Male sexual response is influenced by a variety of factors. There are disorders of sexual desire (libido), penile erection (erection), ejaculation (ejaculation) and orgasm. Often, with sexual dysfunction, potency and ejaculation suffer.
Mechanism of erection
Before describing the pathological changes that cause erectile dysfunction, consider the normal course of this process. Sexual stimulation leads to the fact that nerve endings located in the tissues of the male genitalia send signals to the central nervous system. In response to this signal, nitric oxide begins to be produced.
Arterial blood flow to the penis is increased due to the active expansion of arteries under the action of enzymes acting on the muscular layer of the vascular wall. At the same time, the veins are pressed, where, in a calm state, blood flows from the external genital organs.
The combination of these two processes leads to the filling of the cavernous body with blood, an increase in the volume of the penis and keeping it in an erect position for a certain time. Violation of any mechanism leads to the development of erectile dysfunction.
Erectile dysfunction is a problem that you should not be ashamed of
Erectile dysfunction refers to the persistent inability to achieve and maintain an erection during sexual intercourse. Impotence is one of the major sexual problems in men of all countries and ages, which has a huge impact on self -esteem and psychological well -being.
According to various studies, problems with potency in one way or another exist in 150 million men worldwide. At the same time, only about 10% of patients seek medical help. There are several reasons for this:
- Shame on you for thinking that you should talk about your potential. Many people consider this topic awkward and try to avoid it by all possible means.
- Lack of information. Not all patients know that issues related to this pathology lie within the competence of the urologist-andrologist.
A large number of men with sexual dysfunction are successfully helped. For this, the patient must be prepared for a thorough examination and full treatment.
Organic causes of erectile dysfunction
The sign of organic impotence is the complete absence or partial violation of an erection in response to sexual stimulation. Morning erections with such diseases also do not exist.
Hormone Disorders.In favor of the theory of hormonal causes of the development of impotence is evidenced by the observation that according to him the pathology becomes "younger". Decreased testosterone levels occur in men with age and under normal circumstances. Decreased levels of male sex hormones can lead to the intake of medications for high blood pressure and sedatives.
Infection. . . The link between prostatitis and the problem with potency has been proven. Infectious factors precede the development of acute and chronic prostate inflammation.
Diseases of the cardiovascular system. . . Almost 60% of cases of impotence in men are due to this disease. It is no coincidence that almost all drugs known for the treatment of erectile dysfunction affect the condition of the blood vessels in the small pelvis.
Blood flow into the corpus cavernosum can be disrupted due to atherosclerotic plaques, the presence of which makes the artery walls inelastic.
Physical damage to the organs and tissues of the male external genital organs.There will be no erection with damaged vessels and nerve fibers. The consequences of surgery on the pelvic organs can disrupt the natural sexual journey.
Congenital defects of the penis- backwardness, curvature of the penis, the presence of accessory veins.
Functional erectile dysfunction
The distinguishing feature of them is incompatibility. In this case, an erection may or may not occur. It all depends on the external cause and the psychological state of the man. Irritation can disappear suddenly, at the most crucial moment, even if it is normal at the level of sexual intercourse. The number of impotent patients (according to various sources, they are 50 to 80%) suffer from functional impairment.
Psychogenic erectile dysfunctioncan be caused by a variety of psychological reasons. Nervous tension can lead to violations, including in the presence of sexual failure syndrome expectations.
Men who are prone to increased anxiety and suspicion are prone to the development of this disorder. In such people, planning and preparing to have intercourse can cause fear and apprehension of "disgrace" rather than joy. Attempts to control erections only make matters worse.
Increased tone of the sympathetic nervous system.Usually, with an erection, the vessel wall must relax. The increased tone prevents the filling of the vascular structure of the penis with blood, which can lead to complete absence or insufficient erection.
Sometimes the causes of sexual dysfunction can be mixed and arise from several types of disorders, for example, a combination of psychogenic and organic factors. Only a doctor can understand this problem.
Self -treatment of impotence with pills leads to "death in the saddle"
Tablets for the treatment of impotence with the active ingredient sildenafil can be purchased without a prescription. Such drugs are placed in the first position in store windows and are actively advertised.
Initially, PDE-5 preparations were made for the treatment of diseases of the cardiovascular system. The ability of a drug to improve the performance of a "second machine" is observed by patients at the clinical trial stage of the drug. The low effect of the drug in the treatment of pathology of the heart and blood vessels is compensated by the fact that one dose significantly increases blood flow to the penis.
Uncontrolled use of potent stimulants is unsafe. Doctors even coined the term "death in the saddle" to indicate cases of complications from drugs of this group. The reason for such lethal cases is the uncontrolled intake of potentially stimulating pills.
In the event of a violation of the cardiovascular system, strong physical and psycho-emotional stress can be harmful. If you look at heart attack statistics, you can find an interesting pattern - the average age of onset of acute coronary insufficiency coincides with the emergence of problems with potency. Myocardial infarction is the most common cause of death in patients with diseases of the cardiovascular system, by taking uncontrolled medications to increase potency.
The combination of the use of drugs to increase potency and nitrates, prescribed to patients with angina pectoris, causes excessive production of nitric oxide and the appearance of erections that last up to 6 hours. This condition may require emergency medical treatment.
