We explain what impotence is and what types it comes in

What is erectile dysfunction

Erectile dysfunction (impotence) is a pathological condition characterized by impotence of the sexual organ at the time of arousal. It is difficult for a man to have full sexual intercourse. In most cases, disorders occur against the background of certain diseases and disorders in the human body.

Erection is a complex process, the course of which depends entirely on the functioning of the male body. We are talking about the work of the central nervous system, muscles, blood vessels. Humoral factors are also important. If any of the listed components are disrupted, problems with erection appear.

Signs of sexual impotence

Lack of erection or decreased elasticity of the penis during arousal are the first signs that should alert representatives of the stronger sex. Symptoms of the disorder include incomplete erection - the penis becomes larger, but does not reach the hardness needed for intercourse.

A man cannot maintain an erection for a long time - the phallus becomes soft before ejaculation is achieved. Early ejaculation is a sign of sexual dysfunction in middle-aged men.

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Other signs include lack of spontaneous erection in the morning or at night, absence/decreased sexual desire.

Sometimes impotence is temporary, which cannot be considered a pathology. Such cases include the following:

• Sexual dysfunction due to excessive sexual activity. The man is not impotent, it’s just his body trying to “rest.” To cure temporary impotence, you need proper rest. The recovery period depends on the load endured;
• Early ejaculation due to irregular intimacy. Constant sex will solve the existing problem;
• Decrease in male strength with age. Here you need to take into account a certain line that lies between decline and complete loss.

The described conditions do not require drug treatment, are reversible, or are natural changes in the male body associated with age or lifestyle.

Types of disease

Erectile dysfunction is accompanied by disorders in the sexual sphere in men, as a result of which the volume and density of the penis decreases. In 90% of cases, pathological processes are reversible and completely eliminated if the patient consults a urologist in a timely manner.

In medicine, the following types of erectile dysfunction are distinguished:

There is another classification of impotence, which is based on the origin of pathological processes:

A comprehensive examination will help determine erectile dysfunction and establish the type of disease. Additionally, the patient may need consultation with other specialized specialists (cardiologist, endocrinologist, surgeon, psychotherapist, traumatologist).

Types of impotence

There are six types of impotence, which are characterized by certain problems associated with the reproductive function of men:

• concuscence is a type of impotence that is determined by the inability of male libido (sexual desire);
• erectinis – impotence is based on erectile potency disorders;
• cooundi – this type of disease has other names: immtendi or ejaculaucio precox. This type of impotence is caused by the inability to have sexual intercourse due to the inability to insert the penis into the partner’s vagina, as well as premature ejaculation;
• erectio brevis – a form of the disease characterized by short-term erections and premature ejaculation;
• ejaculationis – caused by the impossibility of ejaculation;
• anorgasmia – a type of disease determined by a man’s inability to experience satisfaction from sexual intercourse.

Since more careful study of this problem, various distributions of impotence into groups have been proposed. Classification of impotence:

• peripheral neurosis (motor, excretory or sensitive);
• spinal neurosis (damage to the centers of ejaculation and erection);
• cerebral neurosis (hyperesthesia, paresthesia or paradoxia).

More recent interpretations by specialists highlight the following types of disease development:

• mental (inhibitory influence of the psyche or weak arousal in the presence of any distracting factor);
• nervous (presence of irritation and weakness, as a result – premature ejaculation);
• organic (anatomical obstacles do not facilitate sexual intercourse; it could be some kind of anomaly or the complete absence of the penis);
• paralytic (the most complex type of disorder that occurs when the centers of ejaculation and erection are affected).

Experts can diagnose impotence as temporary, relative or absolute.

Causes

A urologist and diagnostic tests will help determine the cause of erectile dysfunction.

In most cases, the specialist identifies the following problems that negatively affect potency:

Erection problems also occur due to prostatitis after surgery on the prostate gland. In each individual situation, characteristic clinical symptoms appear, with which it is important to promptly consult a urologist. Independent or incorrectly selected treatment will lead to serious complications.

Causes of organic impotence

Organic erectile dysfunction has a chronic course. A distinctive feature is the gradual development of the disease. The causes of impotence of organic origin are conventionally divided into the following groups.

