Erectile dysfunction, decreased potency... Don't panic, guys!

When the penis is not fully erect, it affects a man’s confidence. A weak erection at the most crucial moment may be a sign of neurotic disorders or the presence of physical health problems (both purely male diseases and those not affecting this area). To prevent intractable impotence, do not delay consultation with your doctor if the problem recurs repeatedly. Well, we will tell you in detail why your erection may weaken and how to deal with it.

Why do men have problems with erection?

Erectile dysfunction is often mistakenly associated with natural age-related changes in a man's body. However, male impotence or loss of potency during sexual intercourse is an unpleasant phenomenon that occurs occasionally or constantly in young men under 30 (read more about the causes of erectile dysfunction at a young age) and in mature men. Incomplete erection is often caused by congenital and acquired anatomical defects, somatic pathologies, neurological diseases, psycho-emotional disorders, and stress conditions. Doctors divide the causes and factors that provoke insufficient and unstable erection into separate groups.

Physiological factors

Deterioration of erectile function in people over 40 years of age is often associated with the chronic course of diseases of the cardiovascular system. Many men who have crossed the forty-year mark experience a persistent increase in blood pressure in the morning, which indicates the onset of primary arterial hypertension - hypertension.

In the age group over 35 years, coronary heart disease is common, manifested by an absolute or partial disruption of the blood supply to the myocardium due to damage to the coronary vessels. Erectile dysfunction is a harbinger of heart problems , since both pathologies have a common genesis - changes in coronary blood flow.

The lecture is given by immunologist Georgy Aleksandrovich Ermakov

An unstable erection may indicate hormonal imbalances caused primarily by diseases of the thyroid gland. Deterioration of genital reactions is a natural phenomenon with a lack of the male sex hormone testosterone . The inability of the genital organ to “stand up” is associated with diabetes mellitus , since as this endocrine disease becomes more severe, serious changes occur in the structure of the penile vessels and cavernous tissue.

Flaccidity and insufficient hardening of the manhood is observed in benign and malignant brain tumors . Another reason for the development of sexual weakness is cerebrovascular pathologies. A decrease in male strength is observed with atherosclerosis , manifested by identical changes in the coronary and penal vessels.

A flaccid state of the penis, inability to maintain potency for the required time is observed in urological diseases, for example: chronic renal failure . Erection problems are a typical sign of prostatitis - inflammatory damage to the prostate gland (how does prostatitis affect erection).

In patients with bronchial asthma, patients in the post-infarction period, the deterioration of sexual abilities is due to the fear of exacerbation of the disease during sexual intercourse.

Psychological and external factors

The culprit for the fact that the penis does not stand up well or the erection quickly falls during sexual intercourse is often negative psychological factors :

• An extreme psychotraumatic situation caused by the sudden onset of circumstances of extreme force: the death of a close relative, divorce from a spouse, traffic accidents resulting in injury;
• Chronic stress of any origin: due to difficulties at work, conflicts in the family, uncertainty about the future;

• Chronic fatigue caused by a lack of proper rest, a busy work schedule, excessive demands, and overwhelming obligations;
• “Anticipation of failure” syndrome is a condition that occurs after a man has experienced a fiasco in sex once, characterized by a panicky fear of repetition;
• Severe depressive disorders;
• Anxiety-phobic spectrum disorders associated with irrational fear of intimate relationships.

We talked about the main methods of treating psychological impotence in this article -.

Traumatic factors

A weakening of male potential is observed against the background of traumatic damage to the central nervous system and peripheral nerves. As a result of mechanical effects on the spine, the process of passage of nerve impulses into the cavernous bodies is hampered. The reason for weak potency is injuries in the pelvic area, mechanical damage to the penis, and improperly performed surgical operations.

Drug factors

Taking narcotic drugs causes changes in the male gonads and leads to the extinction of sexual desire. Drug addiction is accompanied by toxic polyneuropathy, manifested by simultaneous damage to peripheral nerves. Poor erection is observed after just two months of active drug use.

