitement;
- sexual trauma;
- lack of variety in sex.
Violation develops due to a man's obsession with possible failures and the presence of signs of impotence. The more he thinks about them, the more likely it will be difficult to get an erection. As a result, a man develops a strong confidence regarding the presence of sexual dysfunction.
Vascular impotence is the most common and is caused by impaired functioning of the veins and arteries. Hardening of the penis depends on sufficient filling with blood. With a narrowing of the lumen in the arteries and a strong outflow of venous blood, there are difficulties with erection.
Changes in the vascular structure can be observed with malnutrition, smoking, alcohol abuse, as well as in the presence of various diseases, among which should be highlighted:
- diabetes;
- hypertension;
- cardiovascular disease;
- atherosclerotic vascular disease;
- peritoneal and pelvic injuries;
- surgery on the organs of the genitourinary system.
In addition, genetic predisposition, lack of proper physical activity, lack of sleep leads to vascular pathologies.
Hormonal impotence occurs when there is a lack of male sex hormones. This form of erectile dysfunction is due to a lack of male sex hormones. In addition, endocrine diseases can provoke a problem.systems or increased production of prolactin. Often, hormonal impotence is diagnosed in men after 50 years of age, which is explained by the natural aging process, in which testosterone decline is considered a completely natural process.
Causes of occurrence
Among the main causes of impotence in men, it is necessary to highlight emotional trauma or ongoing somatic disorders in the body. Contrary to popular belief, the disease can be observed not only in older men, but also at the age of 20-30 years. However, the provoking factors are somewhat different.
Impotence at the age of 50 and older occurs mainly as a result of a natural decrease in testosterone levels. Upon reaching the age of 60, the level of this hormone becomes critically low, so a decrease in sexual desire is likely. In addition, the production of testosterone is negatively affected by alcohol abuse, smoking, and minimal physical activity. Among the most common causes of impotence in men are:
- too much cholesterol;
- obesity leading to vascular disruption;
- endocrine disorders;
- chemotherapy courses;
- diseases of the genitourinary system;
- long-term use of certain drugs;
- professional activity in hazardous production;
- chronic fatigue syndrome;
- damage to the nervous system.
All these reasons eventually lead to erectile dysfunction, which is why, if there isprovoking factors, you need to periodically visit the doctor for a check.
Impotence in young people often occurs against the background of psychological trauma. Problems such as:
- difficult relationship with sexual partner;
- experiences that were in childhood and adolescence;
- unsuccessful intercourse or lack of experience in sex;
- fear of contracting sexually transmitted diseases;
- expecting failure;
- fatigue and lack of sleep;
- overwork.
However, given the rhythm of life and the environment, especially in large metropolitan areas, young people are also prone to somatic diseases. Violation of potency leads to such he alth disorders as:
- diseases of the spine;
- excessive weight;
- vascular disease;
- genital infections;
- pathology of the endocrine system;
- long-term drug therapy.
It is worth noting that at a young age, sexual dysfunction most often develops under the influence of psychological factors.
Consequences of prostatitis
Prostatitis and impotence are two interrelated diseases. Prostatitis is inflammation and swelling of the prostate. Its function is to produce a prostate secretion, which serves as the basis for sperm. In addition, the prostate plays an important role in causing erections and ejaculation.
Prostatitis has a strong impact on the quality and quantity of sexual intercourse andcan lead not only to impotence, but also to infertility. Already in the initial stage of its development, there is a weakening of potency. In addition, erection problems are accompanied by pain and difficulty urinating.
It is imperative to carry out timely treatment of prostatitis, since at an advanced stage the disease can become chronic, which leads to impotence. The treatment is selected by the urologist, based on the results of the diagnosis.
Main symptoms
There are several forms of this disease caused by various disorders in the body. Signs of impotence in men, provoked by psychological factors, appear as:
- acute onset of illness;
- problems in relations with a partner;
- episodic nature of violations;
- restoring erection after removing external problems.
If impotence was provoked by organic causes, then mainly there are signs such as:
- lack of nocturnal spontaneous erections;
- gradual development of the disease;
- normal ejaculation;
- systematic erectile dysfunction.
For many, sexual relations are a very delicate topic, which is why when signs of impotence appear in a man, not everyone goes to the doctor or tries to hide the problem altogether. However, this attitude towards one's he alth can provoke many different consequences.
Diagnostics
How to treat impotence in men, candetermine only a doctor after a full examination. To determine the causes of erectile dysfunction, it is necessary to conduct a comprehensive diagnosis in order to exclude or confirm the presence of diseases such as hypogonadism, diabetes, prolactinoma.
Ultrasound is used to assess blood flow in the cavernous bodies in the penis. In addition, such a research technique will determine the presence of vascular atherosclerosis, a feature of venous outflow. After the introduction of prostaglandins to stimulate hormones, ultrasound is used to measure pressure in the vessels of the penis. After that, the results are evaluated.
Special testing is carried out to determine the functional state of the penis nerves. To do this, the doctor presses on the head of the penis, which should normally cause contraction of the anus. The doctor takes a measurement by observing the contraction of the anal sphincter. Also, such types of research can be additionally assigned, such as:
- blood and urine test;
- plasma research;
- liver and kidney tests;
- sperm research;
- ultrasound diagnostics;
- diagnosis of the functioning of the thyroid gland.
In addition, in some cases, further advice from narrow specialists may be required. This will allow you to make the correct diagnosis and choose the most effective treatment aimed at normalizing sexual function.