Anatomical (structural) type

The inability to have sexual contact is due to congenital and acquired anatomical pathologies , such as:

• Micropenis is a defect in which the penis is of insufficient length (at least 2.5 standard deviations from the average penis size);
• Penile fracture (rupture of the tunica albuginea of ​​the cavernous bodies), penetrating injuries of the penis;
• Fibroplastic induration of the penis (Peyronie's disease) is a pathological curvature of the penis.

Endocrine type

Hormonal impotence is caused by disruptions in the endocrine system . Low levels of testosterone (male sex hormone) are a common cause of decreased potency. Erectile dysfunction is caused.

1. Hypogonadism is hypofunction of the testicles, in which the production of male sex hormones – androgens – is reduced.
2. Hyperprolactinemia is a condition in which increased prolactin is recorded in the blood.
3. Diabetes mellitus is an endocrine disease associated with impaired absorption of glucose in the body (more about the development of impotence in diabetes).

Endocrinologist-andrologist, sexologist S. Yu. Kalinchenko talks about the effect of diabetes on a man’s sexual health and methods of treating erectile dysfunction in diabetics

1. Hyperthyroidism is the excessive production of thyroid hormones, often observed with adenoma of this organ.
2. Hypothyroidism is a long-term persistent lack of thyroid hormones.
3. Itsenko-Cushing's disease is a neuroendocrine pathology characterized by increased secretion of hormones from the adrenal cortex.
4. Obesity of endocrine origin caused by hypogonadism, hypothyroidism, insulinoma.

Neurogenic type

Neurogenic organic impotence is associated with diseases of the nervous system . Erectile dysfunction can start from:

• Idiopathic parkinsonism syndrome is a slowly progressive chronic degenerative neurological disease characteristic of elderly and senile people;
• Multiple sclerosis is a chronic autoimmune pathology that occurs in young and middle age (from 15 to 40 years) and leads to early impotence;
• Acute cerebrovascular accidents: ischemic stroke (cerebral infarction), intracerebral hemorrhage against the background of a persistent increase in pressure;

Ischemic stroke is a disease caused by an acute cerebrovascular accident that occurs due to insufficient blood supply to a certain area of ​​the brain or to the complete cessation of this process

• Severe injuries and diseases of the spine (for example: osteochondrosis, intervertebral hernia), causing complex lesions of the spinal cord;
• Benign and malignant tumors of the central nervous system;
• Cerebrovascular pathologies;
• Syringomyelia is a slowly progressive disease of the spinal cord;
• Damage to peripheral nerves after open surgery for adenoma or prostate cancer;
• Polyneuropathy is multiple damage to peripheral nerves.

Urological type

The cause of impotence is diseases of the genitourinary system , such as:

1. Chronic prostatitis is a disease characterized by increased levels of lactotropic hormone.
2. Chronic renal failure resulting from diffuse glomerulonephritis, pyelonephritis, renal amyloidosis, kidney stones, narrowing of the urethra.

Vascular type

Vascular problems are a common cause of impotence in men. Deterioration of erection is associated with various heart ailments and vascular disorders , such as:

• Atherosclerosis – formation and deposition of atherosclerotic plaques on the vascular walls;
• Primary arterial hypertension (hypertension) is a disease characterized by a persistent increase in blood pressure;
• Varicocele is an anomaly caused by varicose veins of the spermatic cord;

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• Damage to pelvic vessels of traumatic origin, for example: in professional athletes who regularly engage in cycling;
• Violations of the veno-occlusive mechanism (venogenic type);
• Decreased sphincter tone that regulates blood outflow (venous type);
• Insufficient filling of the cavernous bodies with blood (venocorporeal type).
• Dysfunction of parts of the autonomic nervous system, in particular: vegetative-vascular dystonia (VSD).

Here we talk about vascular impotence.

