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 remains relevant.
Modern medicine has learned to solve problems with potency, there are many diagnostic and therapeutic 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 decreased potency in men
In order to dispel the many myths related to this problem, let's first talk a little about statistics.
Do you know that:
- 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 in the body;
- In 90% of cases, erectile dysfunction is completely curable.
- You agree, on the one hand - everything is not as terrible as it seemed, on the other - the presence of physiological causes of erectile dysfunction is a good reason to suspect any disease.
- So, the organic causes of impotence can be the following.
- Vascular. Damage to the vascular walls leads to disruption of the blood supply to the penis, and thus to a decrease in potency. Diabetes mellitus, atherosclerosis, cardiovascular and other diseases lead to vascular problems.
- Hormonal. Testosterone deficiency (hypogonadism) is often observed in middle-aged and older men. The production of testosterone can also be hindered by an excess of its antagonist, prolactin.
- Iatrogenic. Slow potency develops against the background of a person taking drugs prescribed, for example, for peptic ulcers, cardiovascular diseases and gout. Canceling drugs or replacing them with analogs will help solve the problem.
- Neurogenic. Erectile dysfunction occurs as a result of previous diseases, stroke, injuries to the central nervous system and peripheral nerves. In ¾ cases, the reasons for the decrease in potency are spinal cord injuries, ¼ - intervertebral hernia, neoplasms, multiple sclerosis and other diseases. Erection weakens due to difficult passage into cavernous bodies or complete absence of nerve impulses.
Lifestyle and potency disorders
Men very often forget that sexual strength is greatly influenced by how a person takes care of himself and his overall health.
It's no secret that smoking and regular alcohol consumption are one 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. Taking an excessive amount of fatty food (and even together with alcohol intake), a man causes 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 suffer from such disorders more often, in most cases - those who are just starting to lead a sexual life.
Reasons for weak potency in this case can be:
- in the presence of psychological trauma from childhood or adolescence, when parents inspired their child that sex is something shameful, unworthy;
- in experiences due to lack of own experience, and therefore in fear of ridicule;
- in fear of contracting sexually transmitted diseases;
- with fears related to the partner's unwanted pregnancy, 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.
It is interesting that relations with a partner can become both the 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 by themselves can be the cause of weak potency, then organic erectile dysfunction is always accompanied by a psychogenic component. As a result, after eliminating the root cause of the problem, psychological difficulties come to the fore and interfere with a man's normal sex life.
How to recognize the cause of erectile dysfunction
- Urogenital diseases are diagnosed by an andrologist or urologist. You will need to do a blood analysis, sperm and biological smears, and undergo an ultrasound.
- Hormonal disorders will be detected by an endocrinologist. The doctor will recommend an ultrasound examination and computer tomography of the endocrine glands, donate blood for hormones.
- Vascular disorders will be determined by a vascular surgeon. Studies are carried out with the help of Doppler ultrasound and functional tests that show the level of blood supply to the penis.
- Diseases of the brain and spinal cord, peripheral nervous system will help identify neurologists. You will be assigned electroencephalography, tomography of the spinal cord and brain, rheoencephalography, electromyography.
- Psychological causes of sexual disorders can only be discovered by a psychotherapist, psychiatrist or sexologist. Diagnostic methods in this case are psychological testing, 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 various erection stimulants (pharmaceutical and not), don't be lazy to start discovering what actually causes the "burning".
Hormonal imbalance or where do men get female hormones?
what are we talking about?Decreased level of male hormones and/or increased level 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 diseases - all this (and not only! ) sooner or later leads to:
- the production of male sex hormones is reduced,
- and women's production, on the contrary, can increase.
Of course, this is not good.
what to do?
- Take special tests. Find out exactly which hormones are missing and which are "going wild".
- Determine the scope of the problem.
- Fill your body with the missing hormones.
- They 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 types of tests should be done?Donating biomaterials is an unpleasant and expensive occupation for everyone. Ask a urologist. He will perform an examination, analyze your complaints and tell you which tests to pass.
Then they will choose preparations that contain hormones that suit you. Or they will prescribe a treatment so that the body "remembers" how much hormone it needs to produce.
What's the forecast?With a properly selected course of treatment and the implementation of the doctor's recommendations, the prognosis is positive - the potency, as a rule, is restored. Any year.
