Male sexual reactions are determined by a whole complex 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 leading to erectile dysfunction, let's 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.
The flow of arterial blood to the penis is increased due to the active dilation of the arteries under the action of an enzyme acting on the muscle layer of the vascular wall.At the same time, compression of the veins occurs, through which, in a calm state, blood flows out from the external genitalia.
The combination of these two processes leads to the filling of the cavernous bodies with blood, an increase in 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 that 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 of men of all countries and ages, having a significant impact on self-esteem and psychological well-being.
According to various studies, problems with potency to one degree 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 at the thought of having to talk about your potency.Many people find this topic awkward and try to avoid it in every possible way.
- Lack of information.Not all patients know that issues related to this pathology lie within the competence of a 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 disruption of erections that occur in response to sexual stimulation.Morning erection in such diseases is also absent.
Hormonal disorders.The theory of hormonal causes of impotence is supported by observations according to which the pathology has become sharply “younger.”A decrease in testosterone levels occurs in men with age and is normal.An additional decrease in the level of male sex hormones can be caused by taking medications for high blood pressure and sedatives.
Infections.The relationship between prostatitis and problems with potency has been proven.Infectious factors are leading 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.
The flow of blood into the cavernous bodies 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 arousal.
Congenital anomalies of the development of the genital organ– underdevelopment, curvature of the penis, the presence of accessory veins.
Functional erectile dysfunction
Their distinguishing 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 may disappear suddenly, at the most important moment, even if it was normal at the stage of sexual caresses.The overwhelming majority of patients with impotence (according to various sources, from 50 to 80%) have functional disorders.
Psychogenic erectile dysfunctioncan be caused by a variety of psychological reasons.Nervous tension can provoke the disorder, including in the presence of the syndrome of anxious anticipation of sexual failure.
Men prone to increased anxiety and suspiciousness are susceptible to developing this disorder.For such people, planning and preparing for sexual intercourse can cause fear and fear of “disgrace” instead of 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 blood vessels should relax.Increased tone prevents the vascular structures of the penis from filling 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 issue.
Self-treatment of impotence with pills leads to “death in the saddle”
Tablets for the treatment of impotence with the active ingredient sildenafil can be bought without a prescription.Such drugs are placed in the first positions in the window and are 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 at the stage of clinical trials of the drug.The low effect of the drug in terms of treating pathology 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 drugs.The reason for such 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 appearance of problems with potency.Myocardial infarction is the most common cause of death in patients with cardiovascular diseases who uncontrolledly took 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 that lasts up to 6 hours.This situation may require emergency medical attention.
The substances tadalafil and vardenafil are not much different from sildenafil in their mechanism of action.They cause dilation of the blood vessels of the penis, which leads to rapid filling of the cavernous bodies with blood.This effect is achieved by selectively blocking the enzyme phosphodiesterase-5 (PDE-5), which normally destroys nitric oxide molecules.
Long-term blocking of the breakdown of endogenous nitric oxide can be harmful.The flow of arterial blood to the penis becomes significantly greater than normal, but the venous outflow 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,” you need to take drugs to stimulate erection under the supervision of a doctor and taking into account possible contraindications, observing the recommended dosage.
Early or premature ejaculation
About premature ejaculation, if the duration of sexual intercourse is significantly reduced, orgasm occurs very quickly, and the man is not able to satisfy his partner.This disorder may be a consequence of psychological reasons and organic changes in a 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 pathology are noted 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 extend the time before ejaculation.Condoms should not be thin.It's 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 skin of the penis to tactile sensations.However, during sexual intercourse, medications with anesthetics will equally affect the sensitivity of both partners.
To solve this problem, a new class of substances has been developed that are quickly absorbed into the skin of the penis, reducing only male sensitivity, and have no effect on 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 the points
Pressing on the area located midway between the anus and scrotum.The prostate gland is located in this zone, one of the functions of which is to ensure the onset of orgasm.You can grab the scrotum with your fingers and pull it to the side and down from the 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 gives consent to sex not only for prolonged friction.Premature ejaculation does not always mean that a man is bad in bed.Sex is an option for a calm and pleasant pastime for a man and a woman, and not just a way to achieve orgasm.You can enjoy sex regardless of the speed of ejaculation.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 can delay the time of ejaculation as a way to distract their thoughts from sex.You can think about anything during 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 will interpret it incorrectly.It is enough to switch to non-sexual thoughts during those periods when you feel the approach of orgasm.This is usually 5-10 seconds.
Method number 6. Control of ejaculation
The method requires practice, but allows you to maintain a high level of sexual arousal and at the same time delay ejaculation.The effect of its use is amazing.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 friction 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 “on her side.”
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.Intracavernosal vasodilator therapy involves injecting medications directly into the penis.
Violations of potency, erection and libido are a difficult problem, which is often complicated by intense emotional experiences.In this case, there is no need to panic, arrange “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 likelihood of developing sexual problems:
- control of diabetes and cardiovascular diseases;
- periodic examinations by a urologist if there have been injuries or operations on the external genitalia and pelvis;
- healthy lifestyle - weight control, quitting alcohol and smoking;
- the choice of medications and their use should be carried out only under medical supervision;
- regular sex 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 appear that can cause sexual dysfunction.