Which doctor should a man see if he has impotence?

Age-related "narrowing" of the possibilities of a man in bed is inevitable - like women, with the difference that in the latter it is less noticeable to others. Often a decrease in potency is formed or aggravated ahead of time due to various diseases Endocrine, urological, psychological. Accordingly, when erectile dysfunction occurs, the treating physician may be called differently or even be more than one. It all depends on the reasons that caused the rejection.

Which doctor treats erectile dysfunction in men?

Poor potency is not a very pleasant phenomenon in itself, moreover, it often entails complications on the mental state of a man. The most unpleasant thing in the situation is the versatile flow (often - and the origin too).

Violation of potency occurs one-time against the background of not even diseases, but a temporary disorder - physical fatigue, a difficult working day, too stormy the previous night. But it is aggravated by the lack of confidence in their own strengths, which appeared after one failure, after which the discord is consolidated already against the background of unjustified excitement before each intimacy.

It is the same with the pathologies causing erectile dysfunction. The influence of many of them on potency would be much smaller if the patient did not attach more importance to them than is required. The doctor treats impotence in men, starting from the clinical picture, which is why the specialization of the physician often differs from case to case.

Important: the final diagnosis after examination by a specialized specialist may be unexpected. So, infertility, short sexual intercourse, urinary incontinence, progressive impotence often provoke prostate cancer (this is to the oncologist) or pathological processes in the lumbosacral spine (they are dealt with by neurologists, orthopedists and vertebrologists). And with congenital anomalies of the structure of the reproductive system (Peyronie's disease, hypo- and epispadias, cryptorchidism), only surgeons deal with.

When should I go to the hospital?

The question of when and to which doctor to apply for impotence is subjective. Ideally, this should be done immediately when the first signs of a disorder of potency appear, since in the future it will progress, acquiring psychological and physiological complications.

But the sensitivity of the topic often makes a man remain silent to the last. Women, too, can unwittingly support the self-deception of their companions because of a false desire not to offend, to support them. You should come to the andrologist or urologist for a physical examination when:

• incomplete, sluggish erection (you cannot have sex, as it may end in a broken penis);
• episodes of complete lack of potency despite stimulation;
• possible infertility;
• unpleasant pulling, aching sensations with arousal and / or ejaculation;
• changing the shape of the penis during erection;
• foreign inclusions in the ejaculate (blood, pus, flakes of any color);
• significant difference in testicular size;
• inability to move the foreskin from the head;
• decrease in ejaculate volume;
• neoplasms of any size and location in the groin and genitals;
• a sluggish, intermittent stream during urination, frequent urge to urinate with a feeling of incomplete emptying.

It's time to go to the doctor in cases that are not yet related to potency, but transparently hinting at a problem. The urologist and andrologist will approve of this initiative in case of extraneous rashes, plaque and oozing on the skin of the genitals, foreign discharge from the urethra, balanitis (inflammation of the head).

Urologist - what treats in men?

There are several doctors dealing with the reduction of male potency. Each of them is responsible for certain problems with the male body.

A urologist treats urinary tract diseases in men, often leading to secondary impotence:

• on the part of the kidneys - nephritis, pyelo- and glomerulonephritis, nephrolithiasis (stones), amyloidosis (a systemic process of an unclear nature, affecting the kidneys with deposits of an abnormal amyloid protein), cancer, nephrosis (non-inflammatory dystrophy);
• in the bladder - cystitis (caused by a third-party infection, stagnation of urine with adenoma and prostatitis, the introduction of its own microflora through the urethra), malignant tumors, leukoplakia (changes in the mucous membrane), tuberculosis, neurogenic dysfunction;
• regarding the urethra - urethritis of any etiology and malignant formations.

As noted above, a urologist with violations of potency often has to deal with pathologies not from his area - prostatitis and adenoma.

Doctor-andrologist - what heals for men?

