Male sexual response is determined by many factors.There is libido (libido), penile tightness (erection), ejaculation (ejaculation), and orgasmic disorders.Most commonly, sexual dysfunction affects sexual performance 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 located in the tissues of the male reproductive organs to send signals to the central nervous system.In response to these signals, nitric oxide begins to be produced.
Arterial blood flow to the penis increases as the arteries actively dilate under the action of enzymes acting on the muscular layer of the vessel walls.At the same time, the veins are compressed, through which blood flows out of the external genitalia in a calm state.
The combination of these two processes causes the corpora cavernosa to fill with blood, increasing the size of the penis and maintaining an erection for a certain period of time.Violation of any mechanism can lead to the development of erectile dysfunction.
Erectile dysfunction is a problem 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 major sexual problems among men of all countries and ages, with a significant impact on self-esteem and mental health.
According to multiple studies, 150 million men worldwide suffer from varying degrees of sexual performance issues.However, only about 10% of patients seek medical help.There are several reasons for this:
- Feel ashamed at the thought of having to talk about your abilities.Many people find this topic awkward and try to avoid it.
- Lack of information.Not all patients are aware that problems related to this pathology fall within the competence of the uroandrologist.
Help is available for most men with sexual dysfunction.To do this, patients must be prepared to undergo a thorough examination and comprehensive treatment.
Organic causes of erectile dysfunction
A sign of organic impotence is the complete absence or partial destruction of an erection in response to sexual stimulation.Morning erections also do not occur with this disease.
Hormonal imbalance.The theory that hormones cause impotence is supported by observations according to which the pathology of impotence has become dramatically "younger".As men age, testosterone levels decrease, which is normal.Taking high blood pressure medications and sedatives may cause male sex hormone levels to further decrease.
Infect.A link between prostatitis and sexual performance problems has been demonstrated.Infectious factors contribute to the development of acute and chronic inflammation of the prostate.
cardiovascular system diseases.Nearly 60% of male impotence cases are caused by these diseases.It's no coincidence that nearly all medications known to treat erectile dysfunction affect the condition of blood vessels in the pelvis.
Blood flow into the corpus cavernosum may be compromised due to the presence of atherosclerotic plaque, which makes the artery walls less elastic.
Physical damage to the external male genital organs and tissues.If blood vessels and nerve fibers are damaged, erections will also be impossible.The consequences of pelvic organ surgery may disrupt the natural process of sexual arousal.
Congenital abnormalities of reproductive organ development– Hypoplasia, penile curvature, presence of accessory veins.
functional erectile dysfunction
Their distinguishing characteristic is capriciousness.In this case, an erection may or may not occur.It all depends on external reasons and the person's psychological state.At the most important moments, excitement may suddenly disappear, even during the sexual caress phase. This is normal.The vast majority of patients with impotence (50 to 80 percent, according to various sources) suffer from a dysfunction.
psychogenic erectile dysfunctionIt can be caused by a variety of psychological reasons.Nervous stress can trigger this disorder, including when there is a syndrome of anxious anticipation of sexual failure.
Men who are prone to anxiety and paranoia are susceptible to this disorder.For these people, planning and preparing for sexual intercourse may evoke fear and fear of "shame" rather than excitement.Trying to control your erection will only make it 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, resulting in a full or insufficient erection.
Sometimes, the cause of sexual dysfunction can be mixed, caused by multiple types of disorders, such as a combination of psychogenic and organic factors.Only doctors can understand this question.
Taking medicine to treat impotence on his own, he ended up "died in the saddle"
Impotence treatment pills containing the active ingredient sildenafil are available without a prescription.Such medicines are placed in the first place in the display window and actively advertised.
Originally, PDE-5 drugs were created to treat diseases of the cardiovascular system.Even during the drug's clinical trials, patients noted the drug's ability to improve "second engine" function.The low effectiveness of the drug in treating cardiac and vascular pathologies is compensated by the fact that one dose significantly increases blood flow to the penis.
Uncontrolled use of stimulant drugs is unsafe.Doctors have even coined the term "death in the saddle" to refer to complications caused by such drugs.The cause of such fatal cases is uncontrolled use of stimulant drugs.
If the function of the cardiovascular system is compromised, additional intense physical and psycho-emotional stress can be harmful.If you look at heart attack statistics, you can see an interesting pattern - the average age of onset of acute coronary insufficiency coincides with the onset of efficacy problems.Myocardial infarction is the most common cause of death in patients with cardiovascular disease who take uncontrolled medications to increase their potency.
The combination of potency-enhancing drugs and nitrates in patients with angina can lead to an overproduction of nitric oxide and an erection lasting up to 6 hours.This situation may require emergency medical attention.
