Impotence at 50

Reaching the age of 50 is often accompanied by numerous functional pathologies. In older patients, a series of chronic psychogenic and organic diseases is observed, which together cause a persistent loss of sexual desire.

Is it possible to return potency after 50 years

To work with elderly patients, urologists use systemic methods of treatment. Before the provision of medical care, a thorough instrumental and clinical diagnosis is carried out, which makes it possible to establish the causes of sexual pathologies and the presence of contraindications in patients for the use of various methods of restoring sexual desire.

The physician discusses possible treatment options with the patient, obtaining his consent to the use of certain therapeutic manipulations. Most often, doctors adhere to the following directions: 1. Conservative treatment, when the patient does not need surgical intervention or has appropriate contraindications. This method of rendering assistance is based on the introduction of medications, the use of manual therapy, special devices for radiotherapy and exposure to electric waves, oral therapy and vacuum techniques, psychotherapy; 2. minimally invasive treatment, involving the implementation of intracavernous injections with restorative, aphrodisiac and androgenic drugs, as well as intraurethral therapy; 3.surgical treatment, in particular, revascularizing interventions on the penis, penile prosthetics and interventions to correct the shape of the penis.

The main methods of rehabilitation therapy

The effectiveness of the use of any methods of exposure to the genitals increases if the patient adheres to the minimum requirements for a healthy lifestyle. In old age, it becomes especially important to have sufficient physical activity, dietary nutrition, complete rejection of tobacco smoking and alcoholic beverages. In case the patient ignores the described rules, there is a high probability of the return of erectile dysfunction in 1-2 years after undergoing the recommended course of treatment. In addition, patients with bad habits put themselves at risk of ischemic stroke or myocardial infarction during sexual intercourse.

Psychotherapy

This method is used to eliminate the harmful effects of psychogenic and complex erectile dysfunction. Sexual disorder is not always purely organic. Often, against the background of a reduced erection and premature ejaculation, an inferiority complex is formed, forcing a man to avoid close contact with the opposite sex. Such systemic disorders require long-term treatment with the help of sessions with a psychotherapist. To obtain the best possible healing effect, the physician should ask the patient to attend an appointment with his spouse. During a confidential conversation with the doctor, the couple learns about:

• the causes of stressful situations, conflicts and depression
• the most frequent communication problems between partners
• the consequences of prolonged sexual abstinence
• ways of forming a new system of sexual relationships< / li>
• methods of getting rid of the fear of a failed attempt at intercourse / li

Hormone therapy

Male patients over the age of 50 suffer from severe androgen deficiency caused by decreased production of sex hormones in the testes. In order to stabilize testosterone levels and increase sexual desire for a partner, a course of replacement therapy is performed. Treatment provides an increase in the content of active metabolites in the blood serum. To provide assistance, tablets and injections, medicinal ointments and gels, as well as patches for cutaneous application are used. Solutions containing testosterone analogs can be injected intramuscularly or directly into the corpora cavernosa of the penis.

Oral therapy

This is a highly effective therapeutic technique based on the introduction of type 5 phosphodiesterase inhibitors. In the absence of contraindications, the patient is prescribed vardenafil, tadalafil or sildenafil. Taking a limited number of tablets allows you to:

• prevent the degradation of active cyclic guanosine monophosphate
• increase the effectiveness of the erection mediator
• achieve a stable erection
• prevent early semen ejection
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Treatment of erectile dysfunction with these sexual stimulants can help 60-80% of patients in the older age group.