Sexual disorders in men. How to keep potency under control

Potency problems in men in bed

Male sexual responses are influenced by a variety of factors. There are disorders of sexual desire (libido), penile tension (erection), ejaculation (ejaculation) and orgasm. The most common problems associated with sexual dysfunction are potency and ejaculation.

Erection mechanism

Before describing the pathological changes that lead to erectile dysfunction, consider the normal course of this process. Sexual arousal causes the 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.

The arterial blood flow to the penis is increased by the active expansion of the arteries under the action of an enzyme that acts on the muscular layer of the vascular wall. At the same time, veins are compressed, through which blood from the external genital organs flows in a calm state.

The combination of these two processes causes the erectile tissue to fill with blood, increases the volume of the penis and maintains it in an erect state for a period of time. Violation of any of the mechanisms leads to the development of erectile dysfunction.

Erectile dysfunction is a problem that you shouldn't be ashamed of

Erectile dysfunction refers to a persistent inability to achieve and maintain an erection during sexual intercourse. Impotence is one of the most important sexual problems in men of all countries and ages and has a significant impact on self-esteem and psychological well-being.

According to various studies, problems with potency in one way or another are found in 150 million men worldwide. At the same time, only about 10% of patients seek medical help. There are mutliple reasons for this:

  • A feeling of shame at the thought that you need to talk about your potency. Many people find this topic uncomfortable and try to avoid it in every possible way.
  • Lack of information. Not all patients know that the problems related to this pathology are in the competence of the urologist-andrologist.

Most men with sexual dysfunction can be helped. To do this, patients must be prepared for a comprehensive examination and treatment.

Organic causes of erectile dysfunction

A sign of organic impotence is the complete absence or partial violation of erections in response to sexual stimulation. A morning erection with such diseases is also absent.

Hormonal disorders.The theory of the hormonal causes of the development of impotence is supported by observations according to which the pathology has become significantly "younger". A decrease in testosterone levels occurs in men with age and under normal conditions. An additional decrease in male sex hormones can provoke the use of drugs for high blood pressure and sedatives.

Infections. . . The connection between prostatitis and potency problems has been proven. Infectious factors lead the development of acute and then chronic inflammation of the prostate.

Cardiovascular diseases. . . Almost 60% of male impotence cases are caused by these diseases. It is no accident that almost all known drugs used to treat erectile dysfunction affect the condition of the blood vessels in the pelvis.

Blood flow into the corpus cavernosum can be disturbed by atherosclerotic plaques, the presence of which makes the walls of the arteries inelastic.

Physical damage to the organs and tissues of a man's external genital organs.Even with damaged vessels and nerve fibers, there is no erection. The consequences of operations on the pelvic organs can disrupt the natural course of sexual arousal.

Congenital malformations of the penis- Underdevelopment, curvature of the penis, presence of auxiliary veins.

Functional erectile dysfunction

Their distinguishing feature is impermanence. In this case, an erection may or may not occur. It all depends on the external reasons and the mental state of the man. Arousal can suddenly go away at the most important moment, even if it was normal at the time of intercourse. The overwhelming number of patients with impotence (according to various sources it is 50 to 80%) have functional disorders.

Psychogenic erectile dysfunctioncan have various psychological causes. Nervous tension can cause injury, even with fearful anticipation of sexual failure syndrome.

Men who are prone to increased fear and suspicion are prone to developing this disorder. In such people, planning and preparing for intercourse can cause fear and fear of "shame" instead of excitement. Attempts to control the erection will only make the situation worse.

Increased tone of the sympathetic nervous system.Normally, with an erection, the vessel walls should relax. The increased tone prevents the vascular structures of the penis from filling up with blood, which can lead to a complete absence or an inadequate erection.

Sometimes the cause of sexual dysfunction can be mixed and result from several types of disorders, for example a combination of psychogenic and organic factors. Only a doctor can understand this problem.

Self-treatment of impotence with tablets 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 place in the shop window and actively advertised.

Originally, PDE-5 preparations were developed for the treatment of diseases of the cardiovascular system. The drug's ability to improve the "second engine" performance has been noted by patients at the clinical trial stage of the drug. The small effect of the drug in the treatment of the pathology of the heart and blood vessels was offset by the fact that one dose significantly increased blood flow to the penis.

The uncontrolled use of potency-stimulating drugs is unsafe. Doctors even coined the term "death in the saddle" to denote cases of complications from drugs in this group. The reason for such fatal cases is the uncontrolled consumption of pills that stimulate potency.

If the cardiovascular system is injured, additional intense physical and psycho-emotional stress can be harmful. If you look at heart attack statistics, you find an interesting pattern - the average age of onset of acute coronary insufficiency coincides with the onset of potency problems. Myocardial infarction is the leading cause of death in patients with diseases of the cardiovascular system who take uncontrolled drugs to increase potency.

The combined use of drugs to increase potency and nitrates prescribed to patients with angina pectoris leads to excessive production of nitric oxide and the appearance of an erection for up to 6 hours. This situation may require emergency medical care.

