Career, family, everyday affairs. . . In the cycle of problems, many men put aside concerns about their own health and return to them only when discomfort becomes evident.
An obvious example is erectile dysfunction. On the one hand, sexual weakness is a cause of fear for many men. On the other hand, the weakened sexual potential is rarely taken seriously at first. Meanwhile, the first signs of decreased potency in men should definitely attract attention and become a reason for consulting a specialist.
Problems with potency: psychology or physiology?
Traditionally, the problem of erectile dysfunction has been associated with age: the older a man is, the more problems he has in the sexual sphere. However, doctors are beginning to sound the alarm: erectile dysfunction has become noticeably younger. From the age of 25, a modern man may experience periodic manifestations of this symptom. In addition, today it is considered that the key reasons for the decrease in potency in young men are not stress and psycho-emotional disorders, but chronic diseases and lifestyle features.
So, what are the main factors that reduce sexual potency in men?
- infectious diseases (usually chronic);
- diseases associated with metabolic destabilization (including obesity);
- prostatitis;
- vascular damage;
- bad habits;
- diabetes;
- neurotic disorders, prolonged stress, depression;
- Acquired or congenital defects of the male genital organ.
It should be noted that the listed factors do not always lead to the development of sexual dysfunction, but the first signs of deterioration of the erection or decreased libido should indicate the need to visit a doctor. Only a specialist will be able to identify the true causes of the dysfunction and exclude the presence of serious diseases that may be hiding behind the symptom.
The fight against power decline: on all fronts
Of the 100% of men who experience sexual weakness, only 10% will immediately consult a doctor and actively work to resolve this problem. The rest, for various reasons, the main one being shame, will ignore the "first signs", bringing the problem to its peak. That is why the first step in regaining sexual power should be to recognize the problem and only then strive to get rid of it.
The causes of decreased potency in men and its treatment are interconnected and require not only medicinal but also psychological correction, as well as serious changes in lifestyle and diet.
If the cause of decreased potency in young or mature men is not physiological factors, then to normalize libido and sexual potential it is necessary:
- abandon habits that negatively affect potency: smoking, frequent alcohol consumption;
- balance the diet: it is important to add vitamins to the menu, exclude fatty dishes with cholesterol and fast food, love sauerkraut, watermelon and dark chocolate;
- make your lifestyle more active, but without excessive physical activity;
- avoid stressful situations, be able to relax and focus attention on the positive aspects;
- avoid hypothermia and carefully monitor personal hygiene;
- Don't get carried away with promiscuous sexual relations.
If the situation of reduced potency is not critical, it is not necessary to resort to drug therapy. A positive effect can be achieved in combination with lifestyle correction by taking a herbal biological supplement that has a mild corrective effect on the body.
premature ejaculation
Premature ejaculation is one of the most common sexual disorders in men. However, it is not a full-fledged disease, since the function of the genital organs is preserved and, at certain points in life (adolescence, prolonged sexual abstinence) it is generally the norm. Premature ejaculation (PE) refers to ejaculation with little sexual stimulation, as well as the inability to delay ejaculation for the time necessary for full sexual intercourse. This leads to the fact that sexual partners do not get satisfaction from sex and conflicts arise. A man begins to experience psychological problems, fear of intimacy, if the pathology becomes chronic and begins to occur more frequently, the help of an andrologist is required.
What are the causes of premature ejaculation?
There are primary and secondary (acquired) forms. Primary occurs due to anatomical defects of the genital organs or pathological inheritance. The debut of premature ejaculation occurs during puberty and does not depend on external factors (partner, situation, psychological state).
Causes of the congenital form:
- hypersensitivity of the penis;
- serotonin receptor dysfunction;
- short frenulum of penis;
- cavernous fibrosis.
Secondary premature ejaculation can occur at any time in a man's life in full physical health. The main reason is chronic urogenital diseases. Hormonal disorders, characteristic of endocrine pathologies, can also cause sexual dysfunction.
Factors that significantly increase the risk of PE include:
- obesity;
- traumatic sexual experience;
- Chronic stress;
- family problems (conflicts, emotional coldness between spouses);
- presence of neurological diagnoses: sclerosis, Parkinson's disease;
- irregular sex;
- Surgeries on the genitals or pelvic area.
An important factor is good nutrition and maintaining a healthy lifestyle. The lack of microelements such as magnesium and zinc in a man negatively affects the quality of ejaculation. Excessive alcohol addiction reduces the ability to control the body, which leads to unpleasant incidents in bed.
