About Male Erectile Dysfunction
Erectile dysfunction is a disorder of the sexual function, which often becomes a real problem for men all over the world. Statistics argue that almost every man, starting from age 20, at least once experienced the symptoms of erectile dysfunction: insufficient stiffness of the penis in an excited state.
As a result, a full sexual intercourse cannot take place. But you should know that erectile dysfunction is only spoken of when a qualitative erection cannot be achieved in more than 25 percent of sexual acts. Often erectile dysfunction becomes a serious test for men, because this is not only a physiological, but also a psychological problem.
What is Impotence or Erectile Dysfunction (ED)?
Impotence is the most terrible diagnosis for a man. Any man wants to feel a strong healthy male. The manifestation of sexual impotence strikes at self-esteem, causing significant psychological trauma. Especially, if it occurs at a young age, which happens often. Statistics say that this problem affects men not only in old age, although a significant number of cases fall to the share of a strong half of humanity aged 40 to 60 years (about 60%). Young people under the age of thirty face this disease in 20% of cases.
According to the definition proposed in the Great Medical Encyclopedia, impotence (from Latin - weakness) - the absence of penile erection in men, leading to the impossibility of sexual intercourse. A more precise and concise definition is difficult to find. It characterizes the extreme degree of erectile dysfunction - when a sexual intercourse to a man is in principle unavailable. For quite a long time, the diagnosis of "Impotence" was established for all men without exception, who complained of a decrease in the duration and strength of penile erections.
However, there are patients whose erections, in principle, are preserved, but their strength is not enough for a full sexual intercourse. In other words, these people are not impotent, but they are not completely healthy either. And an inaccurate diagnosis in medicine leads to inferior treatment. In addition, in the course of special sociological studies, it was found that people with the reduced quality of erections are much more numerous than people with the complete absence of erections.
In this connection, a new term "Erectile dysfunction" or "ED" was proposed at the joint European congress of andrologists, urologists, sexopathologists, and other specialists engaged in the treatment of ailments of the male sexual sphere. And, today, the term "impotence" is almost impossible to meet. Less and less often this term is found in the pages of the popular science literature.
What are the Causes of Impotence in Men?
For a long time, it was believed that the main causes of impotence are psychogenic disorders or a lack of testosterone. But studies of recent decades have shown that most often the cause of impotence are organic changes in the mechanism of erection.
- Neurotransmitter disorders at the level of the spinal cord or brain
- Myelodysplasia of the spine
- Intervertebral disc damage
- Multiple sclerosis
- Diabetes (peripheral neuropathy)
- Alcohol abuse (treatment of drinking-bouts)
- Operations on the pelvic organs
- Hormonal deficiency
- Arterial Hypertension
- Hyperlipidemia (increase in the level of fats in the blood)
- Functional damage of the veno-occlusive mechanism
- Medicinal products
- Admission of antihypertensive drugs, antidepressants, luteinizing hormone and its analogues
- Peyronie's disease (curvature of the penis)
The causes of impotence in 35-40 are, in most cases, psychological factors. If a man is properly oriented and has healthy ideas about the sexual life that his parents instilled in the adolescent period, then it will be easier for him to cope with a violation of the erectile function. The remaining young people represent a risk group, because they are very worried about the impression they will make on the partner, whether they will be able to satisfy her.
Another cause of the violation of potency is the fear of contracting sexually transmitted diseases. Sometimes, this phobia puts guys in a difficult situation, they become withdrawn, especially if you have already had to deal with such diseases.
An important role for the young man is played by harmony in relationships. If the partner is disrespectful, resorts to ridicule and humiliation, one should expect a mental breakdown and the development of psychogenic erectile dysfunction against its background.
At a young age, a man is sexually active and capable of conception and procreation. But for some it becomes a problem. So, a decrease in potency in 30 years can be observed against a background of hypogonadism.
Venereal diseases as the cause of impotence:
It is surprising that the active sexual life of men at a young age leads to the fact that venereal diseases become a frequent cause of the violation of potency.
What diseases can cause a decrease in potency in 30 years:
- Chlamydiosis. The disease in 70% of cases occurs without symptoms, so it often remains untreated and goes into a chronic form. On the urethra, intracellular pathogens penetrate above: into the prostate, bladder, ducts, causing them to clog. Chlamydia often cause a violation of potency, development of infertility, inflammation of the epididymis.
- Trichomoniasis. The disease is transmitted sexually, with later treatment or lack of it leads to the spread of infection to the prostate gland. Of course, in this case the sexual function suffers.
- Ureaplasmosis. The causative agent refers to intracellular microbes; the danger of the disease lies in the fact that the symptoms are often absent. As a result, a man and does not suspect the presence of infection, does not receive treatment. The disease takes on a chronic form.
- Syphilis. The disease is dangerous because it affects all organs and systems. Depending on the stage, the patient has changes in the body that lead to impotence, diseases of the nervous system.
- Gonorrhea. In the chronic course, prostatitis, epididymitis develops, infertility may develop.
How to Treat Impotence in Men After 50 Years?
If at the age of 30-40, the causes of impotence are the wrong way of life and psychogenic factors, then in men after 50 years old, these are aging of organs and their systems. Danger of impotence after 50 is also that it is completely impossible to cure it.
But by eliminating the causes, provoking it, and selecting the right treatment, you can significantly improve the patient's health, and improve the quality of his intimate life.
