It is not easy to talk about such a painful topic for men: an impotent person – who is he. The types and causes of impotence began to be studied from the beginning of the 17th century, however, such terminology has not been preserved to this day.
In the International Classification 10 revision there is no diagnosis of impotence. Instead, problems with male potency are referred to as erectile dysfunction. Then what is an impotent? Impotent is a rude, insulting word, extremely painful for male pride.
The sexual function of a man consists of several components:
- attraction (libido);
- ejaculation or ejaculation accompanied by orgasm;
- detumescence (drop in penis hardness after ejaculation).
Translated from the Latin ” erigere ” means “to become firm and straight”. This occurs when the cavernous bodies of the penis are filled with blood, which is held there due to the tension of the venous sphincters.
Erectile dysfunction is a violation of the erection process. The penis does not reach the hardness required for insertion into the female genital tract. Loses hardness in the first seconds after injection.
Decreased desire, premature ejaculation are not related to erectile dysfunction, but also require appropriate correction.
The reasons why such a disorder of sexual function occurs are divided into two groups:
The most common organics are:
- medication (taking antihypertensive, antidepressants, hypoglycemic pills);
- prostate diseases;
Psychogenic come into action with the inhibitory effect of the cerebral cortex :
- chronic fatigue syndrome;
- depressive states;
- types of phobias (for example , gynecophobia – fear of women);
- fright (for example, while making love, your girlfriend’s father entered the room and by no means to say: “Hi, it’s good to see you! Continue, don’t be shy!”).
Psychogenic dysfunction can occur when, with a one-time failure in bed, a partner contemptuously throws that same offensive word at you – impotent.
Vascular causes associated with damage to the arteries occur against the background of:
- ischemic disease, angina pectoris, cardiosclerosis;
- damage to blood vessels in trauma to the groin or lower abdomen.
Venous disorders occur due to:
- congenital or acquired varicose veins;
- changes in the protein membrane of the penis, which can interfere with the work of venous sphincters;
- degenerative age-related or lipid changes in the inner layer of the veins;
- postoperative venous shunts;
- weakness of the muscles of the venous sphincters.
Neurogenic causes are found in diabetic neuropathy, trauma, and tumors of the brain and spinal cord. After operations on the genitourinary organs, after a stroke, in violation of cerebral circulation, multiple sclerosis.
Endocrine disorders associated with a decrease in testosterone levels lead to a violation of the production of an enzyme that causes vasodilation during erection. Hypogonadism , hyperprolactinemia – hormonal disorders that cause pathology.
Injuries to the penis can be caused by damage to the cavernous bodies when foreign bodies are introduced during masturbation. Attempts to lengthen the penis by hanging weights threaten injuries leading to fibrosis and Peyronie’s disease . This disease also occurs for other reasons, but regardless of them, it prevents a normal erection.
The vascular-toxic effect of alcohol, nicotine, drugs acquires a negative value.
At risk are men aged 45-50 years and older, especially if there are concomitant diseases.
A sedentary lifestyle, overweight and obesity, spicy and fatty foods, fast food, lack of vitamins and minerals also interfere with male potency.
The main classification of types of violations of male potency coincides with the classification of causes. There is vascular erectile dysfunction, neurogenic, hormonal, traumatic, drug-induced, and so on.
The classification can be supplemented by temporary and permanent erectile pathology.
On what grounds can organic and psychogenic disorders be distinguished?
A characteristic symptom of a psychogenic disorder is a spontaneous nocturnal and morning erection; in the organic form, this symptom is not observed. Psychogenic erectile dysfunction occurs when you try to perform a normal intimate act with the introduction of a penis into the vagina. It is sudden, can be episodic, while organic develops gradually, but is systematic.
There are mixed forms of erectile pathology.
A necessary condition for the onset of conception is the “meeting” of the egg with the spermatozoa. It occurs in the fallopian tube, but medicine has proven that the meeting place can be changed … you can. In IVF, they are found in the test tube where fertilization occurs.
