How to treat the initial stage of impotence

Impotence: signs and treatment of pathology

Recently, more and more young people are experiencing problems in sexual relationships. Impotence can occur at thirty or even twenty years of age. The causes of early Erectile dysfunction often lie in a man's lifestyle, but can also be related to his physical health. Many young people, noticing the first signs of impotence, are in no hurry to start treatment, but in vain. The sooner the problem is detected and fixed, the sooner the man will return to a normal sexual life.

What is impotence

Impotence is a pathological condition in which a man is not able to have a full-fledged Sexual intercourse, that is, the erection of the penis is not strong enough or is completely absent. In the medical environment, impotence is often called erectile dysfunction, and among the people - sexual impotence. Erection is a complex physiological process, with a number of successive reactions that are influenced by different organs and systems, so the pathology develops against the background of a variety of disorders in the body.

In order to quickly and permanently get rid of such an ailment as impotence, the signs and treatment of the disease should be discussed together with competent specialists. It is unlikely that you will be able to cure erectile dysfunction on your own, and valuable time will be lost, which can lead to an aggravation of the problem.

Symptoms of impotence

Regardless of the reasons for and at what age erectile dysfunction occurred, the symptoms of the pathology are common, in particular:

• an erection occurs, but the penis does not reach the required hardness for sexual intercourse;
• the penis does not come into an erect state, despite the strong sexual desire of the man;
• sexual intercourse is short, as rapid ejaculation occurs;
• a man cannot maintain an erection for a long time and ejaculation does not occur during intercourse;
• no erection in the morning;
• spontaneous nocturnal erections do not occur;
• reduced or absent libido (desire for sexual intimacy).

Methods of treatment

If such symptoms are occasionally observed, then you should not immediately buy pills that stimulate erection and diagnose yourself with impotence.

The signs and treatment of the pathology should correspond to each other, since the absence of an erection can be considered a symptom of erectile dysfunction only when it occurs systematically. Short-term disorders of sexual function can occur against the background of hormonal changes, stress and a number of other factors, so they can be considered the norm.

Depending on the causes of impotence, the disease is treated by the following methods:

• medicines;
• psychotherapy;
• sex therapy;
• diet (healthy eating).

Impotence: signs in young people, treatment of men of different age groups

Erectile dysfunction occurs for various reasons, which are usually combined into two groups - organic and psychogenic. In the first case, the provoking factors are physical ailments, such as diabetes mellitus or prostatitis, and in the second, impotence occurs against the background of stress, depression and other mental disorders.

According to experts, after the age of fifty, almost every second man is faced with sexual dysfunction, which can lead to such an ailment as impotence. Signs in the young, the treatment of pathology have some features compared to the older generation. The reasons for the development of pathology at different ages also differ.

Causes of impotence in different age categories

After forty years, physical ailments and natural aging of the body become the main causes of sexual dysfunction. People younger than this age are more likely to be diagnosed with mental disorders that lead to problems in sex.

• At a young age (up to 40 years), impotence can occur due to genetic predisposition, violations of the formation of sexuality in childhood, an unsuccessful first experience of sexual intercourse, inferiority complexes and fear of a partner, urinary infections. Thus, the signs of impotence in young people and the treatment of pathology should be discussed not only with a urologist, but also with a psychologist, andrologist and sexologist.
• After 40 years, the main causes of impotence are disorders in the endocrine and cardiovascular systems, neurological pathologies, diseases of the pelvic organs, intoxication of the body due to alcoholism and smoking, taking a number of medications, excessive physical and mental stress.

Treatment of impotence in young people is carried out after examining patients, identifying the signs and causes of the disease. Often, drug therapy is not required, since serious pathologies at this age are rarely detected.Erectile dysfunction in young people is much easier to correct than in old age, therefore, if signs of impotence are found, a young man should not be shy about contacting a clinic, as timely treatment will help you quickly and permanently forget about problems in sex.

The program for the treatment of impotence in the elderly is complex. First of all, it is necessary to cure the disease that provokes the development of erectile dysfunction. To improve potency, a man can be prescribed various medications - fast-acting stimulants, alpha-blockers, testosterone pills or injections, synthetic analogues of prostaglandin E, herbal adaptogens and other drugs that will allow him to have a full sex life.

