A man's sexual reactions are determined by a whole complex of different factors.Violations of sexual desire (libido), penile tension (erection), ejaculation (ejaculation) and orgasm are noted.Most often, sexual dysfunction affects potency and ejaculation.
mechanism of erection
Before we describe the pathological changes that cause erectile dysfunction, let's consider the normal course of this process.Sexual arousal causes the nerve endings located in the tissues of the male genital organs to send signals to the central nervous system.In response to these signals, the production of nitric oxide begins.
Arterial blood flow to the penis increases due to the active expansion of the arteries by the action of an enzyme acting on the muscular layer of the blood vessel wall.At the same time, there is a contraction of the veins through which, in a calm state, blood flows from the external genital organs.
The combination of these two processes leads to the filling of the cavernous bodies with blood, an increase in the volume of the penis and the maintenance of an erection for a certain period of time.Violation of any of the mechanisms leads to the development of erectile dysfunction.
Erectile dysfunction is a problem 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 main sexual problems of men of all countries and ages, which has a significant impact on self-esteem and psychological well-being.
According to various studies, potency problems affect 150 million men worldwide to one degree or another.However, only 10% of patients seek medical help.There are several reasons for this:
- You are embarrassed to think that you have to talk about your potency.Many people find this topic uncomfortable and try to avoid it.
- Lack of information.Not all patients know that issues related to this pathology are within the competence of a urologist-andrologist.
Most men with sexual dysfunction can get help.For this, patients should be ready for a comprehensive examination and comprehensive treatment.
Organic causes of erectile dysfunction
A sign of organic impotence is the complete absence or partial failure of an erection that occurs in response to sexual stimulation.In such diseases there is no morning erection.
Hormonal disorders.The theory of hormonal causes of impotence is supported by observations, according to which the pathology has become dramatically "younger".A decline in testosterone levels occurs in men with age and is normal.An additional decrease in the level of male sex hormones can be caused by high blood pressure and taking sedatives.
infections.The connection between prostatitis and potential problems has been confirmed.Infectious factors are leading in the development of acute and then chronic inflammation of the prostate.
Diseases of the cardiovascular system.Almost 60% of cases of impotence in men are caused by these diseases.It is no coincidence that almost all known drugs for the treatment of erectile dysfunction affect the condition of the pelvic vessels.
Blood flow in cavernous bodies can be disturbed due to atherosclerotic plaques, the presence of which makes the artery walls inelastic.
Physical damage to the organs and tissues of the male external genitalia.There will also be no erection if blood vessels and nerve fibers are damaged.The results of operations on the pelvic organs can disrupt the natural course of sexual arousal.
Congenital anomalies of genital organ development- Underdevelopment, curvature of the penis, presence of accessory veins.
Functional erectile dysfunction
Their distinguishing feature is inconsistency.In this case, an erection may or may not occur.It all depends on external reasons and the psychological state of the man.Excitement can suddenly disappear, at the most important moment, even if it is normal during the stage of sexual caress.The vast majority of patients with impotence (according to different sources, from 50 to 80%) have functional disorders.
Psychogenic erectile dysfunctionIt can be caused by various psychological reasons.Nervous tension can cause disorders, including in the presence of the syndrome of anxious anticipation of sexual dysfunction.
Men who are prone to increased anxiety and suspicion are prone to this disorder.For such people, planning and preparing for intercourse can lead to fear and "embarrassment" rather than excitement.Trying to control the erection only makes the situation worse.
Increased tone of the sympathetic nervous system.Normally, the walls of the blood vessels should relax during an erection.Increased tone prevents the vascular structures of the penis from filling with blood, which can lead to a complete absence or insufficient erection.
Sometimes the cause of sexual dysfunction can be mixed and arise from several types of disorders, such as a combination of psychogenic and organic factors.Only a doctor can understand this issue.
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 positions in the window and are actively advertised.
Initially, PDE-5 drugs were developed to treat diseases of the cardiovascular system.Patients focused on the drug's ability to improve the functioning of the "second engine" even at the stage of clinical trials of the drug.The low effect of the drug in the treatment of heart and blood vessel pathology was compensated by the fact that a single dose significantly increased blood flow to the penis.
Uncontrolled use of potency-stimulating drugs is dangerous.Doctors even coined the term "death in the saddle" for complications from this group of drugs.The reason for such fatal cases is the uncontrolled use of pills that stimulate potency.
If the functioning of the cardiovascular system is impaired, additional intense physical and psycho-emotional stress can be harmful.If you look at the statistics on heart attacks, you can identify 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 uncontrolled use of drugs to increase potency.
The combined use of potency-enhancing drugs and nitrates prescribed for patients with angina causes excessive production of nitric oxide and an erection that lasts up to 6 hours.This situation may require immediate medical attention.