If you have problems with potency, doctors recommend that you first stop drinking alcohol, smoking and drugs.

Erectile dysfunction threatens every man who abuses alcohol, regardless of their strength. A chronic alcoholic most often discovers that his penis is poorly erect between the ages of 35 and 40 . If a person has been drinking beer regularly since adolescence, unstable and incomplete erection may occur by the age of 30 . Alcohol provokes surges in blood pressure, which causes degeneration (deterioration) of blood vessels. The breakdown products of ethyl alcohol initiate the death of neurons - the nerve cells of the brain that control the sexual sphere.

Iatrogenic factors

There are many prescription and over-the-counter medications that can cause decreased erection , decreased attraction to the opposite sex, and premature ejaculation. Side effects have:

• Thymoleptics (antidepressants);
• Sedatives: bromides and tranquilizers;
• Antiepileptic drugs;
• Antihistamines;
• Non-steroidal anti-inflammatory drugs;
• Diuretics (diuretics);

• Medicines from the pharmacological group of antiarrhythmic drugs;
• Muscle relaxants;
• Medicines used to treat prostate cancer;
• Drugs used in chemotherapy;
• Anabolic steroids that promote accelerated muscle growth and increase muscle strength.

Read what to do if your penis is not worth it at all.

Severity of erectile dysfunction

There are 3 degrees of severity of erectile dysfunction: mild, moderate, severe, or degrees 1, 2, 3.

Grade 1 severity is characterized by a slight decrease in erection, in which sexual intercourse is still possible.

Grade 2 severity is characterized by a significant deterioration in erection, in which sexual intercourse is very rarely possible.

Grade 3 severity is characterized by a complete absence of erection, in which sexual intercourse is completely excluded due to impossibility.

Which doctor should I contact if I have erection problems?

If erectile function decreases, you should consult a sexologist or andrologist . The doctor will examine the patient's medical history and try to determine the cause of the problem. If necessary, if the patient’s sexual disorders are beyond the scope of his competence or additional examination is required for an accurate diagnosis, the doctor will refer you to other specialists for examination. To identify provoking factors, consultation may be required :

1. Urologist or nephrologist.
2. Cardiologist.
3. Neurologist.
4. Oncologist.
5. Endocrinologist.
6. Psychotherapist.
7. Vascular surgeon.

Treatment of potency disorders

Minor and temporary erectile dysfunction can be corrected without going to the clinic by normalizing your daily routine and work schedule, giving up addictions, and physical activity.

In addition, this difficulty can be overcome with the help of a special diet, which includes aphrodisiac foods, exercises for potency and massage. But, if there is an absolute lack of erection for a long time, then it is necessary to get a consultation within the walls of the clinic.

In certain situations, it is possible to get by with dietary supplements, which consist of natural elements and affect the body without additional stress on the organs.

For more complex pathologies you may need:

• Essential drug treatment.
• Operation.
• Physiotherapy.
• Using the vacuum method.
• Injections into the penis.

Medicines

If drug therapy is required, then in most situations, experts prescribe phosphodiesterase 5 inhibitors: Viagra, Cialis, Levitra. The key active substances are different, however, the mechanism of action of the tablets is similar to each other. They directly affect the vessels of the genital organ, ensuring the dilation of arteries and narrowing of veins.

Thanks to this, the blood supply to the cavernous bodies returns to normal and a persistent erection appears. The products must be used shortly before sex; additional stimulation of the penis by the partner is certainly required. The drugs differ in the speed at which the effect appears and the duration of the effect.

Due to their rapid and high effectiveness, the drugs are quite common among men. But you need to remember that such tablets load the cardiovascular system, have contraindications and provoke side effects. For this reason, tablets should be used with caution and only after consultation with a specialist.

dietary supplements

Dietary supplements often do not have an immediate effect. Their advantage is their entirely natural structure and prolonged effect on the male body. They are used for mild erectile dysfunction.

Often, dietary supplements have minimal contraindications and do not cause negative consequences in the body. The selection of such drugs is large, which is why each patient needs to choose the optimal drug, taking into account the signs of the disease and personal characteristics.

