Often the development of erectile dysfunction is associated with neurological, psychological or hormonal disorders. Potency can be affected by the condition of blood vessels and medications. Sexual function disorder is diagnosed in 50% of cases in men over 40 years of age. Inferior sex life significantly affects the physical, psychological and emotional state of a man. In case of untimely treatment, the problem only gets worse and can have irreversible consequences.
Reasons for development
Erectile dysfunction can occur against the background of organic and psychological problems.
The risks of sexual failure increase in men with age due to vascular changes and a decrease in testosterone synthesis, but can also occur in young people.
Depending on the causes of development, there are even 3 forms of pathology.
- Psychogenic.
It occurs against a background of neuroses, increased anxiety and a number of mental illnesses, and is accompanied by rapid decline or complete absence of sexual arousal - Organic.
The reason for the development of this form of pathology is cardiac and vascular problems: hypertension, atherosclerosis, heart failure, coronary heart disease, inadequate blood supply to the cavernous bodies of the penis, etc., as well as neurological pathologies (including multiple sclerosis) and endocrine disorders. Organic impotence also develops against the background of toxin poisoning, when taking a number of medications - Mixed.
This form of pathology occurs with psychological and organic problems
Important! The risks of sexual failure increase in men with age due to vascular changes and a decrease in testosterone synthesis, but can also occur in young people.
Drug therapy
Doctors at the Medical On Group - St. Petersburg clinic use medications tested by world medicine. They act on the root cause of the disease, allowing the pathological process to be eliminated or its manifestations to be minimized. In particular, MC specialists have access to biological products that:
- influence the pathogenesis of ED;
- restore the functionality and conductivity of nerve fibers;
- reduce the severity of symptoms of the disease;
- normalize vegetative control over the nerve centers involved in the regulation of copulatory function;
- improve psycho-emotional state.
What are the signs of impotence in men?
Symptoms of violations include numerous deviations in the sexual sphere, including:
- absence or weakening of morning erection
- incomplete or insufficient erection
- the need for prolonged stimulation for an erection
- lack of erection even when aroused
- gradual or sudden decrease in penis tension during sexual intercourse
- early ejaculation
- increasing the time between sexual acts
The severity of signs of impotence in men depends on the cause of the pathological condition.
The severity of signs of impotence in men depends on the cause of the pathological condition. Psychogenic impotence, for example, usually occurs suddenly. Dysfunctions of organic origin, as a rule, gradually progress.
Important! Young men should be careful about identifying signs of impotence. If you detect any abnormalities, even seemingly minor ones, you should consult a doctor as soon as possible. This will allow you to quickly make a diagnosis and begin therapy. Only in this case will it be successful.
Fear and anxiety inhibit erection
A woman’s sexual attractiveness, disposition towards a man, caresses, and compliments serve as a powerful stimulus for the emergence of desire and erection. Negative impressions inhibit arousal and erection. Such negative factors include: fear or anxiety, improper behavior of a woman, overwork, nervous tension, stress, conflicts. Erectile dysfunction can occur with high nervous tension, all kinds of conflicts, and painful health. In those cases when an accidental failure causes a violent emotional reaction, before the next attempt at intimacy, self-doubt and fear of failure appear. This neurosis with erectile dysfunction can develop not only with occasional failures in intimacy, but also in cases where, say, a man is healthy, but a woman for some reason does not receive satisfaction from intimacy. A man suffering from a neurosis of expectation of failure is in tension, so as not to disgrace himself in front of a woman. But it is precisely this tension that greatly inhibits an erection.
Diagnostics
First, the doctor collects anamnesis and determines the patient's current condition.
Usually a man is asked to fill out a special questionnaire. After this, an inspection is carried out. It allows you to identify signs of hormonal, vascular and neurological disorders.
First, the doctor collects anamnesis and determines the patient's current condition. Usually a man is asked to fill out a special questionnaire.
