What causes impotence in men?

Another well-known psychotherapist Sigmund Freud called power disorders the most common failure in the life of any man. And what is surprising is that so many years have passed since then, and this statement is still relevant.

Modern medicine has learned to solve problems with power, there are many diagnostic and treatment technologies. But to this day, for a man, any difficulties in the intimate sphere have a strong blow to pride and self-confidence.

Causes of decreased potency in men

To dispel a number of myths related to this problem, let's first talk a little about statistics.

You know that:

• 20% of men experience erectile dysfunction.
• 10% of men refer to a specialist with sexual problems.
• 80% of men note a decrease in potency associated with physiological disorders of the body.
• In 90% of cases, erectile dysfunction is completely treatable.
• I agree, on the one hand - not everything is as scary as it seemed, on the other - the presence of physiological causes of erectile dysfunction is a good reason to suspect any disease.
• Thus, the organic causes of impotence may be as follows.
• Vascular. Damage to the vascular walls leads to a disruption of the blood supply to the penis, and consequently, to a decrease in potency. Diabetes mellitus, atherosclerosis, cardiovascular and other diseases lead to vascular problems.
• hormonal. Testosterone deficiency (hypogonadism) is often seen in middle-aged and older men. Testosterone production can also be inhibited by an excess of its antagonist, prolactin.
• Iatrogenic. The hypotonic potency develops in the context of a man taking prescription drugs for, for example, peptic ulcers, cardiovascular disease, and gout. Canceling the drugs or replacing them with analogues will help solve the problem.
• Neurogenic. Erectile dysfunction occurs as a result of previous diseases, strokes, injuries of the central nervous system and peripheral nerves. In ¾ of the cases, the reasons for the decrease in power are spinal cord injuries, ¼ - intervertebral hernia, neoplasms, multiple sclerosis and other diseases. The erection weakens due to the difficult passage to the cavernous bodies or the complete absence of nerve impulses.

Lifestyle and power disorders

Too often, men forget that sexual power is greatly influenced by how a person takes care of themselves and their overall health.

It's no secret that smoking and regular alcohol consumption is one of the main causes of sexual failure. Also, men's health is affected by the presence of stress, frequent visits to the bathroom, improper diet. By eating an excessive amount of fatty foods (and indeed together with alcohol intake), a man causes an increase in body weight and an increase in the production of female sex hormones. As a result, this lifestyle can lead not only to erectile dysfunction, but also to infertility.

Psychological causes of weak power

This type of main source of problems with erectile function deserves to be considered separately. Young people are more likely to suffer from such disorders, in most cases - those who are just starting to have a sexual life.

The reasons for poor power in this case may be:

• presence of psychological trauma in childhood or adolescence, when parents instilled in their child that sex is something shameful, unworthy.
• in experiences due to the lack of his own experience, and hence the fear of being ridiculed.
• for fear of contracting sexually transmitted diseases.
• in fears related to an unwanted partner's pregnancy, etc.

According to experts, an adult man who has sufficient sexual experience behind him is quite capable of solving the psychological problems of erectile dysfunction. But young men often cannot do without professional help.

It is noteworthy that relations with a partner can become both a cause of problems (if they are not close enough), and a means to get rid of impotence (if they are warm, sincere).

Another important fact. If psychological factors can themselves be the cause of weak potency, then organic erectile dysfunction is always accompanied by a psychogenic component. As a result, after eliminating the root cause of the problems, psychological difficulties come to the fore and interfere with a man's normal sex life.

How to identify the cause of erectile dysfunction

• Diseases of the genitourinary system are diagnosed by an andrologist or urologist. You will need to have a blood test, semen and biological smears and undergo an ultrasound.
• Hormonal disorders will be identified by an endocrinologist. The doctor will recommend to undergo an ultrasound examination and a CT scan of the endocrine glands, to give blood for hormones.
• Vascular disorders will be determined by a vascular surgeon. Studies are performed with Doppler ultrasound and functional tests that show the level of blood supply to the penis.
• Diseases of the brain and spinal cord, peripheral nervous system will help identify a neurologist. You will be assigned electroencephalography, tomography of the spinal cord and brain, rheoencephalography, electromyography.
• The psychological causes of sexual disorders can only be found by a psychotherapist, psychiatrist or sexologist. The diagnostic methods in this case are psychological tests, conversations with the patient.

5 main causes of potency problems: Age has nothing to do with it!

Age, fatigue, lack of sleep, stress. Forget those words! None of these conditions affect potency and libido if the man is physically healthy.

