Many men are interested in: "Impotence - what is it? For what reasons does erectile dysfunction occur? What are the symptoms 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.
At risk are mostly men of mature and old age, however, a similar problem can occur in young people. If the first signs of a problem occur, you should definitely consult a doctor for diagnosis and treatment.
Feature of the problem
Impotence is what? How is it manifested? For each man, it is important to know exactly the answers to these questions, as many doctors make such a diagnosis simply in violation of the strength and duration of an erection.
Impotence is the absence of an erection in men and, as a result, the impossibility of having sexual intercourse.
Often, such a pathological condition is accompanied by a lack of sexual desire and a sense 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 effect 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 a man did not have a normal erection, and secondary impotence occurs in the presence of provoking factors.
Classification
In order to be able to make the 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 premises that triggered the disease. Among the main types you need to highlight:
- psychological;
- vascular;
- hormone.
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 stress blocks the nerve centers responsible for excitement.
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 a woman;
- phobias;
- constant stress;
- a very large number of sexual contacts;
- too strong excitement;
- sexual trauma;
- lack of diversity in sex.
The violation develops due to the obsession with the man on possible failures and the presence of signs of impotence. The more he thinks about them, the more likely it will be to have difficulty achieving an erection. As a result of this, a man develops strong confidence regarding the presence of sexual dysfunction.
Vascular impotence occurs most often and is caused by impaired functioning of veins and arteries. Hardening of the penis depends on adequate blood filling. With narrowing of the lumen in the arteries and a strong outflow of venous blood, difficulties with an erection are observed.
A change in the vascular structure can be observed with malnutrition, tobacco smoking, alcohol abuse, as well as in the presence of various diseases, among which are:
- diabetes;
- hypertension
- cardiovascular disease;
- atherosclerotic vascular disease;
- injuries of the peritoneum and pelvic region;
- operations on the organs of the genitourinary system.
In addition, a genetic predisposition, lack of full-fledged motor activity, lack of sleep leads to vascular pathologies.
Hormonal impotence occurs with a lack of male sex hormones. This form of erectile dysfunction is due to a lack of male sex hormones. In addition, problems of the endocrine system or increased prolactin production can provoke a problem. Often, hormonal impotence is diagnosed in men after 50 years of age, which is explained by natural aging processes, in which a decrease in testosterone is considered a completely natural process.
Causes of occurrence
Among the main causes of impotence in men, it is necessary to single out emotional injuries or leaking somatic disorders in the body. Contrary to popular belief, the disease can be observed not only in older men, but also in the age of 20-30 years. However, the provoking factors are somewhat different.
Impotence aged 50 years or older occurs mainly as a result of a natural decrease in testosterone levels. Upon reaching 60 years of age, the level of this hormone becomes critically low, so a decrease in sexual desire is likely. In addition, the abuse of alcohol, tobacco smoking, and minimal physical activity negatively affect the production of testosterone. Among the most common causes of impotence in men are:
- an excess of cholesterol;
- obesity, leading to disruption of blood vessels;
- endocrine disorders;
- chemotherapy courses;
- diseases of the genitourinary system;
- prolonged use of certain drugs;
- professional activities in hazardous industries;
- chronic fatigue syndrome;
- damage to the nervous system.
All these reasons over time lead to erectile dysfunction, which is why in the presence of provoking factors, you need to periodically visit a doctor to check.
Impotence in young people often occurs against the background of psychological trauma. Complete impairment of sexual function is caused by such problems as:
- difficult relationships with a sexual partner;
- experiences that were in childhood and adolescence;
- unsuccessful sexual contact or lack of experience in sex;
- fear of contracting sexually transmitted diseases;
- expectation of failure;
- fatigue and lack of sleep;
- overwork.
However, given the rhythm of life and the environment, especially in large cities, young people are also prone to somatic diseases. Violations of potency are caused by such health disorders as:
- spinal diseases;
- overweight;
- vascular disease;
- genital infections;
- pathology of the endocrine system;
- long-term drug therapy.
It is worth noting that at a young age, most often sexual dysfunction develops under the influence of psychological factors.
The consequences of prostatitis
Prostatitis and impotence are two related diseases. Prostatitis is inflammation and swelling of the prostate. Its function is to develop a prostate secretion, which serves as the basis of sperm. In addition, the prostate plays an important role in causing an erection and ejaculation.
Prostatitis has a strong influence on the quality and quantity of sexual intercourse and can lead not only to impotence, but also to infertility. Already in the initial stage of its development, a weakening of potency occurs. In addition, pain and difficulty urinating are associated with erection problems.
It is necessary to conduct timely treatment of prostatitis, since with an advanced stage the disease can become chronic, which leads to impotence. The treatment is selected by a 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, manifest themselves in the form of:
- acute onset of the disease;
- problems in relations with a partner;
- episodic nature of violations;
- restore erection after eliminating external problems.
