Another famous psychotherapist, Sigmund Freud, called potency disorders the most common failure in every man's life. And what is surprising is that many, many years have passed since then and this statement still holds true.
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 impact on pride and self-esteem.
Reasons for 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 this:
- 20% of men experience erectile dysfunction;
- 10% of men turn to a specialist with sexual problems;
- 80% of men note a decrease in potency associated with physiological disorders of the body;
- In 90% of cases, erectile dysfunction is completely curable.
- Agree, on the one hand - not everything is as scary as it seemed, on the other - the presence of physiological causes of erectile dysfunction is a good reason to suspect some 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, therefore, to a decrease in potency. Diabetes mellitus, atherosclerosis, cardiovascular and other diseases lead to vascular problems.
- Hormonal. Lack of testosterone (hypogonadism) is often seen in middle-aged and elderly men. Testosterone production can also be affected by an excess of its antagonist, prolactin.
- Iatrogenic. Sluggish potency develops against the background of a man who takes drugs prescribed, for example, for peptic ulcer, cardiovascular diseases and gout. Canceling drugs or replacing them with analogues will help solve the problem.
- Neurogenic. Erectile dysfunction occurs as a result of past illnesses, strokes, damage to the central nervous system and peripheral nerves. In ¾ of the cases, the causes of potency reduction are spinal cord injuries, ¼ - intervertebral hernia, neoplasms, multiple sclerosis and other diseases. The erection weakens due to the difficult passage into the cavernous bodies or the complete lack of nerve impulses.
Violations in lifestyle and potency
Very often, men forget that sexual power is largely influenced by how a person takes care of himself and his overall health.
It's no secret that smoking and regular alcohol consumption are some of the main causes of sexual failure. Also, men's health is affected by the presence of stress, frequent visits to the bathroom, improper diet. Eating an excessive amount of fatty foods (and even together with the intake of alcohol), a man 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 reasons for low potency
This type of major source of erectile function problems is worth considering separately. Young people are more likely to suffer from such disorders, in most cases - those who are just beginning to lead a sexual life.
The reasons for the weak potency in this case can be:
- in the presence of psychological trauma in childhood or adolescence, when parents have inspired their child that sex is something shameful, unworthy;
- in experiences due to lack of own experience, and therefore in fear of being ridiculed;
- in fear of infection with sexually transmitted diseases;
- in case of fears related to an unwanted pregnancy of a partner, etc.
According to experts, an adult man who has enough sexual experience behind him is fully capable of solving the psychological problems of erectile dysfunction. But young men often cannot do without professional help.
It is noteworthy that relations with a partner can become both a cause of problems (if they are not close enough) and a means of liberation from impotence (if they are warm, sincere).
Another important fact. If psychological factors can be the cause of low potency by themselves, then organic erectile dysfunction is always accompanied by a psychogenic component. As a result, after removing the root cause of the problems, psychological difficulties come to the fore and interfere with a man's normal sex life.
How to identify the cause of erectile dysfunction
- Urogenital diseases are diagnosed by an andrologist or urologist. You will need to have a blood test, sperm and biopsies and undergo an ultrasound.
- Hormonal disorders will be detected by an endocrinologist. The doctor will recommend to undergo an ultrasound examination and computer tomography of the endocrine glands, to donate blood for hormones.
- Vascular disorders will be established by a vascular surgeon. Examinations are performed with Doppler ultrasound and functional tests showing the level of blood supply to the penis.
- Diseases of the brain and spinal cord, the peripheral nervous system will help to 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 discovered by a psychotherapist, psychiatrist or sexologist. Diagnostic methods in this case are psychological tests, conversations with the patient.
5 main causes of potency problems: 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 "failures".
Hormonal imbalance or where do men get female hormones?
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, on the contrary, may be increased.
Of course, this is not good.
What to do?
- Pass special tests. Find out exactly which hormones you are missing and which are "going 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 tests should be done?Donating biomaterials for anything is an unpleasant and expensive activity. Ask a urologist. He will conduct an examination, analyze your complaints and tell you what tests to pass.
He will then choose the right hormone-containing preparations for you. Or he will prescribe a treatment so that the body "remembers" how many hormones it needs to produce.
What is the forecast?With a correctly selected course of treatment and implementation of the doctor's recommendations, the prognosis is positive - the potency, as a rule, is 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 latent state", waking up under certain conditions.
Who is to blame?Infections and harmful bacteria can occur mainly for two reasons:
- Doubtful "contacts" with no means of protection.
- The reproduction of microorganisms that constantly live in each person in small quantities. Usually, such microorganisms awaken 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 I do?There are many types of infectious diseases. Doing tests for all types is a waste of time and money. Visit a urologist, list all your symptoms, 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 make a diagnosis and prescribe medications and procedures.
