Another famous psychotherapist Sigmund Freud called potency disorders the most common failure in every man's life. And the surprising thing is that many, many years have passed since then and this statement is still relevant.
Modern medicine has learned to solve problems with potency, there are many diagnostic and treatment technologies. But to this day, for a man, any difficulties in the intimate sphere have a strong blow to pride and self-confidence.
Causes of a decrease in potency in men
To dispel a number of myths related to this issue, let's first talk a little about statistics.
Do you know:
- 20% of men experience erectile dysfunction;
- 10% of men turn to a specialist with sexual problems;
- 80% of men notice a decrease in strength associated with physiological disorders in the body;
- In 90% of cases, erectile dysfunction can be completely treated.
- Agree, on the one hand - not everything is as scary as it seemed, on the other hand - the presence of physiological causes of erectile dysfunction is a good reason to suspect any disease.
- So the organic causes of impotence can be as follows.
- Vascular. Damage to the vascular walls leads to disruption of the blood supply to the penis and, consequently, to a decrease in strength. Diabetes mellitus, atherosclerosis, cardiovascular and other diseases lead to vascular problems.
- Hormonal. Lack of testosterone (hypogonadism) is often seen in middle-aged and older men. The production of testosterone can also be disrupted by an excess of its antagonist, prolactin.
- Iatrogenic. Sluggish strength develops against the background of a man taking prescribed medications, for example, for stomach ulcers, cardiovascular diseases and arthritis. Cancellation of drugs or their replacement with analogues will help to solve the problem.
- Neurogenic. Erectile dysfunction occurs as a result of previous diseases, strokes, damage to the central nervous system and peripheral nerves. In ¾ of the cases, the causes of the decrease in strength are spinal cord injuries, ¼ - intervertebral hernia, neoplasms, multiple sclerosis and other diseases. The erection weakens due to difficult passage into the hollow bodies or the complete absence of nerve impulses.
Lifestyle and potency disorders
Very often, men forget that sexual potency is greatly influenced by how a person takes care of himself and his general health.
It is no secret that smoking and regular alcohol consumption are one of the main causes of sexual failure. Men's health is also affected by the presence of stress, frequent visits to the bath, improper diet. Eating an excessive amount of fatty food (and even together with alcohol intake) provokes an increase in body weight and an increase in the production of female sex hormones. As a result, this lifestyle can lead not only to erectile dysfunction but also to infertility.
Psychological causes of weak strength
This type of primary source of erectile function problems is worth considering separately. Young people are more likely to suffer from such ailments, in most cases - those who have just started to live a sexual life.
The reasons for poor strength in this case may lie:
- in the presence of childhood or adolescent psychological trauma, when parents inspired their child that sex is something shameful, undignified;
- in experiences due to the lack of own experience, and therefore in fear of being ridiculed;
- in fear of contracting sexually transmitted diseases;
- in fear associated with an unwanted pregnancy by a partner etc.
According to experts, an adult man who has enough sexual experience behind him is quite capable of solving the psychological problems of erectile dysfunction. But young men often cannot do without professional help.
Remarkably, relations with a partner can become both a cause of problems (if they are not close enough) and a means of getting rid of impotence (if they are warm, sincere).
Another important fact. If psychological factors can be the cause of weak potency in itself, then organic erectile dysfunction is always accompanied by a psychogenic component. As a result, after eliminating the main cause of the problems, psychological difficulties come to the fore and disrupt a man's normal sexual life.
How to identify the cause of erectile dysfunction
- Urogenital diseases are diagnosed by an andrologist or urologist. You must take a blood sample, semen and biological smears and undergo an ultrasound.
- Hormonal disorders will be detected by an endocrinologist. The doctor will recommend to undergo an ultrasound examination and computed tomography of the endocrine glands, donate blood for hormones.
- Vascular diseases will be determined by a vascular surgeon. Examinations are carried out using Doppler ultrasound and functional tests that show the level of blood supply to the penis.
- Diseases of the brain and spinal cord, the peripheral nervous system will help identify a neurologist. You will be assigned electroencephalography, tomography of the spinal cord and brain, rheoencephalography, electromyography.
- The psychological causes of sexual disorders can only be found by a psychotherapist, psychiatrist or sexologist. Diagnostic methods in this case are psychological testing, conversations with the patient.
5 main reasons for problems with potency: Age has nothing to do with it!
Age, fatigue, lack of sleep, stress. Forget those words! None of these conditions affect potency and libido if the man is physically healthy.