Impotence: signs and treatment at home, measures to prevent the disease

The treatment of sexual impotence is carried out quite successfully if you consult a doctor in time. A man should visit a urologist or andrologist, who will prescribe all the necessary diagnostic tests and, if necessary, refer him for a consultation with other specialists.

If the doctor makes a diagnosis of impotence, based on the signs and diagnostic data, then he prescribes complex treatment, which can take place both in the clinic, for example, consultations with a psychotherapist, and at home. In addition to visiting specialists, taking medication, the patient must follow a number of recommendations on nutrition and maintaining a healthy lifestyle.

Diet and exercise

Treatment of impotence at home, despite the serious signs of the disease, will be successful if you establish a healthy lifestyle - move more, eat right and fully, stop drinking alcohol and smoking, go outside more often, normalize sleep.

Erectile dysfunction often occurs in obese people who move little, so doctors strongly recommend doing some kind of sports or at least doing morning exercises. Gymnastics has a good effect on potency - squats, walking on the spot (can be replaced with walks or morning jogs), tension and relaxation of the muscles located in the perineum.

A balanced diet is a prerequisite for combating such an ailment as impotence. In food you need to include more vegetables, fruits, dairy products, nuts and honey. In violation of potency, it is useful to eat garlic, celery, pumpkin seeds, carrots, onions, vegetable oil, millet, dried fruits.

Psychotherapy

If the signs of impotence indicate mental disorders, then home treatment is not enough, you need to visit a psychologist or a sex therapist who will eliminate psychological problems and return the couple to a full-fledged sexual relationship.

Medications

In some cases, medications may be prescribed to the patient. To quickly stimulate an erection, PDE-5 inhibitors (Viagra, Cialis, Levitra and other similar drugs) are used. If impotence is caused by a decrease in testosterone levels, then pills and injections with this hormone will help to cope with the problem.

There are many other drugs for potency, which it is advisable to choose together with your doctor, since all of them can cause side effects. The safest in this regard are dietary supplements, such as Lovelas, Verona, Platinum, as well as plant extracts - eleutherococcus, ginseng root, lemongrass.

Folk recipes

Traditional healers offer to treat impotence with medicinal plants. There are many recipes for preparing infusions, teas, alcoholic tinctures from medicinal herbs, beekeeping products, and plant products. Among them, propolis, thyme, pumpkin oil, nettle, mint, meadow clover, ginseng, lemon, aspen bark are especially popular. You can learn more about how to best deal with impotence with natural remedies on the forums dedicated to alternative treatment.

Prevention measures

In order to avoid the development of impotence, you should follow the prevention of the disease, in particular:

• eat right, lead a healthy lifestyle;
• timely treat diseases of the urogenital area;
• do not use a method of contraception such as interruption of sexual intercourse;
• refuse promiscuity;
• to establish a trusting relationship with a partner;
• have a regular sexual life;
• Speak to a doctor in a timely manner if you notice the first signs of a decrease in potency.

Impotence: signs and treatment at home

Men of all ages face sexual problems today. The first disturbing "calls" and signs of impotence overtake both mature and young representatives of the stronger sex.The main reason for the development of erectile dysfunction at an early age (up to 40 years) is considered to be an unhealthy lifestyle, frequent stress, physical activity and chronic diseases.

Ignoring the symptoms and signs of impotence is the main mistake that young people make. Many are in no hurry to start treatment, embarrassed to see a doctor, and sometimes admit to themselves that they have a very delicate problem. And I must say, in vain: the sooner treatment is started and the provoking factor is eliminated, the more likely a man is to return to a full sexual life, regardless of his age.

What is it

Impotence is a pathological condition, which is characterized by the inability of a man to enter into a full-fledged sexual relationship due to a weak or absent erection. In the people, this ailment is often called sexual impotence.

An erection is a complex physiological process, which is associated with a chain of successive natural reactions. Each of them is influenced by the internal organs and the brain. A simple conclusion follows from this: impotence is a pathology that can occur against the background of various disorders and malfunctions in the body.

To permanently get rid of impotence, you should definitely talk to a qualified andrologist about the signs and treatment of this disease. If you want to return male power, do not delay contacting a doctor. It is unlikely that it will be possible to establish erectile function on your own. Otherwise, time will be irretrievably lost when you can still help with something.

