The sexual reactions of men are determined by a whole complex of different factors.There are disorders of sexual desire (lust), penile tension (erection), ejaculation (ejaculation) and orgasm.Most often, sexual dysfunction affects potency and ejaculation.
Mechanism of erection
Before describing the pathological changes that lead to erectile dysfunction, let's examine the normal course of this process.Sexual stimulation 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 that acts on the muscular layer of the vascular wall.At the same time, compression of the veins occurs, through which, in a calm state, blood flows from the external genital organ.
The combination of these two processes leads to the filling of the cavernous bodies with blood, an increase in the volume of the penis and keeping it erect 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 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:
- You feel embarrassed at the thought of having to talk about your power.Many people find this topic embarrassing and try to avoid it in every possible way.
- Lack of information.Not all patients know that issues related to this pathology are within the competence of the 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 cessation of erection that occurs in response to sexual stimulation.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.An additional decrease in the level of male sex hormones can be caused by taking medications for high blood pressure and sedatives.
Infections.The relationship between prostatitis and potency problems has been proven.Infectious factors are the main factors in 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 drugs known to treat erectile dysfunction affect the condition of the blood vessels of the pelvis.
Blood flow in the cavernous bodies 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.There will also be no erection if the blood vessels and nerve fibers are damaged.The consequences of operations on the pelvic organs can disrupt the natural flow of sexual arousal.
Congenital anomalies of genital development- underdevelopment, curvature of the penis, presence of additional veins.
Functional erectile dysfunction
Their distinguishing feature is instability.In this case, an erection may or may not occur.It all depends on external reasons and the psychological state of a man.Excitement can disappear suddenly, at the most important moment, even if it was normal in the stage of sexual caresses.The vast majority of patients with impotence (according to various sources, from 50 to 80%) have functional disorders.
Psychogenic erectile dysfunctionit can be caused by a variety of psychological reasons.Nervous tension can provoke the disorder, including the presence of the syndrome of anxious waiting for sexual failure.
Men prone to increased anxiety and suspicion are susceptible to developing this disorder.For such people, planning and preparing for intercourse can cause fear and dread of "shame" rather than excitement.Trying to control an erection only makes the situation worse.
Increased tone of the sympathetic nervous system.Normally, during an erection, the walls of 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 issue.
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 positions in the window and are actively advertised.
Initially, PDE-5 drugs were created for the treatment of diseases of the cardiovascular system.Patients drew attention to the ability of the drug to improve the functioning of the "second engine" even at the stage of clinical trials of the drug.The low effect of the drug in the treatment of the pathology of the heart and blood vessels was compensated by the fact that one dose significantly increased blood flow to the penis.
Uncontrolled use of potency-stimulating drugs is unsafe.Doctors even coined the term "saddle death" to refer to cases of complications from this group of drugs.The cause of 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 appearance of power problems.Myocardial infarction is the most common cause of death in patients with cardiovascular disease who have uncontrolledly taken drugs to increase potency.
The combined use of drugs to increase potency and nitrates prescribed for 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 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 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 should take drugs to stimulate erection under the supervision of a doctor and taking into account possible contraindications, respecting the recommended dosage.
Early or premature ejaculation
In relation to premature ejaculation, if the duration of sexual intercourse is significantly reduced, orgasm occurs too quickly, and the man is unable to satisfy his partner.This disorder can be a consequence of psychological reasons and organic changes in a man's body.
There are two types of premature ejaculation:
- Congenital - characterized by increased excitability of the genital centers located in the spinal cord.Manifestations of pathology are observed 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 layer of latex 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 "frozen" composition must be inside, otherwise it will have no effect on 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 penile skin's sensitivity to tactile sensations.However, during sexual intercourse, anesthetic drugs will equally affect the sensitivity of both partners.
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
Pressure in the area located between the anus and the scrotum.In this area is the prostate gland, one of whose functions is to ensure the beginning of orgasm.You can grasp the scrotum with your fingers and pull it to the side and down from the body.
To delay ejaculation, you should squeeze the penis with your thumb and forefinger at the junction of the head with the main part of the penis.
Method number 4. Psychological
You can defuse the situation by reminding yourself that your partner consents to sex, not just prolonged rubbing.Premature ejaculation does not always mean that a man is bad in bed.Sex is an opportunity 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.She will stop putting pressure on the man and he will be able to relax.
Method number 5. Think about something non-sexual
Many people may delay ejaculation as a way to distract their thoughts from sex.You can think about anything during the relationship (about work, mother-in-law, money, everyday problems).The most important thing is that the images are completely non-sexual.
There is no need to distract yourself from your partner.A woman will notice detachment and coldness and misinterpret it.It is enough to switch to non-sexual thoughts in those periods when you feel the orgasm approaching.Usually this is 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 its use is amazing.In some sources it may be called the "stop-and-start" technique.
The point is simple: during sexual intercourse, when orgasm is approaching, you need to stop rubbing for 30 seconds.During this time, you can continue to caress your partner or keep in touch 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 her" and "on her side."
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.Intracavernosal vasodilator therapy involves injecting medications directly into the penis.
Violations of potency, erection and libido are a difficult problem, which is often complicated by strong emotional experiences.In this case, there is no need to panic, organize "tests" 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 make adjustments in your lifestyle.
The following recommendations help to minimize the likelihood of developing sexual problems:
- control of diabetes and cardiovascular diseases;
- periodic examinations by a urologist if there have been injuries or operations on the external genitalia and pelvis;
- healthy lifestyle - weight control, quitting alcohol and smoking;
- the choice of drugs and their use should be made only under medical supervision;
- regular sex life without sexual excesses and periods of sexual abstinence.
If after resting and eliminating all external factors that may have a negative impact on potency, sexual function does not return, you should consult a doctor.Medical help should also be sought in cases where symptoms of diseases that can cause sexual dysfunction appear.