If you decide to try various erection stimulants (pharmacy and not), do not be too lazy to start understanding what really causes "failures".

Hormonal imbalance or where do men get female hormones?

What are we talking about?Decreased levels of male hormones and/or increased levels of female hormones.

Who is to blame?Normally, a man's body produces a large amount of male hormones and a small amount of female hormones. Alcohol, smoking, malnutrition, irregular sex life, beri-beri, liver disease - all these (and not only! ) sooner or later lead to:

• the production of male hormones decreases,
• and the production of women, on the contrary, may increase.

Of course, this is not good.

What to do?

1. Pass special exams. Find out exactly which hormones are missing and which are "edited".
2. Determine the scope of the problem.
3. Fill your body with the missing hormones.
4. It suppresses the production of excessive amounts of female hormones.
5. Restore the body's ability to produce hormones in the right amount (no more and no less).

What kind of tests should be done?Donating biomaterials for everything is an unpleasant and expensive occupation. Ask a urologist. He will do an examination, analyze your complaints and tell you which tests you need to pass.

He will then choose the hormone-containing preparations that suit you. Or he will prescribe a treatment so that the body "remembers" how many hormones it needs to produce.

What is the prognosis?With a correctly selected course of treatment and the implementation of the doctor's recommendations, the prognosis is positive - strength, as a rule, is restored. Any age.

Infections of various origins

What are we talking about?Sexually transmitted diseases (STDs), or infections that are in the body "in a latent state", waking up under certain conditions.

Who is to blame?Infections and harmful bacteria can occur mainly for two reasons:

1. Doubtful "contacts" without means of protection.
2. The reproduction of micro-organisms that live continuously inside any person in small quantities. Typically, such microorganisms are awakened in diseases of internal organs, when the immune system weakens.

What to do?Both must be identified and destroyed. The sooner the better.

What tests should I do?There are many types of infectious diseases. Testing for all types is a waste of time and money. Visit a urologist, report all your symptoms, tell him in detail about your feelings during urination, during or after intercourse, undergo an examination and ultrasound.

An experienced urologist will gather all this information and make a list of the necessary laboratory tests. Then, based on their results, he will make a diagnosis and prescribe drugs and procedures.

What is the prognosis? Today, the vast majority of infectious lesions are completely treatable.

Inflammation: From Pain to Disability - 1 Step!

What are we talking about?Prostatitis, epididymitis, urethritis, cystitis, cystitis and others - all, as you noticed, with the suffix "-IT". Conditions that make men suffer from pain, cramps, burning, high fever and other unpleasant sensations.

These sensations can occur during or after urination, during sexual intercourse or during the process of ejaculation, while walking, lifting weights, and even while resting.

Who is to blame?Quite often the man himself is to blame. Hypothermia and, on the contrary, overheating, ignoring the first symptoms of diseases (not only urological, the cause of inflammation can even be untreated caries), unhealthy habits, casual relationships, infections, attempts at self-medication, uncontrolled intake of antibiotics and other drugs.

All this accumulates gradually - until a focus of inflammation forms in one of the organs.

What to do?Diagnosis and treatment. The faster, the less damage will be done to the body. Inflammations cause problems not only with potency - they can lead to infertility. The ideal option is to have time for recovery in the acute stage. But this is not always the case - often people come to the doctor already with a chronic form.

What is the prognosis?Acute inflammation can be cured quite quickly. And if you take care of yourself and do not neglect the doctor's recommendations, then relapses (repeated exacerbations) may not occur.

Chronic inflammation is also treatable. But the treatment takes a little longer. And there is a high probability of repeated exacerbations as a result of a cold or stress.

Vascular problems: No blood - no erection!

What are we talking about?Partial or complete blockage of penile vessels due to the formation of atheromatous plaques.

What happens?A normal erection requires fast blood flow to the penis. If there are atheromatous plaques or blood clots in the blood vessels, blood movement slows down and strength deteriorates. Complete blockage of the blood vessels leads to total impotence.

Who is to blame?Improper diet, sedentary life, bad habits, too frequent or vice versa, too rare sexual contacts, diseases of the cardiovascular system, increases in pressure, etc.

What to do?Look for the reason. Along with the urologist. Usually, special material studies are carried out for this:

1. Dopplerography of vessels
2. Erectile function test
3. Biositiometry

What is the prognosis?Depending on the condition of your vessels, they must either get rid of atheromatous plaques or grow new vessels. The doctor will determine which method is most suitable in your case.

