Men's sexual response is determined by a set of different factors.There are disorders of sexual desire (libido), penile tension (erection), ejaculation (ejaculation), and orgasm.Usually, sexual dysfunction affects potency and ejaculation.
Erection mechanism
Before describing the pathological changes that lead to erectile dysfunction, let's consider the normal course of this process.Sexual stimulation causes nerve endings located in the tissues of the male genital organs to send signals to the central nervous system.In response to these signals, nitric oxide begins to be produced.
Arterial blood flow to the penis increases due to the active expansion of the arteries under the influence of an enzyme that acts on the muscular layer of the vessel wall.At the same time, the veins are compressed, 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 corpora cavernosa with blood, increasing the volume of the penis and keeping it erect for a certain period of time.Violation of any of these mechanisms leads to the development of erectile dysfunction.
Erectile dysfunction is a problem you should not be ashamed of
Erectile dysfunction refers to the inability to consistently achieve and maintain an erection during sexual intercourse.Impotence is one of the main sexual problems for men in all countries and ages, with a significant impact on self-esteem and psychological health.
According to various studies, potency problems to one degree or another occur in 150 million men around the world.However, only about 10% of patients seek medical help.There are several reasons for this:
- Feeling embarrassed at the thought of having to talk about my potential.Many people find this topic awkward and try to avoid it in every way possible.
- Missing information.Not all patients know that problems related to this pathology are within the competence of a urologist-endocrinologist.
Most men with sexual dysfunction can be helped.To do this, the patient must be mentally prepared to undergo a comprehensive examination and comprehensive treatment.
Organic causes of erectile dysfunction
A sign of organic impotence is the complete loss or partial disruption of erection that occurs in response to sexual stimulation.Morning erection in such diseases is also absent.
Hormonal disorders.The theory of a hormonal cause of impotence is supported by observations, according to which the pathology has become noticeably "younger".A decrease in testosterone levels occurs in men with age and is normal.A further decrease in male sex hormone levels may occur as a result of taking high blood pressure medications and sedatives.
Infection.The relationship between prostatitis and potency problems has been proven.Infectious factors are leading to the development of acute and then chronic prostatitis.
Diseases of the cardiovascular system.Nearly 60% of impotence cases in men are caused by these diseases.It is no coincidence that almost all known erectile dysfunction drugs affect the vascular condition of the pelvic region.
Blood flow into the corpora cavernosa can be impaired by atherosclerotic plaques, the presence of which makes the arterial 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 consequences of operations on the pelvic organs can disrupt the natural process of sexual arousal.
Congenital defects in the development of genital organs– underdevelopment, curved penis, appearance of secondary veins.
Erectile dysfunction
Their outstanding feature is their inconvenience.In this case, an erection may or may not occur.It all depends on external reasons and the man's psychological state.Excitement can disappear suddenly, at the most crucial moment, even if it is normal at the stage of sexual caressing.The vast majority of impotence patients (according to various sources, from 50 to 80%) suffer from functional disorders.
Psychological erectile dysfunctionIt can be due to many different psychological reasons.Nervous stress can cause disorders, including the presence of anxiety syndrome about sexual failure.
Men who tend to be anxious and suspicious are increasingly susceptible to this disorder.For such people, planning and preparing for sex can cause fear, fear of “humiliation” instead of excitement.Trying to control your erection only makes the situation worse.
Increased tone of the sympathetic nervous system.Normally, during an erection, blood vessel walls dilate.Increased tone prevents the vascular structures of the penis from filling with blood, which can lead to complete loss or insufficient erection.
Sometimes the causes of sexual dysfunction can be mixed and arise from several types of disorders, such as a combination of psychological and biological factors.Only a doctor can understand this problem.
Self-treating impotence with medication leads to "death in the saddle"
Impotence treatment tablets with the active ingredient sildenafil can be purchased without a prescription.Such drugs are placed in the first place in the window and are actively advertised.
Initially, the drug PDE-5 was created to treat diseases of the cardiovascular system.Patients have drawn attention to the drug's ability to improve the function of the "second engine" even at the stage of clinical trials of the drug.The low effectiveness of the drug in the treatment of heart and vascular pathologies is compensated by the fact that one dose significantly increases blood flow to the penis.
Uncontrolled use of potency drugs is unsafe.Doctors even coined the term “death in the saddle” to refer to cases of complications caused by this group of drugs.The cause of such deaths is the uncontrolled use of potency stimulants.
If the function of the cardiovascular system is impaired, more intense physical and psycho-emotional stress can be harmful.If you look at the statistics on heart attacks, you can notice an interesting pattern - the average age of onset of acute coronary insufficiency coincides with the appearance of potency problems.Myocardial infarction is the most common cause of death in patients with cardiovascular disease who take potency-enhancing drugs uncontrolled.