According to reviews, the choice often falls on Peruvian Maca and Vector Solomon. Spray for local use M16 is also a success among consumers.

Folk remedies

Traditional medicine has been accumulating knowledge about the treatment of various diseases for centuries. Even with such a high development of medicine, there are those people who resort to folk recipes.

Medicines based on herbs and a special diet can help if the preconditions for the disorder are somatic, however, impotence is expressed in a mild form. Tinctures and decoctions based on ginger roots, ginseng and calamus are considered quite effective means for increasing erections. The effect is provided by herbal medicine, which includes fireweed nettle and Rhodiola rosea.

Herbal medicine is not the only method for correcting erectile dysfunction. Including special aphrodisiac foods in your daily diet can stimulate erection of the penis. Nuts and honey are also rightfully in first place among the stimulating foods.

Exercises

Physical activity is good for the body and a natural way to normalize erections. Kegel exercises, which consist of tensing the muscles of the perineum, are useful not only for women. With the help of such exercises it is possible to return an erection to normal.

In addition, there are some exercises that are designed specifically to correct erectile dysfunction. These include spinning the hula hoop, walking with the knees raised high, squeezing the ball with the knees, and tensing and relaxing the muscles of the anus.

Massage

Manual influence on special points can help to free yourself from intimate difficulties. There are several types of massage. Certain men will require the help of women as they will not be able to do it on their own.

1. Prostate massage.
2. Massaging the scrotum.
3. Effect on the penis.
4. Stimulation of special points - the area of ​​the sacrum, solar plexus and on the sole of the foot.

Diagnostics

To diagnose the disease and determine the etiological causes of erectile dysfunction, the following measures are taken:

• Conversation with the patient;
• Study of patient complaints;
• Medical history examination;
• Physical examination: visual inspection and palpation of the penis and scrotum;
• Complete blood count with leukocyte formula;
• Blood test for cholesterol;
• Testosterone fraction analysis;
• PSA prostate-specific antigen test (to confirm the presence or absence of prostate cancer);

What you need to know about the PSA blood test? Urologist Sergei Lenkin says:

• General urine analysis;
• Urinalysis according to Nechiporenko;
• Ultrasound examination of the pelvic organs;
• Test to determine nocturnal erection (Snap-Gage test);
• Bulbocavernosus reflex test (to assess the somatic innervation of the penis);
• Electromyography (EMG) of the penis (to assess the autonomic innervation of the penis);
• Arteriography of the penis (study with contrast).

Psychogenic

Psychogenic erectile dysfunction is characterized by the fact that the cavernous bodies lose their susceptibility to various chemicals that promote erection. This occurs due to the fact that the central nervous system, for some reason, inhibits the periphery. The causes of this condition can be stressful situations and mental disorders in the form of depression, neuroses and other similar diseases. Impotence can be caused by a man's conscious prejudices or fears. However, due to the high level of diagnosis in recent years, it is rare to encounter psychogenic impotence without the participation of at least one more mechanism of the disorder.

How to improve erection

The choice of treatment strategy occurs after identifying the cause that caused the weakening of erection (review of aphrodisiacs for men). The specific method depends on whether the erectile dysfunction that occurred was a one-time event, or whether the weakness of genital reactions occurs regularly.

Medications

Therapy for weakened erectile function is carried out with drugs of various groups.

1. Prostaglandin analogues are applied topically by intraurethral or intracavernous injection. Medicine, for example: alprostadil (Alprostadilum) helps relax the muscles of the cavernous bodies, increasing blood flow, which leads to a good erection.
2. Effective means for solving male problems are phosphodiesterase-5 inhibitors, for example: sildenafil - C3 (Sildenafil - C3) . The active substances included in these drugs help improve blood circulation in the pelvic organs, thereby restoring the impaired ability to erect and provide a natural response to sexual arousal.

Sildenafil C3 is a drug for restoring potency in men, the action of which is based on increasing blood circulation in the pelvic area. Price in pharmacies from 100 rubles.