If impotence was triggered by organic causes, then mainly symptoms 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 there are signs of impotence in a man, not everyone goes to the doctor or tries to hide the problem at all. However, such an attitude to one’s health can provoke many different consequences.
Diagnostics
How to treat impotence in men, only a doctor can determine after a full examination. To determine the causes of erectile dysfunction, it is necessary to conduct a comprehensive diagnosis to exclude or confirm the presence of diseases such as hypogonadism, diabetes, prolactinoma.
Ultrasound is used to evaluate blood flow in the cavernous bodies in the genital organ. In addition, a similar research technique will determine the presence of vascular atherosclerosis, a feature of the venous outflow. After the introduction of prostaglandins to stimulate hormones, ultrasound is used to measure the pressure in the vessels of the penis. After that, the results are evaluated.
To determine the functional state of the nerves of the penis, special testing is performed. To do this, the doctor presses on the head of the penis, which normally should cause a reduction in the anus. The doctor takes a measurement, observing the contraction of the anal sphincter. Also, additional types of studies can be prescribed, such as:
- blood and urine tests;
- plasma study;
- liver and kidney tests;
- sperm research;
- ultrasound diagnostics;
- diagnosis of the functioning of the thyroid gland.
In addition, in some cases, additional consultation with specialized specialists may be required. This will make it possible to make the correct diagnosis and select the most effective treatment aimed at normalizing sexual function.
Treatment feature
Many men are interested in: "With impotence, which doctor is treating this problem?" If the first signs of erectile dysfunction occur, you should immediately visit a urologist, since it is this doctor who carries out complex therapy.
There are many ways with which you can cure impotence, the most important thing is to timely pay attention to the presence of a problem. For therapy, medications, herbal remedies, as well as physiotherapeutic 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 everyday menu. In some cases, a psychological consultation may be required. 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 is of interest to 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 intended for the treatment of impotence, which are classified by the method of application. In particular, drugs such as:
- drugs for introduction into the urethral canal;
- solutions for insertion into the cavernous bodies of the genital organ;
- tablets and capsules for oral administration;
- gels, sprays, ointments for external use.
According to the mechanism of exposure, liquid agents, powders, as well as tablets are classified into:
- prostaglandin analogs;
- selective inhibitors;
- hormonal drugs.
Phosphodiesterase inhibitors are drugs that act on the principle of first aid. Such funds include Cialis, Viagra, Levitra. These funds should be used shortly before sexual intercourse. They guarantee a powerful erection, which lasts for 4-12 hours. However, it is worth remembering that these drugs can not be used without prior consultation with the doctor, since they have many contraindications.
Prostaglandin analogs are made in the form of a solution that is injected directly into the urethral canal. Active components not only provide blood flow, but also slow down the venous outflow. Such drugs provide a prolonged erection, which occurs literally in 10 minutes.
Hormonal drugs at their core often contain testosterone. They are prescribed for the lack of this hormone. Such formulations are available in tablet form or in the form of injections. The dosage is strictly individual.
In order to choose the best medicine for impotence, it is necessary to conduct a diagnosis in order to determine the degree of violation. For complex therapy, it is additionally necessary to use 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 drugs such as Maxoderm, Khimkolin, nitroglycerin ointment.
Surgical intervention
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 yielded any result. There are 3 main types of surgical intervention that help restore potency.
Endofalloprosthetics implies implant placement. Penile venous surgery - 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
You can treat impotence at home with folk remedies only after consulting a doctor so as not to provoke complications. Alternative 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 juice of motherwort, which not only helps to normalize the functioning of the cardiovascular system, but also restores sexual function.
Pine nut, which you need to consume 10-12 pieces daily, helps to increase potency. 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 the use of this drug 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. A good result is shown by fresh juices, especially carrot, beet, birch.
Alternative methods are auxiliary and contribute to the restoration of normal potency. However, it is worth remembering that in addition you need to reconsider your lifestyle, abandon bad habits, and also eliminate stress and depression.
Other techniques
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 lose weight, strengthens muscles, and also helps to normalize 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. With psychogenic impotence , psychotherapy sessions are required 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 vascular strengthening. To maintain the normal functioning of the vessels, it is necessary to lead a healthy lifestyle, namely:
- do sport;
- take vitamins;
- Healthy food;
- to refuse from bad habits;
- undergo regular examination;
- provide a full sleep;
- exclude body overload;
- control weight.
A healthy lifestyle and proper nutrition will help not only prevent the occurrence of this problem, but also improve the body. If you follow all these rules, you can be sure that even in old age sexual relations will be the norm. The most important thing is that if the first signs of a problem occur, consult 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 the existence of such a delicate problem and the ways to solve it, you can timely begin treatment and achieve good results.