Male sexual reactions are determined by a whole range of various factors.There are disorders of sexual desire (libido), penile tension (erection), ejaculation (ejaculation) and orgasm.Most often, sexual dysfunction affects potency and ejaculation.
Erection mechanism
Before describing the pathological changes that lead to erectile dysfunction, let us consider the normal course of this process.Sexual arousal causes nerve endings located in the tissues of the male genital 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 due to the active dilation of the arteries under the action of an enzyme that acts on the muscular layer of the vascular wall.At the same time, compression of the veins occurs, through which, in a calm state, blood flows from the external genitalia.
The combination of these two processes leads to the filling of the corpora cavernosa with blood, increasing the volume of the penis and keeping it erect for a certain time.Violation of any of the mechanisms leads to the development of erectile dysfunction.
Erectile dysfunction is a problem you shouldn't be ashamed of
Erectile dysfunction refers to the persistent inability to achieve and maintain an erection during sexual intercourse.Impotence is one of the main sexual problems for men of all countries and ages, having a significant impact on self-esteem and psychological well-being.
According to various studies, problems with potency, in one form or another, occur in 150 million men around the world.However, only about 10% of patients seek medical help.There are several reasons for this:
- Feeling ashamed of having to talk about your power.Many people find this topic strange and try to avoid it in every possible way.
- Lack of information.Not all patients know that issues related to this pathology are the responsibility of the urologist-andrologist.
Most men with sexual dysfunction can be helped.To do this, patients must be prepared to undergo a comprehensive examination and comprehensive treatment.
Organic causes of erectile dysfunction
A sign of organic impotence is the complete absence or partial cessation of erections that occur in response to sexual stimulation.Morning erection in these diseases is also absent.
Hormonal disorders.The theory of hormonal causes of impotence is supported by observations according to which the pathology has become distinctly “younger”.A decrease in testosterone levels occurs in men with age and is normal.A further decrease in the level of male sex hormones can be caused by taking medications for hypertension and sedatives.
Infections.The relationship between prostatitis and potency problems has been proven.Infectious factors are leading 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 medications for the treatment of erectile dysfunction affect the condition of the blood vessels in the pelvis.
Blood flow to the corpora cavernosa can be impaired due to atherosclerotic plaques, the presence of which makes the artery walls inelastic.
Physical damage to the organs and tissues of the male external genitalia.There will also be no erection if the blood vessels and nerve fibers are damaged.The consequences of operations on the pelvic organs can disrupt the natural course of sexual excitement.
Congenital anomalies of the development of the genital organ– underdevelopment, curvature of the penis, presence of accessory veins.
Functional erectile dysfunction
Its distinctive feature is inconstancy.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 suddenly, at the most important moment, even if it was normal during the sexual caresses phase.The overwhelming majority of patients with impotence (according to various sources, from 50 to 80%) have functional disorders.
Psychogenic erectile dysfunctionIt can be caused by a variety of psychological reasons.Nervous tension can cause the disorder, including in the presence of anxious anticipation of sexual failure syndrome.
Men prone to increased anxiety and distrust are susceptible to developing this disorder.For these people, planning and preparing for sexual intercourse can cause fear and fear of “doom” rather than excitement.Trying to control an erection only makes the situation worse.
Increased tone of the sympathetic nervous system.Normally, during an erection, the walls of the blood vessels should relax.Increased tone does not allow the vascular structures of the penis to fill with blood, which can lead to a complete absence or insufficient erection.
Sometimes the cause of sexual dysfunction can be mixed and arise from several types of disorders, such as a combination of psychogenic and organic factors.Only a doctor can understand this problem.
Self-treatment of impotence with pills leads to “death in the saddle”
Pills for the treatment of impotence with the active ingredient sildenafil can be purchased without a prescription.These medicines are placed in the first positions of the window and actively advertised.
Initially, PDE-5 drugs were created for the treatment of diseases of the cardiovascular system.Patients drew attention to the drug's ability to improve the functioning of the “second engine” even during the drug's clinical trial phase.The low effect of the drug in the treatment of pathologies of the heart and blood vessels was compensated by the fact that one dose significantly increased blood flow to the penis.
Uncontrolled use of drugs that stimulate potency is unsafe.Doctors even coined the term “death in the saddle” to refer to cases of complications from this group of medications.The reason for these fatal cases is the uncontrolled use of pills that stimulate potency.
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 on heart attacks, you can identify an interesting pattern - the average age of onset of acute coronary insufficiency coincides with the onset of potency problems.Myocardial infarction is the most common cause of death in patients with cardiovascular diseases who have taken medications to increase potency in an uncontrolled manner.
The combined use of drugs to increase potency and nitrates prescribed for patients with angina pectoris leads to excessive production of nitric oxide and the appearance of an erection that lasts up to 6 hours.This situation may require emergency medical attention.
