Male sexual reactions are determined by a whole complex of different factors.There are diseases of sexual desire (libido), penile tension (erection), ejaculation (ejaculation) and orgasm.Most often, sexual dysfunction affects potency and ejaculation.
Mechanism of erection
Before explaining the pathological changes that cause erectile dysfunction, let's consider the normal course of this process.Sexual arousal causes nerve endings in the tissues of the male genitalia to send signals to the central nervous system.In response to these signals, nitric oxide begins to be produced.
Arterial blood flow of the penis increases due to the active expansion of the arteries under the action of an enzyme acting in the muscle layer of the vascular wall.At the same time, compression of the vessels occurs, thanks to which, in a calm state, blood flows from the external genitalia.
The combination of these two processes causes the cavernous organs to fill with blood, increase the volume of the penis and build it over a period of time.Violation of any of the mechanisms leads to the development of erectile dysfunction.
Erectile dysfunction is a problem you should not be ashamed of
Erectile dysfunction refers to the persistent inability to achieve and maintain an erection during intercourse.Impotence is one of the main sexual problems of men of all countries and ages, which significantly affects self-esteem and psychological well-being.
According to various studies, problems with potential to one degree or another occur in 150 million men of the world.However, only 10% of patients seek medical help.There are several reasons for this:
- Embarrassment at the thought of talking about your potential.Many people find this topic awkward and try to avoid it at all costs.
- Lack of information.All patients know that issues related to this pathology are within the competence of a urologist-andrologist.
Most men with sexual dysfunction can help.To do this, patients must be prepared to receive a comprehensive examination and comprehensive treatment.
Organic causes of erectile dysfunction
A sign of organic disorders is the complete absence or partial violation of erections that occur in response to sexual stimulation.In such diseases, there is no morning erection.
Hormonal disorders.The theory of hormonal causes of novices is supported by observations that the pathology is dramatically "rejuvenated".A decline in testosterone levels occurs in older men and is normal.An additional decrease in the level of male sex hormones can be caused by taking drugs for high blood pressure and sedatives.
Infections.The connection between potatit and potential and problems has been proven.Infectious factors are the leader in the development of acute and then chronic inflammation of the prostate.
Diseases of the cardiovascular system.Almost 60% of cases of impotence in men 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 blood vessels of the pelvis.
Blood flow to the cavernous bodies can be impaired due to atherosclerotic plaques that create discontinuity of the artery walls.
Physical damage to the organs and tissues of the male external genitalia.If the blood vessels and nerve fibers are damaged, there will be no installation.The results of operations on the pelvic organs can disrupt the natural arousal of sexual arousal.
Congenital anomalies of genital development- Soft development, curvature of the penis, presence of accessory veins.
Functional erectile dysfunction
Their distinguishing feature is consistency.In this case, an erection may or may not occur.It all depends on external reasons and the psychological state of the man.Excitement can disappear at the most important moment, even if it is normal at the stage of sexual caresses.Most patients who are inexperienced (according to various sources, between 50 and 80%) have functional disorders.
Psychogenic erectile dysfunctioncan be caused by various psychological reasons.Nervous stress can provoke the disorder, including the presence of the syndrome of anxious anticipation of sexual intercourse.
Men face suffering and doubt to develop this disorder.For such people, instead of excitement to prepare and prepare for sex, "shame" can cause fear and dread.Trying to control an erection only makes the situation worse.
Sympathetic nervous system tone.Normally, the walls of blood vessels should relax during an erection.The increased tone prevents the vascular structures of the penis from filling with blood, which can lead to a complete absence or an insufficient structure.
Sometimes the cause of sexual dysfunction can be confused and arise from several types of disorders, such as a combination of psychogenic and organic factors.Only a doctor can understand this issue.
Self-treatment of inexperience leads to "death in the saddle".
Tablets for the treatment of impotence with the active ingredient sildenafil can be purchased without a prescription.Such drugs are placed in the first positions in the window and are actively advertised.
Initially, the PDE-5 drug was created for the treatment of diseases of the cardiovascular system.Patients noted the drug's ability to improve the functioning of the "second engine" even at the stage of clinical trials.The low therapeutic effect of the drug on the pathology of the heart and blood vessels was compensated by a significant increase in the amount of one dose to the penis.
Uncontrolled use of potentially stimulating drugs is dangerous.Doctors pointed out the term "death in the saddle" to refer to cases of complications from this group of drugs.The reason for such fatal cases is the uncontrolled use of potency-stimulating 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 of heart attacks, you can identify an interesting pattern - the average age of acute coronary insufficiency coincides with the appearance of potential problems.Myocardial infarction is the most common cause of death in patients with cardiovascular diseases who take drugs to increase potency.