The combined use of potency drugs and nitrates prescribed to patients with angina leads to overproduction of nitric oxide and the appearance of an erection lasting up to 6 hours.This condition may require emergency medical attention.
The substances tadalafil and vardenafil are not much different from sildenafil in terms of mechanism of action.They cause dilation of the blood vessels of the penis, leading 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 inhibition of endogenous nitric oxide breakdown may be harmful.Arterial blood flow to the penis becomes significantly greater than normal, but venous blood flow remains unchanged.This contributes to increased stress on the cardiovascular system and can lead to sudden death.
In order not to "die in the saddle", you need to take erection stimulants under the supervision of a doctor and, taking into account possible contraindications, adhere to the recommended dosage.
Premature or premature ejaculation
Regarding premature ejaculation, if sexual intercourse time is significantly reduced, orgasm occurs very quickly and men cannot satisfy their partner.This disorder can be a consequence of psychological causes and organic changes in the male body.
There are two types of rapid ejaculation:
- Congenital - characterized by increased stimulation of the genital centers located in the spinal cord.Pathological manifestations are noted right 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, it is necessary to choose which method is effective.
Method number 1. Condoms
The latex layer reduces the sensitivity of the penis to friction, which can significantly prolong the time before ejaculation.Condoms should not be thin.It would be better to buy products that are coated with a gel layer that reduces sensitivity.The "freezing" ingredient must be inside, otherwise it will have no effect on the man, and the partner will be doubly upset.
Method number 2. Anesthetic cream or spray
Traditional creams and sprays can delay ejaculation by reducing the sensitivity of the penile skin to tactile sensations.However, during sexual intercourse, drugs with anesthetic effects will affect the sensitivity of both partners equally.
To solve this problem, a new substance has been developed, capable of quickly absorbing into the skin of the penis, only reducing men's sensitivity and not affecting the partner.Men can control ejaculation time with less loss of sexual sensation compared to the first group using medication.
Method number 3. Pressure on points
Press on the area between the anus and scrotum.The prostate is located in this area, one of its functions is to ensure orgasm.You can grab the scrotum with your fingers and pull it to the side and down away from the body.
To delay ejaculation, you need to use your thumb and index finger to squeeze the penis at the point where the head joins the main part of the penis.
Method number 4. Psychology
You can defuse the situation by reminding yourself that your partner agreed to have sex not just because of a lingering fight.Premature ejaculation does not always mean that a man is weak in bed.Sex is an option for calm and pleasurable entertainment for both men and women, not just a way to achieve orgasm.You can enjoy sex regardless of the speed of ejaculation.This can be discussed with your partner.She will stop putting pressure on the man and he will be able to relax.
Method number 5. Think about something non-sexual
Many people may delay ejaculation as a way to distract their thoughts from sex.You can think about anything during intercourse (about work, mother-in-law, money, everyday problems).The most important thing is that these images are absolutely not sexual in nature.
It is not necessary to distract yourself from your partner.A woman will perceive detachment and coldness and will misinterpret it.Simply switching to non-sexual thoughts during times when you feel orgasm approaching is enough.This is usually 5-10 seconds.
Method number 6. Control of ejaculation
This method requires practice, but allows you to maintain a high level of sexual arousal, while also delaying ejaculation.The effect of using it is amazing.In some sources, it may be called the “stop and start” technique.
The problem is simple: during sex, when orgasm approaches, you need to stop friction for 30 seconds.During this time, you can continue to caress your partner or maintain contact with her in other ways.
Method number 7. Change positions 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 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 belonging to the group of selective serotonin reuptake inhibitors are prescribed.Intrathecal vasodilator therapy involves injecting medication directly into the penis.
Violation of potency, erection and sexual desire is a difficult problem, often complicated by intense emotional experiences.In this case, there is no need to panic, arrange “exams” with different partners or force your sex life.To restore sexual function, sometimes it is enough to rest, change the usual pattern of sexual behavior and adjust your lifestyle.
The following recommendations help minimize the likelihood of developing sexual problems:
- control diabetes and cardiovascular diseases;
- Regular examination by a urologist if there has been trauma or surgery to the external genitalia and pelvis;
- healthy lifestyle - weight control, quitting alcohol and smoking;
- The choice of drugs and their use should be carried out only under medical supervision;
- Regular sex life without excessive sex and periods of abstinence from sex.
If, after rest and eliminating all external factors that can negatively affect potency, sexual function is not restored, you should consult a doctor.Medical help should also be sought in case of symptoms of a disease that may cause sexual dysfunction.