Premature ejaculation: diagnosis and consultation with a doctor.
The main consequences of pathological sexual dysfunction include:
- Sexual dissatisfaction.
- Inability of the man to delay and control ejaculation.
- Conflicts and problems in personal relationships, feelings of guilt and fear of intimacy.
If you have such symptoms, it is recommended to consult an andrologist or urologist. During the appointment, the doctor pays special attention to collecting a sexual history. For this it turns out:
- average time before ejaculation occurs;
- the impact of PE on quality of personal and sexual life;
- Does the man have endocrine diseases or metabolic disorders?
- How often do cases of premature ejaculation occur?
- At what age did the first case of PD occur?
- if the man is taking any medication.
A detailed study of the details of a man's sexual life will allow the doctor to distinguish between congenital and acquired pathologies. Doctors also classify the situational form of PD into a special group. In this case, premature ejaculation occurs only under certain circumstances (with the same partner, in a specific place).
Treatment of premature ejaculation.
In some cases, it is enough to reduce the consumption of alcohol or other stimulating drinks (energy drinks, coffee) to regain a full sexual life.
For psychological reasons, a positive result is achieved by establishing friendly communication between the partner/spouse. Using a condom or changing positions can help reduce penile sensitivity and increase the duration of sexual intercourse. But these recommendations are only effective in the absence of physical health problems. The choice of therapy depends on the cause of the pathology and its severity.
Conservative treatment of premature ejaculation.
This group includes 3 main areas:
- The use of local ointments, creams with anesthetics (mainly lidocaine). This method is easy to use and helps reduce the sensitivity of the glans. It is important to choose the dosage correctly and strictly follow the treatment regimen indicated by the doctor. In case of overdose, the opposite result is possible: numbness of the penis and lack of erection.
- Psychosexual therapy Two behavioral techniques are actively used: "stop-start" and "squeeze technique. "They help recognize the feeling of impending ejaculation and slow it down. The therapy also aims to control the level of sexual arousal. The methods are included in the complex therapy of acquired premature ejaculation.
- Taking medicines. Antidepressants and anxiolytics are used. The prescription of selective serotonin reuptake inhibitors (SSRIs) also gives good results. Its side effects cause delayed ejaculation.
If infectious diseases of the urogenital area are detected, treatment with antibacterial and anti-inflammatory drugs is prescribed. Additionally, vitamin complexes can be prescribed.
Surgical treatment of premature ejaculation.
Surgery is a method of last resort, used only when congenital PE is detected. To determine the need for surgical intervention, a lidocaine test is required.
- Denervation of the head of the penis is a microsurgical intervention during which the nerves of the penis are corrected.
- Frenulotomy (short frenuloplasty).
- Hyaluronic acid injections.
The main disadvantage of surgical treatment methods is the presence of a recovery period and the possibility of relapse. At the moment, SSRIs are considered the optimal and effective therapeutic method. It is also important to improve interpersonal relationships and create a comfortable environment.
Ejaculation disorders that are not associated with diseases of the internal organs are usually temporary and completely reversible. To do this, a man just needs to be more attentive to his own health. For timely detection and treatment of infectious diseases, it is recommended to periodically visit an andrologist or urologist. Sometimes an explanatory conversation with a doctor is enough.
It is important to avoid mental stress, enrich the diet with healthy foods and overcome bad habits. If you cannot cope with psychological discomfort on your own, do not be afraid to seek help from a psychotherapist.
How to maintain potency: advice from a urologist
Is it possible to maintain a full sexual life into old age? What affects power? How to eat, what sports to do to remain a man in the full sense? In what situations do you need the help of a doctor? In this article I will answer questions that concern all men and give specific advice from a urologist to preserve men's health.
Myths and truths about male potency.
The topic of potency is riddled with so many myths that dispelling them would not require an article, but an entire book. But I will still mention a few to put an end to them once and for all.
Stormy youth: old age without sex.
If in his youth he actively had sexual relations, for example, every day and even several times, then between the ages of 40 and 50 the limit of sexual possibilities will be exhausted: is this true?
Physiologically, this statement is absolutely unfounded. Nature made sure that man's reproductive function worked until his death. Unlike women, who have a limited number of eggs (conditionally), the production of seminal fluid continues as long as the man is alive.