- Medicines for impotence come in several forms: Oral preparations (tablets Viagra, Cialis, Levitra, capsules, powders, drops), for local use - ointments, creams, gels, sprays, and various types of injections. Pricks for impotence in men can be done in different organs. In addition to intramuscular injections, the treatment of the disease is carried out by administering the drug into the urethra or into the cavernous bodies of the penis. In severe cases, treatment is performed surgically, if it is caused by trauma to the organs of the reproductive system. In addition to taking medication, treatment involves the maintenance of a correct lifestyle. An important role is played also by nutrition - the abundance of fatty and heavy food in the diet leads to increased cholesterol and liquefaction of blood, which slows down blood flow and reduces erection.
- Natural remedies: For the treatment of erectile dysfunction, it is possible to use the means of alternative medicine. Undoubtedly, they are not a panacea, but in the absence of an organic genesis of impotence they will be very useful. To maintain an erection, you can use a nut-honey mixture. It is prepared elementary - honey is mixed with walnuts (chopped) in equal proportions. It is advisable to use the mixture every day after eating. It is enough to eat 1 teaspoonful.
There are other natural recipes:
Recipe 1: Use a decoction of St. John's wort perfumed. Preparing the broth is simple - two shredded tablespoons of the plant are mixed with a glass of warm water. The drug should be infused for 20-30 minutes, then drain. Take the broth three times a day in a dosage of 50-100 ml.
Recipe 2: Decoction of sowing parsnip. Mix 6 teaspoons of sugar, 4 tablespoons of root vegetables and 500 ml of water. Boil the drug, then cool and strain. Take a decoction in a dosage of 1 tablespoon. In a day, take 3 tablespoons enough.
Recipe 3: Tincture of garlic. The method of preparation is simple - you need to put 700-800 grams of chopped garlic in a three-liter jar, then add boiled water to the jar. Insist that the drug should be used for a month, and periodically it must be shaken. Take a tincture in a dosage of 1 teaspoon (before meals). Multiplicity of application - 3 times a day.
How Do I Know if I Have Impotence or Temporary Sexual Dysfunction?
What is the difference between erectile dysfunction and impotence? The term "erectile dysfunction" is understood to mean a pathological condition that is characterized by a decrease in the quality of erections in men and as a result - the lack of opportunities for a full sexual intercourse (for the introduction of the penis into the vagina and maintaining the normal strength of the erection for the time required to complete a full sexual intercourse).
Thus, it is obvious that impotence is nothing but an extreme form of the development of erectile dysfunction. In other words, the term "erectile dysfunction" is a broader concept than impotence, and it combines all the impairments (ie, dysfunction) of the erectile capacity of the penis in men.
General symptoms of erectile dysfunction:
- weakening of erection: in the morning the penis is poorly erect, even during sexual intercourse it does not become sufficiently hard;
- during sexual intercourse, the penis loses its firmness, which does not enable it to be completed;
- ejaculation occurs with a weak erection or happens prematurely;
- complete or partial absence of an erection during intercourse.
Diagnosis of erectile dysfunction:
- Conversation with a specialist, completing a questionnaire, a specialist should collect information about the surgical interventions carried out on the organs of the urinary and reproductive systems, rectum, long-term medication and alcohol abuse;
- At the very beginning, a survey is conducted to assess the state of the cardiovascular, nervous, endocrine and reproductive systems;
- It is necessary to exclude serious diseases such as diabetes mellitus, hypogonadism, arterial hypertension, atherosclerosis, renal failure, neurological and psychiatric disorders;
- The next stage will be a thorough examination by a specialist: examination of the body of the penis, prostate gland (to exclude adenoma, prostatitis, tumor, cancer), measuring the size of the testicles (the smaller the size, the less male hormones are produced). It is also necessary to check sexual reflexes, to exclude the neurological cause of impotence;
- Carrying out an intracavernous vasoactive test. To determine the blood supply of the penis, drugs are used in a test dosage, this method estimates blood supply in the vessels of the penis;
- Fixation of nocturnal erections. Monitoring of nocturnal spontaneous erections is carried out for differential diagnosis of organic and psychogenic forms of ED, Normally, a man should have 5-6 erections per night;
- Determination of fasting blood glucose level, lipid profile, total testosterone;
- Ultrasonic dopplerography of the arteries of the penis.
How Does a Man Behave with Impotence: How to Recognize?
The earliest signs of a man with ED are the following:
- Very weak degree of excitement. This is the initial sign of manifestation of impotence. Also here is the insufficient hardness of the penis during the sexual intercourse.
- A man is not excited from things that should lead him into this state. Nevertheless, if spontaneous erection persists, the disorders are associated with mental disorders. When excitation is not at all, experts refer it to the organic form of impotence.
- A man is not able to control the ejection of sperm, which is called premature ovulation. Such phenomena are more associated with vascular disorders.
There are several characteristics that are typical for men with problems:
- The impotent man behaves with restraint. He does not insist on a night of love. In addition, he will joke from the invitation to visit. Quite often, it seems that he is respectable. In fact, a representative of the stronger sex is simply afraid to show his intimate weakness. From the outside, it may seem that he is very shy.
- Usually, such people, think a lot about the problems of sexual life. Therefore, they perceive with hostility all the jokes and flirting of the second half. That is, the impotent man can be recognized by excessive irritability.
- Many people of the stronger sex, overweight and many smokers have this problem. That is, obvious signs of an incorrect way of life speak about the presence of impotence.
- A man with signs of a beginner alcoholic is also unlikely to be a giant in bed.
The impotent man tries in every possible way to avoid sexual intercourse. They may refer to headache, fatigue, or late return from work. All direct suggestions about sex are ignored.