Male erectile dysfunction

Impotence is determined by a complex of factors, expressed in the inability of a man to carry out sexual intercourse.

This condition is called erectile dysfunction in medicine.

At risk are usually people of mature and old age, however, it happens that the problem can overtake a guy at the age of 20.

Types of impotence with reasons

There are several types of erectile dysfunction. The classification is based on the prerequisites that caused its occurrence.

Psychological

Impotence provoked by psychological trauma, complexes, neuroses is called psychological. As a result, there is a disruption in the work of the centers of excitement.

Most often, with erectile dysfunction of this genesis, spontaneous erections persist at night or in the morning. But against the background of severe psychogenic disorders, they can also disappear.

Basic premises of the disorder:

• Phobic disorders (fears), including STOSF;
• Injuries;
• Overexcited;
• Feeling guilty about cheating;
• Porn addiction.

Vascular

Among the varieties of pathology, vascular impotence is quite common. As the name implies, the main cause of problems with achieving an erection is the dysfunction of blood vessels (arteries and veins).

Changes in the vascular structure are a consequence of malnutrition, addiction to smoking and large portions of alcohol, a number of diseases, including:

• Arterial hypertension;
• Ischemic heart disease: angina pectoris, myocardial infarction, cardiosclerosis in the outcome of the transferred myocardium, as well as heart rhythm disturbances;
• Injuries of the vessels of the pelvic floor, received during surgical interventions, automobile, industrial accidents;
• Diabetes mellitus;
• Peyronie's disease (peak 50-60 years).

In addition, hereditary predisposition, lack of sleep and lack of physical activity lead to vascular pathologies.

Hormonal

Testosterone is a hormone that determines male sexual characteristics and sexual behavior and libido (sexual desire). Sexual weakness occurs in severe androgen deficiency.

There are many reasons for testosterone deficiency, not only increased prolactin:

• Old age - age deficit (usually after 55 years), depending on genetics and lifestyle;
• Obesity;
• Diseases of the liver, kidneys, due to increased aromatase activity. This enzyme converts testosterone to estradiol;
• Prostate cancer drug therapy;
• Chemotherapy;
• Marijuana and other drugs;
• Brain injury;
• Genetic and chromosomal disorders such as Klinefelter syndrome;
• Testicular injuries, testicular tumors. Viral orchitis (mumps, orchitis caused by Coxsackie virus).
• Prolactinoma, drug hyperprolactinemia (antidepressants, antipsychotics).
• Alcohol.

Most often, hormonal impotence is also recorded in men after 55 years of age, which is explained by the natural aging processes, in which a decrease in testosterone production is a normal process. But not always. Testosterone deficiency can occur at any age.

Diagnosis: Symptoms and Signs

Symptoms of erectile dysfunction are manifested in different ways depending on the stage. Lack of erection is the main clinical symptom on the basis of which impotence is diagnosed.

Signs can also include:

• Low libido - inability to get aroused in an environment conducive to sexual intercourse;
• Weak erection - decreased frequency of arousal, insufficient hardening of the penis;
• Premature ejaculation - ejection of semen before contact or within a few seconds after insertion of the penis;
• Failure to achieve orgasm during intercourse.

Sexual dysfunction is also characterized by certain personality and behavioral changes. This:

• Closure;
• Development of egocentrism and self-confidence;
• Long recovery from stressful factors;
• Formation of various phobias;
• The onset of anxiety, obsessive-compulsive disorder.

In the presence of any signs, a visit to the doctor (in person) is recommended.

The first step is to conduct a survey "QUESTIONNAIRE ICEF 5".

For an accurate diagnosis, the following tests may be required:

• Clinical analysis of blood and urine;
• Glucose;
• AST, ALT;
• Prolactin, total testosterone, LH, FSH.

Ultrasound according to indications:

• prostate (for suspected prostatitis, BPH, cancer);
• vessels of the penis with a pharmacoprobe (when, for example, pills are not effective or to distinguish between complex cases of psychogenic and vascular dysfunctions).

STI diagnostics (according to indications).

If necessary, you may need to visit specialists of a narrower profile.

Treatment of erectile dysfunction in men

Currently, medicine offers many methods by which impotence is treated. This is work with the psyche, taking synthetic, hormonal and herbal preparations, physiotherapy procedures. In the course of therapy, it is necessary to adjust the lifestyle.

Psychogenic dysfunction therapy

Treatment of psychogenic impotence consists in psychosexual counseling (sexologist, psychologist, sometimes psychotherapist). In parallel, placebo-type drugs can be prescribed.

IMPORTANT: this method is used as a supplement also for mixed form of erectile dysfunction (when problems are not only with the psyche, but also with blood vessels or hormones).

Medicines

Existing remedies for impotence, first of all, are classified according to the method of application.

Highlighted:

• Tablets and capsules for oral administration;
• Solutions for injection;
• Penis cream and gel.

According to the mechanism of action, drugs for impotence are classified into:

• Selective PDE5 inhibitors;
• Hormones.

Phosphodiesterase type 5 inhibitors are drugs for impotence that act like an ambulance. These include drugs based on sildenafil, tadalafil, vardenafil, etc.

Hormones are most often testosterone preparations. They are used for proven androgenic deficiency. They are prescribed in the form of injections, cream and gel. The dosage is calculated individually based on research conducted by a doctor.

Supplements

Dietary supplements do not contain strong synthetic components, therefore they cannot be used in the treatment of erectile dysfunction as an independent means (even those recognized by doctors).

Moreover, many Dietary supplements are empty, it is important to separate the wheat from the chaff. It is not recommended to take them on your own, consult with a specialist in advance to protect your health from allergies and money from waste.

The safest and most effective (in the case when there is no real problem, but just want to improve sex) according to men's reviews dietary supplements:

• Spray M16;
• Balls Golden Deer;
• Tribulus;
• Yohimbine;
• Reksatal.

Folk remedies and methods

Folk remedies should be treated with caution. Such prescriptions do not have an evidence base for their effectiveness, therefore, their use is not effective in the treatment of erectile dysfunction. But if you want to try, you can do it with the most innocuous options:

• Ginger tea;
• A mixture of honey with soda or walnuts;
• Pomegranate juice;
• Pumpkin seeds;
• Seafood.

As for the methods, only Kegel exercises can be distinguished here. It is better to refuse other options (such as hardening or hirudotherapy).

Operation

Surgery is indicated in situations where conservative therapy fails. There are 2 surgical techniques used to restore potency:

• removal / excision of plaque in Peyronie's disease;
• falloprosthetics (when drug therapy does not help).

Other methods

Additional measures for the treatment of impotence include:

• Physiotherapy - for example, UVT (often in combination with type 5 IFDE);
• Using a vacuum pump - in case of problems with blood vessels;
• Prostate massage;
• Lifestyle adjustments.

Helpful Hints

At the first sign of erectile dysfunction, it is important:

It is important for wives to know that in the event of negative symptoms, the husband should provide him with maximum support and help him find a way out.

Prevention

In order not to learn from our own experience what male impotence is, it is enough to resort to simple rules: