Erectile dysfunction: causes, symptoms, diagnosis and treatment

Classification

Erection disorders are usually classified according to severity: mild; average; moderate and severe degrees of erectile function. The classification based on the development of the disease is also generally accepted and important:

Alarming symptoms of erectile dysfunction are:

• difficulty in the onset of sexual arousal and its continuation;
• weak erection;
• partial or complete absence of morning erection.

Symptoms

The diagnosis must be made by a doctor, but there are certain signs that indicate erectile dysfunction. If you fail to achieve an erection 1-2 times, this is not a problem, but if there are problems in ¼ of all cases, it should alert the man. Main symptoms of sexual dysfunction:

1. Decreased libido. Men feel a decrease in attraction to the opposite sex; they do not feel the need for sex as before.
2. Erectile dysfunction. Unstable, weak arousal of the genital organ, lethargy, not fully enlarged.
3. Ejaculation disorders. When a man has erectile dysfunction, premature ejaculation occurs, sometimes even before insertion of the penis or immediately after. Lack of ejaculation is also a bad symptom.
4. Complete absence or blurred orgasm.

Other types of sexual disorders in men

There are also disorders of sexual function in men, which are not directly related to erectile dysfunction, but cause no less reduction in quality of life. There are various ejaculation disorders. The greatest discomfort not only for men, but also for women is caused by accelerated ejaculation. The inability to have quality sexual contact leads to psycho-emotional stress and even a reluctance to have sex at all. Painful and difficult ejaculation are less common, but also sharply reduce the quality of life. With various neurological diseases, anejaculatory syndrome can develop - a complete inability to independently achieve orgasm and ejaculation. After operations on the prostate gland and taking certain medications, persistent retrograde ejaculation may develop - the reflux of sperm into the bladder during orgasm. One of the most common sexual dysfunctions is the lack of sexual desire and attraction (libido). A decrease in libido can be caused by both neuro-emotional stress, physical fatigue, and concomitant diseases in the body, and hormonal imbalance. Most of all these abnormalities can be treated quite successfully and safely. Their timely correction is important to prevent the formation of secondary psychological deviations.

Causes of erectile dysfunction

Erectile dysfunction can occur against the background of psychological and organic problems, and therefore the classification includes three groups of these disorders:

1. Psychogenic. It occurs against a background of increased anxiety, neuroses, mental illnesses (depression, schizophrenia and others). Accompanied by a lack of sexual arousal or its rapid decline.
2. Organic. Occurs against the background of vascular problems (inadequate blood supply to the cavernous bodies of the penis, hypertension, obliterating endarteritis, atherosclerosis, hyperlipidemia, heart failure, coronary artery disease and myocardial infarction), neurological pathologies (polyneuropathy, multiple sclerosis, pelvic and spinal injuries, cerebral insufficiency, etc.) .d.), endocrine diseases. Organic impotence can also develop due to taking medications or poisoning with toxic substances.
3. Mixed. Occurs in the presence of organic and psychological changes. According to statistics, organic lesions often play a dominant role, against the background of which psychological pathology develops.

The risk of experiencing sexual failure increases with age in men. The main reasons for this are a gradual decrease in testosterone synthesis in the body and age-related changes in blood vessels.

Diagnostics

When diagnosing erectile dysfunction, it is very important to determine the degree of their severity. It is also necessary to find out the cause of these disorders, to establish the disease that caused the development of decreased erection. It is necessary to determine the presence or absence of other types of sexual disorders (decreased sexual desire, impaired ejaculation and orgasm).

Psychogenic dysfunction usually occurs suddenly. At the same time, normal morning erections are maintained. In psychogenic disorders, there are often problems in relationships with a partner. Erection disorders in this case occur only under certain circumstances, and under other conditions, sexual function is normal.

With organic erectile dysfunction, the opposite is true. Problems arise gradually, morning erections are reduced or completely absent. In this case, as a rule, good sexual desire is maintained. The quality of sexual contacts almost always suffers, with any partners and in various situations. If the first alarming symptoms occur - lack of sexual desire and weak erection - you need to consult an andrologist.

In order to identify the causes of erectile dysfunction, the group’s specialists can conduct a number of studies:

1. Questioning – the patient fills out the IIEF-5 questionnaire, which is generally accepted throughout the world.
2. Examination of the genital organs: testicles, prostate, penis.
3. Assessment of secondary sexual characteristics, androgen saturation of the body and the timeliness of onset of puberty.
4. Laboratory analysis of urine and blood.
5. Study of hormone levels.
6. Study of the level of carbohydrate and lipid metabolism.
7. Assessment of cardiovascular condition (measurement of pulse, blood pressure and, if necessary, additional diagnostics).
8. Assessment of the state of the nervous system.
9. Monitoring nocturnal spontaneous erections.
10. Test with intracavernous administration of vasoactive drugs (prostaglandin E1 analogue - alprostadil).
11. Ultrasound Dopplerography of the arteries of the penis.
12. Study of bulbocavernosus and cremasteric reflexes.
13. Electromyography of the penis.
14. Angiography of the vessels of the penis.
15. Cavernosometry.
16. Rheofallography.
17. Endourethral thermometry.
18. Ultrasound of the genital organs.

As a rule, there is no need to carry out all diagnostic methods. Depending on the specific situation, the doctor will offer the minimum required set of techniques.

What is erectile dysfunction

The concept of erectile dysfunction combines many problems of the sexual sphere in men, which consist in the inability to get a stable erection, maintain it during sexual intercourse or complete it with ejaculation (ejaculation).

Note! It is worth talking about the presence of an unpleasant diagnosis only if problems with erection persist for 3 months or longer.