Answering the question of what to do if a man starts having problems with potency (which doctor to turn to), we can say that an andrologist by specialization is closest to the stronger sex.

He will at least fix deviations in the structure or work of the reproductive system. It will also establish whether they are primary or secondary, and redirect the patient to the right specialist, if the situation requires it. Andrologist treats men:

• premature ejaculation;
• lack of erection;
• adenoma;
• prostatitis;
• infertility;
• phimosis;
• balanitis and balanoposthitis;
• penis fracture.

Indirectly, the andrologist takes part in therapy:

• hemorrhoids;
• obesity (lipid stores accumulate estrogens, their excess in men leads to hormonal imbalance);
• back problems;
• sexually transmitted infections.

He examines and advises the surgeon when changing the patient's gender and all surgical interventions on the penis, testicles, scrotum when:

• hernias;
• malignant tumors;
• cryptorchidism;
• injuries;
• varicocele;
• spermatocele;
• Peyronie's pathology;
• plastic correction of the shape and size of the penis.

Doctor for men - who else deals with the "stronger sex"?

The already mentioned specialists, including sex therapists, are still not sufficient in all cases of secondary impotence. The doctor who deals with potency and gives advice on how to increase it is directly related to the causal disorder.

While the "roots" of difficulties with potency remain in the genital area, the doctor treats them appropriately - a urologist or andrologist. But sciatica, intervertebral hernias, sciatica can also cause impotence and urinary incontinence, although an andrologist and urologist will not do anything with them without the help of a vertebrologist or at least an orthopedist.

Varicocele has a common nature with hemorrhoids and varicose veins, and one cannot do without consulting a phlebologist in the treatment of pathology. To correct blood clotting (which is important for normal life), you have to ask for advice from a hematologist.

Another case of a seemingly narrow problem of impotence going beyond the intimate sphere is a rare but extremely unpleasant Peyronie's anomaly. Its origins are unclear and may be of a genetic nature. And an effective method of therapy so far boils down to the excision of the deformity foci created by her. This requires a separate surgeon.

With hormonal imbalance, it is also better to go to an endocrinologist. In the meantime, the origin of difficulties with potency is unclear or the patient has the impression that none of the listed specialists is suitable for him, the most reasonable thing is to contact a district or regional therapist.

This is not a doctor for men in the strict sense, because he is treated with any ailments - from flu to pernicious anemia. But with such a wide profile, he is better guided by the symptoms of various deviations, he will more accurately formulate a preliminary diagnosis and give the most appropriate direction for the case.

Can I self-medicate?

The effectiveness of self-medication for sexual disorders worries the majority of those who have encountered it in practice. It makes no significant difference for a man which doctor treats erectile dysfunction if he is embarrassed to discuss the complications that have arisen, even with his partner. And there are enough drugs for independent experiments on the market. Self-medication for deviations in potency has the same negative sides as for any other pathologies:

• the patient cannot independently determine the causes of impotence;
• the urologist and andrologist are unlikely to approve of such a move;
• every month the initial symptoms progress due to the spread of pathological processes to neighboring organs and, most importantly, the man's psyche.

Freely sold drugs instead of drugs actually belong to herbal dietary supplements. In terms of efficiency and speed of manifestation of at least some results, they are much inferior to scientifically approved means for increasing potency. But they say in their favor:

• multifunctionality - they act in a complex manner, which is useful if it is impossible to establish the existing sources of the violation;
• safety - they are compatible with taking alcohol, other medications, and less likely to give side effects with prolonged use (often needed in case of unrecoverable, exclusively relieved impotence);
• assortment - an option to which an addiction has arisen or the response was initially weak, it is easier to replace with a suitable analogue.

But it is still wiser to undergo a full medical examination beforehand. An andrologist, urologist and related specialists will establish the diseases that contributed to the extinction of the potency of the disease. So, it will become easier for an impotence sufferer to navigate in self-medication measures. And the doctor will still not oblige him to comply with the prescribed prescriptions.