The sexual reactions of men are determined by many factors.There are disorders of sexual desire (libido), penile tension (erection), ejaculation (ejaculation) and orgasm.Most often, sexual dysfunction affects potency and ejaculation.
Erectile mechanism
Before describing the pathological changes leading to erectile dysfunction, let's review the normal course of this process.As a result of sexual arousal, the nerve endings in the tissues of the male genital organs send signals to the central nervous system.In response to these signals, nitric oxide is produced.
The flow of arterial blood to the penis increases due to the active expansion of the arteries as a result of the enzyme acting on the muscle layer of the vessel wall.At the same time, compression of the veins occurs, through which blood flows out of the external genitalia in a calm state.
The combination of these two processes leads to the filling of the corpora cavernosa with blood, an increase in the volume of the penis and its erection for a certain period of time.Violation of any mechanism leads to the development of erectile dysfunction.
Erectile dysfunction is a problem you should not be ashamed of
Erectile dysfunction is the persistent inability to achieve and maintain an erection during sexual intercourse.Impotence is one of the main sexual problems for men in all countries and ages, which has a significant impact on self-esteem and psychological well-being.
According to various studies, potency problems occur to some degree in 150 million men worldwide.However, only about 10% of patients seek medical help.There are several reasons for this:
- He is ashamed of the thought of having to talk about his potency.Many people find this topic embarrassing and try to avoid it as much as possible.
- Lack of information.Not all patients know that issues related to this pathology fall under the jurisdiction of a urologist-andrologist.
Most men with sexual disorders can be helped.For this, patients must be prepared for a comprehensive examination and comprehensive treatment.
Organic causes of erectile dysfunction
A sign of organic impotence is the complete absence or partial disruption of an erection caused by sexual stimulation.The morning erection is also absent in such diseases.
Hormonal disorders.The theory of hormonal causes of impotence is supported by the observations that the pathology is sharply "younger".A decline in testosterone levels occurs in men as they age and is normal.Taking antihypertensive drugs and tranquilizers can cause a further decrease in the level of male sex hormones.
Infections.The relationship between prostatitis and potency problems has been proven.Infectious factors lead to the development of acute and then chronic inflammation of the prostate.
Diseases of the cardiovascular system.Almost 60% of male impotence is caused by these diseases.It is no coincidence that almost all known drugs used to treat erectile dysfunction affect the state of the vessels in the pelvis.
Blood flow to the corpora cavernosa can be impaired due to atherosclerotic plaques, the presence of which makes the walls of the arteries inflexible.
Physical damage to the organs and tissues of the male external genitalia.There will also be no erection if the blood vessels and nerve fibers are damaged.The consequences of operations on the pelvic organs can disrupt the natural flow of sexual excitement.
Congenital disorders of genital development- underdevelopment, curvature of the penis, presence of accessory veins.
Functional erectile dysfunction
Their distinguishing feature is constancy.In this case, an erection may or may not occur.It all depends on external factors and the psychological state of the man.Arousal can disappear suddenly, at the most important moment, even if it was normal during the stage of sexual caress.The vast majority of patients suffering from impotence (according to various sources, 50-80%) suffer from functional disorders.
Psychogenic erectile dysfunctionit can be caused by various psychological reasons.Nervous tension can provoke the disorder, including the presence of the syndrome of anxious anticipation of sexual failure.
Men prone to increased anxiety and suspicion are prone to developing this disorder.In such people, planning and preparing for sexual intercourse can cause fear and fear of "shame" instead of excitement.Controlling the erection only makes the situation worse.
Increased tone of the sympathetic nervous system.Normally, during an erection, the walls of blood vessels should relax.Increased tone prevents the vascular system of the penis from filling with blood, which can lead to a complete lack or insufficient erection.
Sometimes the causes of sexual dysfunction can be mixed and stem from multiple disorders, such as a combination of psychogenic and organic factors.Only a doctor can understand this question.
Self-treatment of impotence with pills leads to "death in the saddle".
Sildenafil impotence tablets are available without a prescription.Such drugs are placed in the first place of the window and are actively advertised.
Initially, PDE-5 drugs were created to treat cardiovascular diseases.Patients drew attention to the fact that the drug can improve the functioning of the "second motor", even at the stage of clinical trials of the drug.The low effect of the drug in the treatment of pathologies of the heart and blood vessels was compensated by the fact that one dose significantly increased blood flow to the penis.
Uncontrolled use of potency-enhancing drugs is not safe.Doctors even coined the term "death in the saddle" to refer to complications from this class of drugs.The reason for such fatal cases is the uncontrolled use of potency-enhancing pills.
If the functioning of the cardiovascular system is impaired, further intense physical and psycho-emotional stress can be harmful.If you look at the statistics of heart attacks, you can discover an interesting pattern - the average age of onset of acute coronary insufficiency coincides with the onset of potency problems.Myocardial infarction is the most common cause of death in patients with cardiovascular disease who have taken uncontrolled drugs to increase potency.