According to statistics collected by the World Health Organization, at least 160 million men in the world know firsthand what it is. In this case, the frequency of occurrence of the disease depends on age:

• among young and mature men (from 21 to 40 years old), the proportion of those who have experienced erectile dysfunction is no more than 10%;
• among men from 40 to 60 years old, the proportion of men who have experienced difficulty with erection at least once is 50%;
• Among men aged 60 years and older, the proportion of those who cannot have full sexual intercourse reaches 70%.

The mechanism behind the problem is complex. It is based on a change in the neurovascular process, which is an erection. A urologist, who is recommended to consult with this problem, will help you understand what it is and exactly what changes occur in the male body. Sometimes specialists from other fields of medicine are brought in to solve it - psychologists and psychiatrists, endocrinologists and others.

Normally, after stimulation of nerve endings, biologically active substances, mainly nitric oxide, are released into the blood. This compound relaxes the arterial walls and smooth muscles responsible for contracting the corpora cavernosa in the penis (this is the spongy body that is located inside the penis). As a result, there is an increase in blood flow in the genital organ. At the same time, there is a narrowing of the veins that drain blood from the spongy tissue of the penis. Blood fills the corpora cavernosa and an erection occurs. During sexual intercourse, even greater filling occurs, as a result of which the penis increases in size and becomes hard, the erection intensifies until ejaculation occurs.

Under various conditions, a failure occurs at one of the stages of erection. This can happen during stimulation, at the stage of changes in vascular tone and with an increase in blood pressure in the cavernous bodies.

Important! There is no single scheme for eliminating impotence. In each case, the causes and treatment are individual.

Treatment

Before starting treatment, it is recommended that all patients eliminate risk factors for erectile dysfunction as much as possible. Normalization of lifestyle and sexual activity is important. An important step is to decide on the possibility of canceling or replacing medications taken that can negatively affect erection. Neurological and cardiac problems are eliminated with the help of specialized specialists, in particular a psychotherapist. Doctors recommend that such patients come for a consultation with a sexologist and psychologist together with their partner - this will help them understand each other, relax and trust.

Depending on the cause of the disease, treatment methods are also distinguished. If a treatable cause of erectile dysfunction is identified, it must be eliminated.

Symptoms and causes of erectile dysfunction in men

The most famous and “popular” problem among representatives of the stronger sex today is considered to be erectile dysfunction or impotence. A characteristic feature of this problem is the fact that a man consistently loses the ability to maintain an erection, which is necessary during sexual intercourse.

Impaired libido, erection, and orgasm are considered the main symptoms that characterize erectile dysfunction:

1. Sexual desire is most often disrupted as a result of stress, fatigue or poor health.
2. Also, a violation of libido can occur after a hormonal imbalance, which leads to a decrease in the production of the male hormone - testosterone.
3. A sluggish, incomplete erection is often evidence of the presence of vascular diseases. Vascular diseases are one of the main causes of impaired potency. After all, vascular disorders entail insufficient arterial inflow and excessive discharge of blood in the veins located in the penis.
4. Impaired potency or its absence is often associated with psycho-emotional problems. Rarely, in men, orgasm is short-lived or absent altogether. This disorder is also associated with the psycho-emotional stress suffered.
5. Impaired potency is quite closely related to smoking and drinking excessive amounts of alcoholic beverages. These are very bad habits for potency, as they contribute to the narrowing of vital blood vessels. It is not without reason that they are a serious cause not only of the loss of male strength, but also of other diseases associated with dysfunction of the vascular system.
6. Symptoms of erectile dysfunction can appear quite suddenly, seemingly for no reason. But in this case, it is simply necessary to review all medications that have been taken over a certain period of time. Indeed, in some drugs, among the side effects, disruption of the genital organs or functions of the genitourinary system is often indicated. This important fact should be taken into account by a man when taking the drug and, if possible, replace it with an analogue only without these side effects.
7. Experts recognize trauma to the male genital organ as a fairly serious reason for the appearance of symptoms of erectile dysfunction. Receiving closed injuries or bruises are almost always one of the reasons for disruption of the urethra. Prolonged sexual contact or its non-standard forms can often lead to subcutaneous hemorrhages. This damages the blood vessels and causes swelling. As a result, the healing process creates scars that impede the blood flow necessary for a normal erection.
8. A sharp bend of the penis, a heavy blow, rough sexual contact in many cases can lead to a fracture of the male organ. Then the thin elastic tissue of the cavernous bodies ruptures, and this is what causes erectile dysfunction. Swelling, large hematoma, severe pain, sometimes even shock are symptoms that require special attention.
9. Burn injuries can be caused by exposure to ultraviolet rays, chemicals, or hot liquids. In this case, swelling and severe redness of the skin are observed, sometimes leading to its death. An erection can be restored only after these symptoms are removed.

There are stages of conservative treatment of erectile dysfunction

1. At the first stage, if there are appropriate indications, drugs are used to stimulate erection (in particular phosphodiesterase type 5 inhibitors). If there is androgen deficiency, use drugs that increase testosterone concentrations. For androgen replacement therapy, injectable and transdermal forms of testosterone are used. The drug, dose, mode of administration and course duration are selected individually. You should take any medications from these groups only as prescribed by your doctor. Otherwise, serious side effects may occur. In the case of psychogenic disorders, psychosex therapy is an important stage of the first line of treatment.

If it is impossible to prescribe or the patient is unwilling to use medications, local negative pressure therapy is recommended as a first-line physical remedy. The essence of the method is that the penis is placed in a special flask, where negative pressure is created using a vacuum pump. This leads to increased blood flow to the penis, which causes an erection. To maintain an erection, a special compression ring is placed on the base of the penis, limiting venous outflow.