Infections of different origins
what are we talking about?Sexually transmitted diseases (STDs), or infections that are "dormant" in the body, awakening under certain conditions.
who is to blame?Infections and harmful bacteria can occur mainly for two reasons:
- Suspicious "contacts" without means of protection.
- Reproduction of micro-organisms that constantly live in any person in small quantities. Usually, such microorganisms wake up in diseases of internal organs, when the immune system weakens.
what to do?Both need to be identified and destroyed. The sooner the better.
What tests to do?There are many types of infectious diseases. Taking tests of all kinds is a waste of time and money. Visit a urologist, tell him all your symptoms, tell him in detail how you feel when you urinate, during or after sex, undergo an examination and an ultrasound.
An experienced urologist will collect all these data and make a list of necessary laboratory tests. Then, based on their results, they will make a diagnosis and prescribe medications and procedures.
What's the forecast?Today, the vast 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 lead men to pain, cramps, burning, high temperature and other unpleasant sensations.
These sensations can occur during or after urination, during sexual intercourse or in the process of ejaculation, while walking, lifting weights, and even at rest.
who is to blame?It is often the fault of the man himself. Hypothermia and, conversely, overheating, ignoring the first symptoms of disease (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. drugs.
All this gradually accumulates - 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. Inflammations cause problems not only with potency - they can lead to infertility. The ideal option is to have time for recovery in the acute phase. But this is not always the case - often people come to the doctor already with a chronic form.
What's the forecast?Acute inflammation can heal fairly quickly. And if you take care of yourself and do not ignore 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 penile vessels due to the formation of atherosclerotic plaques.
What's 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 movement of blood slows down and potency deteriorates. Complete blockage of blood vessels leads to absolute impotence.
who is to blame?Improper diet, 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 a reason. Together with a urologist. Usually, special hardware studies are carried out for this:
- Doppler imaging of blood vessels
- Erectile function test
- Biothesiometry
What's the forecast?Depending on the condition of your blood vessels, they must either get rid of atherosclerotic plaques or grow new blood vessels. Which method is more appropriate in your case will be determined by the doctor.
A comprehensive apparatus treatment is required - vacuum LOD therapy, shock wave therapy, magneto-laser 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 treatment completely in order 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's happening?Due to osteochondrosis, intervertebral hernia, displacement of vertebrae, blood circulation is disturbed, nerve endings can be damaged. This causes pain and numbness. And as a result - violation of potency.
what to do?Get treatment together with a urologist and a neurologist - here you need medicines, 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's the forecast?If you haven't gotten to the point where you need spinal surgery, then the prognosis is very comforting. With simultaneous treatment by a neurologist and a urologist, fairly quick recovery and restoration of potency is possible.
If you are shown surgery on the spine, then the recovery will be much longer and quite complicated. Do not bring to surgery - consult a doctor in time!
Examination by a urologist due to problems with potency
Primary examination by a urologist-andrologist
- Inspection
- ultrasound of the prostate
- ultrasound of the bladder
- Doppler study of blood vessels - for problems with potency
- Erectile function test - for potency problems
- Biothesiometry - for problems with potency and early ejaculation
- Consultations with a doctor, evaluation of examination results
Erectile dysfunction: types, causes and treatment methods
Men of any nationality, no matter where they live and no matter how old they are, are worried about problems with their own penis. They are especially afraid when the erect penis is not hard enough, it is not "working" and when 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 aged 20 and older are faced with low-quality erection. But it is possible to assume the existence of this disorder of sexual function only if 25% of cases of intimate communication are defective (every fourth sexual intercourse occurs with a "stop").
Erectile dysfunction becomes a real tragedy for a man, he suffers from it physically and mentally, so it should be treated immediately.
Characteristics and symptoms of impotence
There are such signs of erectile dysfunction:
- lack of sexual desire. Unwillingness for intimacy, i. e. violation of libido, occurs due to a decrease in the production of testosterone (male hormone), depression due to stress, frequent fatigue, bad condition after an argument with a sexual partner;
- slow erection, as a result of vascular disease, etc. ;
- lack of ejaculation due to psychological factors;
- anorgasmia - absence of orgasm, as a rule, is also associated with psychology.