The combined use of potency-enhancing drugs and nitrates prescribed to patients with angina pectoris leads to excessive production of nitric oxide and the appearance of an erection lasting up to 6 hours.This situation may require emergency medical attention.
Tadalafil and vardenafil do not differ much from sildenafil in their mechanism of action.They expand in the veins of the penis, which leads to the rapid filling of the corpora cavernosa with blood.This effect is achieved by selectively blocking the enzyme phosphodiesterase-5 (PDE-5), which normally destroys nitric oxide molecules.
Long-term blockade of the breakdown of endogenous nitric oxide can be harmful.Arterial blood flow to the penis increases significantly above normal, but venous outflow does not change.This contributes to increased stress on the cardiovascular system and can lead to sudden death.
In order not to die in the saddle, under the supervision of a doctor and taking into account possible contraindications, you should take drugs to stimulate erection, following the recommended dosage.
Premature or premature ejaculation
About premature ejaculation, if the duration of sexual contact is significantly reduced, the orgasm occurs very quickly, and the man cannot satisfy his partner.This disorder can be the result of psychological causes and organic changes in the male body.
There are two types of accelerated ejaculation:
- Congenital - characterized by increased excitability of the genital centers located in the spinal cord.Manifestations of pathology are detected from the beginning of sexual activity.
- Acquired - caused by inflammatory processes in the male pelvic organs and other organic causes.
If you ejaculate quickly, you can use techniques and methods to solve the problem.In each specific case, the effective method must be selected.
Method number 1.Condom
The latex layer reduces the sensitivity of the penis during friction, which can significantly extend the time before ejaculation.The condom should not be thin.It is even better to buy products coated with desensitizing gel.The "freezing" composition must be inside, otherwise there will be no effect on the man, and the partner will be doubly unhappy.
Method number 2.Numbing cream or spray
Conventional creams and sprays can delay the onset of ejaculation by reducing the sensitivity of the penile skin to tactile sensations.However, during sexual intercourse, drugs containing anesthetic affect the sensitivity of both partners equally.
To solve this problem, a new class of substances has been developed, which are quickly absorbed into the skin of the penis and only reduce the sensitivity of men and have no effect on the partner.The man can control the time of ejaculation in such a way that he loses less sexual sensation than drugs belonging to the first group.
Method number 3.Pressure on the points
Pressing the area halfway between the anus and the scrotum.The prostate gland is located in this zone, one of whose functions is to ensure the formation of orgasm.You can grab the scrotum with your fingers and pull it to the side and down from the body.
In order to delay ejaculation, you should squeeze the penis with your thumb and forefinger at the junction of the head and the main part of the penis.
Method number 4.Psychological
You can defuse the situation by reminding yourself that your partner isn't consenting to sex just because of prolonged friction.Premature ejaculation does not always mean that a man is bad in bed.Sex is an opportunity for a man and a woman to have a relaxed and pleasant time, and not only a way to achieve orgasm.You can enjoy sex regardless of the speed of ejaculation.This can be discussed with your partner.You stop putting pressure on him and he can relax.
Method 5.Think of something non-sexual
Many people may delay ejaculation to take their mind off sex.You can think about anything while driving (work, mother-in-law, money, everyday problems).The most important thing is that the images are completely non-sexual.
You don't need to distract yourself from your partner.A woman notices aloofness and coldness and misinterprets it.During those periods when you feel the orgasm approaching, it is enough to switch to non-sexual thoughts.This is usually 5-10 seconds.
Method number 6.Ejaculation control
The method requires practice, but it allows you to maintain a high level of sexual excitement and at the same time delay ejaculation.The effect of its use is amazing.In some sources, it is called the "stop-and-start" technique.
The point is simple: during sexual intercourse, when orgasm is approaching, you need to stop friction for 30 seconds.During this time, you can still caress your partner or otherwise keep in touch with them.
Method number 7.Change of position as orgasm approaches
The choice of positions allows you to use positions that reduce the pressure on the most sensitive part of the penis - the head.The so-called “passive” positions include “on top” and “on the side”.
Method number 8.Medical intervention
Ejaculation can be significantly affected by serotonin.In order to increase the level of the hormone, drugs belonging to the group of selective serotonin reuptake inhibitors are prescribed.During intracavernosal vasodilation therapy, drugs are injected directly into the penis.
Violation of potency, erection and libido is a difficult problem, often complicated by intense emotional experiences.In this case, there is no need to panic, coordinate "exams" with different partners, or force your sex life.To restore sexual function, sometimes it is enough to rest, change the usual stereotype of sexual behavior and modify the lifestyle.
The following recommendations will help minimize the likelihood of developing sexual problems:
- control of diabetes and cardiovascular disease;
- periodic examination by a urologist if there have been injuries or operations on the external genitalia and the pelvis;
- healthy lifestyle - weight control, stopping alcohol and smoking;
- the selection and use of medicines can only take place under medical supervision;
- regular sex life without sexual excesses and periods of sexual abstinence.
If sexual function does not recover after rest and elimination of all external factors that can negatively affect potency, a doctor should be consulted.Medical help should also be sought in cases where symptoms of diseases that can cause sexual dysfunction occur.