Symptoms of impotence

In men, the symptoms of the disease appear the same. At the same time, it absolutely does not matter for what reason and at what age an intimate problem arose. The following manifestations are characteristic of erectile dysfunction:

• the man is aroused, but the penis does not reach the necessary hardness for insertion into the vagina;
• despite strong sexual arousal, the man's penis remains in a non-erect state;
• sexual intercourse is short (lasting less than 3 minutes) because rapid ejaculation occurs;
• the partner is not able to maintain an erection for a long time, so ejaculation does not occur during sexual intimacy;
• no morning and spontaneous nocturnal erections;
• desire (libido) is reduced or absent at all.

Causes of male impotence

Any signs of impotence in men arise due to the influence of an unfavorable factor. The causes of sexual dysfunction can conditionally be combined into two groups - physiological and psychogenic.

In the first case, we are talking about provoking factors, which can be:

• recurrent chronic diseases;
• metabolic disorders;
• hormonal failure;
• diabetes mellitus;
• prostate pathology.

Stressful situations, depressive states, mental disorders are psychogenic factors that cause impotence in men. The first signs of this problem are found in almost every second man over 50 years old. According to experts, such a violation of sexual function is not a sentence for the patient. If you do not delay treatment and make the necessary adjustments to your lifestyle in a timely manner, the problem will no longer bother you.

By the way, the treatment regimen for patients of different ages may differ. Not only the signs of impotence differ. The cause of erectile dysfunction in people under 40 can be one or more of the following factors:

• hereditary predisposition;
• disturbances in the formation of sexuality in early childhood;
• unfavorable experience of the first intimate contact;
• formation of an inferiority complex;
• fear of looking like a loser in front of a partner;
• complications after urinary tract infections.

Consequently, questions about the causes and signs of impotence in a young man should be discussed not only with an andrologist, but also with a urologist, sexologist, and psychologist. Medical statistics show that in people under 40, problems in sex are most often the result of mental disorders.

At an older age, erectile dysfunction is diagnosed in almost half of the patients who complained. Signs of impotence in men at the age of 40 in most cases are caused by the natural aging of the body, the result of long-term diseases against the background of a weakened immune system. In addition, in adulthood, men are more likely to experience endocrine disorders, problems in the work of the cardiovascular system, neurological ailments, inflammation of the pelvic organs. The situation is aggravated by addiction to alcoholic beverages, smoking. To affect the occurrence of erectile dysfunction can long-term use of drugs, excessive exercise.

How to get potency back

Signs of impotence, whatever they may be, are not an indication for urgent administration of erection stimulants. Even if occasional "misfires" happen in bed, you should not immediately run to the pharmacy for Viagra. It is better to consult a specialist, rather than self-diagnose and prescribe treatment.

One-time failures during intimacy cannot be considered signs of impotence. Sexual disorder is only systemic erectile dysfunction, that is, you need to panic only if problems in bed occur constantly. Short-term disturbances may well be the result of hormonal imbalance, stress, fatigue. Such failures in sexual terms are not a deviation. Thus, the first sign of impotence can be called the stability of erectile dysfunction.

Depending on the factor that caused the delicate male problem, the treatment will have its own characteristics. In addition, the decision on therapy will be made by the doctor only after a thorough examination and determination of the provoking cause that led to the loss of potency. Only specialists are able to adequately assess the rationality of carrying out a particular method of therapy.

Psychological help

Above, we have described the main signs of impotence. Treatment at home is available to every man, but it is usually not very effective. One of the most effective methods is psychotherapy. It is used only in case of diagnosed sexual impotence of a psychogenic nature (according to the results of an examination by a psychotherapist). Sometimes this method is used as a measure to combat the signs of impotence during the rehabilitation period after conservative therapy for diseases of the urogenital area.

Vibrostimulation method

Specialists consider this treatment option a safe alternative to Viagra. Stimulation of the penis in this case is carried out using a special device - a vibration stimulator. In contact with the sensitive head of the penis, due to high-frequency vibration, the device starts the work of many nerve endings located on it. As a result of contact with the vibration stimulator, an erection in a man occurs reflexively.

This type of treatment has no contraindications and is suitable for patients suffering from any kind of sexual disorders, including impotence due to poor conduction of nerve receptors.