Therefore, one of the options for obtaining sperm from a husband suffering from a violation of potency is masturbation. Men with such problems in bed with a partner willingly engage in self-satisfaction. After all, their libido, sexual desire and desire for sex are not violated. If at the same time the quality of sperm is at a normal level, then there is a chance to become pregnant.
The likelihood of pregnancy increases if the couple decides to be examined and start treatment. The level of development of medicine makes it possible to cure almost all types of potency disorders with timely treatment.
Before starting treatment, it is necessary to establish the cause of the decrease in male power.
The psychotherapist successfully deals with the treatment of psychogenic erectile dysfunction. Among other psychotherapeutic influences, the option of working with a couple is effective. Couples are invited to a training lasting several weeks and taking place in a sanatorium. Before lectures, trainings, conversations and tests, the couple is warned about the prohibition of sex for the period of stay in the sanatorium.
Many leave the training ahead of schedule.
Why? A well-known psychological technique works. Man always seeks the forbidden. You can’t, but you really want to. Therefore, the inhibitory influence of the cortex is removed and the male force returns.
Drug therapy works in two ways.
Symptomatic treatment does not eliminate the cause of the pathology, but gives a one-time result. This group of drugs includes inhibitors of the enzyme phosphodiesterase – 5, the well-known Viagra, Cialis , Levitra and their analogues.
The mechanism of action is that after blocking PDE-5, the production of substances that dilate the vessels of the penis increases and blood circulation increases. A condition is required to get the result.
A man, at the time of taking the pill, should be in a state of excitement, and want intimacy. Preparations of this group have contraindications and side effects, expressed in the form of tachycardia, facial flushing, salivation.
Treatment aimed at eliminating the cause is carried out with Impaza . It increases the production of nitrous oxide by the vascular endothelium, which promotes the synthesis of vasodilators that dilate blood vessels and increase the filling of the cavernous bodies with blood. Course treatment is carried out. The undoubted advantage of Impaza is the ability to:
- enhance libido;
- increase testosterone levels;
- improve intimacy satisfaction.
In addition to treatment, it is recommended to take vitamin and mineral complexes and dietary supplements from serious manufacturers. Do not buy dietary supplements delivered to your home, even if the advertisers guarantee “100% effect of dried donkey penis powder.”
Useful dietary supplements containing ginseng , ginkgo biloba , yohimbe , omega 3 and 6.
Surgery and other methods
Surgical treatment includes:
- revascularization ;
- operations on the veins;
- endophalloplasty .
Positively affect such methods of treatment as:
- diet therapy.
It is very important to give up alcohol and smoking.
Traditional medicine contributes to increasing male potency. Tea with ginger, herbal decoctions of mint, clover, nettle, walnuts with honey, pumpkin seeds – not a complete list of tips from herbalists.
Should start at a young age. During puberty, it is necessary to explain to a teenager the anatomy and physiology of a man, to prevent the development of complexes in a young man about penis size, masturbation and sexual capabilities.
Proper education involves the prevention of alcohol and smoking. The emphasis is on proper nutrition, sports, intimate hygiene.
All these settings are relevant for adult men.
The mode of work and rest, normal sleep, the ability to avoid stress, disease prevention complement the preventive measures.
Friendly relationships in the family are of great preventive importance. In Russia, a woman – a wife was called a “bereginya”. The psychological climate of the couple depends on it. To be able to support, cheer up your beloved man in case of temporary difficulty in the field of intimacy is much more effective than explaining to him in anger what impotent means.
Doctors are unanimous in answering the question of whether it is worth treating sexual impotence in men. Not only worth it, it’s necessary! Doctors say that more than 90% of erectile dysfunction is curable.
Doctors of many specialties take part in the correction of the situation: sexologists, andrologists, urologists, endocrinologists, neuropathologists, cardiologists, psychotherapists.
Sexual life is the most important component of a person’s physical and mental health. At the first “bells” that rang in the field of male potency, do not delay or aggravate the situation, consult a doctor. Early identification of the cause of trouble is the key to successful treatment.