2. The second stage of treatment involves intracavernous or intraurethral administration of vasoactive agents. Used when there is no effect from the drugs. The efficiency and quality of erection are quite high. This treatment method has contraindications and side effects.

Physiological causes of weak erection

The most common physiological reasons are:

1. Endocrine disorders, and first of all, lack of testosterone production. This hormone is known to have the strongest effect on sexual desire. In addition, the lack of thyroid hormones has a negative effect on the strength of erection. Therefore, when problems with potency arise, a man first of all needs to undergo an examination to determine the level of basic hormones in the body.
2. Diseases of the heart and blood vessels. Vascular pathologies negatively affect the blood supply to the genital organs and over time lead to a persistent decrease in erection.
3. Neurological diseases, including diseases of the spine, which result in disruption of the innervation of the penis, as well as a decrease in potency due to the presence of pain.
4. Diabetes mellitus, which, in turn, causes metabolic disorders and deterioration of blood vessels.
5. Injuries to the penis and nearby organs.

Surgery

If conservative therapy is ineffective, surgical treatment of erectile dysfunction is used if necessary. For patients with lesions of the penile arteries supplying the pelvic organs, surgical interventions on the vessels are recommended. If all other methods of treating erectile dysfunction are unsuccessful, if the patient insists on a radical solution to his problem, penile replacement with semi-rigid prostheses or hydraulic implants that simulate an erection is recommended as a last resort. The number of satisfied patients after penile prosthesis exceeds 80%.

Physiology and pathophysiology of erection

An erection is an increase in the elasticity of the penis with a simultaneous increase in its volume, which is caused by the rapid filling and stretching of the cavernous bodies as a result of sexual arousal. This mechanism is quite complex; it involves a number of sequential neurovascular changes, ultimately leading to relaxation of the smooth muscle tissue of the sinusoids, arterioles and arteries.

At the end of the 20th century, medical scientists obtained new information about the mechanism of erection and the causes of sexual dysfunction. This means that there are more ways to adequately treat erectile dysfunction in men facing problems in the sexual sphere.

According to the latest research, an erection occurs in the following way. Sexual stimulation activates the parasympathetic nervous system. Neurotransmitters (in this case, nitric oxide) are released from the vascular tissue of the corpora cavernosa, which causes the accumulation of cyclic guanosine monophosphate (cGMP) in the cavernous tissue, which reduces the concentration of intracellular calcium, which leads to relaxation of the walls of blood vessels and cavernous bodies. The lacunae fill with blood from the arteries, as a result the venules are compressed, and the outflow of blood from the penis is suspended. This phenomenon is called the veno-occlusive mechanism.

Erection pattern

This gives grounds to identify the main causes of erectile dysfunction: a significant lack of cGMP, a reduced response of vascular tissues to cGMP, insufficient compression of the penile veins due to overgrown connective tissues. In complex cases, ED is caused by a combination of all these factors.

So, erection should be considered as a multi-stage neurovascular process that occurs according to the following scheme: sexual stimulation - release of neurotransmitters - accumulation of cGMP in the cavernous tissues - relaxation and contraction of smooth muscle tissues.

Prevention

You can reduce the likelihood of erectile dysfunction. For this, doctors recommend:

• Proper nutrition.
• Limiting and eliminating bad habits (alcohol and tobacco consumption).
• Regular sex life.
• A healthy lifestyle, including rest and active physical activity.
• Control and correction of body weight.
• Control and correction of glucose and lipids in the blood.
• It is recommended that the patient be monitored by a urologist-andrologist.

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Poses for weak erectile function

If blood flow to the genital organ is impaired, you should not lie on your back; for men this will be the worst position. This position of the body will increase the outflow, and the erection will decrease or disappear completely. If your partner is on top, then there is a risk of premature ejaculation. The optimal poses will be those where the man’s body is in an upright position:

• standing against the wall;
• knee-elbow position (aka doggy style);
• the partner is on the edge of the bed, the man is standing next to her.

Other treatments for erectile dysfunction

Today, more and more attention has been paid to those treatment methods that do not have contraindications or side effects. This treatment includes the use of drugs that contain natural ingredients.

Yarsagumba is recognized as a unique remedy for the treatment of potency disorders. The main active substance is the Tibetan high-mountain mushroom, which contains not only the necessary amino acids for the body, but also many other useful substances.

With the help of this drug, vital processes in the body are restored, health improves, and the body rejuvenates. Its uniqueness lies in the fact that it not only helps to increase potency, but at the same time fights the causes that caused its violation.

Unlike established medications used for potency disorders, it does not require regular use. After taking the course, potency is completely restored, which makes it possible to have a constant and active sex life.

To restore potency in men, experts today prescribe various herbs, herbs, tinctures, and biologically active substances. This purpose is due to the fact that they increase the effectiveness of conservative therapy, but without negative consequences. Sometimes folk remedies for the treatment of erectile dysfunction act no worse than synthetic ones, but without harm to the body.

In the treatment of potency disorders, alcohol tinctures of herbs such as acanthopanax, spurge, and gourd are widely used. These herbs have the ability to increase sexual activity, so tinctures are taken not only for treatment, but also for prevention.

To prepare decoctions and tinctures, sage, hawthorn, St. John's wort, juniper, galangal root, and ginseng root are used. It is known that such natural treatment not only helps restore potency, but also improves the general condition of the male body. In many cases, taking herbal medicines cures chronic prostatitis, which is one of the causes of erectile dysfunction.

