Erectile dysfunction Wikipedia

What is prostatodynia and how is it treated?

Prostatodynia (or neurovegetative prostatopathy) is a non-inflammatory syndrome of chronic pelvic pain. It occurs in 31% of men.

Prostatodynia is similar to the symptoms that are characteristic of chronic prostatitis, but without inflammation in the prostate and bacterial flora in the secretion of the prostate. That is, this is a condition in which there are no bacteria and pus in the prostatic secretion, but there are problems with urination.

This is a circulatory disorder in the prostate gland.

The main difference from chronic prostatitis is that there is no inflammatory process in prostatodynia.

Symptoms

The following symptoms are distinguished:

• discomfort;
• pain;
• persistent urination problems;
• sexual activity disorder.

With prostatodynia, pain can be localized in the perineum, testicles, penis, sometimes even in the lower back and pelvic region. Pain is the main symptom in which a man goes to the doctor. The difficulty of making a diagnosis lies in the fact that pain can be a symptom of other diseases.

Impaired urination:

• sluggish stream;
• frequent urging;
• sometimes no urine (dysuria).

Violation of sexual activity is more related to the psychological state of a man. The patient may develop depression, there is a fear of failure in sexual life.

Factors of disease development

Predisposing factors for the development of this disease are:

• sedentary lifestyle;
• frequent use of alcoholic beverages;
• frequent use of spicy foods;
• use of caffeine;
• inconsistent sex life;
• work associated with nervous tension.

The examination of the patient must be carried out very carefully. When examining a man, first of all, the doctor should pay attention to the presence of an inguinal hernia or pathology of the scrotum.

Next, the patient undergoes a rectal examination. At the same time, pain is felt when pressing on the pelvic muscles, although the prostate gland is of normal size, but slightly tense.

The next thing is echography (ultrasound). This study is carried out in order to exclude chronic prostatitis. The doctor will not be able to see the inflammatory process, because it is not there. This is another confirmation of prostatodynia.

Also, the patient will be offered to hand over seminal fluid for analysis. With prostatopathy, the inflammatory process will not be observed.

Treatment

Although there is no inflammatory process in prostatodynia, experts still recommend the mandatory use of antibiotics.

Also should be accepted:

• sedative (sedative) drugs;
• antispasmodic (painkillers) drugs;
• drugs that restore blood circulation in the prostate gland;
• physiotherapy procedures ;
• prostate massage;
• psychotherapy.

Massage improves blood circulation and patients experience improved sexual function.

In physiotherapy, they use: electrical stimulation, magnetotherapy, thermotherapy, laser therapy. Physiotherapy improves blood supply to the prostate gland, relieves pain, activates metabolic processes, improves the general condition of the patient.

Psychotherapy is needed so that a man does not fall into depression. It is necessary to communicate with such patients very carefully and carefully.

The treatment process is long, requires patience from the doctor and the patient, but the results obtained justify the effort.

Prevention

As a preventive measure, it is necessary:

• limit or completely stop drinking alcohol and smoking;
• follow a diet;
• keep an active lifestyle;
• do spa treatment ;
• observe the regime of work and rest;
• visit the urologist regularly.

In spa treatment, clay treatment is used. The use of therapeutic clay leads to a decrease in pain, sexual dysfunction and improves blood flow.

The outcome of the disease may be a complete cure, or the symptoms subside, but after some time the sun returns.

Causes of erectile dysfunction

For many men, it is very important to always be on top during intimate relationships with their chosen one. But incidents can happen to anyone, for example, when a long and bright foreplay leads to ejaculation even before sexual intercourse begins. And if such cases are rare, you should not take them as a problem, usually this is the result of a long abstinence or emotional overexcitation.

There are also cases when a man simply cannot complete sexual intercourse, since his erection does not lead to ejaculation.All this is overexcitation, which requires the search for causes and their elimination.

The determining factor should be the duration and frequency of such overexcitation. Otherwise, constant incidents in bed can lead to wet dreams and masturbation, rejecting a normal sex life.

What is overexcitation in men?

Sexual overexcitation is an abnormal phenomenon, if it happens repeatedly, it is expressed in increased excitability and the impossibility of a full-fledged sexual intercourse. Natural arousal is accompanied by the development of certain physiological processes. But there are situations when a man's body is excited on its own and leads to sexual overexcitation for no reason.

