Why does complete impotence occur in men, how to deal with it?

Anyone can have a single erectile dysfunction, perhaps a banal overwork or there was a short-term stress. Complete impotence is a condition when a man cannot have sexual intercourse at all without additional funds.

Important: if the problem with erection persists for at least a month, you should think about going to a specialist, since impotence can cause not only sexual dysfunction, but also serious mental illness, primarily affecting male confidence.

What does it mean?

Absolute impotence is the inability to achieve and maintain an erection sufficient for sex. It is one of the least studied diseases, the prevalence is 50% among men aged 40-70 years (every year the lower age limits are dropped).

Sexual capacity is a complex mechanism, the central nervous system, endocrine system, nerves, blood vessels, genitals and muscles are consistently involved in it. Failure anywhere in the chain can lead to erectile dysfunction. Prolonged stress and psychological imbalance can also negatively affect potency.

Reasons

All reasons are usually divided into two large groups: physiological and mental. The first group includes disorders of the central nervous system: multiple sclerosis, Parkinson's disease, all diseases and injuries of the spinal cord, long-term sleep disturbances. Intensive therapy for cancer and prostate adenoma can lead to this pathology

Often, a sharp disorder of sexual function indicates a deplorable general state of health. Impotence is closely related to cardiovascular problems and atherosclerosis. In fact, being a "wake-up call", which means that peripheral arteries are affected and an urgent need to see a doctor in order to avoid a heart attack or stroke with the corresponding consequences for the man's body.

Surgical interventions on the organs of the genitourinary system and in the pelvic area are fraught with complete impotence, because often organic erectile dysfunction is a consequence of the intersection of a small nerve or a feeding artery. Men with grade 2 or more obesity should closely monitor their sexual health, because American studies have shown a direct relationship between overweight and impaired sexual function.

Controlling blood glucose levels is mandatory for people with not only type 1, but also type 2 diabetes mellitus, since this disease, in particular its complication - peripheral nerve polyneuropathy, a predisposing factor for the development of impotence.

Some groups of medicines with uncontrolled long-term use can also cause: antihypertensive (Captopril, Nifedipine), diuretics (Lasix, Spironolactone), antihistamines (Diphenhydramine, Antivert), etc.

The group of mental disorders leading to erectile dysfunction includes:

• neuroses;
• chronic fatigue;
• psychosis;
• depressive conditions;
• various addictions: alcohol, drug, etc.

Symptoms and signs

Persistent signs of total impotence include:

• a noticeable decrease in libido;
• the penis does not come to an erect state;
• a man cannot maintain an erection even for a short time.

Temporary symptoms may include:

• pain in the penis or lower abdomen;
• sometimes no semen is released during orgasm;
• uncontrolled ejaculation;
• no wet dreams.

What to do if you notice these signs? Go to the doctor, of course. Do not be embarrassed by this problem, because the earlier the cause is diagnosed, the more effective the prescribed treatment will be. Sometimes effective treatment of the underlying disease is enough to "forget" about erectile dysfunction.

Diagnostics

In most cases, to make this diagnosis, an experienced medical specialist just needs to interview the patient and examine the external genitalia. However, in order to find and exclude organic lesions, including any latent chronic disease in a man, it will be necessary to conduct additional tests or consultation with a narrow specialist.

Doppler ultrasound is used by the doctor to identify problems with blood flow in the penis and various masses that interfere with the normal performance of erectile function. A spermogram will show whether impotence has led to complications in the form of a violation of the composition of the sperm, whether a man can conceive a child or not.

Consulting a psychiatrist or sexologist and conducting psychological tests.In young patients under 40 years of age with long-term potency disorders, examination by a psychiatrist should be performed first. A timely identified mental illness can be treated with monotherapy, avoiding adverse reactions from synthetic stimulants, and generally save time and money.

Stages

There are three stages of impotence development:

Treatment of total impotence

The choice of a method of treatment directly depends on the degree and causes of the disorder, it is also necessary to take into account the opinion of the partner. For many, it is PDE-5 inhibitors, which are taken orally, that are the basis of therapy, they help in most cases men without severe concomitant chronic diseases.

Preparations

The most famous drugs for impotence are Viagra and Cialis. They increase the effect of a natural substance - nitric oxide, which is produced in our body by nerve fibers and vascular epithelium. It promotes relaxation of vascular smooth muscles, thereby increasing blood flow to the muscles of the penis.

A single pill intake will not solve the problem, they must be taken systematically, as indicated by the attending physician. With sexual stimulation, the body itself starts erectile function, phosphodiesterase inhibitors only increase the effect of blood flow. These drugs should not be confused with aphrodisiacs, they do not cause arousal, and do not increase attraction. Accordingly, men with normal erections should not use them.

Contraindications for use are:

• Taking nitrate medications, which are usually prescribed for chest pain (angina);
• Previous myocardial infarction or stroke within the last six months;
• Serious blood pressure problems.

Alprostadil is an artificially synthesized prostaglandin E1, which has the ability to dilate blood vessels and locally increase blood circulation. It can be injected directly into the corpus cavernosum using a syringe pen at the base or side of the penis. Sometimes, as part of complex therapy, antispasmodics (Papaverine) or alpha-blockers (Phentolamine) are additionally used. The dosage of each injection is clearly calculated, the duration of an erection is from 30 to 60 minutes, the effect is observed already 10 minutes after injection. Painful sensations at the injection site are rare, since a thin needle, similar to the insulin needle in a syringe pen, is used.

If erectile dysfunction is due to low testosterone (below the reference values), replacement therapy with this hormone is required. The doctor sets the dose and duration of treatment on an individual basis.

In the early stages of the development of impotence, natural remedies for potency, such as Libido Drive, Potentialex, Rexatal, have proven themselves very well.

When drugs are ineffective or unsuitable, more drastic methods should be used.

Penis pumps

It is placed around the penis, after which the pump turns on, which sucks air, creating a vacuum. This leads to increased blood flow and stagnation of arterial blood in the penis.

Having received a sufficient erection, it is necessary to put on a tension ring at the base of the penis in order to keep the blood supply at a sufficient level. And remove the vacuum device. After the end of sex, it is important to free the genital organ from the erection ring, because prolonged (more than half an hour) interruption of blood flow can irreversibly damage the vessels. A number of negative side reactions are possible: bruising or blanching of the penis, limitation of ejaculation.

Conducting a microsurgical operation

Restoration of adequate blood flow in the penis through microvascular arterial bypass grafting and reconstruction of the cavernous nerve using a graft from the branches of the femoral nerve. It is done abroad, it is expensive, it is relevant for the most part at a young age, when it is important to preserve the maximum natural potency.

Implants

One of the ways to deal with complete irreversible dysfunction is an operation in which inflatable or semi-rigid (bendable) rods are placed in the cavernous bodies of the penis. Their main difference from the "natural penis" is that the inflatable device allows you to control the occurrence of an erection and its duration, and the semi-rigid device makes it possible to slightly bend the penis. It is recommended to install implants only if other methods do not work or if the last stage of complete impotence is detected.

Additional recommendations

In parallel with the main treatment, it is important to play sports, exercise, attend massage, consume products that promote male strength, and also actively use folk remedies, which are devoted to a whole article on our website.

Prevention

In order to reduce the risk of impotence, you should adhere to a healthy lifestyle, treat chronic diseases that can lead to it. Overweight men should reconsider their diet, because it is obesity and diseases of the heart and blood vessels that are the main organic causes of impotence. It is necessary to limit oneself in alcohol consumption and smoking, avoid stress, exercise regularly, consult with a psychologist if there are relationship problems. More details about the prevention of impotence are described in a separate article.