What is the forecast?Today, the majority of infectious lesions are perfectly curable.
Inflammation: From pain to impotence - 1 step!
What are we talking about?Prostatitis, epididymitis, urethritis, vesiculitis, cystitis and others - all, as you 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 process of ejaculation, while walking, lifting weights and even at rest.
Who is to blame?Quite often the person 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 dental caries), unhealthy habits, casual relationships, infections, attempts at self-medication, uncontrolled intake of antibiotics, etc. medicines.
All this gradually accumulates - until a focus of inflammation forms in one of the organs.
What to do?Diagnose and treat. The sooner, the less damage will be done to the body. Inflammations cause problems not only with potency - they can lead to infertility. The ideal is to have recovery time in the acute stage. But this is not always the case - often people come to the doctor already with a chronic form.
What is the forecast?Acute inflammation can be cured quite quickly. And if you take care of yourself and do not neglect the doctor's recommendations, then relapses (repeated exacerbations) may not occur.
Chronic inflammation is also treatable. 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 vessels of the penis due to the formation of atherosclerotic plaques.
What is happening?A normal erection requires a rapid flow of blood to the penis. If there are atherosclerotic plaques or blood clots in the blood vessels, the blood flow slows down and the potency deteriorates. Complete blockage of the blood vessels leads to absolute impotence.
Who is to blame?Improper nutrition, sedentary lifestyle, bad habits, too frequent or vice versa, too rare sexual contacts, diseases of the cardiovascular system, pressure spikes, etc.
What to do?Look for the reason. Along with the urologist. Usually, special hardware studies are conducted for this:
- Doppler imaging of vessels
- Erectile function test
- Biothesiometry
What is the forecast?Depending on the condition of your vessels, they must either be freed from atherosclerotic plaques or new vessels must be grown. The doctor will determine which method is more suitable in your case.
Complex apparatus treatment is necessary - vacuum LOD therapy, shock wave therapy, magnetolaser therapy. A good effect is achieved when these techniques are combined with PRP therapy 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 entire course of treatment 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 region directly affect the health of the pelvic organs in men.
What is happening?Due to osteochondrosis, intervertebral hernia, displacement of the vertebrae, blood circulation is disturbed, nerve endings can be disturbed. This causes pain and numbness. And as a result - potency disorders.
What to do?Take a course of treatment together with a urologist and a neurologist - here you need drugs, massage, acupuncture, specially developed 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 forecast?If you have not progressed to the point where you need spine surgery, then the prognosis is very comforting. With simultaneous treatment by a neurologist and a urologist, a relatively quick recovery and restoration of potency is possible.
If you are shown spine surgery, then the recovery will be much longer and quite complicated. Do not come to surgery - consult a doctor in time!
Examination by a urologist for potency problems
Initial meeting with a urologist-andrologist
- inspection
- ultrasound of the prostate
- bladder ultrasound
- Doppler examination of blood vessels - for potency problems
- Erectile function test - for potency problems
- Biothesiometry - for problems with potency and early ejaculation
- Consultation with a doctor, assessment of test results
Erectile dysfunction: types, causes and methods of treatment
Men of every nationality, no matter where they live and no matter what age they are, worry about problems with their own penis. They are especially frightened when the erect penis is not hard enough, not "working" and it is impossible to have sexual intercourse. This disorder is called erectile dysfunction or impotence.
It should be noted that almost all representatives of the strong half of humanity for 20 years and more are faced with poor erection quality. But it is possible to accept the presence of this disorder of sexual function only if 25% of the cases of intimate communication are defective (every fourth intercourse occurs with "failure").
Erectile dysfunction becomes a real tragedy for a man, he suffers from it physically and psychologically, so it must be treated immediately.
Characteristics and symptoms of impotence
There are such signs of erectile dysfunction:
- lack of sexual desire. Reluctance to intimacy, i. e. libido disorder, occurs when the production of testosterone (male hormone), depression due to stress, frequent fatigue, bad condition after a quarrel with a sexual partner;
- slow erection, as a consequence of vascular diseases, etc. ;
- lack of ejaculation due to psychological factors;
- anorgasmia - lack of orgasm, as a rule, is also related to psychology.
Types of disorder are determined by its causes:
- organic - autoimmune diseases, hypertension, diabetes and a number of other serious diseases;
- psychogenic - problems with the partner, overstrain, stress;
- mixed.
According to statistics, almost 80% of erectile dysfunction cases are related to organic problems.
Each of the above types has its own characteristics. Psychological impotence appears suddenly, immediately, but the morning erection remains at the required level and the arousal of the penis continues throughout the intercourse.