1. To restore the required level of testosterone, treatment is carried out with drugs based on male sex hormones, for example: the drug Andriol . The medicine helps to normalize the bioavailability of testosterone in blood serum, increase the level of estradiol and dihydrotestosterone in plasma.
2. In clinical practice, to overcome weakness of erectile function, herbal-based drugs are used, for example: Tongkat . The use of dietary supplements helps to increase sexual desire, improve erection, and increase the size of the penis.

What medications exist to improve erection?

Folk remedies

To restore male strength at home, you can prepare herbal decoctions and infusions. Properly selected components of herbal infusions have a cleansing effect on blood vessels, have a beneficial effect on blood flow, enhance metabolism, and promote muscle relaxation. Taking herbal infusions and decoctions has a minimum of restrictions and side effects, however, before using folk remedies, it is recommended to consult your doctor. To strengthen an erection, they often use:

• Mint leaves;
• St. John's wort herb;

• Red clover inflorescences;
• Nettle leaves;
• Root vegetables and celery leaves.

Exercise stress

To eliminate the problem of weak erection, doctors recommend leading an active lifestyle and regularly doing exercises in the morning . When playing sports, you should avoid excessive sports stress and injuries by performing feasible and safe physical exercises (read more about them here).

A great way to restore male strength is swimming. To solve the problem with potency, a man can choose active and game sports: running, fast walking, tennis and table tennis. Guys who are experiencing sexual impotence should avoid lifting heavy objects. Doctors do not recommend taking synthetic drugs to gain muscle mass or using steroid courses for cutting and gaining weight.

Diet

To enhance male power, you need to adjust your diet by including foods rich in a variety of vitamins and macroelements in the menu (you will find a complete list of foods to improve erection here). Balanced, fresh, natural food will help strengthen the immune system and provide the body with the required nutrients. To maintain men's health, it is necessary to give preference to products containing:

1. Protein (cottage cheese, sea fish, lean meat, eggs).
2. Zinc (greens, olive oil, seafood, legumes and cereals).
3. Phosphorus (sea fish, beef).

1. Vitamin C (rose hips, bell pepper, kiwi, black currant).
2. Arginine (walnuts, pistachios).

It is advisable to consume food in small portions at regular intervals at least four times a day. Every day a man should drink two liters of purified still water.

Surgery

In critical cases of severe forms of circulatory disorders caused by vascular pathologies, doctors may recommend surgical treatment to the patient. A radical method of getting rid of erection problems has been developed - penile prosthesis .

Psychotherapy

If the reason for a weak erection lies in psychological problems, problems in the intimate sphere are accompanied by a bad mood, irritability, it is necessary to consult a psychologist or psychotherapist . An experienced specialist will help to identify the factors that provoke psycho-emotional stress and discomfort. The doctor will teach the patient relaxation methods and adequate methods of psychological protection from stress. Psychotherapy will allow a man to gain adequate self-esteem and get rid of an inferiority complex. As a result of treatment, a person will be freed from fear of intimacy and will enjoy intimate contacts with his partner .

Another way to improve erection in urology is LOD therapy.

Special cases

If insufficient and unstable erection is associated with an endocrinological disease - diabetes, the doctor’s work will be aimed at minimizing the severity of the disease and preventing its complications. A diabetic needs:

• Give up bad habits, completely eliminate smoking;
• Control your weight, if you are overweight, follow a diet and exercise;

• Normalize cholesterol metabolism by taking medications;
• Stabilize blood pressure without allowing it to rise due to stressors.

Often, men are casual about high blood pressure and do not pay attention to it until they are faced with the fact that their penis does not fully erect, and the erection does not last long. In such a situation, in order to eliminate problems in sexual life, it is necessary to achieve stable blood pressure levels. A healthy lifestyle, avoidance of excessive alcohol consumption, regular exercise, proper nutrition, and taking pharmacological medications prescribed by a doctor are a prerequisite for regaining male strength.

