Male sexual reactions are determined by a whole complex of various factors.There are disorders of sexual desire (libido), tension of the penis (erection), ejaculation (ejaculation) and orgasm.Often, sexual dysfunction affects potency and ejaculation.
Mechanism of erection
Before explaining the pathological changes that lead to erectile dysfunction, let's consider the normal process of this process.Sexual stimulation causes nerve endings located in the tissue of the male genital organs to send signals to the central nervous system.In response to this signal, nitric oxide begins to be produced.
Arterial blood flow to the penis increases due to the active dilation of the arteries under the action of enzymes that act on the muscle layer of the vascular wall.At the same time, vein compression occurs, where, in a calm state, blood flows out of the external genitalia.
The combination of these two processes leads to the filling of the cavernous bodies with blood, increasing the size of the penis and keeping it erect for a certain period of time.Violation of any mechanism 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, having a significant impact on self-esteem and psychological well-being.
According to various studies, problems with potency to one degree or another occur in 150 million men worldwide.However, only about 10% of patients seek medical help.There are several reasons for this:
- Embarrassment at the thought of talking about your potential.Many people find this topic awkward and try to avoid it in every possible way.
- Lack of information.Not all patients know that issues related to this pathology lie within the competence of urologists-andrologists.
Most men with sexual dysfunction can be helped.To do this, the patient must be willing to undergo a comprehensive examination and comprehensive treatment.
Organic causes of erectile dysfunction
A sign of organic impotence is the complete absence or partial disorder of erection that occurs in response to sexual stimulation.Morning standing in the disease is also absent.
Hormonal Disorders.The theory of hormonal causes of impotence is supported by observations according to which the pathology has become "younger."A decrease in testosterone levels occurs in men with age and normal.An additional decrease in the level of male sex hormones can be caused by taking drugs for high blood pressure and sedatives.
Infection.The relationship between prostatitis and problems with potency has been proven.Infectious factors lead to 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 this disease.It is no coincidence that almost all drugs known for the treatment of erectile dysfunction affect the condition of the pelvic blood vessels.
Blood flow into the corpora cavernosa can be affected due to atherosclerotic plaque, the presence of which makes the arterial walls unhealthy.
Physical damage to male external genital organs and tissues.There will be no erection if the blood vessels and nerve fibers are damaged.The consequences of operations on the pelvic organs can disrupt the natural course of sexual stimulation.
Congenital anomalies of genital development- Regression, curvature of the penis, presence of accessory veins.
Functional erectile dysfunction
Its distinguishing feature is incompatibility.In this case, an erection may or may not occur.It all depends on external reasons and the psychological state of the man.Pleasure may disappear suddenly, at the most important moment, although it is normal at the level of sexual embrace.The majority of patients with impotence (according to various sources, from 50 to 80%) have functional disorders.
Psychogenic erectile dysfunctioncan be caused by various psychological reasons.Nervous tension can trigger the disorder, including in the presence of the syndrome of expectation of sexual failure.
Men who are prone to increased anxiety and suspicion are easy to develop this disorder.For such people, planning and preparing for sex can cause fear and "embarrassment" rather than pleasure.Trying to control an erection only makes things worse.
Increased tone of the sympathetic nervous system.Normally, during erection, the walls of blood vessels should relax.The increased tone prevents the vascular structure of the penis from filling with blood, which can cause a complete absence or insufficient erection.
Sometimes the causes 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 problem.
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 bought without a prescription.Such drugs are placed in the first position in the window and are actively advertised.
Initially, PDE-5 drugs were created for the treatment of diseases of the cardiovascular system.Patients draw attention to the ability of the drug to improve the function of the "second engine" even at the level of clinical trials of the drug.The low effect of the drug in terms of treating pathologies of the heart and blood vessels was compensated by the fact that a single dose significantly increased blood flow to the penis.
Uncontrolled use of drugs that stimulate potentially unsafe.Doctors also coined the term "death in the saddle" to refer to cases of complications from this group of drugs.The reason for those 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 dangerous.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 appearance of problems with potency.Myocardial infarction is the most common cause of death in patients with uncontrolled cardiovascular disease taking drugs to increase potency.
