Male sexual reactions are determined by a whole complex of various 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 that lead to erectile dysfunction, let us consider 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 active dilation of the arteries under the action of an enzyme acting 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 genitals.
The combination of these two processes leads to the filling of the corpora cavernosa with blood, an increase in the volume of the penis and its maintenance in erection 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, potency problems to one degree or another occur in 150 million men around the world.However, only about 10% of patients seek medical help.There are several reasons for this:
- Feeling embarrassed at the idea of having to talk about your power.Many people find this topic uncomfortable and try to avoid it in every possible way.
- Lack of information.Not all patients know that issues related to this pathology are the responsibility of a urologist-andrologist.
Most men with sexual dysfunction can be helped.To do this, patients must be prepared to undergo a thorough examination and comprehensive treatment.
Organic causes of erectile dysfunction.
A sign of organic impotence is the complete absence or partial interruption of erections that occur 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 noticeably "younger."In men, a decrease in testosterone levels occurs with age and is normal.A further decrease in the level of male sex hormones can be caused by taking high blood pressure medications and sedatives.
Infections.The relationship between prostatitis and potency problems has been demonstrated.Infectious factors lead to the development of acute and then chronic inflammation of the prostate.
Diseases of the cardiovascular system..Almost 60% of impotence cases in men are caused by these diseases.It is no coincidence that almost all known drugs for the treatment of erectile dysfunction affect the state of the blood vessels in the pelvis.
Blood flow to the corpora cavernosa can be affected 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 alter the natural course of sexual arousal.
Congenital anomalies of the development of the genital organ.– underdevelopment, curvature of the penis, presence of accessory veins.
Functional erectile dysfunction
Its distinctive characteristic is inconstancy.In this case, an erection may or may not occur.It all depends on external reasons and the psychological state of the man.Arousal can disappear suddenly, at the most important moment, even if it was normal at the stage of sexual caresses.The vast majority of patients with impotence (according to various sources, from 50 to 80%) suffer from functional disorders.
Psychogenic erectile dysfunctionIt can be caused by a variety of psychological reasons.Nervous tension can cause the disorder, even in the presence of the syndrome of anxious anticipation of sexual failure.
Men prone to greater anxiety and mistrust are susceptible to developing this disorder.For these people, planning and preparing for sex can cause fear and fear of "misfortune" 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 the blood vessels should relax.The 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 problem.
Self-treatment of impotence with pills leads to “death in the chair”
Tablets for the treatment of impotence with the active ingredient sildenafil can be purchased without a prescription.These drugs are placed in the first positions of 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 motor" even in the phase of clinical trials of the drug.The low effect of the drug in the treatment of pathologies of the heart and blood vessels was compensated by the fact that one dose significantly increased blood flow to the penis.
Uncontrolled use of drugs that stimulate potency is not safe.Doctors even coined the term “chair death” to refer to cases of complications from this group of drugs.The reason for these 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 we look at the statistics on heart attacks, we can identify an interesting pattern: the average age of onset of acute coronary insufficiency coincides with the onset of power problems.Myocardial infarction is the most common cause of death in patients with cardiovascular diseases who take uncontrolled drugs to increase potency.
The combined use of drugs to increase potency and nitrates prescribed to patients with angina pectoris causes 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 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.
Prolonged blocking of the breakdown of endogenous nitric oxide can be detrimental.Arterial blood flow to the penis becomes significantly greater than normal, but venous flow 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 chair", it is necessary to take drugs to stimulate erection under the supervision of a doctor and taking into account possible contraindications, observing the recommended dosage.
Premature or premature ejaculation
As for premature ejaculation, if the duration of sexual intercourse is significantly reduced, the orgasm occurs very quickly and the man cannot 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 accelerated 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 is effective.
Method number 1. Condom
The latex layer reduces the sensitivity of the penis during friction, which can significantly prolong 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 there will be no effect for the man and the partner will feel 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 sexual intercourse, anesthetic medications 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 timing of ejaculation with less loss of sexual sensations compared to drugs from the first group.
Method number 3. Pressure on the points.
Pressing the area located halfway between the anus and the scrotum.The prostate gland is located in this area, one of whose functions is to ensure the appearance of orgasm.You can grab the scrotum with your fingers and pull it to the side and down your 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 calm the situation by reminding yourself that your partner gives consent to have sex not only in case of prolonged friction.Premature ejaculation does not always mean that a man is bad in bed.Sex is an option for a calm and pleasurable 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.You can discuss this with your partner.She will stop pressuring the man and he can 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 sex (about work, about your mother-in-law, about money, about everyday problems).The most important thing is that the images are completely asexual.
You don't need to be distracted from your partner.A woman will notice detachment and coldness and interpret it incorrectly.It is enough to switch to non-sexual thoughts during those periods when you feel an orgasm approaching.It is usually 5 to 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 surprising.In some sources it may be called the “stop and start” technique.
The point is simple: during sexual intercourse, when orgasm is approaching, it is necessary to stop friction for 30 seconds.During this time, you can continue to caress your partner or maintain contact with them in other ways.
Method number 7. Change position as you approach orgasm
The choice of positions allows you to use those that reduce pressure on the most sensitive part of the penis - the head.So-called "passive" positions include "on top" and "on her side."
Method number 8. Medical intervention.
Ejaculation can be significantly 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 medications directly into the penis.
Disturbances in potency, erection and libido are a difficult problem, which is often complicated by intense emotional experiences.In this case, there is no need to panic, organize "examinations" 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 lifestyle adjustments.
The following recommendations help 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 genitals and pelvis;
- healthy lifestyle: weight control, quitting alcohol and smoking;
- the choice of medications and their use should be carried out only under medical supervision;
- regular sexual life without sexual excesses and periods of sexual abstinence.
If after resting and eliminating all external factors that may negatively affect potency, sexual function is not restored, it is advisable to consult a doctor.Medical help should also be sought in cases where symptoms of diseases that can cause sexual dysfunction appear.