Sexual problems, problems of a sexual nature

Patients often ask the question: “Is impotence treated?” Certainly! If you have sexual problems , problems of a sexual nature , contact Sarklinik. Sarklinik in Saratov will solve your problems in your sexual life. The doctor knows which men usually have sexual problems, how to recognize them and learn their behavior. It is possible and necessary to overcome impotence. A variety of techniques can achieve good results. Treatment is carried out taking into account the patient’s age, type of erectile dysfunction, concomitant diseases, and individual characteristics of the patient.

Sign up for a consultation. There are contraindications. Specialist consultation is required. Photo 1: Ginasanders | Dreamstime.com\Dreamstock.ru. The people depicted in the photo are models, do not suffer from the diseases described and/or all similarities are excluded. Photo 2: Woodooart | Dreamstime.com\Dreamstock.ru

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Complications and consequences of erectile dysfunction

Even a single case of impotence can be the first symptom of developing erectile dysfunction. An unresolved problem can lead to complete impotence - a man’s loss of the ability to have sexual intercourse. Weak erections are often associated with serious disruptions in the functioning of the autonomic nervous system. If a single case of insufficient erection is left unattended, a man faces worsening problems in the functioning of the digestive, respiratory, and cardiovascular systems in the near future. Since insufficient erection can be associated with serious diseases of the male genitourinary system, lack of treatment can lead to prostatitis or renal failure becoming chronic.

Classification and types of impotence

There are many different classifications of impotence and erectile dysfunction. According to etiology, organic, psychogenic and mixed forms are distinguished. In turn, organic dysfunction is divided into vascular, neurogenic, endocrine and anatomical. There are also intoxication and inflammatory erectile dysfunctions. There is a distribution of sexual dysfunctions into psychogenic, pharmacogenic, somatogenic, residual organic with pathology of the diencephalic region. Often, in common speech, men in dialogue describe these states with the phrase: “ it’s not worth a dick .”

Prevention of weak erection

In order not to encounter sexual impotence, a man must observe a work and rest schedule, and avoid mental overload and mental stress . It is necessary to get enough sleep. Dedicate weekends to being in the fresh air, enjoyable activities, and travel. An annual vacation with a mandatory change of scenery will help you maintain a great mood and have excellent tone. Relaxing on the sea coast, hiking in the mountains, scuba diving - entertainment will distract a man from routine and fill the body with vital energy.

Regular sports and well-chosen physical activity eliminate nervous tension, relieve fatigue and provide a surge of strength. However, you should avoid performing excessive physical work carried out at the limit of the body's capabilities. When performing sexual intercourse, it is necessary to choose positions that are most comfortable for a man.

Exercises to improve potency must be performed daily, gradually increasing the number of repetitions and the number of approaches. You should not expect an immediate effect - the result will be noticeable only after a month or two of regular exercises

It is worth undergoing a comprehensive medical examination once a year . Do not ignore doctor's orders. Timely treatment of somatic diseases, resolution of internal conflicts, lifestyle correction, elimination of harmful factors is the key to male longevity and sexual strength.

Vasculogenic

Depending on the type of vessels that are affected, vasculogenic erectile dysfunction is divided into arterial and venous. In most cases, the basis of the arterial type of impotence is atherosclerotic damage to the arterial bed. It is this factor that influences the fact that the age category of those suffering from this disease is mainly elderly people. The main reasons that are accompanied by atherosclerosis:

• Hypertonic disease;
• Diabetes;
• Smoking.

In addition to atherosclerotic lesions, insufficient arterial inflow can occur due to congenital defects or developmental anomalies or due to trauma. Arteriogenic impotence is dangerous due to the appearance of a vicious circle, which is characterized by a violation of the trophism of the cavernous bodies due to insufficient blood flow, which only progresses in the future. When the cause of a weak erection is damage to the venous bed, a classification is distinguished according to the pathogenetic type. Venogenic impotence occurs:

• Primary. This includes any congenital defects of the venous system in the area of ​​the cavernous bodies, for example, pathological drainage or vasodilatation.
• Secondary. The mechanism for the development of impotence is a decrease in the elasticity of the vessel wall, which prevents it from being compressed during an erection. This condition can occur due to fibrous changes in the venous bed in the area of ​​the cavernous bodies, sclerotic lesions together with the action of psychogenic factors.
• Corporovenous. The pathogenesis of the lesion is the thinning of the tunica albuginea due to injury due to any specific diseases (Peyronie).

ethnoscience

The advantages of traditional methods of treating erectile dysfunction in men include accessibility and safety. The wisdom accumulated by our ancestors is based on the natural activation of all systems and the normalization of general health.