The use of a vibration stimulator is also an ideal solution for erectile dysfunction of a psychogenic nature. Thanks to the method and use of the device, the disease passes very quickly. Psychologists explain such high results of treatment by obtaining a positive sexual experience that is not associated with the exciting expectation of one's own "fiasco". Using a vibration stimulator, the patient can be convinced over and over again that everything is in order with his male power. Over time, the panic fear of a possible problem resolves itself. After some time, anxiety before intercourse is replaced by a stone erection even without a vibration stimulator.

Other instrumental ways

• Vacuum treatment. This method consists in mechanical stimulation of the penis. This type of treatment can be used alone or be part of a set of measures to eliminate erectile dysfunction.
• Surgical intervention. Usually, this method is resorted to with a physiological sexual disorder, the causes of which are hidden in circulatory disorders, vascular diseases. The operation is performed with the sole purpose of increasing blood flow to the cavernous bodies of the penis.
• Injections. To get rid of erectile dysfunction in this way, a man will have to undergo a course of injections into the cavernous bodies of the penis. Drugs injected into the tissues of the penis cause vasodilation and provide a quality erection.

Medications for potency

Today, there is a whole list of drugs, thanks to which men are guaranteed to achieve an erection without going to a doctor and undergoing the above procedures. However, doctors warn: most of the stimulant medications have a huge list of serious contraindications and side effects.

PDE-5 inhibitors are used to instantly stimulate an erection. These include Viagra, Cialis, Levitra and their numerous analogues. If the doctor sees hormonal disorders in the signs of impotence, the patient will be prescribed a course of steroid drugs. As a rule, the cause of erectile dysfunction is a lack of testosterone in the blood. Its synthetic counterpart is available in tablet and injectable forms.

It is also known about many other means to improve potency, which should be used only after consultation with your doctor. Any stimulants can adversely affect the work of the heart, gastrointestinal tract, cause a severe allergic reaction. Supplements are relatively safe:

• "Lovelace".
• "Peruvian MACA".
• "Platinum".
• "Alycaps".
• "Impaza".
• "Verona".
• Eleutherococcus extract, magnolia vine, ginseng.

Folk remedies

Since ancient times, recipes of healers and healers, proven by experience and time, have been used to treat impotence. Before proceeding with the treatment of erectile dysfunction, you should consult with an experienced doctor. Compared to drug therapy, folk therapy is safer and no less effective.

The intake of certain drugs should be focused solely on eliminating the cause and symptoms of the disease. But there are a couple of universal folk recipes for the treatment of male impotence. They are recommended to patients with any signs of sexual disorders:

For maximum effect, you can alternate the above recipes. Before using herbal remedies, it is important to familiarize yourself with possible contraindications, make sure that there is no allergic reaction, individual intolerance to the components.

Other recipes are also popular, and not just the above methods of preparing remedies for the treatment of impotence at home. Signs of impotence will gradually disappear if you use natural honey, propolis, pumpkin seed oil, nuts, parsley, lemon, ginseng, ginger root.

Additional recommendations

The chances of restoring potency in a man depend on the timeliness of his visit to the doctor. The patient must first visit the office of an andrologist, a urologist. The specialist will prescribe all the required diagnostic tests, and, if necessary, issue a referral for a consultation with other highly specialized doctors.

It is important to understand that signs of impotence in a young or mature man are not a sentence for him. Based on the results of the diagnosis, the doctor will draw up an individual scheme of complex treatment. There is not the slightest need for hospitalization for impotence, treatment is usually carried out at home.

It will be important to note that taking medications and folk remedies is not all that is required to restore potency. A man with erectile dysfunction will have to radically revise his diet, lead a healthy lifestyle.

To get rid of such a problem as impotence, you need to move more, eat right and balanced, exclude alcohol, stop smoking. The diet should include more fresh vegetables and fruits, dairy products. Garlic, celery, carrots, onions, dried fruits are considered especially useful for improving potency.

High-grade rest, sound sleep, walks in the fresh air, immunity to stressful situations are of great importance. If the symptoms of impotence point to the psychogenic causes of its development, then without the help of a sexologist and a psychologist in the treatment of erectile dysfunction is indispensable. Thanks to the comprehensive medical care and the fulfillment of all medical prescriptions, the restoration of potency is inevitable.

