Another well-known psychotherapist, Sigmund Freud, called failure potency disorders the most common in the life of any man. And what is surprising is that many years have passed since then, and this statement still remains relevant.
Modern medicine has learned how to solve problems with potency, there are many diagnostic and treatment technologies. But until today, for a man, any difficulty in the intimate sphere is a 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 bit about stats.
Do you know this:
- 20% of men suffer from erectile dysfunction;
- 10% of men turn to a specialist for sexual problems;
- 80% of men notice a decrease in potency associated with physiological disorders in the body;
- In 90% of cases, erectile dysfunction is completely treatable.
- Agree, firstly - not everything is as scary as it seems, secondly - the presence of physiological causes of erectile dysfunction is a good reason to suspect a disease.
- So, the organic causes of impotence can be as follows.
- Vascular. Damage to the vascular walls leads to a disturbance in the blood supply to the penis and, as a result, 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 older men. The production of testosterone can also be hampered by an excess of its antagonist, prolactin.
- Iatrogenic. Slow potency develops against the background of a man taking prescribed medications, for example, for peptic ulcers, cardiovascular diseases and gout. Canceling drugs or replacing them with analogues will help 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 cases, the reasons for the decrease in potency are spinal cord injuries, ¼ - intervertebral hernia, neoplasms, multiple sclerosis and other diseases. The erection weakens due to difficult passage through the cavernous bodies or the complete absence of nerve impulses.
Lifestyle and potency disorders
Very often, men forget that sexual strength is largely influenced by how well a person takes care of themselves and their overall health.
It's no secret that smoking and regular alcohol consumption are one of the main causes of sexual failure. In addition, men's health is affected by the presence of stress, frequent visits to the bath, poor diet. Eating an excessive amount of fatty foods (and even with the consumption 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 causes of low potency
This type of primary 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 low potency in this case may be:
- in the presence of a psychological trauma from childhood or adolescence, when the parents have inspired their child that sex is something shameful, unworthy;
- in experiences due to the lack of one's own experience, and therefore in fear of being ridiculed;
- for fear of contracting sexually transmitted diseases;
- in the fears associated with an unwanted pregnancy of 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 trouble (if they are not close enough) and a way to get rid of impotence (if they are warm, sincere).
Another important fact. If psychological factors alone can be the cause of low potency, then organic erectile dysfunction always comes with a psychogenic component. As a result, after eliminating the root cause of the problems, psychological difficulties appear 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 blood, sperm and smear tests, and undergo an ultrasound.
- Hormonal disorders will be detected by an endocrinologist. The doctor will recommend to undergo ultrasound and computed tomography of the endocrine glands, to donate blood for hormones.
- Vascular disorders will be determined by a vascular surgeon. Studies are carried out by means of Doppler ultrasound and functional tests showing the level of blood supply to the penis.
- Diseases of the brain and spinal cord, 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 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 in good physical health.
If you decide to try various erection stimulants (both in pharmacies and not), do not be too lazy to begin to understand what really causes "misfires".
Hormonal imbalance or where do men get female hormones from?
What are we talking about?Decreased male hormone levels and/or increased female hormone levels.
Who is guilty?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, can increase.
Of course, that's not good.
What to do?
- Pass special tests. Find out exactly which hormones are missing and which are "running wild".
- Establish the extent 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 sufficient quantities (no more, no less).
What kind of tests should be done?Giving biomaterials for everything is an unpleasant and expensive occupation. Ask a urologist. He will conduct an examination, analyze your complaints and tell you which tests to take.
Then he will select the preparations containing hormones that are suitable for you. Or he will prescribe a treatment so that the body "remembers" the quantity of hormones to produce.
What is the prognosis?With properly selected treatment and the implementation of doctor's recommendations, the prognosis is positive - potency, as a rule, is restored. All ages.
Infections of various origins
What are we talking about?Sexually transmitted diseases (STDs), or infections that are in the body "in a dormant state", waking up under certain conditions.
Who is guilty?Infections and harmful bacteria can appear mainly for two reasons:
- Doubtful "contacts" with no means of protection.