The ingredients of tadalafil and vardenafil on the mechanism of action are slightly different from sildenafil. They cause the blood vessels of the penis to dilate, which results in the rapid filling of the cavernous bodies with blood. This effect is achieved due to the selective inhibition of the enzyme phosphodiesterase-5 (PDE-5), which normally damages nitric oxide molecules.
Prolonged blockage of endogenous nitric oxide damage can be harmful. Arterial blood flow to the penis becomes much higher than normal, and venous outflow does not change. This increases stress on the cardiovascular system and can lead to sudden death.
In order not to "die in the saddle", it is necessary to take drugs to stimulate erections under the supervision of a doctor and take into account possible contraindications, paying attention to the recommended dosage.
Early or premature ejaculation
Regarding premature ejaculation, if the duration of intercourse is significantly reduced, orgasm occurs very quickly, and the man has no way to satisfy his partner. These violations can be the result of psychological reasons and organic changes in a man’s body.
There are two types of accelerated ejaculation:
- Congenital - is characterized by increased excitability of the genital center located in the spinal cord. Pathological manifestations are observed from the beginning of sexual activity.
- Acquired - which leads to inflammatory processes in the male pelvic organs and other organic causes.
With rapid ejaculation, you can apply techniques and methods that will solve the problem. In each particular case, it is necessary to choose a method that will be effective.
Method number 1. Condoms
The latex layer reduces the sensitivity of the penis during friction, which can prolong the time before the onset of ejaculation. Condoms are not necessarily skinny. Better yet, buy a product coated with a desensitizing gel. The composition of the "freezing" must be inside, otherwise there is no effect for the man, and the couple will certainly feel uncomfortable.
Method number 2. Cream or spray anesthetic
Traditional creams and sprays delay the onset of ejaculation by reducing the sensitivity of the skin of the penis to the sensation of touch. However, when having intercourse, drugs with anesthetics equally affect the sensitivity of both partners.
To overcome this problem, a new class of ingredients was developed that are quickly absorbed into the skin of the penis, only reduce male sensitivity, and do not affect the partner in any way. A man can control the time of onset of ejaculation by losing less sexual sensation compared to drugs from the first group.
Method number 3. Pressure on points
Pressing on the area in the middle between the anus and scrotum. In this area is the prostate (prostate gland), one of its functions is to ensure the onset of orgasm. You can take the scrotum with your fingers and pull it to the side and down from the body.
To delay ejaculation, you need to squeeze the penis with your thumb and forefinger at the intersection of the head with the main part of the penis.
Method number 4. Psychology
You can alleviate the situation by reminding yourself that your partner agreed to have sex not just because of prolonged friction. Premature ejaculation does not always mean that a man sleeps badly. Sex is an option for quiet and pleasant entertainment for both men and women, and not just a way to reach orgasm. You can enjoy sex regardless of ejaculation rate. This can be discussed with your partner. She would stop pressing on the man, and she would be able to rest.
Method number 5. Think of something that is not sexual
Many people can delay the onset of ejaculation as a way to divert thoughts from sex. You can think of anything during intercourse (about work, mother-in-law, money, everyday problems). The most important thing is that the picture is not entirely sexual.
No need to bother your partner. A woman will notice the silence and coldness and will misinterpret it. Enough to turn to non-sexual thoughts at times when the approach of orgasm is felt. This is usually 5-10 seconds.
Method number 6. Controlling ejaculation
This method requires practice, but allows you to maintain a high level of sexual arousal and at the same time delay ejaculation. The effect of the application is amazing. In some sources, it may be called a "stop and start technique. "
The bottom line is simple: during intercourse, when orgasm is approaching, you must stop friction for 30 seconds. During this time, you can continue to caress your partner or continue to relate to him in other ways.
Method number 7. Change position when approaching orgasm
Position selection allows you to use a position that reduces pressure on the most sensitive part of the penis - the glands. The so -called "passive" postures include "he's on top" and "by his side. "
Method number 8. Medical intervention
Ejaculation can be significantly affected by serotonin. To increase the levels of this hormone, drugs from the group of selective serotonin uptake inhibitors are prescribed. Intracavernous vasodilator therapy involves the injection of drugs directly into the penis.
Violations of potency, erections and libido are difficult problems that are often complicated by intense emotional experiences. In this case, you should not panic, arrange yourself an "examination" with different partners, force your sex life. To restore sexual function, it is sometimes enough to relax, change common stereotypes of sexual behavior, and make adjustments to your lifestyle.
The following suggestions help reduce the chances of sexual problems:
- control of diabetes mellitus and cardiovascular disease;
- periodic examination by a urologist, in case of injury or surgery on the external genitalia and small pelvis;
- healthy lifestyle - weight control, stop drinking alcohol and smoking;
- the choice of drugs and their use should be made only under medical supervision;
- an orderly sex life without sexual excess and periods of sexual abstinence.
If, after rest and elimination of all external factors that can negatively affect the potency, sexual function has not recovered, you need to see a doctor. You should also seek medical help if there are symptoms of an illness that can cause sexual dysfunction.