Special examinations are carried out to identify physical pathological changes. Among them:
- pharmacodopplerography of the arteries of the penis
- cavernosography
- registration of spontaneous erections
- electromyography of the perineal muscles
If situational or psychogenic impotence is suspected, a man undergoes a series of special tests. They allow you to determine the connection between sexual intercourse and depression or anxiety.
If the doctor suspects the endocrine origin of the pathology, laboratory diagnostics are performed. Such studies are aimed at determining the levels of prolactin, testosterone and other hormones in the blood.
Questions about the article
Timur
October 25, 2021 at 04:05
Hello. About 10 days ago I began to notice that the head of my penis and testicles began to freeze. Erection has worsened. The inverter is not made of stone like before and falls off quickly. There is also prostatitis. I am 44 years old. If I understand correctly, then I have vascular ED. Are there any chances of recovery?
Anton Evgenievich Rotov
October 25, 2021 at 07:58
Before making any conclusions or making recommendations, I would suggest getting tested. If the diagnosis is accurately established, treatment will be effective.
How to cure erectile dysfunction in men?
Therapy is always selected in accordance with the causes of the pathology.
The main method of treating psychogenic impotence in men is psychotherapy.
It helps reduce intra- and interpersonal conflicts. Important! If a man is in a permanent relationship, it is recommended to attend psychotherapy sessions with his partner.
The main method of treating organic impotence is taking medications.
The main goal of therapy in this case will be the elimination of pathologies that provoked a deterioration in sexual function. Treatment is also aimed at stimulating blood flow to the penis and normalizing the functioning of internal organs and entire systems.
Therapy is always selected in accordance with the causes of the pathology.
Patients may be prescribed:
- Hormonal drugs.
They have proven effective against endocrine causes of impotence - Vasodilators.
They are used in the form of both tablets and injections directly into the penis - PDE-5 inhibitors.
These drugs are erection stimulants
Important! The drugs prescribed for therapy have a large number of contraindications. For this reason, they can only be prescribed by a doctor. The specialist will determine the dosage, as well as other features of administration.
Self-medication is strictly prohibited. It can complicate diagnosis by changing the clinical picture and lead to a delay in adequate therapy. In addition, some of the drugs, if taken uncontrolled, can cause irreparable harm to the patient’s health.
Also, in the treatment of impotence in men of different ages, various methods of physiotherapy are used. Patients are prescribed procedures that are carried out in courses (in some cases, several times a year). This allows you to constantly maintain normal sexual function even with problems in the functioning of internal organs and systems.
Surgical methods for treating impotence in men of different ages
Surgical interventions are carried out only if conservative therapy does not give the desired result or is for some reason inappropriate.
To restore an erection today, the following operations can be performed:
- Penile prosthesis
is the most effective method of treating organic impotence. It is used for pathology of the corpora cavernosa of the penis. Currently, 3 types of prostheses have been developed. The choice in favor of a particular option depends on the financial capabilities of the patient, his individual characteristics and wishes - Revascularization of the penis.
This operation is microsurgical and is performed for vascular pathologies
Surgical interventions have proven to be highly effective. Moreover, they all require careful preparation and some recovery (especially if concomitant diseases are identified).
Unfavorable factors for sex
Often, unfavorable psychological factors associated with a man’s past life and sexual experiences come into play.
1. Fear of sexual pleasure, caused by too strict prohibitions on sexual experimentation in childhood.
2. Fear of disappointment.
3. Fear of showing yourself to be inept, awkward, inexperienced.
4. Increased feelings of shame, making physical and emotional self-disclosure difficult.
5. Fear of not satisfying or disappointing your partner.
In addition to individual psychological difficulties, partner difficulties are added - various kinds of conflicts, for example, the struggle for power, the desire of a man to assert his dominance over a woman, or the reluctance of a wife to meet her husband’s aspirations. Or communication problems: inability to express oneself and empathy, inability to decipher facial expressions, gestures, glances of a partner, to grasp his secret dreams and sexual desires that he does not dare admit.
Prevention
Prevention of erectile dysfunction includes a whole range of measures aimed at:
- maintaining sufficient physical activity
- rationalization of nutrition
- compliance with the work and rest schedule
It should be understood that impotence can occur at any age, even in a young man.