- The reproduction of microorganisms that constantly live inside any person in small quantities. As a rule, these microorganisms wake up in diseases of internal organs, when the immune system weakens.
What to do?Both must be identified and destroyed. The sooner the better.
What tests to pass?There are many types of infectious diseases. Testing for all types is a waste of time and money. Consult a urologist, list all your symptoms, tell him in detail about your sensations when you urinate, during or after sex, have an examination and an 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 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 sexual intercourse or during the process of ejaculation, while walking, lifting weights and even at rest.
Who is guilty?Very 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 dental caries), unhealthy habits, casual relationships, infections, attempts at self-medication, uncontrolled intake ofantibiotics and other drugs.
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 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 fairly quickly. And if you take care of yourself and do not neglect the doctor's recommendations, relapses (repeated exacerbations) may not occur.
Chronic inflammation is also treatable. But the processing 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 rapid blood flow to the penis. If there are atherosclerotic plaques or blood clots in the blood vessels, blood movement slows down and potency worsens. Complete blockage of blood vessels leads to absolute impotence.
Who is guilty?Poor diet, sedentary lifestyle, too frequent bad habits or vice versa, too rare sexual contacts, diseases of the cardiovascular system, water hammer, etc.
What to do?Look for the reason. In collaboration with the urologist. Usually, special hardware studies are carried out for this:
- Dopplerography of vessels
- Erectile function test
- Biothesiometrics
What is the prognosis? Depending on the condition of your vessels, they either need to be cleared of atherosclerotic plaques or new vessels need to be grown. Which method is more suitable in your case, the doctor will determine.
Full device treatment is required - vacuum LOD therapy, shock wave therapy, magneto-laser therapy. A good effect is obtained 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 be back to normal very quickly. Do not be lazy, follow the treatment completely to consolidate the effect for a long time.
Diseases of the lumbosacral spine
What are we talking about?Spinal diseases in the lumbar and/or sacral regions 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 violated. This causes pain and numbness. And as a result - violations of potency.
What to do?Undergo treatment together with a urologist and a neurologist - here you need medication, massage, acupuncture, 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 haven't gotten to the point where you need spinal surgery, the prognosis is very comforting. With simultaneous treatment by a neurologist and a urologist, a fairly quick recovery and restoration of potency is possible.
If you are shown surgery on the spine, the recovery will be much longer and rather complicated. Do not bring to the operation - consult a doctor in time!
Examination by a urologist for potency problems
First appointment with a urologist-andrologist
- Inspection
- prostate ultrasound
- bladder ultrasound
- Doppler study of blood vessels - for potency problems
- Erectile function test - for potency problems
- Biothesiometry - for potency and premature ejaculation problems
- Consultation of doctor, evaluation of examination results
Erectile dysfunction: types, causes and methods of treatment
Men of any nationality, no matter where they live and no matter how old they are, worry about problems with their own penis. They are especially frightened when the erect penis is not hard enough, not "achievable" 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 20 years and older face poor-quality erections. But it is possible to assume the presence of this disorder of sexual function only if 25% of cases of intimate communication are defective (every fourth sexual intercourse occurs with a "miss").
Erectile dysfunction becomes a real tragedy for a man, he suffers from it physically and psychologically, so it must be treated immediately.
Features and symptoms of impotence
There are such signs of erectile dysfunction:
- lack of sexual desire. Denial of intimacy, that is, violation of libido, occurs with a decrease in the production of testosterone (male hormone), depression due to stress, frequent fatigue, poor condition after aquarrel with a sexual partner;
- slow erection, a consequence of vascular disease, etc. ;
- lack of ejaculation due to psychological factors;
- anorgasmia - the absence of orgasm, as a rule, is also associated with psychology.
The types of disorders are determined by their causes:
- organic - autoimmune diseases, hypertension, diabetes and a number of other serious diseases;
- psychogenic - problems with a partner, overwork, 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 appears suddenly, immediately, but the morning erection remains at the correct level, and the excitement of the penis persists throughout the sexual intercourse.
Organic erectile dysfunction manifests itself 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.
