Male sexual reactions 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.
Mechanism of erection
Before we describe the pathological changes that lead to erectile dysfunction, let's 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 is increased due to the active expansion of arteries under the action of an enzyme that acts on the muscular layer of the vascular wall.At the same time, there is compression of the veins, through which, in a calm state, blood leaves the external genitalia.
The combination of these two processes leads to the filling of the cavernous bodies with blood, the increase in the volume of the penis and the retention of an erection for a certain period of 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, which has 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 ashamed at the thought of having to talk about your potency.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 urologists and andrologists.
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 disorder 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 suddenly become "younger".A decrease 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 drugs for high blood pressure and sedatives.
Infections.The link between prostatitis and problems with potency has been proven.Infectious factors are the leading cause of acute and then chronic prostatitis.
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 in the pelvis.
The blood flow to the cavernous bodies can be disturbed 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 organ development- underdevelopment, curvature of the penis, presence of accessory veins.
Functional erectile dysfunction
Their distinguishing characteristic is inconstancy.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 was normal during the stage of sexual caress.The vast majority of patients with impotence (according to various sources, from 50 to 80%) have functional disorders.
Psychogenic erectile dysfunctionthey can be caused by various psychological reasons.Nervous tension can cause a disorder, including the presence of the 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 sexual intercourse instead of excitement can cause fear and fear of "shame".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 question.
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 to treat 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 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 drugs that stimulate potency is unsafe.Doctors even coined the term "death in the saddle" for cases of complications of 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 of 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 diseases who took uncontrollably 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 situation may require immediate 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 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.
Long-term blocking of the breakdown of endogenous nitric oxide can be harmful.Arterial blood flow to the penis becomes significantly higher 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, respecting the recommended dosage.
Early or premature ejaculation
As for 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 the result of psychological reasons and organic changes in the male body.
There are two types of premature ejaculation:
- Congenital - it is characterized by increased excitability of the genital centers located in the spinal cord.Manifestations of pathology are recorded 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 increase 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 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 sexual intercourse, drugs with anesthetics will equally affect the sensitivity of both partners.
In order to solve this problem, a new class of substances has been developed that are quickly absorbed into the skin of the penis, reducing only the male's sensitivity, and have no effect on the partner.A man can control the time of ejaculation with less loss of sexual feelings compared to drugs from the first group.
Method number 3. Pressure on the points
By pressing on the area located in the middle between the anus and the scrotum.In this zone is the prostate, one of whose functions is to ensure the occurrence 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 must squeeze the penis with your thumb and forefinger at the junction of the head and 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 for prolonged friction.Premature ejaculation does not always mean that a man is bad in bed.Sex is an option for a peaceful and pleasant time for a man and a woman, and not only 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.During sex, you can think about anything (work, mother-in-law, money, everyday problems).The most important thing is that the images are completely non-sexual.
No need to pull away from your partner.A woman will notice detachment and coldness and will misinterpret it.It is enough to switch to non-sexual thoughts in those periods when you feel an orgasm approaching.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 delay ejaculation at the same time.The effect of its use is incredible.In some sources this can be called the "stop and start" technique.
The point is simple: during sexual intercourse, when orgasm approaches, you must stop friction 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 position when approaching 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 her" and "on her side."
Method number 8. Medical intervention
Ejaculation can be significantly affected by serotonin.Medicines from the group of selective serotonin reuptake inhibitors are prescribed to increase the level of this hormone.Intracavernous vasodilator therapy involves injecting drugs directly into the penis.
Disorders of potency, erection and libido are a difficult problem, which is often complicated by intense emotional experiences.In that 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 stereotype of sexual behavior and adjust 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 were injuries or operations on the external genitalia and pelvis;
- healthy lifestyle - weight control, quitting alcohol and smoking;
- the choice of drugs and their application should be performed only under medical supervision;
- regular sexual life without sexual excesses and periods of sexual abstinence.
If sexual function is not restored after rest and elimination of all external factors that can have a negative effect on potency, you should consult a doctor.Medical help should also be sought in cases where symptoms of diseases that can cause sexual dysfunction appear.