The substances tadalafil and vardenafil do not differ much from sildenafil in their mechanism of action.They cause the blood vessels in the penis to dilate, which causes the corpora cavernosa to quickly fill with blood.This effect is achieved by selectively blocking the enzyme phosphodiesterase-5 (PDE-5), which normally breaks down nitric oxide molecules.
Long-term blockade of endogenous nitric oxide breakdown can be harmful.Arterial blood flow in the penis is significantly higher than normal, but venous flow 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", you should take erectile stimulation drugs under the supervision of a doctor and taking into account possible contraindications, following the recommended dosage.
Early or premature ejaculation
As for premature ejaculation, if the duration of sexual intercourse is significantly reduced, orgasm occurs very quickly and the man is unable to satisfy his partner.This disorder can be the result of psychological reasons and organic changes in the male body.
There are two types of premature ejaculation:
- Congenital - characterized by increased excitability of the genital centers located in the spinal cord.Manifestations of pathology are noted from the beginning of sexual activity.
- Acquired – which is caused by inflammatory processes in the male pelvic organs and other organic causes.
If you ejaculate quickly, you can use techniques and methods that will solve the problem.In each specific case, it is necessary to choose a method that will be effective.
Method number 1. Condom
The latex layer reduces the sensitivity of the penis during friction, which can significantly increase the time to ejaculation.The condom should not be thin.It is even better to buy gel-coated products that reduce sensitivity.The "freezing" composition must be inside, otherwise the man will have no effect, and the partner will be doubly dissatisfied.
Method number 2. Anesthetic cream or spray
Traditional creams and sprays can delay the onset of ejaculation by reducing the sensitivity of the penile skin to tactile sensations.However, during sexual intercourse, anesthetic drugs will equally affect the sensitivity of both partners.
To solve this problem, a new class of substances was developed, which are quickly absorbed into the skin of the penis, reduce only the sensitivity of the man and do not affect the partner.A man can control the time of ejaculation with less loss of sexual sensations compared to drugs of the first group.
Method number 3. Pressure on points
Press the area between the anus and the scrotum.In this area, the prostate gland is located, one of whose functions is to ensure the initiation of orgasm.You can grasp the scrotum with your fingers and pull it from the side and down the body.
To delay ejaculation, you need to pinch the penis with the thumb and forefinger at the junction of the head with the main part of the penis.
Method number 4. Psychological
You can defuse the situation by reminding yourself that your partner is consenting to sex not just because of long-term friction.Premature ejaculation does not always mean that a man is bad in bed.Sex is a peaceful and pleasant pastime for men and women, not just a way to reach orgasm.You can enjoy sex regardless of ejaculation speed.This can be discussed with your partner.It will stop the pressure on the man and he will be able to relax.
Method number 5. Think of something non-sexual
Many people can delay ejaculation as a way to take their mind off sex.During intercourse, you can think about everything (work, mother-in-law, money, everyday problems).Most importantly, the images are completely non-sexual.
There is no need to separate from your partner.A woman will notice detachment and coldness and misinterpret it.It is enough to switch to non-sexual thoughts during periods when you feel an orgasm approaching.This is usually 5-10 seconds.
Method number 6. Ejaculation control
The method requires practice, but allows you to maintain a high level of sexual arousal and at the same time delay ejaculation.The effect of its use is amazing.In some sources it may be called the "stop and start" technique.
It's simple: during sexual intercourse, when the orgasm is approaching, you should stop the friction for 30 seconds.During this time, you can continue to caress your partner or maintain contact with him in other ways.
Method number 7. Changing position when approaching orgasm
The choice of positions allows you to use those that reduce pressure on the most sensitive part of the penis - the head.So-called "passive" positions include "on top of her" and "on her side."
Method number 8. Medical intervention
Ejaculation can be significantly affected by serotonin.To increase the level of this hormone, drugs from the group of selective serotonin reuptake inhibitors are prescribed.Intracavernous vasodilator therapy involves the administration of drugs directly into the penis.
Violation of potency, erection and libido is a complex problem that is often complicated by intense emotional experiences.In this case, there is no need to panic, arrange "exams" with different partners or force a sexual life.To restore sexual function, sometimes it is enough to rest, change the usual stereotype of sexual behavior and change your lifestyle.
The following recommendations can help minimize the likelihood of developing sexual problems:
- control of diabetes and cardiovascular diseases;
- periodic examinations by a urologist, if there are injuries or operations on the external genital organs and pelvis;
- Healthy lifestyle - weight control, alcohol and smoking cessation;
- The choice of medicines and their use should be carried out only under medical supervision;
- Regular sex life without sexual excesses and periods of sexual abstinence.
If sexual function is not restored after rest and elimination of all external factors that may have a negative effect on potency, you should consult a doctor.Medical help is also needed in cases where symptoms of diseases that can cause sexual dysfunction appear.