The mechanism of action of tadalafil and vardenafil is not much different from that of sildenafil.They cause the blood vessels in the penis to dilate, causing the corpora cavernosa to rapidly fill with blood.This effect is achieved by selectively blocking phosphodiesterase-5 (PDE-5), an enzyme that normally destroys nitric oxide molecules.
Long-term prevention of the breakdown of endogenous nitric oxide may be harmful.Arterial blood flow to the penis was significantly greater than normal, but venous outflow was unchanged.This increases stress on the cardiovascular system and may lead to sudden death.
In order not to "die in the saddle", you need to take erection-stimulating drugs under the supervision of a doctor and adhere to the recommended dosage, taking into account possible contraindications.
Premature ejaculation or premature ejaculation
Regarding premature ejaculation, if the duration of sexual intercourse is significantly shortened, orgasm occurs quickly, and the man is unable to satisfy his partner.This disease may be a result of psychological causes and organic changes in the male body.
There are two types of accelerated ejaculation:
- Congenital - Characterized by increased excitability of the reproductive centers located in the spinal cord.Pathological manifestations can be noted from the very beginning of sexual activity.
- Acquired - caused by inflammatory processes in the male pelvic organs and other organic causes.
If you ejaculate quickly, there are techniques and methods you can use that may solve the problem.In each specific case, it is necessary to choose an effective method.
Method 1. Condoms
The latex layer reduces the sensitivity of the penis to friction and can significantly extend the time before ejaculation.Condoms should not be too thin.It's best to buy products that are coated with gel to reduce sensitivity.The "frozen" ingredient must be in it, otherwise it will have no effect on the man and his partner will be doubly unhappy.
Method 2. Numbing cream or spray
Traditional creams and sprays can delay the onset of ejaculation by making the penile skin less sensitive to touch.However, during sexual intercourse, drugs containing anesthetics can also affect the sensitivity of both parties.
To solve this problem, a new class of substances has been developed that absorbs quickly into the skin of the penis, only reducing male sensitivity and having no effect on the partner.Men can control the timing of ejaculation with less loss of sexual sensation compared to the first group of drugs.
Method 3. Apply pressure to the point
Apply pressure to the area between the anus and scrotum.The prostate is located in this area and one of its functions is to ensure that orgasm occurs.You can grab your scrotum with your fingers and pull it sideways and downward from your body.
To delay ejaculation, squeeze the penis between your thumb and index finger at the junction of the glans penis and the main part of the penis.
Method 4. Psychological
You can alleviate this by reminding yourself that your partner's consent to sex isn't just for the sake of prolonged friction.Premature ejaculation does not necessarily mean that a man is not good in bed.Sex is a peaceful and enjoyable pastime for men and women, not just a way to reach orgasm.You can enjoy sex regardless of your ejaculation speed.This can be discussed with your partner.She will no longer put pressure on the man and he will be able to relax.
Method 5: Think about things that have nothing to do with sex
Many people delay ejaculation as a way to distract from sex.You can think about anything during sex (about work, mother-in-law, money, everyday problems).The most important thing is that these images are not sexual at all.
There is no need to distract yourself from your partner.Women will notice apathy and apathy and interpret it incorrectly.When you feel your orgasm approaching, it's enough to switch to non-sexual thoughts.This is usually 5-10 seconds.
Method 6: Control ejaculation
This method takes practice but allows you to maintain high levels 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 reason is simple: during sexual intercourse, when orgasm is approaching, you need to stop rubbing for 30 seconds.During this time, you can continue to caress your partner or stay connected with her in other ways.
Method 7: Change positions when approaching orgasm
The choice of positions allows you to use those that relieve pressure on the most sensitive part of the penis (the head).So-called "passive" positions include "above her" and "beside her."
Method 8. Medical Intervention
Ejaculation is significantly affected by serotonin.To increase levels of this hormone, medications called selective serotonin reuptake inhibitors are used.Intracavernosal vasodilator treatment involves injecting the drug directly into the penis.
Violations of sexual performance, erection, and libido are difficult issues that are often complicated by intense emotional experiences.In this case, there is no need to panic, no need to arrange "exams" with different partners, and no need to force your sex life.To restore sexual function, sometimes just resting, changing your usual stereotypes about sexual behavior, and adjusting your lifestyle are enough.
The following suggestions can help minimize the likelihood of sexual problems:
- control diabetes and cardiovascular disease;
- Regular examination by a urologist if there has been injury or surgery to the external genitalia and pelvis;
- Healthy lifestyle - control weight, quit smoking and drinking;
- The selection of medications and their use should only be done under medical supervision;
- Have a regular sex life, no excessive sexual activity, and no periods of sexual abstinence.
If sexual function does not return after resting and eliminating all external factors that may have a negative impact on sexual function, you should consult a doctor.You should also seek medical help if you have symptoms of a disease that may be causing sexual dysfunction.