The combined use of drugs to increase the potency and nitrates prescribed to patients with angina pectoris, which leads to excessive production of nitric oxide and the appearance of a structure lasting up to 6 hours.This condition may require immediate medical attention.
Tadalafil and vardenafil substances are not very different from Sildenafil in their mechanism of action.They cause the blood vessels of the penis to expand, which causes the cavernous bodies to quickly fill with blood.This effect is achieved by selectively blocking the enzyme phosphodiesterase-5 (PDE-5), which normally destroys nitric oxide molecules.
Prolonged blockade of endogenous nitrous oxide breakdown may be harmful.Arterial blood flow to the penis is much larger than normal, but venous flow does not change.This contributes to increased stress on the cardiovascular system and can lead to sudden death.
In order to "die in the saddle", you need to take the drug under the supervision of a doctor to stimulate and take into account possible contraindications, observing the recommended dosage.
Early or premature ejaculation
If the duration of the external relationship is significantly reduced, if the orgasm occurs too quickly and if the man is unable to satisfy his partner.This disorder can be the result of psychological reasons and organic changes in a person's body.
There are two types of accelerated discharge:
- Congenital - characterized by increased excitability of the genital centers located in the spinal cord.Manifestations of pathology are noted from the beginning of sexual activity.
- Acquired - caused by inflammatory processes in the male pelvic organs and other organic causes.
If you unload quickly, you can use techniques and methods that will solve the problem.In each specific situation, it is necessary to choose a method that will be effective.
Method number 1.A condom
The latex layer reduces the sensitivity of the penis during steroids, which can save time before ejaculation.Condoms should not be thin.It is better to buy products coated with a gel that reduces sensitivity.The "ice cream" composition must be inside, otherwise there will be no result for the man, and the partner will be doubly unhappy.
Method number 2. Anesthetic cream or spray
Traditional creams and sprays can delay the onset of ejaculation by reducing the sensitivity of the penile skin to touch.However, in sexual intercourse, drugs with anesthesia will affect the sensitivity of both partners equally.
To solve this problem, a new series of substances has been developed that are quickly absorbed into the skin of the penis, reduce only male sensitivity and do not affect the partner.A man can control the time of ejaculation with less loss of sexual sensations compared to drugs from the first group.
Method number 3.Pressure on points
By pressing on the area between the anus and the scrotum.The prostate gland is located in this zone, one of its functions is to ensure the initiation of orgasm.Hold the scrotum with your fingers and pull it from side to side.
To delay ejaculation, you need to squeeze the penis with your thumb and finger, which is the main part of the penis.
Method number 4. Psychological
You can defuse the situation by reminding yourself that your partner is consenting to sex, not just for prolonged friction.Premature ejaculation does not always mean that a person is bad in bed.Sex is an option for a man and a woman for a quiet and pleasant pastime and not just a way to achieve orgasm.You can have sex regardless of the rate of ejaculation.This can be discussed with your partner.It will stop putting pressure on the person and he will be able to relax.
Method number 5.Think about something non-sexual
Many people may delay ejaculation as a way to avoid sex.During anxiety, you can think about something (work, mother-in-law, money, everyday problems).Most importantly, the images are completely non-sexual.
No need to distract your partner.A woman will see the crowd and coldness and misinterpret it.It is enough to switch to non-sexual thoughts during periods when you feel the approach of orgasm.This is usually 5-10 seconds.
Method number 6. discharge control
The method requires experience, but it allows to ensure a high level of sexual arousal and at the same time delayed ejaculation.The effect of its use is amazing.Some sources call it the "Stop-and-start" technique.
The point is simple: During sex, when orgasm is approaching, you must stop rubbing for 30 seconds.During this time, you can continue to help or communicate with your partner.
Method number 7.Changing position when approaching orgasm
The choice of position allows you to use the head, reducing pressure on the most sensitive part of the penis."Passive" positions include "on top of him" and "on his side."
Method number 8.Medical intervention
Ejaculation can significantly affect serotonin.To increase the level of this hormone, drugs from the group of selective serotonin reuptake inhibitors are prescribed.Intracavernosaloma Vasodilator therapy involves injecting drugs directly into the penis.
Violation of potential, erection and libido is a difficult problem, which is often complicated by intense emotional experiences.In this case, there is no need to panic, organize "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 make adjustments to your lifestyle.
The following recommendations help to minimize the development of sexual problems:
- diabetes and cardiovascular disease control;
- If there were injuries or operations on the external genitalia and pelvis, periodic examinations by a urologist;
- Healthy lifestyle - Weight control, abstinence from alcohol and smoking;
- The choice of drugs and their use should be made only under medical supervision;
- Periods of extreme sexual abstinence.
If sexual function is not restored after resting and eliminating all external factors that can negatively affect potential, you should consult a doctor.Medical help should also be sought in cases where the symptoms of diseases can cause sexual dysfunction.