Causes and treatments for erectile dysfunction

There is no such man who would not like to keep his masculine power. Effective treatment of erectile dysfunction is available with the modern development of the level of medical science.

Sexual problems do not always depend on age, the weakening of potency overtakes both young and older men. Many representatives of the stronger sex have to deal with disappointments in the intimate sphere associated with a deterioration in erection.

Symptoms of the disorder

The more familiar term is impotence. This is the most common of the group of sexual male diseases. It is manifested by the fact that the penis is not able to achieve or maintain an erection to perform a full-fledged intimate act.

In other words, a man wants to, but cannot. Libido is preserved, there is a desire for intimacy, but the penis is treacherously flaccid, or, having acquired some hardness for seconds, is rapidly weakening.

What Causes Sexual Problems

The following reasons can lead to a decrease in erectile function:

  • diseases of the cardiovascular system;
  • neurological pathology;
  • endocrine diseases (diabetes mellitus, hypothyroidism);
  • diseases of the male genital area: prostatitis, Peyronie’s disease , prostate adenoma, prostate cancer;
  • condition after prostatectomy ;
  • injuries of the lumbosacral spine or genital organs;
  • anomalies in the development of the genitals ( hypo / epispadias );
  • congenital or hereditary diseases ( hypogonadism );
  • taking certain medications (diuretics, beta – blockers);
  • alcohol, smoking, drugs reduces erectile capabilities to zero;
  • obesity;
  • hypodynamia;
  • mental disorders, physical exhaustion;
  • malnutrition using GMOs, vitamin/mineral deficiency;
  • age-related decline in testosterone and potency.

Medical designations of causes

The scientific classification of erectile dysfunction includes:

  • psychogenic;
  • organic;
  • mixed.
Psychogenic organic
Occurs suddenly Develops gradually
Observed periodically progresses
situational Constant
Have a morning erection no morning erection

Often, causes that do not require treatment lead to psychogenic erectile disorders:

  • occasional sexual mishaps,
  • fear of not being up to par
  • fear of women
  • stressful situation during intercourse (sudden return of the husband),
  • unethical behavior of a partner (inappropriate jokes about the size of a male penis).

The most common cause of organic erectile dysfunction is vascular. This form is typical for hypertensive patients, diabetics, with atherosclerosis. Increased pressure, atherosclerotic plaques, angiospasm lead to narrowing of the arteries, including the penis. The right amount of blood does not flow to his cavernous bodies – there is no or insufficient erection.

With a mixed form of dysfunction, there are causes from both groups.

What drugs can a doctor prescribe

  1. With psychogenic causes of erectile problems, dysfunction can be eliminated without resorting to drug treatment. A combination of psycho- and physiotherapy gives a good effect.
  2. A urologist, andrologist or sexologist treats.
  3. More often used pills that increase erection, there are drugs for injection, sprays.

Phosphodiesterase inhibitors

The most popular group of drugs to increase potency. It includes medicines based on:

  • sildenafil ;
  • tadalafil ;
  • undenafil ;
  • vardenafil .

These are the names of the main active ingredient. The pharmacy sells analogues (generics) under other trade names.

They help to get rid of a weak erection, provided that the libido is maintained and adequate sexual stimulation is provided.

The first place in the ranking is occupied by the representative of the sildenafil group – Viagra. Created as a cure for low blood pressure. Now this property of Viagra refers to side effects along with:

  • headache;
  • visual impairment;
  • nausea, vomiting;
  • redness of the face;
  • dyspepsia.
  1. To increase erection, take one tablet (dosage from 25 to 100 mg, it is prescribed by a doctor) an hour before sexual intercourse, the effect lasts up to 4-5 hours. Viagra is contraindicated while taking nitrates. It is recommended to be careful with anemia, stomach ulcers, bleeding tendency, high or low blood pressure, after a heart attack or stroke. Viagra and alcohol are incompatible.
  2. Cialis is a member of the Taldalafil group . It differs from Viagra in that the action begins 15 minutes after ingestion, the ability to have a normal erection persists for a long time – up to 1.5 days.
  3. Vardenafil is a well known drug. Levitra . Its advantage is that there are practically no side effects. Levitra is compatible with alcohol intake, with fatty foods. The speed, duration of action on potency are similar to Viagra.
  4. Modern pharmacology offers a new drug Zidena – the active substance undenafil . The action begins quickly, lasts about a day.

Contraindications and side effects are similar to Viagra. Consideration should be given to interactions with other drugs that may decrease or increase the effect of PDA inhibitors.

These drugs do not cure dysfunction, but only relieve symptoms of potency disorders.