Most often, this phenomenon can occur in men who abuse prolonged caresses and foreplay due to the woman's unwillingness to have sex. In fact, it is a big mistake to perceive repeated sexual overexcitation, since abnormal processes in the body can lead to certain negative consequences.

In medicine, regular sexual overexcitation is classified as a pathology.

What could be the reasons for overexcitation?

The main condition for solving the problem in this case is the exact definition of a man or a medical specialist, it happens from overexcitation, that is, what precedes it. Doctors emphasize that if, when overexcited, a man experiences nausea and a severe headache in the back of the head, this can indicate both psychological and physiological problems.

Pain in the scrotum of the testicles during overexcitation is considered a bad sign, since the testicles are responsible for the production of the sex hormone testosterone, so any deviations from the norm can lead to a decrease in the synthesis of the hormone, negatively affecting the reproductive system of a man and his hormonal background.

The following phenomena can be considered the causes of exacerbation:

• viral and infectious diseases of the genitourinary system;
• mental abnormalities, for example, obsessive fears, stress, impulsive and unrestrained behavior, aggression;
• increased sensitivity of the head of the penis.

Is sexual excitement harmful?

Given the above reasons and an explanation of what a strong overexcitation actually is, its harm to the body of a man becomes clear. Usually, people at a young age suffer from sexual overexcitation, and this problem is accompanied by a number of negative factors, for example:

• sexual hyperactivity, which is also not considered the norm from the point of view of medicine;
• an imbalance of the hormonal system, any hormone in excess depresses another hormone;
• the impossibility of a full-fledged sexual intercourse ;
• stagnant processes against the background of overexcitation, which entail a number of diseases.

As for older men, sexual overexcitation is more often psychological in nature, accompanied by problems such as:

• fears and worries about the fact that a man cannot satisfy his partner;
• an unfavorable environment that causes discomfort, worries, anxiety in a man, negatively affecting potency and libido;
• complexes and self-doubt, aggravating the situation with overexcitation.

In any case, you should not wait and turn a blind eye to existing problems in bed. Overexcitation and lack of discharge can be accompanied by stagnant processes, and this already promises a man prostatitis, infertility and much more.

How to understand that a man is overexcited?

Understanding how harmful sexual overexcitation is, it is important not to lose sight of these problems and seek help from a specialist in a timely manner. To do this, you need to identify the problem in time according to its characteristic symptoms.

Signs of overexcitement are as follows:

• small swelling of the testicles and pain of a cutting or pulling nature;
• discomfort and even soreness in the penis;
• aching pain in the lower abdomen;
< li>nausea and throbbing pain in the back of the head.

If the problem is permanent, in this case we will talk about abnormal processes and pathologies in the body, so you can’t do without the help of a specialist. All this can cost a man an erection, potency and reproductive ability of procreation.

Consequences and pain: why is it dangerous?

A great danger is the overexcitation of a man, which was caused by existing infectious diseases and inflammatory processes. The pain that accompanies overexcitation is a clear signal that a man needs to visit a urologist. The absence of pain, but problems with erection, most likely, lie in psychological disorders.

Medical symptoms

Impotence is the persistent inability of a man to have sexual intercourse in full.In normal sexual function, sexual intercourse consists of sexual desire (libido), erection, ejaculation (ejaculation) and orgasm.

The absence of any component determines the impossibility of a full-fledged sexual intercourse and gradually leads to a violation of the remaining components. Most often, impotence is caused by erectile dysfunction or ejaculation.

Impotence is the persistent inability of a man to have sexual intercourse in full.

With normal sexual function, sexual intercourse consists of sexual desire ( (ejaculation) and. The absence of any component determines the impossibility of performing a full-fledged sexual intercourse and gradually leads to a violation of the remaining components. Most often, impotence is caused by Erectile dysfunction or ejaculation.

Medical diagnostics

Ultrasound

Injection of prostaglandin, a stimulant similar to a hormone produced in the body, causes an erection.

An ultrasound is then used to observe vasodilation and measure the blood pressure in the vessels of the penis. The results are compared with the results taken when the penis is not erect.

