Male sexual responses are determined by a whole complex of different factors.There are disorders of sexual desire (libido), penile tension (erection), ejaculation (ejaculation) and orgasm.Most often, sexual dysfunction affects potency and ejaculation.
Erection mechanism
Before describing the pathological changes leading to erectile dysfunction, let's look at the normal course of this process.Sexual arousal causes nerve endings located in the tissues of the male genital organs to send signals to the central nervous system.In response to these signals, nitric oxide begins to be produced.
Arterial blood flow to the penis increases due to the active expansion of the arteries under the action of an enzyme acting on the muscle layer of the vascular wall.At the same time, there is compression of the veins through which, in a calm state, blood flows from the external genitalia.
The combination of these two processes leads to the filling of the cavernous bodies with blood, increasing the volume of the penis and keeping it in an erect state for a certain time.Violation of any of the mechanisms 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 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, potency problems 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:
- A feeling of shame at the thought of having to talk about your strength.Many people find this topic uncomfortable and try to avoid it in any way possible.
- The lack of information.Not all patients know that issues related to this pathology are within the competence of a urologist-andrologist.
Most men with sexual dysfunction can be helped.To do this, patients must be prepared to undergo a comprehensive examination and comprehensive treatment.
Organic causes of erectile dysfunction
A sign of organic impotence is the complete absence or partial interruption of an erection that occurs in response to sexual stimulation.The morning erection in such diseases is also absent.
Hormonal disorders.The theory of hormonal causes of impotence is supported by observations, according to which the pathology has become sharply "younger".A decline in testosterone levels occurs in men with age and is normal.A further decrease in the level of male sex hormones can be caused by taking drugs for high blood pressure and sedatives.
Infections.The link between prostatitis and potency problems 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 these diseases.It is no coincidence that almost all known drugs for the treatment of erectile dysfunction affect the condition of the blood vessels of the small pelvis.
Blood flow in the corpora cavernosa can be impaired due to atherosclerotic plaques, the presence of which makes the walls of the arteries inelastic.
Physical damage to the organs and tissues of the male external genitalia.Also, 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 arousal.
Congenital anomalies in the development of the genital organ- underdevelopment, curvature of the penis, presence of additional veins.
Functional erectile dysfunction
Their distinguishing feature is impermanence.In this case, an erection may or may not occur.Everything depends on external reasons and the psychological state of the person.Arousal can disappear suddenly, at the most important moment, even if it is normal at the stage of sexual caresses.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 provoke the disorder, including in the presence of a syndrome of anxious anticipation of sexual failure.
Men prone to increased anxiety and suspiciousness are susceptible to developing this disorder.For such people, planning and preparing for intercourse can cause dread and fear of "disgrace" instead of excitement.Trying to control the erection only makes the situation worse.
Increased tone of the sympathetic nervous system.Normally, during an erection, the walls of the blood vessels should relax.Increased tone prevents the vascular structures of the penis from filling with blood, which can lead to a complete absence or insufficient erection.
Sometimes the cause 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 question.
Self-medicating impotence with pills leads to 'death in the saddle'
Tablets for the treatment of impotence with the active ingredient sildenafil can be purchased without a prescription.Such drugs are placed in the first positions in the shop window and are actively advertised.
Initially, PDE-5 drugs were created to treat diseases of the cardiovascular system.Patients paid attention to the drug's ability to improve the functioning of the "second engine" even at the stage of clinical trials of the drug.The weak effect of the drug in the treatment of pathology of the heart and blood vessels is compensated by the fact that one dose significantly increases blood flow to the penis.
Uncontrolled use of drugs that stimulate potency is dangerous.Doctors even coined the term "death in the saddle" to denote cases of complications from this group of drugs.The reason for such 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 harmful.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 onset of potency problems.Myocardial infarction is the most common cause of death in patients with cardiovascular disease who have uncontrolled use of performance-enhancing drugs.
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 situation may require emergency medical attention.
The substances tadalafil and vardenafil do not differ much from sildenafil in their mechanism of action.They cause the blood vessels of the penis to dilate, which causes the corpora cavernosa to quickly fill with blood.This effect is achieved by selectively blocking the enzyme phosphodiesterase-5 (PDE-5), which normally breaks down nitric oxide molecules.