The substances tadalafil and vardenafil are not very different from sildenafil in their mechanism of action.They cause dilation of the blood vessels in the penis, which leads to the rapid filling of the corpora cavernosa with blood.This effect is achieved by selectively blocking the enzyme phosphodiesterase-5 (PDE-5), which normally destroys nitric oxide molecules.
Long-term blockade of endogenous nitric oxide degradation may be harmful.Arterial blood flow to the penis becomes significantly greater 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 not to “die in the saddle”, it is necessary to take medications to stimulate erection under the supervision of a doctor and taking into account possible contraindications, observing the recommended dosage.
Premature or premature ejaculation
Regarding premature ejaculation, if the duration of sexual intercourse is significantly reduced, orgasm occurs very quickly and the man is unable to satisfy his partner.This disorder can be a consequence of psychological reasons and organic changes in the man's body.
There are two types of accelerated ejaculation:
- Congenital – characterized by increased excitability of the genital centers located in the spinal cord.Manifestations of the pathology are observed from the beginning of sexual activity.
- Acquired – which is caused by inflammatory processes in the male pelvic organs and other organic causes.
If you ejaculate quickly, you can use techniques and methods that will solve the problem.In each specific case, it is necessary to choose a method that will be effective.
Method number 1. Condom
The latex layer reduces the sensitivity of the penis during friction, which can significantly prolong the time before ejaculation.Condoms should not be thin.It is even better to buy products coated with a gel that reduces sensitivity.The “freezing” composition must be inside, otherwise there will be no effect 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 penis skin to tactile sensations.However, during sexual intercourse, anesthetic medications will equally affect the sensitivity of both partners.
To solve this problem, a new class of substances was developed that are quickly absorbed by the skin of the penis, only reducing male sensitivity, and have no effect on the partner.A man can control ejaculation time with less loss of sexual sensations compared to drugs in the first group.
Method number 3. Pressure on points
Pressing the area located halfway between the anus and the scrotum.The prostate is located in this area, whose function is to ensure the onset of orgasm.You can grab the scrotum with your fingers and pull it to the side and down the body.
To delay ejaculation, you need to squeeze the penis with your thumb and forefinger at the junction of the head and the main part of the penis.
Method number 4. Psychological
You can calm the situation by remembering that your partner gives consent to sex not just prolonged friction.Premature ejaculation does not always mean that a man is bad in bed.Sex is a peaceful and pleasant pastime option for a man and a woman, and not just a way to achieve orgasm.You can enjoy sex regardless of ejaculation speed.This can be discussed with your partner.She will stop putting pressure on the man and he will be able to relax.
Method number 5. Think about something non-sexual
Many people may delay ejaculation as a way to divert their thoughts from sex.You can think about anything during sexual intercourse (about work, mother-in-law, money, everyday problems).The most important thing is that the images are completely non-sexual.
There is no need to be distracted from your partner.A woman will notice detachment and coldness and interpret this incorrectly.Simply switch to non-sexual thoughts during periods when you feel orgasm approaching.It usually takes 5 to 10 seconds.
Method number 6. Ejaculation control
The method requires practice, but it allows you to maintain a high level of sexual excitement and at the same time delay ejaculation.The effect of its use is incredible.In some sources it may be called the “stop and start” technique.
The point is simple: during sexual intercourse, when orgasm approaches, you need to stop rubbing for 30 seconds.During this time, you can continue to caress your partner or maintain contact with her in other ways.
Method number 7. Changing position when approaching orgasm
The choice of positions allows you to use those that reduce pressure on the most sensitive part of the penis - the head.So-called “passive” positions include “on top of her” and “beside her.”
Method number 8. Medical intervention
Ejaculation can be significantly influenced by serotonin.To increase the level of this hormone, drugs from the group of selective serotonin reuptake inhibitors are prescribed.Intracavernous vasodilator therapy involves injecting medication directly into the penis.
Violations of potency, erection and libido are a difficult problem, often complicated by intense emotional experiences.In this case, there is no need to panic, schedule “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 lifestyle adjustments.
The following recommendations will help minimize the likelihood of developing sexual problems:
- control of diabetes and cardiovascular diseases;
- periodic examinations by a urologist if there are injuries or operations on the external genitalia and pelvis;
- healthy lifestyle - weight control, giving up alcohol and smoking;
- the choice of medicines and their use must be carried out only under medical supervision;
- regular sexual life, without sexual excesses and periods of sexual abstinence.
If, after resting and eliminating all external factors that could have a negative impact on potency, sexual function is not restored, you should consult a doctor.Medical help should also be sought in cases where symptoms of diseases that can cause sexual dysfunction appear.