How to prevent the development of impotence

In order to prevent the development of erectile dysfunction, regular prevention is necessary. First of all, it means:

• timely treatment of pathologies of the urogenital area;
• refusal of such a method of contraception as PPA (coitus interruptus);
• a trusting relationship with a regular partner;
• regular sex.

Many men consider it shameful to see a doctor if they suspect impotence, and therefore live with this problem for years, depriving themselves and their partner of intimacy, the opportunity to get sexual release. Remember: you will not help yourself by inaction!

The main signs of impotence in men

Sooner or later, men begin to complain about problems with potency. Erectile dysfunction develops from various problems. Even a poor environmental situation in the region where a young person lives can cause impotence. In addition, malnutrition and bad habits further aggravate the situation of a man. Therefore, it is extremely important for the representatives of the stronger sex to monitor their health, take care of their body. You need to be extremely careful to notice certain changes and reactions of the body. It is very important to notice the first signs of impotence in a timely manner. After all, timely treatment of impotence is easy and very fast.

Signs of impotence in men

Signs of impotence depend on the nature of the disease. So, physiological and psychological impotence have some differences. Also, it is worth noting that more than 30% of young people aged 20 to 28 suffer from erectile dysfunction. Such sad statistics indicate that impotence is significantly "rejuvenated". And the assertion that impotence develops exclusively in adulthood is incorrect.Men who take care of their health, lead a healthy lifestyle, regularly visit a doctor, even at the age of 60-65 have full-fledged sexual relationships. Therefore, age does not matter at all.

The first sign of impotence is the lack of erection with full stimulation of arousal. At the same time, an erection does not occur with both psychological and physical arousal. The first signs of impotence are often subtle, young people do not attach importance to them. So, it is worth noting the following symptoms of impotence:

• Weak erection, insufficient for sexual intercourse;
• Loss of erection during intercourse before its full completion;
• Premature ejaculation;
• Lack or prolongation of ejaculation.

These signs, which occur even in rare cases, are considered the first signs of impotence. You need to see a doctor as soon as possible. After identifying the main cause of such phenomena, the most correct treatment will be prescribed. If impotence began to gain momentum and development, a man may notice other signs.

So, one of the signs of the development of impotence can be called the loss of nocturnal erection during sleep. Excitation of the penis during sleep indicates normal blood circulation in the body, good testosterone production, normal functioning of the prostate gland. Therefore, a night erection is a necessary condition for men's health. Such a pathology, most likely, speaks of the physiological causes of impotence. If spontaneous erection persists, and sexual intercourse is impossible, we can safely say that there is psychological impotence.

Why does impotence develop?

All signs of impotence directly depend on the causes of the disease. Erectile dysfunction is physiological, psychological, or mixed. By already noticing some of the signs that precede impotence, one can preliminarily determine the root cause, and begin the correct treatment of possible erectile dysfunction. It is worth considering in more detail all types of impotence.

Signs of psychological impotence

Impotence against the background of psychoemotional disorders is always accompanied by the following symptoms:

• Insomnia;
• Increased fatigue;
• High susceptibility to stressful situations;
• General malaise;
• Depression;
• Decreased libido.

Disturbances at work contribute to these factors. Lack of proper rest has a detrimental effect on the functioning of the brain and central nervous system. It is on them that full potency and erection depend. Frequent conflicts in the family can also provoke impotence. A man may lose interest in a woman because of scandals.

Excessive physical and mental stress also leads to erectile dysfunction. Sexual intercourse may be impossible due to long-standing psychological upheavals. So, sudden impotence develops against the background of an unsuccessful first sexual experience. Some young people from the "first meeting" syndrome. This disorder is characterized by the inability to have the first sexual intercourse with a woman. All subsequent attempts at intimacy with this girl will be successful.

Vascular impotence

This type of impotence is the most common among physiological causes. The fact is that good vascular patency is very important for normal potency. When stimulated, there is an active flow of blood to the cavernous bodies of the penis. The outflow of this blood through the veins is automatically blocked. This allows you to perform a full sexual intercourse. If any of the mechanisms is broken, impotence begins to develop.

With poor inflow, it is impossible to achieve the necessary erection. If there is a premature outflow of blood, excitation occurs, but immediately disappears even before the end of sexual intercourse. At the same time, there are also such first signs that contribute to the appearance of impotence: high blood pressure, anemia, congestion in the pelvic organs, prostate inflammation, arrhythmia, heart disease.