Iatrogenic (medicinal) type

Erectile dysfunction develops as a side effect of pharmacological agents . A person who takes:

1. Thymoleptics (antidepressants) are medications used to eliminate affective disorders;
2. Antiemetic drugs used for central vomiting;
3. Sympatholytics are drugs that have an inhibitory effect on the transmission of nerve impulses by the sympathetic nervous system to effector organs;
4. Antipsychotics (neuroleptics) are medications used in the treatment of behavioral disorders and obsessive-compulsive disorder;
5. Alpha adrenergic agonists are agents that stimulate α-adrenergic receptors, which causes a vasoconstrictor and anticongestive effect;
6. Narcotic analgesics of opiate origin, used to eliminate severe pain;
7. Histamine H2 receptor antagonists are medications used to treat acid-related diseases of the digestive system;
8. Slow calcium channel blockers are drugs that can change heart rate.

Another cause of iatrogenic erectile dysfunction is drug use. Problems with potency naturally arise among cocaine and heroin addicts, people taking amphetamine and cannabinoids. Impotence can be triggered by the use of drugs used in chemotherapy.

Psychological reasons

A man is diagnosed with erectile dysfunction if sexual impotence continues for 6 months.

There are numerous reasons behind which problems arise, including psychological factors:

• chronic fatigue syndrome (an active lifestyle, constant stress, sleep disturbances provoke impotence in 90% of cases, especially in large cities);
• depression, depression, psychological problems that arise against the background of frequent stress (the production of hormones responsible for a person’s good mood also decreases);
• psychological trauma in the past that affected sexuality;
• various daily problems in which a person plunges headlong;
• fear of sexual intimacy (many men are afraid that their partner will become pregnant, an unpleasant situation will arise, or the woman will not like the partner in general);
• antipathy towards sexual partner;
• low self-esteem;
• limiting beliefs;
• the first night with a girl I barely know;
• conflictual differences with the opposite sex.

Erectile dysfunction (drugs for the treatment of the disorder are selected by the urologist, taking into account the patient’s condition and the development of the pathological condition) in a man can also appear after sexual intercourse with a woman through her fault.

The same applies to the use of psychoactive substances, neuroses, frequent masturbation, prolonged abstinence, irregular sex life and sexual fantasies that cannot be translated into reality.

Mixed and other reasons

Erectile dysfunction also occurs against the background of numerous provoking factors:

• chromosomal and congenital diseases;
• diabetes;
• extra pounds, obesity;
• poor physical activity;
• bad habits (abuse of alcohol, tobacco products, narcotic substances);
• hard professional work;
• damage to the spinal column;
• damage to the pelvic organs;
• poor nutrition;
• infectious damage to the body.

Insufficient stress resistance provokes pathological processes and sexual disorders. The same applies to an unfavorable environment, lack of regular sexual intercourse and a sedentary lifestyle.

Symptoms

The clinical picture of the pathological condition depends on the provoking factor against which the man developed erectile dysfunction. Based on the existing signs, the urologist will determine the stage of development of the disease, its type, and will create the most effective treatment regimen.

Erectile dysfunction (medicines for treatment are recommended to be taken strictly, following the instructions drawn up by the urologist), depending on the cause, is accompanied by the following clinical symptoms:

In each case, the man develops individual symptoms, depending on the provoking cause. The doctor will help determine the violations by prescribing an additional comprehensive examination for the patient. It is important to go to the hospital in a timely manner, since missing therapy can lead to serious consequences.

Drug treatment

Drug treatment of impotence in men involves taking medications that help treat erectile dysfunction.

Medicines for impotence are prescribed exclusively by a doctor, who also controls the intake of the drug. This ensures the effectiveness of treatment and the absence of complications. When prescribing a particular remedy, the reasons that caused a man’s sexual inability and the diseases accompanying impotence are taken into account.

The most effective products in this series are recognized as:

1. Ginkgo biloba. The plant of the same name, Ginkgo biloba, is considered quite rare. Its lifespan can be more than 2 thousand years. A medicine based on this component has a pronounced stimulating effect on the male reproductive system, eliminating the main signs of impotence.
2. Viagra. It is considered a classic remedy for quickly improving male power. The name Viagra has become a household name among men due to its popularity and effectiveness.
3. Impaza. Another effective remedy for men who have lost interest in the sexual side of relationships. Regular use of Impaza tablets significantly improves erectile function in men.

At what age does it start

Erectile dysfunction in young men often occurs as a result of the negative impact of psychological factors on the body. In older people, disorders appear due to inflammatory processes in the body. The same applies to structural changes in the organs of the genitourinary, nervous, and cardiovascular systems.