Testing the innervation of the penis

To determine the functional state of the nerves of the penis, the bulbocavernosus reflex is tested. The doctor presses the head of the penis, which should normally cause an instant contraction of the anus.

The doctor measures the latency of this reflex by observing the contraction of the anal sphincter, or by palpating the sphincter with a finger. If there is a suspicion of nerve damage or diabetes, special tests are performed to check the function of the nerve.

Night Erections

Methods of treatment

• PDE5 inhibitors: Viagra, Dynamico, Cialis, Levitra;
• ginseng;
• making positive lifestyle changes (such as quitting smoking and exercising more) ;
• urethral injections;
• penile corpus cavernosum injections;
• penile vacuum devices;
• penis prostheses member;
• psychotherapy;
• massage;

Gone are the days when there was no "sex" in our country

Unfortunately, the quality of life of many couples is affected by a very serious and common problem - erectile dysfunction. According to the World Health Organization, erectile dysfunction is the persistent or recurring inability of a man to achieve and/or maintain an erection sufficient for successful intercourse.

Erectile dysfunction is usually diagnosed when a man is unable to maintain an erection for at least 25% of the sexual acts he attempts. According to American researchers, more than 150 million men over 40 suffer from this disorder worldwide.

Gone are the days when there was no "sex" in our country

Unfortunately, the quality of life of many couples is affected by a very serious and common problem - erectile dysfunction. According to the definition of the World Health Organization, erectile dysfunction is the constant or recurring inability of a man to achieve and / or maintain an erection sufficient for successful sexual intercourse.

Erectile dysfunction is usually diagnosed when a man is unable to maintain an erection for at least 25% of the sexual acts he attempts. According to American researchers, more than 150 million men over 40 suffer from this disorder worldwide.

PDE5 inhibitors

PT-141

Enzaite

Mycosyst

• PDE5 inhibitors: Viagra, Dynamico, Cialis, Levitra (provide only a short-term effect);
• based on plant substances: ginseng, Eurycoma longifolia;
• introducing positive lifestyle changes (e.g. stop smoking and exercise more);
• injections into the urethra;
• injections into the cavernous body of the penis (papaverine, alprostadil, etc.) );
• vacuum devices for the penis;
• psychotherapy;
• massage;
• It should be noted the extremely low efficiency of vascular operations on the penis . Only in very rare cases, the effect of them lasts longer than one or two years.
• if all of the above is not effective, penile prostheses are used.

• PDE5 inhibitors: Viagra, Dynamico, Cialis, Levitra (provide only short-term effect);
• botanicals: ginseng, Eurycoma longifolia;
• making positive changes into lifestyle (for example, stop smoking and exercise more);
• injections into the urethra;
• injections into the cavernous body of the penis (papaverine, alprostadil, etc.);
• vacuum devices for the penis;
• psychotherapy;
• massage;
• It should be noted the extremely low efficiency of vascular operations on the penis . Only in very rare cases, the effect of them lasts longer than one or two years.
• if all of the above is not effective, penile prostheses are used.

• PDE5 inhibitors: Viagra, Dynamico, Cialis, Levitra (provide only short-term effect);
• botanicals: ginseng, Eurycoma longifolia;
• making positive changes into lifestyle (for example, stop smoking and exercise more);
• injections into the urethra;
• injections into the cavernous body of the penis (papaverine, alprostadil, etc.) ;
• vacuum devices for the penis;
• psychotherapy;
• massage;
• Vascular surgery on the penis (dorsal vein resection, endovascular embolization of the penial veins). It should be noted the low efficiency of these vascular operations. Only in rare cases, the effect of them lasts longer than one or two years.
• if all of the above is not effective, penile prostheses are used.

Prosthetics have been used in medicine for a long time. Phalloprosthetics in the treatment of erectile is a highly effective method if other methods of treatment have not brought the desired result. After installing the implant in the penis, sexual function is restored in 95% of operated men. Phalloprostheses have a different design and differ in the degree of complexity.

The latest generation prostheses - three-component hydraulic - are the most reliable and most effective. The operation to install them is complex and painstaking, requiring certain skills and abilities from the urologist-surgeon. In addition, the cost of such prostheses is very high. Examples of such penile prostheses: Coloplast Titan OTR, AMS 700 CX, AMS 700 LGX