Comprehensive device therapy is required - vacuum LOD therapy, shockwave therapy, magnetolaser therapy. A good result is achieved when these techniques are combined with PRP therapy and intravenous injections.

The first positive results appear almost immediately. It is important not to stop at this stage, otherwise everything will return to normal very quickly. Do not be lazy, go through the treatment completely to consolidate the result for a long time.

Diseases of the lumbosacral spine

What are we talking about?Diseases of the spine in the lumbar and/or sacral regions directly affect the health of the pelvic organs in men.

What happens?Due to osteochondrosis, intervertebral hernia, displacement of the vertebrae, blood circulation is disturbed, nerve endings may be violated. This causes pain and numbness. And as a result - power violations.

What to do?Take a course of treatment together with a urologist and a neurologist - here you need drugs, massage and acupuncture, and specially designed exercises and physiotherapy (magnet, UVT, laser). Such treatment quickly relieves pain, helps restore normal urination, improves blood circulation and restores lost sensitivity.

What is the prognosis?If you haven't gotten to the point where you need spinal surgery, then the prognosis is very comforting. With simultaneous treatment by a neurologist and a urologist, a fairly quick recovery and restoration of strength is possible.

If you undergo spinal surgery, then the recovery will be much longer and rather complicated. Do not bring to surgery - consult a doctor in time!

Examination by a urologist for potency problems

Primary appointment with a urologist-andrologist

• Inspection
• prostate ultrasound
• bladder ultrasound
• Doppler study of blood vessels - for problems with power
• Erectile function test - for potency problems
• Biothesiometry - for problems with potency and premature ejaculation
• Consultation with a doctor, evaluation of test results

Erectile dysfunction: types, causes and treatment methods

Men of any nationality, regardless of where they live and regardless of their age, worry about problems with their own penis. They are especially afraid when the erect penis is not hard enough, it is not "easy to use" and it is impossible to have intercourse. This disorder is called erectile dysfunction or impotence.

It should be noted that almost all representatives of the strong half of humanity from the age of 20 and older are faced with poor quality erections. But it is possible to assume the presence of this disorder of sexual function only if 25% of cases of intimate communication are defective (every fourth sexual intercourse occurs with "failure").

Erectile dysfunction becomes a real tragedy for a man, he suffers from it physically and psychologically, so it must be treated immediately.

Characteristics and symptoms of impotence

There are such signs of erectile dysfunction:

• lack of sexual desire. The reluctance of intimacy, that is, the violation of libido, occurs with a decrease in the production of testosterone (male hormone), depression due to stress, frequent fatigue, bad condition after a quarrel with a sexual partner.
• sluggish erection, as a consequence of vascular disease, etc.
• lack of ejaculation due to psychological factors.
• anorgasmia - the absence of orgasm, as a rule, is also associated with psychology.

The types of the disorder are determined by its causes:

• organic - autoimmune diseases, hypertension, diabetes and a number of other serious diseases.
• psychogenic - problems with a partner, overexertion, stress.
• mixed.

According to statistics, almost 80% of erectile dysfunction cases are related to organic problems.

Each of the above types has its own characteristics. Psychological impotence appears suddenly, immediately, but the erection in the morning remains at the correct level and the stimulation of the penis persists throughout intercourse.

Organic erectile dysfunction manifests itself gradually. Sexual desire is present, orgasm occurs, but the penis loses its hardness in the process of intimacy. Every day the erection weakens. This indicates the presence of a disease.

With the mixed nature of the disorder, the two aforementioned factors occur simultaneously for appropriate reasons.

Causes of incapacity

It is recommended to list the most common causes of this disorder of male sexual function:

1. Taking medications or certain other substances. We are talking about the use of drugs that reduce the activity of the cerebral cortex and therefore reduce the production of testosterone, antidepressants, antiallergens, etc. This also includes alcohol and drugs.
2. Psychological factors are typical - depression, constant anxiety, severe neurosis. Inconsistencies in addictions and desires for sex with a partner or a bad relationship with her, fear of failure in intercourse, banal fatigue at work. Much depends on the partner - her excessive insistence or the "wrong" word thrown out can contribute to the weakening of the erection.
3. Various neurological diseases, circulatory disorders, injuries to the penis, pelvis or perineum, etc.
4. Abnormal functioning of the endocrine system implies a violation of the production of the male hormone, which is caused by genetic failures, tumors, infections and advanced age. Obesity also changes the hormonal background, and since this problem has now also affected young representatives of the strong half of humanity, doctors are concerned that impotence is increasingly being diagnosed in this segment of the population.