There are certain medical statistics that show the occurrence of erectile dysfunction, taking into account the age of the man:

According to existing statistics, in most cases, it is men over 40 who are more likely to experience erectile dysfunction.

Diagnosis of impotence by an andrologist

Statistics show that only 10% of 100% of the representatives of the stronger half of humanity voice their problems to a doctor. The low medical culture of the population and the sensitivity of the topic often adversely affect the development of the disease. But you should remember that in almost 50% of 100% it is possible to restore an erection and continue to live a full life. The most important thing is to voice the problem to a specialist (andrologist) and correctly determine the causes of its occurrence.

A professional consultation will guide the patient towards further treatment. This depends on whether inflammatory processes in the internal organs (bladder or prostate gland, etc.) are detected.

Diagnosis of the disease includes caverject tests, monitoring of erections, consultation and examination by a urologist and subsequent examination by an endocrinologist. If necessary, an ultrasound examination (Dopplerography) can be performed to determine the blood supply to the penis (quantitative and qualitative). A complete blood test and bacteriological smear will be required to obtain data on hormone levels and the presence of possible infections.

Treatment

The therapy is selected in a comprehensive manner; the urologist takes into account the results obtained after a comprehensive examination and the man’s condition. Medicines and herbal remedies are used.

If there are no serious medical contraindications, you can resort to unconventional methods of witch doctors and healers. Additionally, men are recommended to attend physiotherapeutic procedures.

Drugs

Medicines help increase potency and restore male strength. It is important to take medications strictly as directed or as prescribed by your doctor to reduce the likelihood of side effects.

Erectile dysfunction in men is treated with the following medications:

Additionally, men are prescribed vitamin complexes that contain beneficial microelements (Folic acid, Retinol, Vitamin A, E and B9).

In the absence of positive dynamics after traditional therapy or in severe cases, the patient is indicated for surgical intervention.

Surgical treatment is performed to reconstruct the artery of the penis. For this purpose, the method of balloon plasty or dorsal vein ligation is used.

Herbal remedies

Erectile dysfunction (drugs for treatment are selected for patients taking into account their physiological state and concomitant disorders) is not always a consequence of pathological processes in a man’s body.

In some situations, disorders appear after severe stress or severe long-term tension.

In this case, herbal-based preparations will help restore male strength:

Herbal remedies for erectile dysfunction help reduce depression, emotional stress, and help strengthen erections. Medicines also reduce blood pressure, restore pulse and breathing rate.

Features of treatment for different age groups

Erectile dysfunction requires treatment with drugs regardless of the patient's age. Complex therapy also requires the man to follow a specially designed menu. It is necessary to support the body with a healthy and fortified diet.

In addition to comprehensive traditional medicine and proper nutrition, a man with erectile dysfunction must adhere to general recommendations:

• Do morning exercises, play sports, run.
• Take a contrast shower.
• Adhere to a rest and work schedule. Go to bed and get up at the same time of day.
• Limit computer work, especially before bed.
• Regularly ventilate the living space and do wet cleaning.
• Sleep at least 8 hours.
• Have regular sex life, use special protective equipment.

All these rules will help avoid stress and disruptions in a man’s body. It is also necessary to completely abandon bad habits and take medications exclusively prescribed by your doctor.

Which doctor treats impotence?

The treatment method for impotence largely depends on the causes of the disease. The manifestation of pathology is influenced by a number of factors:

• spinal or brain injuries;
• high blood pressure;
• impaired metabolism;
• deficiency of vitamins in a man’s body;
• psychological problems, etc.

To determine a complete and effective method of treating impotence in men, it is necessary to find out the root cause of the disease. This issue is usually dealt with by a therapist. If he discovers factors that provoke weak potency in a man, the patient is referred for diagnosis and treatment to a specialist. It could be:

1. Endocrinologist. A visit to him is necessary if impotence is the result of hormonal imbalances.
2. Cardiologist. Helps men whose erectile dysfunction is caused by circulatory problems.
3. Traumatologist. He treats injuries to the brain or spinal cord that lead to impotence.
4. Andrologist. His services are necessary if impotence is the result of pathology in the development of the male genital organs.
5. Urologist. Prescribes the necessary tests, helps in the treatment of prostatitis and other pathologies of the genitourinary system (including impotence).
6. Sex therapist. Helps in eliminating sexual disorders. May prescribe medications for the treatment of impotence.
7. Psychotherapist. Helps men treat psychological impotence. Teaches the patient to fight fears and complexes that create a barrier to the mutual pleasure of partners.