Signs of endocrine impotence

The endocrine system is responsible for the hormonal background of the body. With dysfunction of this system, a serious hormonal failure is observed. In the male body, first of all, there is a decrease in the synthesis of the male sex hormone testosterone. Low testosterone is a direct path to impotence. Often, endocrine disorders are accompanied by various diseases. The danger for male potency is such an endocrinological disease as diabetes mellitus. In the event of a violation of insulin production, the entire hormonal background is also disturbed. Also, for diabetes, a deterioration in the condition of the vessels is also considered characteristic.

Signs of anatomical impotence

Often, experts observe impotence in young people due to some anatomical features. Anomaly in the development of the genital organs leads to erectile dysfunction. So, the curvature of the penis delivers great discomfort to a man, pain during arousal. So, a representative of the stronger sex can consciously refuse sexual intercourse. Pain is provoked by a hernia in the scrotum, a short frenulum, and other defects of the penis. This also includes such a disease as priapism. In this case, an erection occurs, but despite this, sexual intercourse is impossible. The erection is too long and very painful. Only a doctor can eliminate an erection by introducing a special drug.

What to do at the first sign of impotence?

If the first signs were noticed in a timely manner, the problem of impotence can be solved without the help of special medications. Treatment of impotence in this case is to improve the lifestyle. But, nevertheless, it is recommended to visit a specialist to make sure that there are no infectious diseases, inflammatory processes in the pelvic area.

In the practice of urologists, there are very often cases of getting rid of impotence against the background of a change in lifestyle. First of all, it is the rejection of bad habits. Nicotine and alcohol are the worst enemies of male power. Also, a sedentary lifestyle is unacceptable. Regular exercise contributes to the normalization of blood circulation, getting rid of excess body weight, the work of the central nervous system. The most popular for potency are the following sports: swimming, football, basketball, running, short-term bike rides.

Of course, at the first signs of impotence, it is worth debugging the diet. The menu of every man should contain foods rich in zinc, selenium, potassium, calcium, iron, magnesium, vitamins B, A, E. The following can boast of such a composition:

• Seafood;
• Sour cream;
• Greens;
• Lean meats;
• Fresh vegetables and fruits;
• Green onion;
• Garlic;
• Nuts;
• Honey;
• Mango;
• Bananas.

Fast foods and convenience foods are strictly prohibited. Fatty fried foods, pickles, smoked meats, sweets, coffee, and sugar will harm male potency. Following a healthy lifestyle, the first signs of impotence will disappear by themselves. Therefore, in order to maintain a full-fledged erection for many years, it is necessary to eat a balanced diet and play sports. Do not forget about a full eight-hour sleep. It is during sleep that all systems and organs of the body are restored.

Men rarely admit their intimate problems. My Igor was also silent as a tomb. I even began to suspect him of infidelity. There came a moment when he began to avoid intimacy in every possible way. It's good that I had enough wisdom, and I elicited all the innermost secrets from him. Long treated. I can’t say if his male power has acquired its original state, but it’s enough for me. By the way, only from your article I understood what he felt. I didn’t even say a word!

I, nevertheless, am more inclined to consider impotence the result of psychological stress. There are more and more of them every day, which is why this disease is getting younger so rapidly. And physical or vascular impotence is most likely also a consequence of nervous exhaustion.

We had a problem just the same in impotence. The well-designed treatment of the doctor helped (the husband took the effect of tribulus and monastic tea) + receptions from a psychologist, because the psychological factor also plays a big role here. After about 2 months, everything returned to normal, sex became bright and quite long, not like before)

No matter what anyone says, age takes its toll. In any case, there are always ways out of the situation. In no case do not take Viagra! It is dangerous. Try natural remedy effex tribulus. It will most likely solve the problem.

Well, I can’t understand and say much here, in fact. I just remembered my ex, who, justifying being tired at work, either couldn’t make love, or some kind of spray puffed there. M-16 seems to be. like a weapon. Everything was good and great, but we parted because he completely beguiled the coast, and imagined himself a stupid alpha and a giant! Which resulted in 3 betrayals on his part! 3 in 4 months! 4 months horned went! It's a shame. I sympathize with normal men who have problems. And to him, namely to him and others like him, I wish eternal impotence! It would be fine, after all, if he could do something himself. So, without drugs, he is completely useless