Special teas for increasing potency have proven themselves to be excellent. Monastic tea is a collection of several herbs; its action is aimed not only at restoring male strength, but also at improving the health of the male body. It is also recommended to take teas from fireweed leaves and fresh ginger. Such tea drinking will not only be useful, but also a pleasant treatment and prevention at home.

Among dietary supplements, many people know the use of the plant-based balanced complex Vuka Vuka. The plants included in its composition increase libido, help increase the duration of sexual intercourse, and improve blood circulation. After taking it, masculine strength is restored, and the fullness of sexual life becomes permanent.

Among the effective methods of treating potency disorders, massage procedures are distinguished. Today there are devices with which you can perform massage yourself at home at a convenient time.

To prevent sexual disorders, many doctors recommend special exercises that can restore the normal state of the body's genitourinary system.

If you experience even mild symptoms of erectile dysfunction, do not forget about the rules:

• do not delay your visit to a specialist - the sooner a problem is detected, the faster and more effectively it can be removed;
• do not make your own decisions to increase potency - self-medication can end very badly;
• adhere to a healthy lifestyle not only during treatment, but also after it;
• successfully complete treatment of any disease of the genitourinary system;
• refuse promiscuous sex life;
• use all available methods to prevent potency disorders.

Many men want to have happy family relationships. Problems in sexual life have a negative impact on both men and women. And, although impotence is not associated with infertility, it is still considered a fairly serious disease. This problem can and must be solved. After her disappearance, a man always regains his self-confidence, he begins to feel like a full-fledged person.

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Male strength is affected by so many factors that can reduce it. It is not surprising that at present, impaired potency is observed even in men under 30 years of age.

The inability to perform sexual intercourse and perform reproductive function is a tragedy not only for a certain man, but also a serious problem for the human population. This explains such close attention to potency on the part of scientists and pharmacologists.

However, mindlessly taking pills is not a solution to the situation. Every man should know what can impair potency, what are the causes, symptoms, what is the treatment.

There are two main reasons that cause erectile dysfunction:

1. Firstly, diseases that cause physical impotence.
2. Secondly, mental impotence associated with weak sexual desire.

Currently, in relation to potency, the suppressive effect of many diseases has been proven.

• Psychogenic disorders

Mainly drug addiction and alcoholism. Drugs and alcohol have a sedative effect and, by affecting the brain, can lead to erectile dysfunction.

Stopping use usually returns potency in full.

In addition, anxiety, depression, and prolonged stress lead to male impotence.

When a man loses the opportunity to enjoy sex, due to depressive mood, problems at work and in his personal life, everything negatively affects his sex drive.

• Hormonal disorders

Many people think that endocrine disorders of potency are associated with a lack of testosterone, but, as practice shows, the majority of those suffering from sexual dysfunction are diabetics.

High concentrations of sugar in the blood lead to damage to the walls of blood vessels and the formation of atherosclerotic plaques.

Gradually, growing to large sizes, atherosclerotic plaques become the cause of blockage of the lumen of blood vessels and disrupt the blood supply to the pelvic organs and the penis in particular.

Also, in addition to disturbances in sugar metabolism, impotence is caused by problems with the synthesis of testosterone and thyroid hormones. When the secretion of these hormones decreases, not only potency suffers, but also libido fades.

• Pharmacological

Some drugs from the group of antihypertensive drugs can cause erectile dysfunction.

When writing a prescription for a medicine, the doctor warns if it negatively affects male potency. This fact itself often leads to sexual dysfunction.

It should be noted that this type of side effect occurs quite rarely and is probably associated with the underlying disease.

Men who are worried about a decrease in their sexual activity personally stop taking medications, which is highly not recommended.

Arterial hypertension is a serious disease that can lead to myocardial infarction and cerebral stroke. You should not act recklessly and give up treatment, but rather go to an appointment with your doctor so that he can select the optimal dosage of the drug.

“Constantly increased blood pressure affects the vessels, scleroses them, narrows the lumen, preventing normal blood flow, leading to impaired potency. Therefore, antihypertensive therapy is mandatory to prevent vascular changes,” cardiologists recommend.

• Physical overexertion

If a man works a lot and does not have time for normal rest and proper sleep, episodes of sexual impotence may occur.

Sex is a very energy-intensive process that requires certain reserves of strength and endurance. Naturally, in case of physical overstrain, these reserves will be absent, and the man will have neither the strength nor the desire to perform sexual intercourse.

Whatever the reason for impotence, it always becomes a big challenge. It causes enormous discomfort and brings significant difficulties to your personal life. A man who understands that he has an erection problem is in a state of heightened emotional stress, further aggravating sexual dysfunction.

“If symptoms of potency disorders appear, then do not close yourself off. It is best to consult a specialist for diagnosis and treatment,” advise urologists.

Looking at this issue from a statistical point of view, we will see some features of the occurrence of impotence depending on age.

Usually, the leading place among the problems causing male impotence in people under 50 years of age is mental disorders. By old age, everything changes, and organic pathology comes to the fore.

All men need to know: with proper treatment, impotence can be overcome in almost 100% of cases.

Symptoms

Doctors divide erectile dysfunction into primary and secondary.

In the first case, impotence is associated with congenital pathology and can manifest itself not only as sexual impotence, but also underdevelopment of the genital organs and secondary sexual characteristics.

With secondary disorders, problems with erection did not previously arise, but for some reason they suddenly occur at the present time.