Erectile stimulants are categorically incompatible with drugs that dilate blood vessels – for example, in the treatment of angina pectoris.


Testosterone preparations are prescribed only for dysfunctions against the background of hypogonadism .

Hormone therapy to improve potency is carried out only as prescribed by a doctor, self-treatment is unacceptable.

Forms of release of testosterone preparations include:

  • tablets;
  • ampoules for intramuscular injections;
  • ointments / creams for transcutaneous exposure (rubbed into the skin of the thigh).

dietary supplements

These are products of plant or animal origin, not drugs. Due to biologically active substances, natural composition, these are good means for the prevention of erectile disorders and additions to the complex treatment of sexual dysfunctions.

Some of them were withdrawn from the category of additives, moved into pharmacological agents – yohimbe .

The desire of many men to increase erection by natural means without medical prescription has led to the fact that the dietary supplement market is flooded with products for raising potency of dubious quality from unscrupulous manufacturers.


Which dietary supplements for the correction of erectile problems can be trusted?

  1. Must have a certificate of conformity, registration certificate.
  2. Sold in a pharmacy, special departments of stores. No purchases “only on the official website of the company”!
  3. The label contains full information about the manufacturer and composition, there are no promotional indications. Correctly “the product is a source of flavonoids”, “treatment of dysfunction” is unacceptable.
  4. Dietary supplements cannot give a quick effect. Restoration of potency is gradual due to the saturation of the body with vitamins / minerals.

If the manufacturer guarantees a quick result, this means that pharmacological agents that are not indicated on the label are added to the composition, which may have contraindications, side effects.

Men respond well on the forums about such dietary supplements for potency and improving erection:

  • Golden horse;
  • Sealex ;
  • Sealex forte;
  • Sealex plus;
  • Laveron ;
  • Wuka wuka .

Among the official Russian manufacturers of dietary supplements, the company Evalar is known . Her addition of Ginko biloba has a positive effect on the blood vessels of the penis, is able to restore an erection.

To improve the quality of potency and erection, look for the following herbs in dietary supplements:

  • eleutherococcus;
  • ginseng;
  • cordyceps ;
  • yohimbe ;
  • Goryanka;
  • aralia;
  • rhodiola;
  • lure;
  • security .

Additional methods to increase potency

With a bad erection, groups of drugs help:

  • synthase stimulants ( Impase );
  • antispasmodics ( Drotaverine );
  • alpha blockers ( Yohimbe );
  • means that improve microcirculation ( Troxevasin );
  • potassium channel activators ( Minoxidil ).

Impaza is a homeopathic remedy that is taken in a course of at least 3 months to correct dysfunctions. The drug has no contraindications, helps with a decrease in erection , restores libido.

What to do with different reasons

Psycho-, physio- , drug therapy treatment of erectile dysfunctions is not limited.

At home, a vacuum pump is used, it increases blood flow to the penis, the achieved erection is fixed by putting a ring on the base of the penis. The procedure is performed before sexual intercourse.

In the complex treatment of erectile problems, auxiliary methods are used:

  • massage;
  • exercise therapy;
  • shock wave therapy;
  • acupuncture .

Modern urological clinics offer surgical treatment of erectile dysfunction and potency. There are two lines of operations:

  • vascular intervention;
  • plastic surgery on the penis.

The prognosis for a surgical cure reaches 95%. The disadvantage of the method is the high price.

If the cause is illness

Features of erectile dysfunction in diabetes mellitus:

  • Violation of the nervous regulation of the blood supply to the penis with an increased level of glucose in the blood
  • antidiabetic drugs inhibit potency
  • psychological factor in the form of expectation of this problem.

The loss of male power after 40 years is a real reason for testing blood for sugar.

In treatment, adhere to the following principles:

  • to maintain blood sugar levels as close to normal as possible;
  • medications for the treatment of impotence are permissible only prescribed by a doctor with caution, the safest will be Impaza ;
  • an integrated approach with the use of massage, exercise therapy, psychotherapy.

In cardiology, chronic diseases of the heart and blood vessels:

  • hypertonic disease,
  • cardiac ischemia,
  • heart failure,
  • Atherosclerosis is characterized by a violation of the blood vessels of the penis.

The study of the effect of drug therapy is being studied, as it is established:

  • erectile dysfunction occurs during cardiac treatment in every 4 patients;
  • men with sexual problems are not prescribed thiazide diuretics: dichlothiazide , indapamide, chlorthalidone .
  • during therapy, a combination is chosen – calcium antagonists + ACE inhibitors;
  • Of the beta -blockers, bisoprolol is the drug of choice .

With hypothyroidism, treatment is carried out in conjunction with an endocrinologist. Aimed at maintaining thyroid function, control of testosterone levels.