If you decide to try different erection stimulants (pharmacy and not), don't be too lazy to start finding out what actually causes "misfires".
Hormonal imbalance, or where do men get female hormones from?
What are we talking about?Decreased levels of male hormones and/or increased levels of female hormones.
Who is to blame?Normally, a man's body produces a large amount of male hormones and a small amount of female hormones. Alcohol, smoking, malnutrition, irregular sex life, beriberi, liver disease - all this (and not only! ) sooner or later leads to:
- the production of male sex hormones is reduced,
- and the production of women may, on the contrary, increase.
Of course it's not good.
What to do?
- Pass special tests. Find out exactly which hormones are missing and which are "wild".
- Determine the scope of the problem.
- Replenish your body with the missing hormones.
- Suppress the production of excessive amounts of female hormones.
- Restore the body's ability to produce hormones in the right amount (no more, no less).
What kind of test should be done?Donating biomaterials for everything is an unpleasant and expensive occupation. Ask a urologist. He will conduct an investigation, analyze your complaints and tell you which tests you need to pass.
He will then select the hormone-containing preparations that suit you. Or he will prescribe a treatment so that the body "remembers" how much hormones to produce.
What is the prognosis?With a correctly selected course of treatment and implementation of the doctor's recommendations, the prognosis is positive - strength is usually restored. Any age.
Infections of various origins
What are we talking about?Sexually transmitted diseases (STDs), or infections that are in the body "in a dormant state", wake up under certain conditions.
Who is to blame?Infections and harmful bacteria can mainly occur for two reasons:
- Doubtful "contacts" without means of protection.
- Reproduction of microorganisms that constantly live inside every person in small quantities. Typically, such microorganisms wake up in diseases of the internal organs when the immune system weakens.
What to do?Both must be identified and destroyed. The earlier the better.
What tests should be taken?There are many types of infectious diseases. Taking samples for all types is a waste of time and money. Visit a urologist, write all your symptoms to him, tell him in detail about your feelings when urinating, during or after intercourse, undergo an examination and ultrasound.
An experienced urologist will collect all this information and make a list of necessary laboratory tests. Then, based on their results, he will establish a diagnosis and prescribe drugs and procedures.
What is the prognosis?Today, the vast majority of infectious lesions are perfectly treatable.
Inflammation: From Pain to Impotence - 1 Step!
What are we talking about?Prostatitis, epididymitis, urethritis, vesiculitis, cystitis and others - all, as you have noticed, with the suffix "-IT". Conditions that bring men suffering from pain, cramps, burning, high fever and other unpleasant sensations.
These sensations can occur during or after urination, during intercourse or in the ejaculation process, while walking, lifting weights and even at rest.
Who is to blame?Quite often the man himself is to blame. Hypothermia and conversely overheating, ignoring the first symptoms of diseases (not only urological, the cause of inflammation can even be untreated caries), unhealthy habits, accidental conditions, infections, attempts at self-medication, uncontrolled intake of antibiotics and other drugs.
All this accumulates gradually - until a focus of inflammation is formed in one of the organs.
What to do?Diagnose and treat. The sooner, the less damage will be done to the body. Inflammation not only causes problems with potency – it can lead to infertility. The ideal option is to have time to recover in the acute phase. But this is not always the case - often people already come to the doctor with a chronic form.
What is the prognosis?Acute inflammation can be cured quite quickly. And if you take care of yourself and do not neglect the doctor's recommendations, relapses (repeated exacerbations) may not occur.
Chronic inflammation can also be treated. But the treatment takes a little longer. And there is a high probability of repeated exacerbations as a result of colds or stress.
Vascular problems: No blood - no erection!
What are we talking about?Partial or complete blockage of the penile vessels due to the formation of atherosclerotic plaques.
What happens?A normal erection requires rapid blood flow to the penis. If there are atherosclerotic plaques or blood clots in the blood vessels, the movement of the blood slows down and the strength deteriorates. Complete blockage of blood vessels leads to absolute impotence.
Who is to blame?Improper diet, sedentary lifestyle, bad habits, too frequent or, conversely, too infrequent sexual contacts, diseases of the cardiovascular system, increases in pressure, etc.
What to do?Look for the reason. Together with the urologist. Usually, special hardware studies are performed for this:
- Dopplerography of vessels
- Erectile function test
- Biothesiometry
What is the prognosis?Depending on the condition of your vessels, they must either be freed of atherosclerotic plaques or new vessels must be grown. The doctor will decide which method is more suitable in your case.
