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 leading 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, it begins to produce nitric oxide.
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 out of the external genitalia.
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 the maintenance of an erection for a certain time.Violation of any of the mechanisms leads to the development of erectile dysfunction.
Erectile dysfunction is a problem you shouldn't 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 all ages, with a significant impact on self-esteem and psychological well-being.
According to various studies, potency problems in one way or another occur in 150 million men around the world.However, only about 10% of patients seek medical care.There are several reasons for this:
- Be ashamed 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 the problems related to this pathology fall 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 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 significantly “younger”.A decrease in testosterone levels occurs in men as they age and is normal.A further decrease in the level of male sex hormones can be caused by taking drugs for hypertension and sedatives.
Infections.The relationship 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 drugs known for the treatment of erectile dysfunction affect the condition of the blood vessels of the pelvis.
Blood flow in the corpora cavernosa can be compromised 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 of the development of the genital organ– underdevelopment, curvature of the penis, presence of accessory veins.
Functional erectile dysfunction
Their distinctive feature is inconstancy.In this case, erection may or may not occur.It all depends on external reasons and the psychological state of man.Arousal can disappear suddenly, at the most important moment, even if it was normal in the phase of sexual caresses.The vast majority of patients suffering from impotence (according to various sources, from 50 to 80%) have functional disorders.
Psychogenic erectile dysfunctionit can be caused by a number 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 increased anxiety and suspiciousness are susceptible to developing this disorder.For these people, planning and preparing for sexual intercourse can cause fear and fear of “disgrace” rather than excitement.Trying to control your 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 or insufficient erection.
Sometimes the cause of sexual dysfunction can be mixed and result from different 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 saddle”
Tablets for the treatment of impotence with the active ingredient sildenafil can be purchased without a prescription.Such drugs are placed in the top positions in the showcase and are actively advertised.
Initially, PDE-5 drugs were created for the treatment of diseases of the cardiovascular system.Patients drew 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 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 unsafe.Doctors have even coined the term “riding death” to refer to cases of complications related to 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 you look at the statistics on heart attacks, you can identify an interesting pattern: the average age of onset of acute coronary failure coincides with the appearance of potency 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 to patients with angina pectoris leads to excessive production of nitric oxide and the appearance of an erection lasting 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 endogenous nitric oxide degradation 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”, 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, 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 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 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 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 purchase 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 skin of the penis to tactile sensations.However, during sexual intercourse, anesthetic drugs affect the sensitivity of both partners equally.
To solve this problem, a new class of substances has been developed that are quickly absorbed by the skin of the penis, only reducing male sensitivity and have no effect on the partner.A man can control ejaculation time with less loss of sexual sensations than with drugs from the first group.
Method number 3. Pressure on the points
Pressing on 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 onset of orgasm.You can grab the scrotum with your fingers and pull it to the side and down the body.
To delay ejaculation, you need to squeeze the penis with your thumb and forefinger 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 gives consent 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 calm 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 the moment of ejaculation as a way to distract their thoughts from sex.You can think about anything during intercourse (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 will interpret it incorrectly.It is enough to switch to non-sexual thoughts during those times when you feel orgasm approaching.Usually it's 5-10 seconds.
Method number 6. Ejaculation control
The method requires practice, but 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 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. Change 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 top of 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.Intracavernous vasodilator therapy involves injecting drugs directly into the penis.
Violations of potency, erection and libido are a difficult problem, often complicated by intense emotional experiences.In this 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 make changes to your lifestyle.
The following recommendations help minimize the likelihood of developing sexual problems:
- control of diabetes and cardiovascular diseases;
- periodic examinations by a urologist if trauma or operations on the external genitalia and pelvis have occurred;
- healthy lifestyle: weight control, stop drinking alcohol and smoking;
- the choice of drugs and their use must 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 could negatively impact potency, sexual function is not restored, you should consult a doctor.Medical help should also be sought in cases where symptoms of diseases appear that can cause sexual dysfunction.