How to beat age dysfunction

Young men suffer from sexual impotence in 20% of cases, by the age of 60 50%, and by 80 – 75%. Age-related erectile dysfunction is associated with a decrease in the level of the main male hormone – testosterone, the list of chronic diseases is growing.

With age, the picture of sexual disorders expands:

  • Decreased sex drive
  • no erection,
  • accelerated ejaculation ,
  • no former brightness of orgasm,
  • problems with urination due to diseases of the prostate.

With a full examination, it is possible to establish the source of erectile dysfunction.

With any treatment option, a man is recommended to stop drinking alcohol, smoking, increase physical activity, and have at least one sexual intercourse per month.

Recommendations for age-related erection problems

  • For vascular pathologies, it is recommended to start with Impaza .
  • Prostate function will be supported by Prostaplant .
  • Erectile abilities will increase. Dietary supplements, herbal decoctions, tinctures: ginger, celery, ginseng.
  • In the morning, 10 minutes should be given to exercise therapy.
  • With prolonged dysfunction, the next step may be intracavernous injections of antispasmodics and prostaglandins.
  • The most radical method is the introduction of implants into the cavernous bodies.

Stress as a cause of dysfunction

The most common consequence of nervous strain is erectile dysfunction. It has many varieties, accompanies men everywhere. Most often observed:

  • psychogenic with subspecies:
  • reactive;
  • neurasthenic;
  • endogenous.

Stress is easier to overcome if a loved one is nearby, who will support a man, does not allow the transition of stress into prolonged depression and dysfunction.

How to get out of stress:

  • intimate talk;
  • hobby;
  • sports, even extreme ones;
  • theaters, cinemas, outdoor walks;
  • avoid contact with conflicting people.

If you can’t get out on your own, a psychotherapist will help. He will prescribe antidepressants, tranquilizers, mood stabilizers .

What to do at home if the dysfunction is not associated with the disease

A man should know that one-time potency failures and erectile failures can happen to any person.

If the penis is flaccid from experience, fatigue is not a reason to panic. Criterion – if more than 25% of sexual contacts are accompanied by problems with erection, you should consult a doctor. One-time dysfunctions go away on their own.

Kegel exercises

The purpose of the exercises is to strengthen the pelvic floor muscles and the most important for erectile activity – the bulbous-cavernous muscle. There are many options for exercises, they are performed at home, in the office, in transport.

Finding the LMB is easy – pause the stream when urinating. The muscle you did it to is the right one.

  1. Tighten it for 5 seconds, relax, repeat 10-20 times, 3 sets per day.
  2. The same with the muscles of the anus.
  3. Accelerate the contraction – relaxation, 10 times – rest 20 seconds.
  4. Compression, hold for 15 seconds, slow relaxation, repeat 2-3 times.
  5. Glute bridge.
  6. Lie on your back, raise, lower bent legs.

Training with a weak potency

Get used to walking 1-2 stops, use the elevator less often.

With violations of potency of an erectile nature, exercises help:

  1. Walking in place with high knees.
  2. Pretend your socks are glued to the floor—keep walking.
  3. Lying on your back with bent legs apart, strain the muscles of the pelvic floor.
  4. Squat down, 7 sets of 7 times to raise the scrotum, straining the stomach and buttocks.
  5. Squats.

Exercise stimulates blood circulation, improving erection.


An important condition is the exclusion of strong alcohol, beer.

Nutrition for good potency should be regular, balanced, rich in vitamins / microelements.

Healthy Undesirable
red lean meat with vegetables and leafy greens; Fish and seafood; eggs; dairy products, cheeses; vegetables, especially garlic, onions, tomatoes; olive oil; fruits, especially avocados, dates, mangoes, bananas; nuts with honey. fast food; fatty food; dough products; sweet; cola, other carbonated drinks.


These products will make your sex life brighter:

  • caviar red, black;
  • shrimps, oysters;
  • avocado;
  • nuts;
  • black chocolate;
  • onion garlic;
  • seasonings, spices;
  • Strawberry.

No bad habits and sedentary life

A sports lifestyle is not only longevity, it is a good potency, a healthy erection:

  • proper nutrition,
  • complete sleep,
  • physical activity
  • quitting smoking and alcohol.

A good workout is regular sex

General Tips

The main advice is to remember that erectile dysfunction is curable in most cases. No need to follow the advice of friends, reviews and advertisements on the Internet. The direct way when problems arise is to the doctor. Examination, establishing the cause, individual treatment – this is the algorithm of actions that will lead to success and return a healthy erection and the joys of sex.

event_note June 17, 2022

account_box Dr. John Provet

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