Stress, a sedentary lifestyle, unhealthy diet and bad habits – everyday attributes of almost every modern man – lead not only to poor health, but also to problems in the sexual sphere. The need for a medical solution to the problem of impotence arises in the elderly and in young people.And the feeling of false modesty makes the representatives of the stronger sex to the last to shy away from a visit to the doctor, but in vain. After all, the earlier the diagnosis and treatment of erectile dysfunction, the sooner be able to return to a full-fledged sex life.
Comprehensive treatment of impotence – the key to success
Impotence implies the inability to perform full sexual intercourse due to the complete absence of erection or its instability. However, it is not necessary to denote by this term the situation when the “misfire” occurred only once. There are many reasons why a perfectly healthy man may not be ready for sex, so if you are confronted with such an incident for the first time, treat him calmly, this happens to almost everyone. Doctors recommend seeking counseling when problems with erection occur more frequently than with every fourth sexual intercourse.
What causes impotence? Several factors play an important role in the mechanism of erection, and failure at any level will affect the final result:
- Psychological. Excitement begins “from above”: a man should have positive emotions, be calm and relaxed. Essential in the process of sexual arousal has a woman’s behavior, sometimes an embarrassing word or excessive perseverance on her part can significantly weaken an erection.
- Hormone. Decreased production of male sex hormones usually occurs with age, but in some cases this phenomenon is caused by a disease of the endocrine system. In recent years, doctors increasingly diagnose impotence in obese young men: an excess of adipose tissue alters the human hormones.
- Neurological. Erectile dysfunction may be the result of violations of the central or peripheral nervous system – after an illness or due to prolonged use of certain medications (antidepressants, beta-blockers, anti-allergy drugs, and others).
- Vascular. Since the erection of the penis occurs due to the filling of its tissues with blood, vascular diseases such as atherosclerosis and hypertension, can adversely affect erections. Often it is the vascular factor that causes impotence in men of mature age.
- Anatomical. Due to some congenital features of the urogenital system, as well as as a result of operations or accidents, problems may arise with the normal filling of the penis with blood in the process of arousal. Sometimes a psychological one is added to the anatomical factor – having experienced a painful shock after an injury, a man may subconsciously fear sexual contact, which will make an erection unattainable.
Composer Andrew Lloyd Webber , known to the whole world as the author of the musicals “Phantom of the Opera” and “Cats”, publicly admitted that he had become impotent after undergoing surgery to remove a prostate tumor. Unfortunately, this is a frequent consequence of interventions of this type, because the primary task of doctors is to save the patient’s life and prevent urinary incontinence. Meanwhile, regular prophylactic examination of the prostate by a urologist allows you to identify and cure adenoma or cancer in the early stages, which does not lead to the loss of sexual function.
Today, sex therapists can help almost every patient. Medicine has a wide arsenal of methods to combat erectile dysfunction, and competent diagnosis allows you to choose the most effective ones.
Experts strongly recommend not to self-medicate. The prospect of returning an erection through tablets and various technical devices that are advertised on television and on the Internet seems to be seductive, but at best this approach will provide only temporary results, and at worst – harm, aggravating the problem.
Modern methods of treatment of impotence
In rare cases, the doctor prescribes a single method of treatment, focused on the elimination of the pathological factor. Much more often, especially with the “neglected” form of impotence (when the patient did not immediately seek advice) and for men of mature age, an integrated approach is effective. It is characterized by a combination of therapeutic techniques and is aimed not only at the rapid restoration of sexual function, “fixing breakdowns”, which initially led to the disease, but also to fight with self-doubt that develops in most patients.
In a situation where an erection is not always present, but only during sexual intercourse, doctors talk about the psychogenic nature of impotence. In this case, the excitement can be achieved during masturbation or during sleep. Often, in order to help the patient, it is not necessary to prescribe pharmaceutical preparations or treatments, it is enough to visit a qualified psychotherapist (sometimes with a partner). The specialist will help you understand your emotions and will advise effective techniques aimed at restoring sensuality, overcoming clips and creating a romantic atmosphere in the bedroom.