Feature of treatment
Many men are interested in: "With impotencewhich doctor treats this problem?" If the first signs of erectile dysfunction occur, you should immediately visit a urologist, since this doctor conducts complex therapy.
There are many ways in which impotence can be cured, the most important thing is to pay attention to the presence of a problem in a timely manner. For therapy, medications, herbal remedies, as well as physiotherapy procedures are used. In addition, you can also resort to traditional medicine methods.
To achieve a better result, you need to adjust your lifestyle and your daily menu. In some cases, you may need to consult a psychologist. At the initial stage, drugs with a sedative effect are prescribed, since initially the patient needs to calm down and understand that the problem is psychological, not physiological.
Medications
How to treat impotence in men? This question interests many patients. It is very important to quickly eliminate the existing problem in order to prevent its transition to the chronic stage. There are a variety of medications for the treatment of impotence, which are classified according to the method of application. In particular, they use drugs such as:
- drugs for injection into the urethral canal;
- solutions for injection into the cavernous bodies of the penis;
- oral tablets and capsules;
- gels, sprays, ointments for external use.
According to the mechanismexposure liquid agents, powders, and tablets are classified into:
- prostaglandin analogs;
- selective inhibitors;
- hormonal drugs.
Phosphodiesterase inhibitors are drugs that act like an ambulance. These drugs include Cialis, Viagra, Levitra. These funds should be used shortly before sexual intercourse. They guarantee a powerful erection that lasts for 4-12 hours. However, it is worth remembering that these drugs should not be used without first consulting a doctor, as they have many contraindications.
Prostaglandin analogues are made in the form of a solution that is injected directly into the urethral canal. The active ingredients not only provide blood flow, but also somewhat inhibit venous outflow. Such drugs provide a long-lasting erection, which occurs literally in 10 minutes.
Hormonal preparations often contain testosterone at their core. They are prescribed for a lack of this hormone. Such formulations are available in tablet form or in the form of injections. The dosage is purely individual.
To find the best medicine for impotence, it is imperative to conduct a diagnosis in order to determine the degree of violation. For complex therapy, it is additionally necessary to apply creams and ointments that are applied to the skin of the penis. They help stimulate arousal and increase the duration of sexual intercourse. In particular, they use tools such asMaxoderm, Himkolin, nitroglycerin ointment.
Surgery
In very difficult cases, to eliminate the signs of impotence, treatment is carried out by surgical intervention. The operation is indicated if conservative methods have not brought any result. There are 3 main types of surgical intervention that help restore potency.
Endofalloprosthesis involves the installation of an implant. Venous surgery of the penis - restoration of damaged vessels. This type of operation is necessarily combined with conservative therapy. Revascularization is a microsurgical intervention for the subsequent formation of an anastomosis between a vein and an artery.
Folk methods
It is possible to treat impotence at home with folk remedies only after consulting a doctor so as not to provoke complications. Traditional methods help to effectively and quickly cope with the initial stage of erectile dysfunction. All these funds are divided into several groups, namely:
- decoctions;
- tinctures;
- food;
- herbal baths;
- aromatherapy.
For the preparation of decoctions and infusions, various medicinal plants are used that help stimulate arousal. You can take freshly squeezed motherwort juice, which not only helps to normalize the functioning of the cardiovascular system, but also restores sexual function.
Pine nuts help to increase potency, which should be consumed according to10-12 pieces daily. In addition, it helps boost immunity. From impotence, it is recommended to use ginseng tincture. This plant has simply miraculous qualities. However, it is worth noting that taking this remedy should be stopped in the spring, as you can get the opposite effect.
St. John's wort is widely used to treat impotence. Reviews of folk remedies are mostly positive, as they help to quickly normalize potency and have no side effects. Fresh juices show good results, especially carrot, beet, birch.
Folk techniques are auxiliary and contribute to the restoration of normal potency. However, it is worth remembering that you additionally need to reconsider your lifestyle, give up bad habits, and also eliminate stress and depression.
Other methods
Answering the question of how to cure impotence, we can say that the best result can be achieved with complex therapy. As an aid, regular exercise is well suited. Doctors recommend swimming, running, yoga.
Physical activity helps to get rid of excess weight, strengthens muscles, and also contributes to the normalization of sexual function. In addition, you need to regularly perform a set of special exercises and train the muscles of the perineum. An effective method of increasing potency is massage. Psychogenic impotence requirespsychotherapy sessions, during which the cause of the disorder is determined and then a strategy is formed to overcome the existing barrier and improve the quality of life.
Prophylaxis
To prevent the development of impotence, it is important to carry out preventive measures, which in particular relate to the strengthening of blood vessels. To maintain the normal functioning of blood vessels, it is necessary to lead a he althy lifestyle, namely:
- do sports;
- take vitamins;
- eat right;
- give up bad habits;
- get regular check-ups;
- ensure good sleep;
- eliminate body overload;
- control weight.
A he althy lifestyle and proper nutrition will help not only prevent the occurrence of this problem, but also improve the body. Subject to all these rules, you can be sure that even in old age, sexual relations will be the norm. Most importantly, at the first sign of a problem, see a doctor for an examination.
Impotence - what is it - a diagnosis or a sentence? The question is complex, and everyone gives an answer to it, taking into account their lifestyle, habits, diet, genetics, and the presence of diseases. Knowing about the existence of such a delicate problem and how to solve it, you can start treatment in a timely manner and achieve good results.