Is it worth using traditional methods of treatment?

Erectile dysfunction (medicines for treatment will be selected by a urologist after a comprehensive examination, based on the results obtained) in men allows the use of prescriptions from witch doctors and healers.

But it is important to use folk remedies together with medications, strictly after consultation with your doctor. Many components used may cause an allergic reaction or individual sensitivity.

Effective folk remedies for increasing potency:

Garlic and onions have a positive effect on male strength. It is recommended to add products to the diet. St. John's wort will help reduce the inflammatory process, and chamomile and mint will help eliminate irritation of the genitourinary canals. Nettle and clover will restore and enhance potency.

Today, the medical market offers a huge number of drugs for the treatment of erectile dysfunction, but you cannot prescribe the drugs yourself, as this can cause complications. It is necessary to undergo an examination and determine the underlying cause of sexual dysfunction. Only a urologist will help restore male strength.

Treatment at home with folk remedies

Impotence is a violation of sexual functions, weakening or absence of erection (18 drugs to increase erection), as a result of which a man cannot complete sexual intercourse. In this case, the penis can be in an excited state for a short or long period. The disease requires combined treatment.

Types of impotence

Impotence in men is divided into two main types - organic and psychological. The third category is combined, which combines both main types of disease.

Organic impotence is a gradually increasing sexual impotence, which is caused by physiological factors (urological ailments - sexually transmitted diseases, problems with blood vessels, etc.). The duration of an erection begins to decrease, and gradually it disappears altogether. At the same time, there is no spontaneous activity in the morning and night hours.

There are other types of impotence of male impotence - neuroreceptor and spinal (organic and functional). Combined disease combines the causes of different categories of the disease.

Potency can be impaired for many reasons. In some cases, sexual impotence occurs in old age. The cause is hormonal imbalance. Many men experience a decrease in potency after 40 years. Organic sexual impotence is classified into several types:

1. Impotence of endocrine origin occurs due to deficiency of the hormone testosterone. Most often, this type of impotence occurs in men after 50 years of age. The cause may be a hormonal imbalance with the subsequent appearance of endocrine diseases.
2. Anatomically determined male weakness appears due to the curvature of the penis, its partial or complete removal or painful erection. The pain sometimes causes a hernia in the scrotum. Impaired potency may be caused by a frenulum that is too short or other congenital defects of the penis.
3. Neurogenic disorders are associated with diseases of the nervous system, various injuries, and injuries. The causes may be sclerosis and neuropathy.
4. Vascular impotence occurs due to impaired blood supply to the genital organ. If there is insufficient blood supply, the swelling of the penis occurs very slowly or does not fill the organ. The reason is also weak muscles of the penis.

There are a number of other types of male impotence and the reasons for their occurrence.

Other causes of impotence:

• inflammation of the reproductive system, which is transmitted from partners;
• diabetes;
• chronic prostatitis;
• taking certain medications;
• poisoning with toxic substances (gasoline, lead, etc.).

With organic impotence, symptoms gradually appear. At first, the signs of impotence are mild, episodic, and do not cause any concern. A man can blame everything on fatigue, lack of interest in his partner, etc. The first signs of sexual impotence include:

• sudden loss of erection during sex;
• prolonged ejaculation;
• complete absence of erection;
• premature ejaculation;
• weakened erection.

Most often, such symptoms are observed in men aged 40 years. After this milestone, hormonal changes occur in the body. Many organs begin to “wear out.” Age-related changes contribute to a decrease in erection.

After the first manifestations, the progression of the disease begins. Additional symptoms appear. The penis becomes flaccid during an erection. This condition is occurring more and more often.

Erections become less frequent. She disappears in the mornings and at night. With premature ejaculation of semen, a man begins to feel inferior, which aggravates the disease.