There is a need for extensive device treatment - vacuum LOD therapy, shock wave therapy, magneto-laser therapy. A good effect is achieved when these techniques are combined with PRP treatment and intravenous injections.
The first positive results appear almost immediately. It is important not to stop at this stage, otherwise everything will return to normal very quickly. Do not be lazy, go through the course of treatment completely to consolidate the effect for a long time.
Diseases of the lumbosacral spine
What are we talking about?Diseases of the spine in the lumbar and / or sacral regions directly affect the health of the pelvic organs in men.
What happens?Due to osteochondrosis, intervertebral hernia, displacement of the vertebrae, blood circulation is disturbed, nerve endings can be violated. This causes pain and numbness. And as a result - violations of potency.
What to do?Go through a course of treatment together with a urologist and a neurologist - here you need medicine, and massage, and acupuncture, and specially designed exercises and physiotherapy (magnet, UVT, laser). Such therapy quickly relieves pain, helps restore normal urination, improves blood circulation and restores lost sensitivity.
What is the prognosis? If you have not brought yourself to the point where you need back surgery, then the prognosis is very comforting. With simultaneous treatment by a neurologist and a urologist, a fairly quick recovery and restoration of strength is possible.
If you are shown surgery on the spine, then the recovery will be much longer and quite complicated. Do not take it with you to the operation - see a doctor in time!
Examination by a urologist for potency problems
Primary appointment with a urologist-andrologist
- Inspection
- prostate ultrasound
- bladder ultrasound
- Doppler examination of blood vessels - for problems with potency
- Erectile function test - for problems with potency
- Biothesiometry - for problems with potency and early ejaculation
- Medical consultation, evaluation of examination results
Erectile dysfunction: types, causes and treatment methods
Men of every nationality, no matter where they live and no matter what age they are, are concerned about problems with their own penis. They are especially afraid when the erect penis is not hard enough, not "usable" and it is impossible to have intercourse. This disorder is called erectile dysfunction or impotence.
It should be noted that almost all representatives of the strong half of humanity from the age of 20 and older are faced with poor quality erections. But it is possible to assume the presence of this disorder of sexual function only if 25% of the cases of intimate communication are defective (every fourth intercourse occurs with a "misfire").
Erectile dysfunction becomes a real tragedy for a man, he suffers from it physically and mentally, so it must be treated immediately.
Characteristics and symptoms of impotence
There are such signs of erectile dysfunction:
- lack of sexual desire. The reluctance to intimacy, that is, a violation of libido, occurs with a decrease in the production of testosterone (male hormone), depression due to stress, frequent fatigue, a bad state after an argument with a sexual partner;
- sluggish erection, as a result of vascular disease, etc. ;
- lack of ejaculation due to psychological factors;
- anorgasmia - the absence of orgasm is usually also associated with psychology.
The types of disorder are determined by its causes:
- organic - autoimmune diseases, hypertension, diabetes and a number of other serious diseases;
- psychogenic - problems with a partner, overload, stress;
- mixed.
According to statistics, almost 80% of cases of erectile dysfunction are associated with organic problems.
Each of the above types has its own characteristics. Psychological impotence occurs suddenly, immediately, but the erection in the morning remains at the right level, and the excitation of the penis continues throughout intercourse.
Organic erectile dysfunction manifests gradually. Sexual desire is present, orgasm occurs, but the penis loses its hardness in the process of intimacy. Every day the erection weakens. This indicates the presence of a disease.
With the mixed nature of the disorder, the two aforementioned factors appear simultaneously for appropriate reasons.
Causes of impotence
It is advisable to list the most common causes of this disorder in male sexual function:
- Taking medication or certain other substances. We are talking about the use of drugs that reduce the activity of the cerebral cortex and thereby reduce the production of testosterone, antidepressants, anti-allergens, etc. This also includes alcohol and drugs.
- Psychological factors are standard - depression, constant stress, severe neurosis. Discrepancies in addiction and desires in sex with a partner or a bad relationship with her, fear of failure in intercourse, banal fatigue at work. Much depends on the partner - her excessive persistence or the "wrong" word thrown out can contribute to a weakening of the erection.
- Various neurological diseases, circulatory disorders, injuries to the penis, pelvis or perineum, etc.
- Abnormal functionality of the endocrine system implies a violation of the production of the male hormone, which is caused by genetic failures, tumors, infections and old age. Obesity also changes the hormonal background, and since this problem has now also affected young representatives of the strong half of humanity, doctors are concerned that impotence is increasingly being diagnosed in this part of the population.