Drug treatment of impotence
People in the street traditionally take drugs against impotence as a miracle pill , after which sexual function is instantly restored – only for a few hours. For example, sildenafil or tadalafil- based products work in a similar way . Other drugs are aimed at addressing the root causes of the disease.This may be, for example, hormonal drugs prescribed by a doctor, vitamins and dietary supplements that contribute to the normalization of the sexual glands, drugs that improve the conduction of impulses along the nerve fibers and so on.
By the way, drugs against impotence do not always take the form of tablets: for some patients, treatment is prescribed in the form of ointments, injections, rectal suppositories and solutions for injection directly into the external opening of the urethra. The success of such therapy is determined by the individual characteristics of each patient; therefore, one should be prepared for possible side effects, as well as follow certain rules (for example, the introduction of certain drugs requires mandatory use of a condom).
Vacuum treatment for impotence
Another common method of treating erectile dysfunction is the use of negative pressure created with the help of special mechanical devices that need to be used immediately before sexual contact. Vacuum pump pumps blood into the penis, after which the erection is held with a special ring, worn on the body of a base e. This approach allows you to maintain the “healthy” state of the penis for up to 30 minutes, which suits some patients as a symptomatic treatment of impotence. But the vacuum method cannot fully cure the disease.
Massage of the perineum and pelvic organs is an important method that is used in the complex treatment of erectile dysfunction. Improving blood circulation in this area contributes to the activation of metabolic processes, the expansion of blood vessels and increase the effectiveness of the used drugs. The psychological component is also important: sessions of apparatus massage increase the sensitivity of the genitals, relieve stress.
Physical therapy for impotence is another auxiliary method, which is aimed at strengthening the muscles involved during sexual intercourse, and at improving blood circulation in the intimate area. Its importance is difficult to overestimate: the disease often develops in men leading a sedentary lifestyle, who even before the problem with erection was difficult to take an active part in sexual intercourse. Another task of physical therapy is to eliminate the effects of chronic compression of the pelvic organs, which is a consequence of wearing tight bottoms or tight pants. Daily exercise by the method proposed by a specialist in the treatment of erectile dysfunction will not only improve the quality of sex, but will also prevent vascular disorders in men who have experienced psychogenic impotence or impotence caused by hormonal disorders.
Surgical treatment of impotence
If conservative treatment is recognized as ineffective, and there is no chance of restoring the natural function of the penis, the doctor will recommend an operation on the vessels or prosthetics of the penis to his client . Modern approaches to surgery allow men to return to the joy of sex life in 95% of cases, and the patient will no longer need to turn to “emergency pills” or a vacuum pump. The main disadvantage of the surgical method is the high cost of the operation, as well as possible individual contraindications to the operation, which is undesirable for people of advanced age.
Shock wave therapy
Shock wave therapy is an innovative approach to the treatment of impotence, which has already proven its effectiveness in the treatment of diseases of the musculoskeletal system and the cardiovascular system. Its action is based on the stimulating effect of acoustic waves, which trigger the growth of new blood vessels, which in turn normalizes the mechanism of erection, even in patients with severe microcirculation disorders. Doctors note that the result is noted after two weeks of short-term procedures and lasts for at least a year after the start of treatment. Shock-wave therapy has no side effects, it allows to reduce, and in some cases completely refuse from taking medications. The method is able to help most men with impotence.
Although erectile dysfunction does not represent an immediate threat to a man’s life, the treatment of this disease is extremely important for his well-being and mood, as well as for maintaining harmonious relationships in the family. It is no coincidence that the initiators of the visit to the doctor are often women concerned about the state of health of the partner. Trusting relationships with a doctor and an optimistic attitude are the key to a successful solution to the problem of impotence.