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Restoring potency occurs in a comprehensive manner. First of all, the causes of sexual impotence are determined. Treatment should be aimed at eliminating the causes of weak erections. Both psychological and physiological factors are considered. A man can use many methods of treating impotence on his own.

When signs and symptoms of impotence appear, treatment is prescribed in accordance with the cause of the disease. The doctor may prescribe medications that are taken 30-60 minutes before sexual intercourse. They guarantee a temporary erection. At the same time, herbal remedies are prescribed and injections are given.

Physiotherapy, especially acupressure, has a positive effect in treating erections. Sessions are conducted with vacuum devices that promote the appearance of a persistent erection and expansion of the corpus cavernosum. Psychological techniques are used to provide moral assistance. The methods are aimed at eliminating depression, stress, inferiority complex, and anxious anticipation of failure.

Drugs for the treatment of impotence differ in two ways - by effect and method of application. The products are available in the form of tablets, powders, and tinctures.

Effective drugs are divided into two categories:

1. Synthetic products contain a substance that suppresses the production of phosphodiesterase-5, which helps to quickly complete sexual intercourse through a quick erection. Inhibitors promote normal blood flow to the penis, maintaining sexual arousal. They are most suitable for older people. Remedies for impotence after 50 years - Cialis, Viagra, Levitra.
2. Natural herbal preparations improve blood circulation, mood, and central nervous system function. This increases potency in men. At the same time, the products fill the body with vitamins and minerals, increase libido, and stimulate muscle work. Natural remedies include ginseng, ginger, cordyceps, and other plants.

However, dietary supplements are only auxiliary drugs in the treatment of erectile dysfunction in men. The drugs have distinctive positive qualities. For example, they are not addictive, have a small list of contraindications, and do not cause complications.

The drugs are divided into three groups according to the method of administration:

1. Urethral drugs for impotence are introduced into the urethra 10 minutes before the start of sexual intercourse. However, they often cause side effects such as burning and itching. Rectal suppositories may be prescribed. They do not cause side effects.
2. Using injections, medications are injected into the penis to treat impotence, stimulating the expansion of the organ and its rapid filling with blood. An erection occurs quickly and lasts for an hour. Most often, Alprostadil, Papaverine or its mixture with Phentolamine are injected into the penis.
3. Oral medications for impotence are among the most popular and best remedies. They give a good effect even at 60 years old. The products improve blood circulation and replenish hormone deficiency. These drugs include Viagra, Cialis and Levitra. These are the most powerful remedies for impotence.

Before treating impotence, it is necessary to find out the cause of the disease. The cause may be low physical activity, stress or other factors. In this case, medications may not be needed.

Non-drug methods of treating sexual impotence include exercise therapy (a special complex of physical education). The exercises can be done at home. Exercise therapy increases muscle tone, improves the general condition of the body, and partially replaces the necessary physical activity.

Massage helps restore an erection to an impotent man. It must be carried out according to certain rules. Massage has several varieties. It can be performed on energy points, in the groin area, for the testicles, and penis. It is not recommended to do acupressure on your own. Incorrect exposure can cause additional problems.

How to cure impotence with a vacuum pump? It can partially replace medications. The method is one of the safest. The procedure is performed using a special pump with a cylinder. This type of massage ensures the filling of blood vessels and small arteries with blood, which leads to an erection.

Herbal treatment for impotence has been used for a long time. The products improve blood circulation, increase erection strength and the quality of sexual intercourse. In folk recipes, a collection of St. John's wort, nettle, and clover is often used. You need to take 2 tbsp of each herb. l., pour into a thermos, pour a liter of boiling water. The product is infused for several hours, then drunk a glass three times a day.

To increase potency, tincture of ginseng has proven itself well. It is made with vodka or water. This is an effective folk remedy for male power.

For example, for an alcohol tincture you will need 300 ml of vodka and 20 g of crushed plant root. They are mixed, then the product sits for 3 weeks. It needs to be shaken daily.

After the expiration date, the liquid is filtered, then drunk 3 times a day, 25 drops, 30 minutes before meals.

Mumiyo for potency is sold in pharmacies. It refers to general strengthening agents. At 10 tbsp. l dissolves 2 g of mumiyo. The product is taken in the morning, 1 tablespoon, before breakfast. The course of treatment is 5 days.