Symptoms that should cause concern:

• Complete absence of erection . It is understood when men aged 14-70 years do not have an erection, even despite sexual stimulation and strong desire.
• Weak erection . This symptom characterizes a condition when an erection occurs, but it is not sufficient for normal sexual intercourse.
• Inability to keep the penis erect for a long time . This situation means that a man has a full erection and is able to perform normal frictions for some time, however, this condition is short-lived and quickly disappears.
• Premature ejaculation . Often observed in older men who have not previously experienced such problems. Premature ejaculation does not allow normal intimate contact. The sexual partner remains unsatisfied, and the man experiences a feeling of shame.
• Lack of morning erection.
• Decreased libido , which leads to sexual impotence

The above-described signs of erectile dysfunction are not serious and can be treated in 95% of cases.

Impotence is a diagnosis made on the basis of clinical symptoms.

What is important is when the signs of erectile dysfunction do not bother you occasionally, but over a long period of time. Then diagnosis is not difficult.

Episodic impotence is acceptable and is considered a variant of the norm, especially in old age, when hormonal changes and a decrease in testosterone levels occur.

Treatment

The struggle for male power is a rather labor-intensive process that requires strength and confidence from a man in the success of this matter.

Treatment should be comprehensive using all available methods.

Therapy varies depending on the cause of impotence.

In case of organic disorders, it is necessary to treat the underlying disease, and if there are psychological problems, it is better to seek help from a sex therapist and psychotherapist.

Standard mistakes of men who decide to fight this disease on their own:

• Refusal to discuss the problem with your sexual partner.
• Premature use of pharmacological drugs that stimulate erection.
• Reluctance to modify your lifestyle.
• Refusal to receive qualified medical care.

To regain strong potency and overcome your psychological problems, you need to do a number of things:

• It is necessary to create conditions for yourself in which you can relax and get rid of feelings of anxiety.

In addition, it is necessary to strictly observe the sleep and rest regime. Adequate sleep is at least 8-9 hours a day.

If a man has a stressful job and there is no opportunity to get proper rest, he needs to reconsider his life priorities and try to change his occupation.

• Healthy eating.

You need to change your diet, make your food more filling, increase the amount of protein, vitamins and microelements.

Don't forget about meat products containing large amounts of protein and iron. Chicken and quail eggs also have a beneficial effect on restoring normal erectile function. It is recommended to add fermented milk products to your diet.

• Fighting your own complexes and fears is the key to increasing potency.

When a man thinks that he is not able to satisfy his sexual partner sufficiently sexually, this can cause anxiety and fear, and leads to even greater impairment of potency.

You need to establish contact with your soulmate, open up to her and stop being afraid.

Sexual partners should not feel embarrassed or afraid towards each other. Only in this way can one obtain normal physiological pleasure from sexual intercourse.

Impaired potency with prostatitis

In the initial stages of the disease, and in the absence of proper treatment, many men suffering from prostatitis develop erectile dysfunction.

The first symptoms may be minor and not bother the patient. However, as the disease progresses, a complete lack of erection occurs.

Inflammation of the prostate gland specifically affects potency and in some cases, sexual dysfunction is episodic.

At the end of sexual intercourse, a man suffering from prostatitis will usually experience a burning sensation in the perineum, and the act of ejaculation itself is accompanied by pain.

It should be noted: with a prolonged inflammatory process, the prostate parenchyma begins to slowly be replaced by connective tissue.

As a result, the transmission of nerve impulses responsible for normal potency and ejaculation is disrupted. If you do not treat prostatitis, the disease will inevitably lead to a weakening of potency.

Prostatitis has a very unfavorable effect on the quality of sexual life.

Most experts express the following thought: it is wrong to blame prostatitis for the development of impotence. With prostatitis, normal sexual function will be maintained for a long time, however, over time it will fade away.

The severity of these symptoms directly depends on the man himself.

Prostatitis is a disease that is scary not in itself, but due to the complications that may arise.

• Urolithiasis disease.
• Prostate adenoma.
• Infertility.
• Impotence.

Thus, men, do not drag the cat into one place! Yes, a very unpleasant situation, but doing nothing will only make it worse!

How does an erection occur?

In healthy men, when sexual arousal occurs, a certain signal arises in the brain, which causes blood to actively flow to the penis. An erection may appear as a result of:

1. A reflex reaction as a response to stimulation of the genitals.
2. Psychogenic reaction - when viewing a video or photo of an exciting nature, corresponding sounds, during thought processes that have a sexual meaning.

There are also nocturnal erections. Their mechanism is still poorly understood. It is known that they appear in childhood and accompany men throughout their lives. We can say that this is a kind of “test drive” from the body, which signals that physiologically everything is in order in the functioning of the penis. Even those who suffer from psychological impotence or have hormonal problems often notice in the morning that the penis is erect.

The body of the penis is formed by two cylindrical parts consisting of a porous tissue called the corpus spongiosum. The layer below lies the corpus cavernosum, through the central axis of which the urethra passes. Due to the fact that the tissues have a porous structure, they accommodate a fairly large amount of blood. At the same time, a pair of muscles at the base of the penis blocks the reverse outflow, pinching the veins, but by themselves they do not create an erection.

Treatment of erectile dysfunction in men with folk remedies

When treating impotence, you should not neglect folk remedies, especially since, as practice shows, herbal tinctures and decoctions really help well in treating a delicate problem. Modern research confirms that plants are a valuable source of medicinal substances:

• resins;
• acids;
• essential oils;
• vitamins;
• microelements;
• tannins and many other compounds of organic and inorganic origin;

Moreover, all these components are in exactly the form that is most effectively and completely absorbed by the human body.

Herbal medicine does not bring immediate results, but it acts on the body gently, physiologically, without causing stress in the body. In addition, although herbs do have side effects, they are much less toxic compared to pills. Most pharmaceutical medicines are created from plant extracts, extracts or their synthetic copies.