The combined use of drugs to increase potency and nitrates prescribed to patients with angina pectoris leads to excessive production of nitric oxide and the appearance of an erection that lasts up to 6 hours.This condition may require emergency medical attention.
The ingredients of Tadalafil and Vardenafil are not much different from Sildenafil in their mechanism of action.They cause the dilation of the blood vessels of the penis, which leads 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 blocking of endogenous nitric oxide breakdown can be dangerous.Arterial blood flow to the penis becomes much greater than normal, but venous outflow does not change.This contributes to increased pressure on the cardiovascular system and can cause sudden death.
In order not to "die in the saddle," you need to take drugs to stimulate erection under the supervision of a doctor and take into account possible contraindications, observing the recommended dosage.
Early or premature ejaculation
Regarding premature ejaculation, if the duration of intercourse is significantly reduced, orgasm occurs quickly, and the man cannot satisfy his partner.This disorder may be the result of psychological reasons and organic changes in the human body.
There are two types of accelerated ejaculation:
- Congenital - characterized by increased excitability of the genital center located in the spinal cord.Pathological manifestations are noted 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 that will solve this problem.In each specific case, it is necessary to choose a method that will be effective.
Method number 1. Condom
The layer of latex reduces the sensitivity of the penis during friction, which can prolong the time before ejaculation.Condoms should not be thin.It is better to buy a product coated with a gel that reduces sensitivity.The "freezing" composition must be inside, otherwise there will be no effect for the man, and the couple will be doubly unhappy.
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 touch sensations.However, during sexual intercourse, drugs with anesthetics will equally affect the sensitivity of both partners.
To solve this problem, a new class of substances has been developed that is quickly absorbed into the skin of the penis, only reducing the sensitivity of men, and does not affect the partner.A man can control the time of ejaculation with less loss of sexual sensation compared to drugs from the first group.
Method number 3. Pressure on the eyes
Pressing in the area located in the middle between the anus and the scrotum.The prostate gland is located in this zone, one of whose functions is to ensure the onset of orgasm.You can grab the scrotum with your fingers and pull it to the side and down from the body.
To delay ejaculation, you need to squeeze the penis with your thumb and forefinger at the junction of the head with the main part of the penis.
Method number 4. Psychology
You can defuse the situation by reminding yourself that your partner is consenting to sex not just for prolonged friction.Premature ejaculation does not always mean that a man is bad in bed.Sex is an option for a quiet and pleasant pastime for a man and a woman, and not just a way to achieve orgasm.You can enjoy sex regardless of the speed of ejaculation.This can be discussed with your partner.He would stop putting pressure on the man, and he would be able to relax.
Method number 5. Think of something non-sexual
Many people may delay ejaculation as a way to distract themselves from sex.You can think about anything during intercourse (about work, mother-in-law, money, everyday problems).The most important thing is that the images are completely non-sexual.
No need to be distracted from your partner.A woman will see detachment and coldness and will interpret it incorrectly.It is enough to switch to non-sexual thoughts during the period when you feel the approach of orgasm.This is usually 5-10 seconds.
Method number 6. Ejaculation control
This method requires practice, but allows you to maintain a high level of sexual stimulation 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.
The point is simple: During sex, when orgasm approaches, you need to stop friction for 30 seconds.At 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 position allows you to use those that reduce pressure on the most sensitive part of the penis - the head.The so-called "passive" includes "on it" and "next to it."
Method number 8. Medical intervention
Ejaculation can be influenced by serotonin.To increase the level of this hormone, drugs from the group of selective serotonin reuptake inhibitors are prescribed.Intracavernosal vasodilator therapy involves injecting drugs directly into the penis.
Violation of potency, erection and libido is a difficult problem, which is 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 stereotypes of sexual behavior, and make adjustments to your lifestyle.
The following recommendations help minimize the possibility of developing sexual problems:
- control of diabetes and cardiovascular disease;
- periodic examination by a urologist if there are injuries or operations on the external genitalia and pelvis;
- Healthy lifestyle - weight control, stop alcohol and smoking;
- the choice of medicines and their use should be carried out only under medical supervision;
- Normal sex life without sexual excess and periods of sexual abstinence.
If, after resting 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 cases where disease symptoms appear that can cause sexual dysfunction.