Who is impotent and how to “get back on track” again?
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According to statistics, about 30 million men suffer from erectile dysfunction (ED). The risk of developing this condition increases significantly with age. Impotence negatively affects sexual activity, causes depression, stress and low self-esteem. This section describes what causes impotence and what treatment options are available.
Contents of the article:
What is impotence
Impotence is the inability to achieve and maintain an erection during sexual intercourse. Problematic episodes with potency are not a cause for concern. However, systematic dysfunction serves as an important argument in favor of a violation of psycho-emotional states.
The processes associated with sexual activity are complex and highly oriented. In men, arousal involves systemic interactions between the brain, endocrine, neuromuscular and circulatory systems. All of them promote physiological erection (without the use of aphrodisiacs or phytostimulants).
Local disturbances or combinations of interactions may cause impotence. For example, dysfunction caused by vascular problems may be exacerbated by subsequent stress or mental health problems.
What are the reasons?
The ability to achieve an erection depends not only on physiological disorders, but also on a number of external factors. Often fear and embarrassment make men put off visiting a doctor. This is highly undesirable. For seemingly obvious reasons, serious pathology of the reproductive and urinary systems may be hidden. Let”s look at the most common causes of impotence.
- Endocrine diseases
The function of the endocrine system is to synthesize hormones that regulate metabolism, sexual activity, reproductive function and the stability of the psycho-emotional background.
Diabetes is one of the few impotence diseases that affects the body”s ability to process the hormone insulin. Complications associated with diabetes: nerve damage, abnormal pulse, insufficient blood supply to organs, imbalance of sex hormones, obesity.
- Neurological disorders
Neurological disorders can directly affect the brain”s regulation of the reproductive system. Conditions that can cause impotence:
Surgery on the prostate, penis, or even long bike rides can cause nerve damage. Pressure on the gluteal muscles and genitals disrupts blood flow and causes temporary sexual potency.
- Taking medications
The use of certain medications can affect blood flow and lead to ED. These drugs include: diuretics (for example, pioglitazone).
- Alpha — blockers (tumsozulin);
- Beta blockers (metoprolol);
- Chemotherapy drugs (cimetidine);
In addition, diuretics (spironolactone, furosemide) contain suppressive potential:
- Diseases of the cardiovascular system
Conditions affecting the heart”s ability to pump blood, which can lead to impotence due to insufficient blood supply to the penis. Scarring, tumors, blockage by cholesterol plaques (atherosclerosis), blockage by blood clots or emboli, hypertension: compression of blood vessels in hypertension: a condition that increases the risk of ED in men.
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To achieve an erection, a person must go through the so-called arousal phase. This may represent an emotional reaction. If depression, anxiety, sadness or insomnia tend to linger, the first phase may be greatly impaired or absent altogether.
Another prerequisite for ED is dissatisfaction with sex with a partner. This can lead to problems with ejaculation, erectile dysfunction during masturbation, or “morning inactivity.”
Alcohol and drug abuse can affect potency. Sexual impotence is caused by daily consumption of toxic substances, even in small doses, which disrupt the coordinated functioning of the brain and reproductive system.
Manifestations of impotence
The main clinical signs of ED occur in men aged 20 years and older. Such signs include:
- Inability to achieve penile erection.
In many cases, both the absence of spontaneous erection (in the morning or evening) and adequate erection can be observed. If erections are insufficient and remain spontaneous, impotence is most likely caused by psychogenic factors. Violations of both forms of erectile function indicate organic pathology.
An equally important symptom is a weakening of the strength and duration of an erection. At the same time, there is a lack of penis hardness during sexual activity. In this case, impotence may be a sign of disorders of the vascular, nervous and endocrine systems. Less commonly, this condition can be caused by psychological and emotional instability.
What to do? Now the regime is “impotent”
- Inability to maintain an erection
Premature ejaculation is one of the first signs of ED. Uncontrolled ejaculation can occur both at the beginning of sexual intercourse and before it. A contributing factor in its development are systemic diseases of the vascular system.
This is important to consider. Experts found that in 10 out of 12 cases, sexual dysfunction occurred against the background of psychological and emotional disorders. If symptoms of dysfunction are detected, you should contact a specialist for diagnosis and determine a further treatment plan.
Treatments for impotence
Treatment aimed at eliminating the cause and restoring sexual activity is comprehensive. This is a combination of drug treatment, lifestyle changes and psychological correction.
- Drug therapy
The best medications are phosphodiesterase type 5 (PDE5) inhibitors. The action of the inhibitor is aimed at expanding and relaxing the lateralization of blood vessels and ensuring blood flow to the penis.
It is important to note that the drugs do not work without sexual stimulation. These drugs are not aphrodisiacs and are not needed by men with normal erections.
Treatment plans are tailored individually, taking into account the condition and degree of ED.
- Surgical treatment
The surgical intervention is carried out in accordance with the requirements of the man and includes
A prosthesis, which is a semi-rigid flexible rod or inflatable implant. With an inflatable implant, the cylinder in the penis is inflated with air. The pump moves fluid from a reservoir located in the lower abdomen into a cylinder, stimulating an erection.
- Lifestyle correction
ED diets rich in green vegetables, whole grains, and fish significantly reduce ED symptoms. This tactic helps manage weight and minimizes the risk of developing cardiovascular disease. In addition, it is necessary to give up bad habits, engage in physical activity and prepare for recovery.
If ED is caused by relationship stress, anxiety, or tension, individual and joint visits to a sexologist and psychologist will be an important component of treatment.
As many men age, they experience erection problems. However, such situations can be prevented and brighten up your intimate life even more. Consulting a psychologist, timely treatment and maintaining a healthy lifestyle can help improve sexual activity and neutralize the symptoms of impotence.