Treatment of erectile dysfunction with traditional methods may well complement “sick leave”, but when taking pharmacological drugs, it is necessary to select traditional medicine recipes that will not have a conflicting effect with them.

Raw materials can be prepared personally or purchased in pharmacies, where a fairly wide range of medicinal plants is available. Also on the shelves of the pharmacist you can find alcohol tinctures, which are recommended for use during times of stress, increased mental and physical stress, for general strengthening and raising the tone of the body. Most often, tinctures are used for this:

• ginseng;
• Eleutherococcus;
• lemongrass;
• mumiyo;

Beekeeping products (propolis, wax cake, pollen, honey) and extract from reindeer antlers have performed well. Such methods of treating erectile dysfunction are practically harmless, but can cause allergies and individual intolerance in a small percentage of men.

Injections against weakened potency

The most popular and effective recipes:

• Honey with walnuts. Mix the mixture in the following proportions: a tablespoon of honey and 100 grams of chopped walnuts. Take 2 teaspoons 20 minutes after meals, 2 times a day, and also 4 hours before bedtime. The effect can be compared to taking Viagra.

• Thyme. Pour 100 grams of dry grass into 200 ml of boiling water. The infused liquid can be drunk twice a day after meals, instead of tea.
• Ginseng tincture. Take 2-3 times a day before meals and no later than 4 hours before bedtime, 20-25 drops. A ready-made tincture can be purchased at a pharmacy.
• Garlic tincture. Finely chop 1 kg of garlic, put it in a three-liter jar and fill it with boiled water to the very top. The jar needs to be shaken daily. The mixture is infused for a month. Take a teaspoon per day until all the contents of the jar are gone.

• Sit on a chair. Squeeze your anus together with your buttocks, hold for a few seconds and relax your muscles. Breathe through your nose, making slight noise when inhaling and exhaling.
• Stand straight, arms down along your body. Without moving your arms, begin to walk in place, raising your knees high and touching your stomach. Perform for 30 to 60 seconds.
• The next exercise is an imitation of running in place without lifting your toes off the floor. Execution time from 30 seconds to 1 minute.
• Starting position: lying on your back, place your arms parallel to your body, bend your knees. Raise your pelvis as high as possible and lower it to its original position.
• For the next exercise, lying on your back, lift your legs and pelvis up. Legs should be straight, toes straight. This exercise is known as "Birch".
• The next exercise is “Bicycle”. Lie on your back, raise your legs, bending them at 90 degrees, and pedal imaginary bicycle pedals.

An erection is possible due to the special structure of the male penis, inside of which there are the so-called corpora cavernosa, similar to a sponge. Blood vessels pass through these bodies. During sexual arousal, through a network of nerve impulses, an increase in blood flow to the penis is achieved, due to which the cavernous bodies are filled and the penis increases in size.

Normally, when intimate with an attractive woman, a healthy man gets an erection without problems. With age, this function decreases. But it also happens that erectile function is impaired in still young men. This may be due to reasons that doctors divide into several groups.

1. Psychological reasons. Often, weak potency is a consequence of a depressed man who cannot concentrate on his partner due to some problems. Psychological reasons for decreased potency also include fear of sexual impotence. Such fear may appear in a man who has experienced problems with sex life in the past. Often, a decrease in erection occurs due to overwork. This, for example, often happens to men over 40 who become involved in workaholism.
2. Endocrine disorders, due to which the functioning of the sex glands occurs in the body. Due to this failure, libido decreases.
3. Neurological problems can cause a decrease in the nerve impulses that cause arousal. These problems include, for example, the following disorders:

• Disturbances of circulatory processes in the brain.
• Various diseases of the spinal cord.
• Multiple sclerosis.

1. Vascular pathologies. With such problems, there is no potency disorder as such. But there are general problems of the body:

• Atherosclerosis. With this disease, the lumen of the blood vessels becomes significantly narrower than normal, which leads to a deterioration in the filling of the cavernous bodies with blood during sexual arousal. That is, there is an erection, but it is too weak for sexual intercourse. Often, a decrease in potency is a very important signal that a serious disease is developing in the body. That is why it should never be ignored. To find out what the true causes of decreased potency are and how serious problems in the body are associated with them, you need to undergo a full examination by an andrologist. Since erection problems are the first symptom of atherosclerosis, every patient with this disorder is recommended to consult a cardiologist.
• Pathologies of venous valves. If these valves do not close well, blood quickly leaves the corpora cavernosa and the erection disappears.
• Pathologies of the corpora cavernosa. Sometimes, as a result of some illness or injury, the spongy tissue of the corpora cavernosa loses its elasticity, which is why it can no longer be fully filled, so an erection does not occur.

1. Side effect from taking certain medications. In such cases, erectile function usually returns quickly once the medication is stopped.

Depending on the causes, drug treatment for decreased potency in men may vary.