The substances tadalafil and vardenafil hardly differ in their mechanism of action from sildenafil. They cause the blood vessels in the penis to widen, causing the erectile tissue to quickly fill up with blood. This effect is achieved by selectively blocking the enzyme phosphodiesterase-5 (PDE-5), which normally destroys nitric oxide molecules.

Blocking the breakdown of endogenous nitric oxide for a longer period of time can be harmful. The arterial blood flow to the penis becomes much higher than normal and the venous flow does not change. This increases the stress on the cardiovascular system and can lead to sudden death.

In order not to "die in the saddle", medication to stimulate an erection must be taken under medical supervision and taking into account possible contraindications, observing the recommended dosage.

Early or premature ejaculation

About premature ejaculation, when the duration of sexual intercourse is significantly shortened, orgasm occurs very quickly and the man has no way of satisfying his partner. This injury can be a result of psychological reasons and organic changes in a man's body.

There are two types of accelerated ejaculation:

  • Congenital - characterized by an increased excitability of the genital centers in the spinal cord. The manifestations of pathology are established from the beginning of sexual activity.
  • Acquired - which leads to inflammatory processes in a man's pelvic organs and other organic causes.

With a quick ejaculation, you can use techniques and methods that will solve the problem. In any particular case, it is necessary to choose a method that is effective.

Method number 1. Condom

A layer of latex reduces the sensitivity of the penis to friction, which can significantly increase the time it takes for ejaculation to start. Condoms don't have to be thin. Better yet, buy products that are coated with a desensitizing gel. The "freezing" composition must be in there, otherwise the man has no effect and the partner becomes doubly unhappy.

Method number 2. Anesthetic cream or spray

Traditional creams and sprays delay the onset of ejaculation by reducing the penile skin's sensitivity to tactile sensations. However, during intercourse, drugs with anesthetics have an equal effect on the sensitivity of both partners.

To solve this problem, a new class of substances has been developed that is quickly absorbed into the skin of the penis, only reducing male sensitivity and not affecting the partner in any way. A man can control the timing of the onset of ejaculation with less loss of sexual sensations compared to the first group drugs.

Method number 3. Pressure on points

Press on the area midway between the anus and the scrotum. This area is where the prostate gland is located, whose job it is to ensure the onset of orgasm. You can grab the scrotum with your fingers and pull it sideways and downward out of your body.

To delay ejaculation, you need to squeeze the penis with your thumb and forefinger at the junction of the head with the main part of the penis.

Method number 4. Psychological

You can defuse the situation by reminding yourself that your partner does not consent to sex only with prolonged friction. Premature ejaculation doesn't always mean a man is badly in bed. Sex is an option for a quiet and enjoyable pastime for a man and a woman, and not just a way to achieve orgasm. You can enjoy sex regardless of the rate of ejaculation. This can be discussed with your partner. She will stop pushing the man and he will be able to relax.

Method number 5. Thinking about something non-sexual

Many people can delay the onset of ejaculation to take their mind off sex. You can think of anything during intercourse (about work, mother-in-law, money, everyday problems). The most important thing is that the images are completely non-sexual in nature.

You don't need to be distracted by your partner. A woman will notice restraint and coldness and misinterpret them. It is enough to switch to non-sexual thoughts during the phases when orgasm is felt. This is usually 5-10 seconds.

Method number 6. Control of ejaculation

The method requires practice, but it allows you to maintain high levels of sexual arousal while delaying ejaculation. The effect of its use is amazing. In some sources it can be referred to as a "stop-and-start technique".

The bottom line is simple: during intercourse, when orgasm is approaching, you need to stop the friction for 30 seconds. During this time, you can continue to pet your partner or stay in contact with her in other ways.

Method number 7. Change position as you approach orgasm

By choosing the positions, you can use the ones that will reduce pressure on the most sensitive part of the penis - the glans. The so-called "passive" attitudes include "she is up" and "next to her".

Method number 8. Medical intervention

Ejaculation can be significantly affected by serotonin. To increase the level of this hormone, drugs from the group of selective serotonin reuptake inhibitors are prescribed. In intracavernous vasodilator therapy, drugs are injected directly into the penis.

Injuries to potency, erection, and libido are a difficult problem that is often complicated by intense emotional experiences. In this case, you do not need to panic, arrange "trials" with various partners, force your sex life. To restore sexual function, sometimes it is enough to rest, change the usual stereotype of sexual behavior and adjust your lifestyle.

The following recommendations will help minimize the chances of having sexual problems:

  • Control of diabetes mellitus and cardiovascular diseases;
  • regular examinations by a urologist for injuries or operations on the external genitals and pelvis;
  • a healthy lifestyle - weight control, quitting alcohol and smoking;
  • the choice of drugs and their use should be made only under medical supervision;
  • regular sex life without sexual excesses and periods of sexual abstinence.

If, after rest and the elimination of all external factors that could affect potency, sexual function has not recovered, then you need to consult a doctor. You should also seek medical help if there are symptoms of any diseases that can cause sexual dysfunction.