Long-term blockade of the breakdown of endogenous nitric oxide can be harmful.Arterial blood flow to the penis becomes significantly greater than normal, but venous outflow does not change.This contributes to increased stress on the cardiovascular system and can lead to sudden death.
In order not to "die in the saddle", you must take drugs to stimulate erection under the supervision of a doctor and taking 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 very quickly and the man is unable to satisfy his partner.This disorder can be a consequence of psychological reasons and organic changes in the man's body.
There are two types of accelerated ejaculation:
- Congenital - characterized by increased excitability of the genital centers located in the spinal cord.Manifestations of pathology are noted from the beginning of sexual activity.
- Acquired – which is 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 the problem.In each specific case, it is necessary to choose a method that will be effective.
Method number 1. Condom
The latex layer reduces the sensitivity of the penis during friction, which can significantly extend the time before ejaculation.Condoms should not be thin.It is even better to buy products coated with a gel that reduces sensitivity.The "freezing" composition must be inside, otherwise it will have no effect for the man, and the partner 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 tactile sensations.However, during intercourse, drugs with anesthetics will affect the sensitivity of both partners equally.
To solve this problem, a new class of substances has been developed that are quickly absorbed into the skin of the penis, reducing only male sensitivity and having no effect on the partner.A man can control the time of ejaculation with less loss of sexual sensations compared to the drugs of the first group.
Method number 3. Pressure on the points
Pressing the area midway between the anus and the scrotum.In this area is the prostate gland, one of the functions of which is to ensure the occurrence of orgasm.You can grasp the scrotum with your fingers and pull it to the side and down the body.
To delay ejaculation, you should squeeze the penis with your thumb and forefinger at the point where the head joins the main part of the penis.
Method number 4. Psychological
You can defuse the situation by reminding yourself that your partner is consenting to sex, not just prolonged rubbing.Premature ejaculation does not always mean that a man is bad in bed.Sex is an opportunity for calm and pleasant fun for a man and a woman, not just a way to achieve orgasm.You can enjoy sex regardless of the speed of ejaculation.This can be discussed with your partner.She will stop putting pressure on the man and he will be able to relax.
Method number 5. Think of something non-sexual
Many people may delay ejaculation as a way to take their mind off sex.You can think about anything during intercourse (about work, mother-in-law, money, everyday problems).Most importantly, the images are completely non-sexual.
No need to be distracted by your partner.A woman will notice detachment and coldness and will misinterpret it.It is enough to switch to non-sexual thoughts during those periods when you feel the approach of orgasm.This is usually 5-10 seconds.
Method number 6. Ejaculation control
The method requires practice, but it allows you to maintain a high level of sexual arousal and at the same time delay ejaculation.The effect of using it is amazing.In some sources it may be called the "stop and start" technique.
The point is simple: during intercourse, when orgasm is approaching, you need to stop rubbing for 30 seconds.During this time, you can continue to caress your partner or maintain contact with her in other ways.
Method number 7. Changing the position when approaching orgasm
The choice of positions allows you to use those that reduce the pressure on the most sensitive part of the penis - the head.So-called "passive" positions include "on top" and "sideways."
Method number 8. Medical intervention
Ejaculation can be significantly affected by serotonin.To increase the level of this hormone, drugs from the group of selective serotonin reuptake inhibitors are prescribed.Intracavernous vasodilator therapy involves injecting drugs directly into the penis.
Violations of potency, erection and libido are a difficult problem that is often complicated by intense emotional experiences.In this case, there is no need to panic, organize "exams" with different partners or force your sex life.To restore sexual function, sometimes it is enough to rest, change the usual stereotype of sexual behavior and adjust your lifestyle.
The following recommendations help to minimize the likelihood of developing sexual problems:
- diabetes and cardiovascular disease control;
- periodic examinations by a urologist if there have been injuries or operations on the external genital organs and pelvis;
- healthy lifestyle - weight control, refusal of alcohol and smoking;
- the choice of drugs and their use should be carried out only under medical supervision;
- regular sex life without sexual excesses and periods of sexual abstinence.
If after rest and elimination of all external factors that could have a negative impact on potency, sexual function does not recover, you should consult a doctor.Medical help should also be sought in cases where symptoms of diseases that can cause sexual dysfunction appear.