Organic erectile dysfunction occurs 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.
In the mixed nature of the disorder, both of the above factors occur simultaneously for appropriate reasons.
Causes of impotence
It is recommended to list the most common causes of this disorder of male sexual function:
- Taking drugs or some other substances. We are talking about the use of drugs that reduce the activity of the cerebral cortex and thus reduce the production of testosterone, antidepressants, anti-allergens, etc. This also includes alcohol and drugs.
- Psychological factors are standard - depression, constant stress, severe neuroses. Inconsistencies in addictions and desires in sex with a partner or bad relations with her, fear of failure in sexual contact, banal fatigue at work. A lot depends on the partner - her excessive persistence or the "wrong" word that flew out can contribute to the 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 male hormone production, which is due to genetic failures, tumors, infections and old age. Obesity also changes the hormonal background, and since this problem also affects 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 impotence. The latter disrupts the blood flow to the genitals through the arteries, which is necessary for an erection, so it is weak or completely absent. In addition, problems with the veins lead to rapid arousal of the penis, but it quickly disappears and intercourse cannot be completed normally.
Difficulties with blood vessels in general are dangerous for the male population of the Earth. Disruption of their inner shell is characteristic of people suffering from autoimmune diseases, as well as those who smoke a lot. There is also a disease called penile angiospasm, characterized by impaired blood circulation in the vessels of the penis.
Be careful with your 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 disorder is a frenulum defect, a longitudinal skin fold. It is located between the head of the penis and the foreskin and has the following purpose: when excited, it opens the head, regulates its bending and prevents its movement. If the frenulum is short, then the man will feel pain during intercourse, even spotting may occur.
In addition, such a defect leads to early ejaculation, so the man gets used to abstaining 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 operative dissection of the frenulum. The operation is simple, takes little time and is well practiced.
Separately, it should be said about injuries to the genital organ (bruises, burns, gunshot and stab wounds, accidents) leading to impotence. If you get them, you should immediately consult a doctor for help, and the sooner this happens, the more likely you are to avoid complete irreversible erectile dysfunction.
- breakage of the penis during rough intercourse, impact or bending. There is a rupture of the cavernous bodies dangerous for the potency, there is severe pain, hematoma, the organ swells. Depending on the severity of the situation, compresses or surgery may be prescribed as treatment;
- fall injury, exercise, in combat. Such a closed injury violates the urethra, manifests itself with a hematoma, pain when walking. Treatment - non-steroidal analgesics, compresses, rarely - surgical;
- burns from chemicals, boiling water, ultraviolet rays;
- subcutaneous hemorrhage, in which blood vessels are damaged, edema appears. It is dangerous because during healing, scars can form, which 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 sexual contact, which sooner or later usually leads to the impossibility of an erection.
Hypothetically dangerous and some operations. So, the famous composer Andrew Lloyd Webber, author of the world-famous musicals "Cats" and "Phantom of the Opera", announced publicly: he is impotent and became so after the operation - he had a prostate tumor. Such a surgical intervention can indeed cause impotence, but in this case doctors save a person's life. However, if you are regularly examined by a urologist, prostate cancer or prostate adenoma can be detected at an early stage and its treatment can be started in time. Then such an operation leading to the loss of sexual function will not be necessary.
Treatment
Every modern person, from young to old, is inevitably subjected to stress in the life cycle. Some have bad habits, are malnourished and are inactive due to the specifics of the job. All this leads to deterioration of health, including in the sexual sphere. Modesty does not allow a person to go to the doctor and admit his impotence, but this is a wrong idea.
In any case, whatever the causes and manifestations of erectile dysfunction, you should immediately contact a specialist. Currently, sexologists can help in the fight against various cases of impotence, since they have a huge arsenal of tools for this.
Warning: self-medication of this sexual disorder is dangerous, because pills and devices to maintain an erection, advertised everywhere, help for a while and can even harm. Using them will waste valuable time, during which the problem will only get worse.
It should be noted that very rarely the treatment is the use of a method that eliminates the factor of pathology. As a rule, an integrated approach is much more effective, especially if the case (and this happens often) 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 deal with the uncertainty that has developed when impotence occurs.
Of course, erectile dysfunction is not a deadly problem, but because of it, a man's quality of life decreases, his health and mood deteriorate, and families break up. Hence, it is essential to get rid of it.
Impotence has long ceased to be a sentence. If a person has the first signs, symptoms, then he just needs to seek help from a urologist. Early impotence develops most often against the background of inflammatory processes, sexually transmitted diseases - their treatment has long been fast and successful with timely access to specialists.