In addition to the above, epilepsy, penile trauma and vascular sclerosis can contribute to impotence. The latter disrupts the blood flow to the genitals through the arteries, which is necessary for an erection, so it is either weak or completely absent. In addition, problems with the veins lead to rapid stimulation of the penis, but it quickly disappears and sexual intercourse cannot be completed normally.

Difficulties with blood vessels are generally dangerous for the male population of Earth. Breach of their inner shell is common for people with autoimmune diseases, as well as heavy smokers. There is also a disease called penile vasospasm, characterized by impaired blood circulation in the penile vessels.

Be careful with masculinity

The cause of impotence is sometimes congenital anomalies of the penis. Such is the rare Peyronie's disease - the opening of the urethra is incorrectly located.

Another physical violation is a defect in the frenulum, a longitudinal fold of skin. It is located between the head of the penis and the foreskin and has the following purpose: when excited, open the head, adjust its bend and prevent it from moving. If the frenulum is short, then the man will feel pain during sexual intercourse, even spots may appear.

In addition, such a defect leads to premature ejaculation, so a man tends to hold back during sex to prolong it. As a result, this is fraught with erectile dysfunction in a constant form. All can be corrected very quickly and easily with surgical dissection of the frenulum. The operation is simple, takes little time and is well practiced.

Separately, it should be said about genital injuries (bruises, burns, gunshot and stab wounds, accidents) that lead to impotence. If you receive them, you should immediately consult a doctor for help, and the sooner this is done, the more likely you are to avoid complete irreversible erectile dysfunction.

• fracture of the penis during hard contact, hitting or bending; There is a dangerous rupture of the cavernous bodies for power, there is severe pain, a hematoma, the organ swells. Depending on the severity of the condition, compresses or surgery may be prescribed as treatment.
• injury from a fall, exercise, in a match. Such a closed injury violates the urethra, manifests itself in hematoma, pain when walking. Treatment - non-steroidal analgesics, compresses, rarely - surgery.
• burns from chemicals, boiling water, ultraviolet rays.
• subcutaneous bleeding, in which the blood vessels are damaged, swelling occurs. It is dangerous because during healing, scars can form that can become an obstacle to blood flow, without which an erection is impossible. A cold compress can help.

Impotence can be caused by a combination of anatomical and psychological factors: a person after an injury had sex and experienced very intense pain. In the future, at a subconscious level, he will be afraid to have sexual intercourse, which, sooner or later, will generally lead to impotence.

Hypothetically dangerous and some operations. Thus, the famous composer Andrew Lloyd Webber, the author of the world-famous musicals "Cats" and "The Phantom of the Opera", publicly stated: he is incapacitated and became so after the operation - he had a prostate tumor removed. Such a surgery can really cause impotence, but in this case, doctors save a person's life. However, if you are regularly examined by a urologist, then prostate cancer or adenoma can be detected at an early stage and its treatment can be started in time. Then such an operation, which leads to loss of sexual function, will not be necessary.

Treatment

Any modern man, from young to old, is inevitably subject to stress in the life cycle. Some have bad habits, malnourished and inactive due to the specifics of the job. All this leads to deterioration of health, including the sexual sphere. Modesty does not allow a man to go to the doctor and confess his impotence, but this is a false idea.

In any case, regardless of the causes and manifestations of erectile dysfunction, you should immediately contact a specialist. Currently, sexologists are able to help combat various cases of impotence, as they have a huge arsenal of tools for this.

Warning: self-medication for this sexual disorder is dangerous, as the pills and devices that support erections that are advertised everywhere help for a while and may even harm. Using them will lead to a loss of valuable time, during which the problem will worsen.

It should be noted that very rarely the treatment is the use of a single method that eliminates the pathological agent. As a rule, an integrated approach is much more effective, especially if the case (and this is often the case) is neglected. This method of treating erectile dysfunction quickly restores sexual function by eliminating the factors that led to the disorder and helps the patient deal with the uncertainty that developed when the impotence appeared.

Of course, erectile dysfunction is not a fatal problem, but because of it, the quality of a man's life falls, his health and mood deteriorate, and families fall apart. Therefore, it is necessary to get rid of it.

Impotence has long ceased to be a proposition. If a man has the first signs, symptoms, then he just needs to seek help from a urologist. Early impotence develops more often in the context of inflammatory processes, STDs - their treatment has long been quick and successful with timely access to specialists.