The following help significantly reduce the risk of problems:
- Rejection of bad habits.
Patients are advised to stop smoking and abusing alcoholic beverages - Maintaining stable sexual activity.
Long-term abstinence negatively affects erection - Concern for maintaining overall good health.
Men need to have quality rest and not overwork, avoid stress, and spend time in the fresh air. It is also important to monitor your general health. To do this, it is necessary to regularly undergo diagnostics and eliminate identified pathologies.
It should be understood that impotence can occur at any age, even in a young man. Moreover, its treatment is almost always quite long, so it is easier to prevent the problem than to fight it.
Symptoms
The presence of erectile dysfunction is indicated by a weakening of the ability to perform full sexual intercourse. This happens in cases where:
- the penis is not hard enough for coitus;
- erection weakens during sexual intercourse;
- it takes a long time for an erection to occur;
- change in sensations during orgasm.
The man does not immediately understand that these changes are associated with the appearance of erectile dysfunction, attributing this phenomenon to fatigue, stress, and general malaise. The roots of the problem may be much deeper. Only qualified doctors, such as those at the Global Clinic Center, can prescribe the correct course of treatment to eliminate this pathology.
Advantages of contacting MEDSI
- Experienced, qualified doctors.
They help men regain normal erectile function, self-confidence and positive emotions from sex, regardless of the causes of the pathology. Not only urologists and andrologists are involved in the work, but also endocrinologists, neurologists, cardiologists, psychologists and other specialized specialists - Accurate and fast diagnosis.
Examinations are carried out in just 2-3 days and allow you to determine the causes of problems and methods of treating impotence in men - Unique diagnostic methods.
Examinations are carried out using such techniques as pharmacodopplerography, polysomnography with control of the level of nocturnal erections, cavernosography under the control of multislice computed tomography. General clinical, hormonal and other studies, ultrasound, psychological tests, etc. are also carried out. - Psychological assistance to patients.
MEDSI doctors can identify the psychological cause of impaired potency and help cope with psychogenic erectile dysfunction (if it is diagnosed). If necessary, individual and family therapy sessions are provided - Effective methods of drug therapy.
Treatment of erectile dysfunction is carried out using drugs that have proven effectiveness and maximum safety - Opportunities for physical therapy
- All types of penile prosthetics.
In cases of severe dysfunction, surgical interventions are performed. The clinic can install all types of prostheses: uncontrolled semi-rigid, controlled plastic and hydraulic - Comfort of visiting clinics.
They are located near the metro. In addition, we provide the optimal combination of prices for services and high quality of their provision
Experienced, qualified doctors help men regain normal erectile function, self-confidence and positive emotions from sex, regardless of the causes of the pathology.
To undergo treatment of impotence in men using modern methods, just make an appointment by calling (495) 7-800-500. The specialist will answer all questions and select the optimal time to visit the clinic. You can also make an appointment using the SmartMed app.
Specialized centers
- Standards of the International Association of Urology
- High-precision diagnostics using cutting-edge equipment
- Modern high-tech operating rooms and hospitals
More details
Treatment
To find out how to treat impotence in the optimal way, you should consult a urologist. The optimal treatment regimen will be selected for you. Typically, one of the following methods is used to eliminate such violations:
- psychotherapeutic technique;
- treatment with injections;
- anti-impotence pills are prescribed;
- mechanical stimulation of the penis is prescribed;
- surgical method.
As traditional therapy, the prescription of drugs for impotence is usually used.
Testing the innervation of the penis
Regardless of the causes of ED, men experiencing erectile dysfunction should definitely visit a doctor. Qualified specialists of CM “Global Clinic” have sufficient experience in this area and will find ways to eliminate the problem. A method of testing the sensitivity of the nerve endings of the penis will help determine the bulbocavernosus reflex. When the doctor presses on the head of the penis with a normal reflex, an instant contraction of the anus should occur. A medical specialist studies this process and draws conclusions about the latency of the reflex.