Types of disorders are determined by causes:
- organic - autoimmune diseases, hypertension, diabetes and a number of other serious diseases;
- psychogenic - problems with a partner, overexertion, 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 occurs suddenly, immediately, but the erection in the morning remains at the appropriate level and the excitement of the penis lasts throughout the sexual 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 disease.
In addition to the mixed nature of the disorder, the two factors listed above appear simultaneously for their respective reasons.
Causes of impotence
It is recommended to list the most common causes of this disorder of male sexual function:
- Taking medicines or some other substances. It is 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 neurosis. Inconsistencies in addictions and desires in sex with a partner or bad relations with her, fear of failure in a sexual relationship, banal fatigue at work. A lot depends on the partner - her excessive persistence or the "wrong" word that came 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 caused by genetic failures, tumors, infections and advanced 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 diagnosed more often in this part of the population.
In addition to the above, epilepsy, penile trauma and vascular sclerosis can contribute to impotence. The latter disturbs 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 the veins lead to rapid arousal of the penis, but it quickly disappears and sexual intercourse cannot be completed normally.
Blood vessel problems are generally dangerous for the male population of the earth. Damage to their inner shell is common for people suffering from autoimmune diseases, as well as for those who smoke a lot. There is also a disease called penile angiospasm, which is characterized by impaired blood circulation in the vessels of the penis.
Be careful with masculinity
Impotence is sometimes caused by congenital anomalies of the penis. Such is the rare Peyronie's disease - the opening of the urethra is incorrectly located.
Another natural damage is a defect in the frenulum, 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 glans, regulates its bending and prevents its movement. If the frenulum is short, then the man will feel pain during intercourse, and spots may even appear.
In addition, such a lack leads to early ejaculation, so a man gets used to holding back during sex in order to prolong it. As a result, it is filled with erectile dysfunction in a stable form. By surgical dissection of the frenulum, everything can be corrected very quickly and easily. The operation is simple, takes little time and is well practiced.
Special mention should be made of injuries to the genital organ (bruises, burns, gunshot and stab wounds, accidents) that lead to impotence. If you get them, see your doctor for help right away, and the sooner this is done, the more likely you are to avoid complete irreversible erectile dysfunction.
- fracture of the penis during rough intercourse, impact or bending. There is a dangerous rupture of cavernous bodies for potency, severe pain, hematoma, organ swelling occurs. Depending on the severity of the situation, compresses or surgery may be prescribed;
- injury from a fall, exercise, in a fight. Such a closed injury damages the urethra, manifests itself as a hematoma, and pain when walking. Treatment - non-steroidal analgesics, compresses, rarely - surgery;
- burns from chemicals, boiling water, ultraviolet rays;
- subcutaneous bleeding, in which 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: after the injury, the person had sex and experienced very strong pain. In the future, on a subconscious level, he will be afraid of sexual intercourse, which sooner or later will generally lead to impossibility of erection.
Hypothetically dangerous and some operations. Thus, the famous composer Andrew Lloyd Webber, the author of the world-famous musicals "Cats" and "Phantom of the Opera", publicly stated: he is impotent and became after surgery - 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 visit a urologist, then prostate cancer or adenoma can be detected at an early stage and its treatment can be started in time. Then such an operation, which leads to the loss of sexual function, will not be necessary.
Treatment
Every modern person, from young to old, is inevitably subject to stress in the life cycle. Some have bad habits, are malnourished and inactive due to the specifics of the job. All this leads to deterioration of health, including the sexual sphere. Modesty does not allow a man to go to the doctor and admit his weakness, but this is a wrong idea.
In any case, regardless of the causes and manifestations of erectile dysfunction, contact a specialist immediately. Currently, sexologists can help in the fight against various cases of impotence, because they have a huge arsenal of tools for this.
Warning: self-treatment of this sexual disorder is dangerous, because erection pills and devices that are advertised everywhere help for a while, and can even harm. Their use will lead to the loss of valuable time, during which the problem will only worsen.
It should be noted that treatment using one method that eliminates the pathology factor is very rare. As a rule, an integrated approach is much more effective, especially if the case (which often happens) is neglected. This method of solving erectile dysfunction quickly restores sexual function by eliminating the factors that led to the disorder, and helps the patient cope with the uncertainty that arose 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 fail. Therefore, it is important to get rid of it.
Impotence has long ceased to be a punishment. 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, sexually transmitted diseases - their treatment has long been quick and successful with timely access to specialists.