The number and frequency of sexual relations in youth do not in any way affect male viability in old age. Another issue is indiscriminate and unprotected contact and its consequences. Complications from sexually transmitted diseases, especially those left untreated or left to chance, are sure to come back to haunt you, and it's only a matter of time.
- I can't control ejaculation like before.
- You do not experience vivid sensations, the orgasm is erased.
If you interrupt sexual relations, you will be impotent.
This also includes sexual arousal without subsequent release. Some men use this myth to manipulate their partner into having sex whenever they get aroused.
In fact, arousal without continuation (ejaculation) is not very good for male health, but not as critical as many people think. Interruption of sexual intercourse, when a man is maximally aroused and ready to ejaculate, can lead to prostatitis due to stagnant processes. And only if you interrupt them periodically. Two or three episodes a month are unlikely to have any effect on his health.
Men's health - Urology
Of the large number of factors affecting potency, urological diseases are among the "leaders". Especially in older middle-aged men. The main enemies of potency in this regard are prostate adenoma and prostatitis.
Urological problems in men associated with prostate adenoma usually appear after 40-45 years of age. What brings patients to the doctor for male problems is a weakened bladder or when a man cannot urinate.
An enlarged prostate puts pressure on the urethral canal and interferes with the full outflow of urine. Frequent urges, discomfort from the feeling that the bladder has not been completely emptied: all this, neither emotionally nor physically, is not conducive to an active sexual life. Also, worse. Problems urinating affect the functioning of the kidneys and in this state there is no time for carnal pleasures.
Unlike prostate adenoma, prostatitis is not just a disease of age. Young men can also suffer from it. Typically, prostatitis is a result of an unhealthy lifestyle and promiscuous sexual relations. specifically, sexually transmitted infections. The situation with them is especially difficult.
Most infections that cause prostatitis are chlamydia, mycoplasmosis, ureaplasmosis, etc. - not produce acute symptoms for a long time. The disease almost immediately goes into the chronic stage. But there comes a time when the disease makes itself felt through pain, atypical discharge and problems urinating due to inflammation of the prostate. A man simply cannot think about sex in such a state.
As you already know, there is no direct physiological relationship between prostate diseases and erectile dysfunction. But this does not mean that the problem does not need to be solved; As a result, they prevent a man from leading a normal sexual life. Neither prostate adenoma nor prostatitis disappear on their own, like a runny nose. It is impossible to restore men's sexual health without the help of a doctor, if it is available.
Since symptoms in urology usually appear when the disease has already become chronic. Detecting it at an early stage, when it is possible to get by with simple conservative treatment, is possible only with regular preventive consultations with a urologist and carrying out urological tests.
Problems with erectile function: who to go to
Let's now talk about what harms potency, in addition to urological diseases, and which doctor to go to to restore men's health.
Although there are many reasons for sexual impotence, they are all divided into three types:
- Organic. These include physiological factors: diseases and injuries.
- Psychogenic. In this case, the physiology is in order, and impotence is caused by psychological problems: stress, depression, a traumatic situation.
- Mixed. When both physiology and psyche are to blame for potency problems.
Among the organic causes of potency problems, the main one is cardiovascular diseases. Vessels affected by cholesterol plaques or other pathological changes prevent the corpora cavernosa of the penis from filling quickly with blood. As a result, the erection occurs slowly. If the corpora cavernosa are not filled with enough blood, the erection is too flaccid for full sexual intercourse. In extreme cases it is completely absent.
Another common reason is hormonal imbalances. Hormones regulate most processes in the body, including sexual arousal and erection. First of all, testosterone deficiency affects potency. This hormone is, in principle, responsible for the reproductive function of men. But other endocrine disorders, such as diabetes, can also affect male sexual performance.
Psychogenic erectile dysfunction in its pure form is less common than organic. Sexual impotence is often observed with prolonged depression, neuroses and psychological trauma. Much more often, a combination of psychogenic and physiological problems leads to impotence.
Again I will take as an example a man with prostatitis and accelerated ejaculation. Let's imagine that he cannot control ejaculation and her partner is dissatisfied, for which she reproaches him. After a while the situation repeated itself. In addition, the man did not enjoy sex very much, which often happens with prostatitis. What thought comes to mind? "There is something wrong with me, I can't have sex normally! "The psychological problem is obvious. If we add progressive prostatitis to this, we obtain impotence.
Which doctor should I contact if I have potency problems?
