Under impotence they understand a violation of potency, sexual impotence, which is manifested in the inability of a man to have sexual intercourse. Often, it occurs due to some underlying disease (endocrine, nervous, cardiovascular or urogenital diseases) and disappears after its cure.
Erectile dysfunction can lead to deep psychological depression, introduce disharmony in sexual and family relationships. However, recently the nature and causes of impotence have been studied enough so that every man can receive medical care to restore normal sexual life.
Impotence - Causes
Most often, impotence is caused by:
1. Psychological problems that are the cause of 20% of the total number of diseases.
2. Inactive lifestyle. In the absence of physical exertion, the blood circulation speed slows down, and oxygen-rich arterial blood does not enter the blood vessels of the penis, which complicates an erection.
3. Smoking, which causes injury to blood vessels, including small blood vessels of the penis.
4. Obesity, as with an overweight man, the level of the hormone testosterone involved in sexual function decreases.
5. Diabetes mellitus, because with an increase in glucose levels, the delivery of blood to small blood vessels is difficult.
6. Atherosclerosis, since with an excess of cholesterol in the blood, atherosclerotic plaques form that impede the flow of arterial blood and, accordingly, the filling of the cavernous bodies in the penis;
7. Hypogonadism, which is an insufficient function of the sex glands and their low production of the male hormone testosterone. In this case, the patient needs the help of an endocrinologist.
8. A pituitary tumor that can secrete the hormone prolactin, which causes persistent erectile dysfunction.
Impotence - Symptoms
Impotence, as a rule, manifests itself:
- weak or rare morning erections;
- weak erection during sexual intercourse;
- fast ejaculation;
- ejaculation with a weak erection;
- difficulty in achieving an erection;
- decreased sex drive;
- problems with erection, which happen more often 3-5 times a month.
However, every man should remember that the presence of symptoms does not necessarily indicate the presence of this disease, and sexual function can be returned to normal using certain timely measures.
Impotence - Diagnosis
The main task of diagnosis in the case of impotence is to establish its causes for restoring erectile function and eliminating emotional experiences. Therefore, in the first place, psychogenic and organic impotence are differentiated. This is done using simple and reliable methods - monitoring nightly erections and an intracavernous injection test.
If the results of these studies confirm the organic nature of impotence, then with the help of a number of additional examinations the main cause of the disease is identified.
Impotence - treatment and prevention
Treatment methods are determined by the causes of impotence. If impotence has arisen due to vascular diseases, then it is treated by introducing vasodilating drugs into the cavernous tissue (up to once a week), as well as local negative pressure to ensure blood flow to the penis.
Medicines, especially of herbal origin, which treat impotence, contribute not only to the improvement of blood vessels and increase pressure, but also to increase the tone of the whole organism. Such medicines are represented, first of all, by Eleutherococcus, ginseng, and golden root. Only viagra, whose effectiveness is approximately 75%, has a targeted effect on erectile function.
If impotence is caused by insufficient production of the hormone testosterone, hormone therapy is prescribed. Prolactin inhibitors are also referred to as hormonal therapy.
With psychological erectile dysfunction, the patient needs the help of a psychiatrist or sexologist.
In some cases, surgery may be performed. These include penile vascular surgery and falloprosthetics.
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