Prevention of male weakness consists of very simple measures that can be taken by any representative of the stronger half. These include:

1. Rejection of bad habits. Doctors have already proven that smoking men lose potency faster than their non-smoking peers. Alcohol addiction also leads to erection problems.
2. Physical activity. Sport helps keep all systems of the body, including the reproductive system, in good shape.
3. Normal food. With his diet, a man should receive a sufficient amount of proteins, vitamins, minerals and other important microelements, then he will not lose his virility too early.
4. Correct work and rest schedule. Men need to sleep at least 7 hours a day.
5. Normal sex life. According to some scientists, regular sexual intercourse helps maintain potency. At the same time, self-satisfaction can contribute to a decrease in potency if a man resorts to it too often. Too intense sex life also does not contribute to men's health. According to experts, a man of average sexual constitution needs to have about 3-4 sexual contacts per week to maintain health.
6. Maintaining weight within normal limits. Very often, an early age-related decrease in sexual desire is observed in those who are obese.
7. Timely consultation with a doctor. One of the most common reasons for decreased sexual activity in middle-aged men is false shame, when a sick person is embarrassed to go to the doctor and talk about the problem. But timely examination and treatment of pathologies that cause such a symptom are the main conditions for normalizing processes in the body.
8. Psychological comfort. Doctors often identified cases of age-related erectile dysfunction that arose against the background of frequent stress and quarrels between a man and his partner. All beautiful ladies whose husbands have begun to experience difficulties in bed should think: is it their fault that their husband has lost his virility?

We suggest you read: Which doctor should you contact if you have impotence?

Of course, sooner or later in a man’s life there will still come a time when he loses his power completely. But history knows cases when representatives of the stronger half surprised with their Don Juan exploits at a fairly advanced age. This means that, if desired, potency can be maintained up to 50, 60, or even 70 years.

A husband's masculine strength largely depends on his wife: she is the one who is able to organize the correct daily routine for him, help him cope with chronic illnesses, and support him morally in difficult times. In turn, the joy of a husband’s closeness, both psychological and physical, is that very simple female happiness that we all so desire. So, our dear readers, love your husbands, take care of them and be happy in your marriage all your life!

Many people think that if this problem occurs to a man in old age, then this is considered normal. But few people know that you yourself can reduce the likelihood of a decrease in the quality of sexual intercourse, or completely avoid problems with potency. To do this, it is enough to know the possible causes of decreased potency.

As for physiological factors, everything is much simpler and clearer here - these are overwork, lack of sleep and stress, those factors that you yourself can influence.

A decrease in potency at a young age is often due to psychological reasons. Men aged 25-35 years strive to achieve a certain position in society. Lack of proper rest, long working hours and lack of sleep will sooner or later lead to a decrease in sexual activity.

Against the backdrop of constant overload at work, a man’s nervous system is exhausted. First, libido decreases, and then potency. In this case, it is not necessary to resort to drug treatment; sometimes it is enough to simply give up excessive stress and establish a work-rest regime.

Psychological reasons for decreased potency include:

• conflict situations at work and in the family;
• sleep disturbance;
• stressful situations;
• excessive mental and physical stress;
• general malaise;
• complexes;
• depression;
• failure of the first sexual experience.

Irregular sex life negatively affects potency. With rare sexual contacts, blood circulation in the pelvic organs is disrupted, which leads to a decrease in potency.

Important! The cause of a weak erection can be not only insufficient physical intimacy, but also spiritual intimacy. Frequent scandals and misunderstandings between spouses affect male strength.

Complexity also does not allow a man to enjoy sexual intercourse. Concentrating too much on pleasing your partner can be detrimental. At the most inopportune moment, an erection may disappear. In this case, a consultation with a psychotherapist is required to help get rid of complexes.

Impaza

Impaza significantly enhances erection levels

Papaverine

Papaverine in ampoules

Andriol

The drug Andriol, which significantly improves blood circulation and causes sexual desire

Ginseng root

Treatment with natural remedies

The most popular and effective recipes:

• Honey with walnuts . Mix the mixture in the following proportions: a tablespoon of honey and 100 grams of chopped walnuts. Take 2 teaspoons 20 minutes after meals, 2 times a day, and also 4 hours before bedtime. The effect can be compared to taking Viagra.

• Thyme . Pour 100 grams of dry grass into 200 ml of boiling water. The infused liquid can be drunk twice a day after meals, instead of tea.
• Ginseng tincture . Take 2-3 times a day before meals and no later than 4 hours before bedtime, 20-25 drops. A ready-made tincture can be purchased at a pharmacy.
• Garlic tincture . Finely chop 1 kg of garlic, put it in a three-liter jar and fill it with boiled water to the very top. The jar needs to be shaken daily. The mixture is infused for a month. Take a teaspoon per day until all the contents of the jar are gone.

Potency: features, symptoms of disorders, treatment of potency problems

The word “potency” in medicine usually refers directly to male sexuality. This is not only the level of tension in the penis, but also the duration of sexual intercourse, as well as the speed at which an erection occurs. Potency is the body’s ability to lead a healthy sex life.

As practice and numerous medical studies show, maximum potency levels in a man are most often achieved with complete psychological comfort. Sometimes such improvement occurs when changing partners, on vacation, or after an event in which the man won. Potency can deteriorate not only against the background of illness, but also after grueling physical activity, psychological conflict, due to the frigidity of the partner or the lack of a suitable place where you can have sex.

Fast-acting drugs

Why is a deteriorating erection dangerous for a couple's relationship?

Erectile dysfunction is one of the most serious challenges for any couple, regardless of the duration of the relationship and the age of the partners.
Many women tend to believe that the cause of men's problems with erectile function lies in the loss of their sexual attractiveness and seductiveness. The consequence of this may be the development of certain complexes and a lack of desire for intimacy, or attempts to convince other representatives of the stronger sex of their feminine attractiveness. A long-term lack of sexual satisfaction negatively affects the mental state of both partners, complicating an already quite difficult situation. To maintain the relationship and cope with the problem, the participation of both partners will be required.