Many people believe that the primary doctor for men's health is a urologist. This is not entirely true. A urologist is a specialist who treats the genitourinary system. What diseases does a urologist treat? These are diseases:
- prostate (adenoma, prostatitis, etc. );
- bladder (neoplasms, inflammation);
- kidneys (pyelonephritis, urolithiasis);
- urethra.
With what symptoms and when should I go to the urologist?
- discharge from the urethra;
- Difficulty urinating;
- pain in the perineum, scrotum, around the anus, in the lower back;
- impurities in urine or seminal fluid.
You should consult a doctor at the first symptoms. Self-medication is the worst thing that can happen in this situation.
Issues related to male sexual health are treated by another specialist. The chief male potency doctor is an andrologist. It is he who has the necessary knowledge to determine the exact cause of male impotence, prescribe appropriate treatment and, if necessary, attract other specialists to treatment: a urologist, a psychotherapist, an endocrinologist.
Since fertility and urology are closely related, andrologists are often competent in the treatment of urological diseases and combine work in both specialties.
Useful tips for men's health.
Let me emphasize once again that age is not the cause of impotence. Sexual impotence is caused by physiological and psychological disorders, which accumulate more every year. This means that you will be able to enjoy a full sex life even in old age.
I am sure that every man knows how to maintain intimate health.
- Healthy and balanced diet;
- Regular physical activity;
- moderate alcohol consumption;
- No bad habits;
- Pay attention to your health.
The ability to have sex and procreate depends directly on these simple natural things. But most men consider this trivial, ignore it and receive the corresponding consequences.
I still recommend reconsidering your attitude towards his lifestyle and building it taking into account the following tips:
- Give up smoking. Toxic substances that are inhaled through cigarette smoke: lead, formaldehyde, arsenic, etc. - destroy blood vessels. That is, when they fill with blood, they harden the penis.
- Limit alcohol. It also affects the blood vessels. In addition, it alters the functioning of the liver, which "in revenge" converts the male sex hormone into female. You've probably seen what men with low levels of testosterone and high levels of estrogen look like: breasts that women can envy, fat deposits on the waist and hips, hair loss in atypical areas of the female body. There are enormous difficulties with libido and erection.
- Do sport. Moderate physical activity prevents fluid from stagnating in the vessels, "trains" the vessels and maintains their elasticity.
- Get tested and undergo preventive examinations with a urologist-andrologist at least once a year.
Useful to improve male potency:
- Various spices and seasonings: ginger, cinnamon, nutmeg, cloves, hot pepper, fenugreek. They increase blood circulation, improve immunity, give vigor and increase sensuality.
- Seeds, nuts: pistachios, pine nuts, walnuts, almonds, pumpkin seeds. They contain many proteins, vitamins and fats.
- All seafood: red fish, oysters. They contain easily digestible proteins and other beneficial substances.
- Dairy products, especially homemade cheeses (paneer, curd, but in moderation). Rich in proteins.
- Fruits: currants, strawberries, avocados, bananas, watermelon, grapes, figs, raisins. This is the prevention of chronic fatigue, which is one of the common causes of loss of libido. But don't overdo it so that your sugar levels don't skyrocket. Many sweets are also harmful to potency.
- Greens: – celery, cilantro, parsley, dill, tarragon, basil. Improves sperm quality and the quantity of sex hormones.
TOP-7 products that improve sexual function in men:
- Raw oysters. Rich in selenium and zinc.
- Bitter chocolate. Improves mood and increases testosterone levels.
- Fenugreek. Reduces blood sugar levels, reduces the risk of developing diabetes.
- Ginger root. It causes blood flow to the penis.
- Pumpkin seeds. They contain a large amount of zinc and are considered the most useful product for the male reproductive system.
- Walnuts. Source of vegetable protein, increases testosterone.
- Red wine in small doses. Strengthens blood vessels.
Useful vitamins for male potency.
In addition to vitamins that improve the functioning of the cardiovascular system, it is important to know other supplements that will be useful for reducing potency.
- vitamins A, C, E, D, B3, B6;
- folic acid;
- omega fatty acids;
- selenium;
- zinc;
- iron;
- match;
- magnesium;
- potassium.
The sources of these beneficial substances are a healthy, balanced diet and complex vitamin preparations. Synthetic vitamins will help relieve inflammation of the prostate and balance hormonal balance.
IMPORTANT! The information in this section cannot be used for self-diagnosis or self-treatment. In case of pain or other exacerbation of the disease, diagnostic tests should be prescribed only by the treating doctor. To make a diagnosis and properly prescribe treatment, you must contact your doctor.