In addition to the above, epilepsy, penile trauma and vascular sclerosis can contribute to the onset of impotence. The latter disrupts the blood supply to the genitals through the arteries, which is necessary for an erection, so it is either weak or completely absent. In addition, problems with the veins lead to rapid excitation of the penis, but it quickly disappears, and intercourse cannot be completed normally.
Difficulties with blood vessels are generally dangerous for the male population on Earth. Violation of their inner shell is common for people suffering from autoimmune diseases, as well as for those who smoke heavily. There is also a disease called penile angiospasm, characterized by reduced blood circulation in the penile vessels.
Be careful with manhood
The cause of impotence is sometimes congenital anomalies of the penis. Such is the rare Peyronie's disease - the opening of the urethra is located incorrectly.
Another natural violation is a defect in the frenulum, a longitudinal fold of skin. It is located between the head of the penis and the foreskin and has the following purpose: when excited, open the head, regulate its bending and prevent it from moving. If the frenulum is short, the man will experience pain during intercourse, even spotting may occur.
In addition, such a defect leads to early ejaculation, so a man gets used to restricting himself during sex in order to prolong it. As a result, this is fraught with erectile dysfunction in a stable form. All can be corrected very quickly and easily by surgically dissecting the frenulum. The operation is simple, takes a short time and is well practiced.
Separately, it must be said about injuries to the genitals (bruises, burns, gunshot and stab wounds, accidents) that lead to impotence. If you receive them, you should immediately consult a doctor for help, and the sooner this is done, the more likely it is to avoid completely irreversible erectile dysfunction.
- breakage of the penis during hard intercourse, blows or bending. There is a dangerous rupture of the cavernous bodies for strength, there is severe pain, a hematoma, the organ swells. Depending on the severity of the situation, compresses or surgery may be prescribed as treatment;
- injury from a fall, exercise, in a fight. Such a closed injury violates the urethra, is manifested by a hematoma, pain when walking. Treatment - non-steroidal analgesics, compresses, rarely - surgery;
- burns from chemicals, boiling water, ultraviolet rays;
- subcutaneous bleeding, where blood vessels are damaged, swelling occurs. It is dangerous because during healing, scars can form that can become an obstacle to blood flow, without which an erection is impossible. A cold compress can help.
Impotence can be caused by a combination of anatomical and psychological factors: a person after an injury had sex and experienced very strong pain. In the future, on a subconscious level, he will be afraid to have intercourse, which sooner or later will generally lead to the impossibility of an erection.
Hypothetically dangerous and some operations. So the famous composer Andrew Lloyd Webber, the author of the world-famous musicals "Cats" and "The Phantom of the Opera", publicly declared: he is impotent and became so after the operation - he had a prostate tumor removed. Such a surgical intervention can really cause impotence, but in this case doctors save a person's life. However, if you regularly undergo examinations by a urologist, then prostate cancer or adenoma can be detected at an early stage and treatment can be started on time. Then such an operation leading to loss of sexual function will not be necessary.
Treatment
Every modern man, from young to old, is inevitably exposed to stress in the life cycle. Some have bad habits, malnourished and inactive due to the special conditions of the work. All this leads to a deterioration of health, including in the sexual sphere. Modesty does not allow a man to go to the doctor and admit his impotence, but this is a false idea.
In any case, regardless of the causes and manifestations of erectile dysfunction, you should immediately contact a specialist. Currently, sexologists are able to help in the fight against various cases of impotence, as they have a huge arsenal of tools for this.
Warning: Self-treatment of this sexual disorder is dangerous, as erectile support pills and devices that are advertised everywhere help for a while and can even harm. Their use will lead to the loss of precious time, with the problem only getting worse.
It should be noted that the treatment is very rarely the use of a single method that eliminates the pathology factor. As a rule, an integrated approach is much more effective, especially if the matter (and it often happens) is neglected. This method of dealing with erectile dysfunction quickly restores sexual function by eliminating the factors that led to the disorder and helps the patient cope with the uncertainty that developed when impotence occurred.
Of course, erectile dysfunction is not a fatal problem, but because of it, the quality of a man's life decreases, his health and mood deteriorate, and families collapse. Therefore, it is important to get rid of it.
Impotence has long ceased to be a sentence. If a man has the first signs, symptoms, then he just needs to seek help from a urologist. Early impotence most often develops against the background of inflammatory processes, STDs - their treatment has long been quick and successful with timely access to specialists.