Methods used by traditional healers include:

• the use of medicinal plants in the form of decoctions, infusions, herbal preparations and dietary supplements;
• the use of natural factors known for their healing effects (water, air, sun);
• treatment with non-traditional means, some of which are officially recognized and used by medical practitioners (leeches, acupressure methods, etc.);
• massage and physical exercise are always used in combination with medications and other therapies.

Traditional medicine is rich in a wide arsenal of remedies, some of which are equally used in traditional medical practice. Treatment methods for erectile disorders are combined with each other, can be combined with medications and generally have a positive effect on a man’s health.

Psychological reasons for a bad boner

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The stability of the erect state largely depends on the functionality of the central nervous system. In this regard, many psychological attitudes, complexes, sexual phobias, etc., significantly affect the quality of the boner.

The first unsuccessful sexual experience gives rise to unconscious fears of repeating such failure. This leads to the fact that a man is constantly afraid that a fiasco will happen in bed, and as a result, this is what happens.

It often happens that partial erection is a consequence of stress factors, fear or severe shock. For example, sexual intercourse in adolescence was interrupted by the appearance of unnecessary witnesses, for example, parents unexpectedly came. Shame and fear will play a certain role in this case, which will lead to unconscious rejection of sexual relations. As an adult, a man will strive for normal relationships, but the subconscious will play a dominant role.

Latest information: What to do if a man has weak potency?

Unstable erection of a psychological nature most often develops suddenly and occurs situationally.
For example, a man has a bad penis only with his wife, when this was not the case before marriage. ⚡️ Order Levitra for erection ➡
In medicine, they distinguish such a disorder as the syndrome of anxious anticipation of failure in bed. In other words, it is a fear of sexual relations. There are many reasons: suspiciousness, many complexes, lack of self-confidence, low self-esteem, etc. During sex, a man's thoughts are focused on the quality of his boner. He does not receive pleasure, he only controls the hardness of the erection. Such installations always end the same way - the penis falls completely or the erection partially subsides.

The causes of this syndrome include:

1. Previous failures in bed.
2. The girl's ridicule, reproaches.
3. Sex in the wrong place.
4. Long foreplay.
5. Excessive stress, both physical and emotional.

Sometimes such a deviation is associated with a man’s character traits and his health. Diagnosing the syndrome is simple. During sex, a man's heart beats frequently, it is difficult to breathe, painful sensations develop in the chest, there is increased sweating, and sensations of chills or extreme heat.

STOSN and psychogenic impotence are treated by sex therapists and psychoanalysts.

Neurogenic

Unlike psychogenic dysfunction, neurogenic dysfunction appears due to diseases of the nervous system of an organic or functional nature. Due to nerve damage, the impulse does not reach the penis, which is why impotence occurs. More than half of cases of neurogenic dysfunction result from traumatic spinal cord injury. Unfortunately, this condition is almost always irreversible. Also etiological factors may be oncological lesions of the brain, multiple sclerosis, herniated disc lesions or some cerebrovascular pathologies.

First signs

In order to prescribe competent treatment for impotence in a timely manner, you should be familiar with the first manifestations of the disease. Symptoms of impotence:

• The first sign of impotence is a decrease in the level of attraction to women.
• During sexual intercourse, the penis suddenly “falls” (the erection disappears).
• Early ejaculation and the inability to hold back this moment.
• Complete lack of reaction of the penis to a sexual “stimulant”.
• Sufficiently long ejaculation.
• Erection does not appear in the morning and at night.