No potency - what to do?

A qualified andrologist should determine the method of treating a male patient from erectile dysfunction and decreased potency. Without systemic diagnostics and analysis of examination results, a physician will not be able to find an adequate solution to an intimate problem and the disorder will progress, inhibiting sexual function.

Evaluation before prescribing treatment

Before establishing treatment tactics, the doctor collects a life history. It is important for the urological specialist to find out the following essential information about the patient:

• the moment of occurrence of complaints about potency, the severity of erectile dysfunction;
• the nature of the complaints, the duration and regularity of difficulties in the development of erection and sexual desire;
• the presence of a connection between sexual disorders and stressful experiences, psycho-emotional trauma, conflicts with a sexual partner or loved ones;
• the presence of sexually transmitted diseases and measures taken to eliminate them;
• information about the vascular operations performed and surgical interventions in the perineal region;
• the presence of endocrine disorders (hypothyroidism and diabetes mellitus, a benign or malignant tumor in the pituitary gland), inflammatory lesions of the genitourinary system (inflammation of the epididymis, prostate or bladder);
• data on injuries suffered, as well as neurological disorders and vascular abnormalities;
• lifestyle and nutritional characteristics, presence bad habits, chronic alcoholism and drug addiction, nicotine addiction;
• the presence of congenital abnormalities in the development of the reproductive system;
• satisfaction with sexual life, regularity of sexual intercourse;
• information about the reception sedatives, antidepressants and muscle relaxants, antineoplastic and antihistamines.

After talking with the patient, the doctor conducts a general examination of the body and genitals, digital examination of the prostate. The specialist collects biological materials for blood and urine analysis, bacteriological culture and microscopy of urological smear. In addition, the patient is referred for ultrasound and neurological examination, PCR diagnostics and MRI. If necessary, the specialist consults with a neurologist, endocrinologist and psychotherapist.

Forms of impotence

After collecting the necessary tests and establishing the cause of erectile pathology, the specialist prescribes treatment depending on the type of impotence, which is: 1. organic. Caused by a vascular, neurological, or hormonal disorder. Sometimes pathologies of a sexual nature arise from unsuccessful surgical procedures or improper drug therapy; 2. psychogenic. It develops due to depression of the emotional state, increased susceptibility to stress, frequent conflicts with sexual partners or negative memories of experienced sexual failures.

Tactics of treating a patient with insufficient potency

Psychotherapeutic assistance

First of all, the physician selects suitable non-surgical methods to increase sexual desire. A man visits a sex therapist who helps to find out the psychological causes of impotence, gives advice on conflict-free and confidential communication between spouses. Treatment includes elements of behavioral therapy in which the couple learns:

• show attention and mutual assistance, resolve controversial situations peacefully
• develop psycho-emotional ties, learn to understand each other's feelings and problems
• find their mistakes, get rid of groundless fears and psychological blocks

Drug therapy

The effect of pharmacological agents on the body can occur by:

• taking tablet drugs based on synthetic or natural pathogens of plant and animal origin;
• injections containing hormonal, vasodilating or tonic drugs with temporary action;
• using stimulants blood flow of ointments and gels, as well as urological patches.

In some cases, the doctor does not prescribe, but excludes a number of medicines from the recommended list of medicines. A healthcare professional can advise on the replacement of anti-anxiety medications, Parkinson's and cancer medications, hormonal and antiarrhythmic agents, nonsteroidal anti-inflammatory drugs, and histamine H2 receptor antagonists. Since these groups of drugs have the ability to reduce sexual strength and endurance, some men are advised to stop taking them, using safe analogues.