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's consider the normal course of this process.Sexual arousal causes nerve endings in the tissues of the male genital organs to send signals to the central nervous system.In response to these signals, the production of nitric oxide begins.
Arterial blood flow to the penis is increased due to the active expansion of the arteries under the action of an enzyme acting on the muscular layer of the vascular wall.At the same time, there is compression of the veins, through which blood drains from the external genitalia in a calm state.
The combination of these two processes causes the erectile tissue to fill with blood, increasing the volume of the penis and keeping it erect for a certain period of time.Violation of any of these mechanisms leads to the development of erectile dysfunction.
Erectile dysfunction is a problem that you shouldn't be ashamed of
Erectile dysfunction is the persistent inability to achieve and maintain an erection during sexual intercourse.Impotence is one of the biggest sexual problems faced by men of all countries and ages and has a significant impact on self-esteem and psychological well-being.
According to various studies, 150 million men worldwide experience varying degrees of potency problems.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 unpleasant and try to avoid it in every possible way.
- Lack of information.Not all patients know that problems 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 for a comprehensive examination and comprehensive treatment.
Organic causes of erectile dysfunction
A sign of organic impotence is the complete absence or partial failure of erections that occur in response to sexual stimulation.In such diseases, the morning erection is also missing.
Hormonal disorders.The theory of hormonal causes of impotence is supported by observations that the pathology has become significantly “younger”.A decline in testosterone levels occurs in men as they age and is normal.An additional reduction in the level of male sex hormones can be caused by taking medications for high blood pressure and sedatives.
Infections.The connection 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 male impotence 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 pelvic blood vessels.
Blood flow into the corpora cavernosa can be impaired by atherosclerotic plaques, which make the artery walls inelastic.
Physical damage to the organs and tissues of the male external genitalia.Even if the blood vessels and nerve fibers are damaged, an erection does not occur.The consequences of operations on the pelvic organs can disrupt the natural process 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 distinguishing feature is impermanence.In this case, an erection may or may not occur.It all depends on external reasons and the psychological state of the man.Excitement may suddenly disappear 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 50 to 80%) have functional disorders.
Psychogenic erectile dysfunctioncan have various psychological causes.Nervous tension can cause the disorder, even in the presence of the syndrome of anxious anticipation of sexual failure.
Men who are prone to increased anxiety and distrust are prone to developing this disorder.For such people, planning and preparing for sexual intercourse can cause anxiety and fear of “shame” instead of 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 inadequate erection.
Sometimes the cause of sexual dysfunction can be mixed and due to 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 are available without a prescription.Such drugs are placed in the first place in the shop window and are actively advertised.
PDE-5 drugs were originally developed to treat diseases of the cardiovascular system.Already at the stage of clinical trials, patients drew attention to the ability of the drug to improve the functioning of the “second engine”.The low effect of the drug in terms of treating pathologies of the heart and blood vessels was offset by the fact that one dose significantly increased blood flow to the penis.
The uncontrolled consumption of sexual enhancers is unsafe.Doctors have even coined the term “death in the saddle” to describe cases of complications from this group of drugs.The reason for such fatal cases is the uncontrolled consumption of potency-enhancing pills.
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 see an interesting pattern: the average age of onset of acute heart failure coincides with the onset of potency problems.Heart attack is the most common cause of death in patients with cardiovascular diseases who have taken uncontrolled drugs to increase potency.
The combined use of potency-enhancing drugs 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 significantly from Sildenafil in their mechanism of action.They cause the blood vessels of the penis to dilate, which leads to the erectile tissue quickly filling with blood.This effect is achieved by selectively blocking the enzyme phosphodiesterase-5 (PDE-5), which normally destroys nitric oxide molecules.
Long-term blockage of the body's breakdown of nitric oxide can be harmful.The arterial blood flow to the penis becomes significantly greater than normal, but the venous drainage 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 medications for erection stimulation under medical supervision and taking into account possible contraindications, observing the recommended dosage.
Early or premature ejaculation
As for premature ejaculation: if the duration of sexual intercourse is significantly shortened, 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.Pathological manifestations 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 individual 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 when rubbed, which can significantly increase the time until 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 in it, otherwise the man will have no effect and the partner will be doubly unhappy.
Method number 2. Anesthetic cream or spray
Conventional 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 containing anesthetics have an equal effect on 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, only reducing male sensitivity and having no effect on the partner.Compared to drugs of the first group, a man can control the timing of ejaculation, with less loss of sexual sensations.
Method number 3. Pressure on the points
Press the area midway between the anus and scrotum.This zone is home to the prostate, whose job is, among other things, to trigger orgasm.You can grab the scrotum with your fingers and pull it to the side and down from your body.
To delay ejaculation, you must squeeze the penis at the junction between the glans and the main part of the penis with your thumb and forefinger.
Method number 4. Psychological
You can defuse the situation by remembering that your partner does not consent to sex only if there is prolonged friction.Premature ejaculation does not always mean that a man is having a hard time in bed.Sex is an option for a calm and pleasant pastime for men and women, 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 timing of ejaculation to take their minds off sex.You can think about anything during sexual 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 be distracted by your partner.A woman will notice detachment and coldness and misinterpret them.It is enough to switch to non-sexual thoughts during the phases when you feel the approach of an orgasm.This is usually 5-10 seconds.
Method number 6. Control of ejaculation
The method requires practice, but allows you to maintain a high level of sexual arousal while delaying ejaculation.The effect of its use is amazing.In some sources it may be referred to as the “stop and start” technique.
The point is simple: during 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. Changing positions as orgasm approaches
By choosing positions, you can use positions that reduce pressure on the most sensitive part of the penis - the head.The so-called “passive” positions include “on her” 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.Intracavernous vasodilator therapy involves injecting medication directly into the penis.
Potency, erection and libido disorders are a difficult problem that is 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 adjust your lifestyle.
The following recommendations will help minimize the likelihood of sexual problems:
- control of diabetes and cardiovascular disease;
- regular examinations by a urologist in case of injuries or operations on the external genitals and pelvis;
- healthy lifestyle – weight control, quitting alcohol and smoking;
- the selection of medications and their use should only be carried out under medical supervision;
- regular sex life without sexual excesses and periods of sexual abstinence.
If sexual function is not restored after rest and elimination of all external factors that could negatively affect potency, you should consult a doctor.Medical help should also be sought if symptoms of illness occur that can lead to sexual dysfunction.