The causes of impotence
It is worth listing the most common causes of this disorder of male sexual function:
- Take 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. Inconsistencies in sexual addictions and desires with a partner or a bad relationship with her, fear of failure in sexual intercourse, banal fatigue at work. Much depends on the partner - his excessive persistence or the "wrong" word that flew out can contribute to a weakening of the erection.
- Various neurological diseases, circulatory disorders, lesions of the penis, pelvis or perineum, etc.
- Abnormal functionality of the endocrine system involves a violation of the production of the male hormone, which is caused by genetic defects, tumors, infections and advanced age. Obesity also changes the hormonal background, and since this problem now also affects young representatives of the strong half of humanity, doctors fear that impotence will increasingly be 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 flow to the genitals through the arteries, which is necessary for an erection, so it is either weak or completely absent. In addition, problems with veins lead to rapid excitation of the penis, but this quickly disappears and sexual intercourse cannot end normally.
Blood vessel problems are generally dangerous for the male population of Earth. Violation of their inner envelope is common in people with autoimmune diseases, as well as in those who smoke heavily. There is also a condition called penile vasospasm, which is characterized by impaired blood circulation in the vessels of the penis.
Beware of masculinity
The cause of impotence is sometimes congenital abnormalities of the penis. Such is the rare Peyronie's disease - the opening of the urethra is located incorrectly.
Another natural violation 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 aroused, to open the head, regulate its curvature and prevent it from moving. If the frenulum is short, the man will feel pain during intercourse, even spotting may appear.
In addition, such a defect leads to premature ejaculation, so a man gets used to holding back during sex in order to prolong them. As a result, this results in erectile dysfunction in a stable form. Everything can be corrected very quickly and easily by surgically dissecting the frenulum. The operation is simple, takes little time and is well performed.
Separately, it is worth mentioning injuries to the genital organ (bruises, burns, gunshot and stab wounds, accidents) leading 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 complete irreversible erectile dysfunction.
- fracture of the penis during violent intercourse, blow or bending. There is a dangerous rupture of the cavernous bodies for potency, there is severe pain, hematoma, the organ swells. Depending on the severity of the situation, compresses or surgery may be prescribed as treatment;
- injury from a fall, an exercise, a fight. Such a closed wound violates the urethra, manifests itself as a hematoma, pain when walking. Treatment - nonsteroidal painkillers, compresses, rarely - surgery;
- burns from chemicals, boiling water, ultraviolet rays;
- subcutaneous hemorrhage, in which blood vessels are damaged, swelling occurs. It is dangerous because during healing, scars can form which can become an obstacle to blood circulation, 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 felt very intense pain. In the future, at a subconscious level, he will be afraid to have sex, which sooner or later will usually 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 said: he is impotent and becomes so after the operation - he gothad a tumor removed from the prostate. Such surgery can really cause impotence, but in this case doctors save a person's life. However, if you regularly undergo examinations by a urologist, prostate cancer or 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 man, from the youngest to the oldest, is inevitably subject to stress in the cycle of life. Some have bad habits, malnourished and inactive due to the specifics of the job. All this leads to a deterioration in health, including in the sexual sphere. Modesty does not allow a man to go to the doctor and confess his impotence, but that is a misconception.
In any case, regardless of the causes and manifestations of erectile dysfunction, you should immediately contact a specialist. Currently, sexologists are able to help with various cases of impotence, since they have a huge arsenal of tools for this.
Warning: Self-treatment of this sexual disorder is dangerous, as erection-promoting pills and devices advertised everywhere help for a while and may even harm. Using them will waste valuable time, during which time the problem will only get worse.
It should be noted that very rarely the treatment consists in the use of a single method that eliminates the pathological factor. As a general rule, an integrated approach is much more effective, especially if the case (and this often happens) is neglected. This method of erectile dysfunction treatment 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 life-threatening problem, but because of it, a man's quality of life decreases, his health and mood deteriorate, and families crumble. It is therefore essential to get rid of it.
Powerlessness has long since ceased to be a condemnation. If a man has the first signs, symptoms, 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.