Medical symptoms

There are signs that warn of the development of impotence in men. The disease is characterized by the following symptoms:

• Lack of erection or its significant weakening. Even if a man has a strong desire to have sex, he cannot do it because he cannot bring the penis to a state of maximum tension.
• Inferior erection. In this case, the penis becomes the desired size at the time of arousal, but does not acquire sufficient hardness.
• Inability to keep the penis tense during sexual intercourse. This symptom appears long before ejaculation occurs.
• Premature ejaculation. She is also usually classified as a group that includes symptoms of impotence.
• Lack of night and morning erections. This is one of the first serious symptoms that men should be concerned about.
• Severe decrease in libido. Along with it, a person experiences powerlessness in an intimate sense.

Andrologists assume that a man has impotence, even when he has only one symptom of the disease. Other signs confirm the doctor's concerns about the patient's condition.

Prevention of potency disorders

• Lack of erection. Moreover, both during excitement and arbitrary night or morning erections.
• Weak erection. Decrease in previously observed hardness of the penis during sexual intercourse.
• Decreased or absent sexual desire.
• Premature ejaculation. The release of seminal fluid is uncontrolled and can occur at the very beginning of sexual intercourse or before it.

Basically, impaired potency is not an independent disease, but appears and develops against the background of other diseases. Depending on the initial disease, potency disorders are divided into:

• Psychological
• Physical (organic)
• External (mixed)

The most common psychological reasons:

• Stress
• Fatigue
• Depression
• Sleep disturbance
• Conflict in the family or at work
• Anxiety, fear of sexual weakness, failure

Psychological reasons for impaired potency are characterized by a normal erection during sleep or before waking up, but absent during sexual intercourse. Disturbances occur unexpectedly and are not constant.

The most common physiological causes:

• Obesity.
• Diabetes.
• Reduced immunity.
• Vascular diseases.
• Hypertension, heart disease.
• Operations on the genital organs.
• Hormonal disorders.
• Cystitis, prostatitis and other urological diseases and infections.

The organic type of potency disorder is characterized by a slow development of the disease. At first, it takes more and more time and effort to get an erection. Over time, the condition worsens, and an erection does not occur at all. Another sign of a physical cause of erectile dysfunction is the complete absence of night and morning erections.

The most common external factors:

• Smoking.
• Alcohol.
• Addiction.
• Poor nutrition.
• Unfavorable environment.
• Sedentary lifestyle.
• Use of certain medications.

Men whose work involves radiation exposure, contact with harmful substances, or in the cold or at elevated temperatures suffer more from potency disorders. Men with sedentary office jobs and drivers are also at risk.

Over the years, the likelihood of impaired potency is much higher. This is due to the fact that older men are more likely to have serious diseases such as obesity, diabetes, hypertension, heart disease and organic age-related changes that affect potency. A common cause of impotence in young men is unsuccessful sexual contacts or little sexual experience. Therefore, at the age of up to 40 years, the causes of potency disorders are 80% psychological and only 20% physical.

After the age of forty, the proportional ratio changes and by the age of 70-80 the picture looks like this: 80% are physical reasons and 20% are psychological.

To achieve maximum effect, the underlying disease, which is the cause of impaired potency, is treated and measures are taken to improve the erection itself.

To treat potency disorders, most patients and doctors prefer tablet forms of medications. The main drugs in tablets for the treatment of potency are:

• Viagra. Taken 1-2 hours before sexual intercourse and lasts from 4 to 6 hours.
• Levitra. Taken 30-60 minutes before sexual intercourse and lasts up to 36 hours.
• Cialis. Valid for up to 36 hours and taken 16 minutes before sexual intercourse.
• Zidena. Valid for up to 20 hours, taken half an hour before sexual intercourse.

Injections are one of the most effective ways to combat potency disorders. The medicine is injected directly into the genital organ and acts almost instantly. Erection in this case does not depend on sexual arousal. Here are some examples of drugs:

• Papaverine.
• Alprostadil.
• Phentolamine.
• Caverject.

The average single dose for all drugs is 10-20 mcg. 5-10 minutes after the injection, an erection occurs lasting up to 1 hour. It is recommended to take breaks of at least 24 hours between injections, and use the drugs no more than 3 times a week.

Dietary supplements (dietary supplements) are very popular among men in the treatment of potency disorders. Such drugs include:

• Golden horse,
• Yohimbine,
• red root,
• Impaza,
• Orgasex.

Advantages of dietary supplements:

• The dietary supplements are based on natural substances.
• Their cost is lower than drugs prescribed for the treatment of potency disorders.
• They have fewer side effects and contraindications compared to medications.

Disadvantages of dietary supplements:

• The effect can only be observed after a long period of use.
• Individual effectiveness. Not every man experiences an improvement in potency after taking them.
• There are very few clinical trials or independent studies on their effectiveness.

Prevention is the simplest and cheapest way to maintain potency for a long time.

• Give up bad habits. Avoid alcohol or keep its consumption to a minimum. Quit smoking completely.

Read: What should you do to quit smoking quickly and easily?

• Watch your diet and weight. The diet should include vegetables, dairy products, lean meat, oatmeal and wheat porridge, peas, cauliflower, parsley. Avoid carbonated drinks, fatty and high-calorie foods, which slow down your metabolism.
• Do sports and exercise. To maintain good potency, doctors recommend moving more, running, swimming, and doing aerobics.
• Get plenty of rest. For normal rest, it is recommended to sleep at least 8 hours a day. 10 tips to help you get a good night's sleep
• Have regular sex life. In order for potency to always be normal, it is necessary to have sex at least 2 times a week, if possible with a regular partner. Since the body must recover, sexual intercourse too often is also not recommended.

Violation of potency is not a death sentence. In 95% of cases, the problem of potency disorders is solved. To do this, it is necessary to correctly determine the cause of the disorder and choose a treatment method.

We suggest you read: Chronic prostatitis, chronic urethritis