Male sexual reactions are determined by a variety of 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 us consider the normal course of this process.Sexual arousal causes nerve endings located in the tissues of the male genitals 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 active dilation of the arteries under the action of an enzyme acting 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, an increase in the volume of the penis and its maintenance of erection 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 major sexual problems among men of all countries and ages, having a significant impact on self-esteem and psychological well-being.
According to various studies, potency problems, to one degree or another, occur in 150 million men around the world.However, only about 10% of patients see a doctor.There are several reasons for this:
- Feeling ashamed of having to talk about your power.Many people find this topic embarrassing and try to avoid it by all means.
- Lack of information.Not all patients know that issues related to this pathology fall within the competence of a urologist-andrologist.
Most men suffering from sexual dysfunction can be helped.To do this, patients must be prepared to undergo a complete 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 that the pathology has become significantly “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 high blood pressure and sedatives.
Infections.The relationship between prostatitis and potency problems has been proven.Infectious factors cause the development of acute and then chronic inflammation of the prostate.
Diseases of the cardiovascular system.Nearly 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.
Blood flow to the corpora cavernosa may 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, presence of accessory veins.
Functional erectile dysfunction
Their 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 at the stage of sexual caresses.The overwhelming majority of impotent patients (according to various sources, from 50 to 80%) have functional disorders.
Psychogenic erectile dysfunctioncan be caused by various 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 distrust are likely to develop this disorder.For these people, planning and preparing for sex can cause fear and fear of “shame” 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 the 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 result 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”
Tablets for the treatment of impotence containing the active ingredient sildenafil can be purchased without a prescription.These drugs are placed in the first position in the window and are actively advertised.
Initially, PDE-5 drugs were created to treat diseases of the cardiovascular system.Patients drew attention to the ability of the drug to improve the functioning of the “second motor” even at the stage of clinical trials of the drug.The weak effect of the drug in terms of treating 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 potency-enhancing drugs is dangerous.Doctors have even coined the term “death in the saddle” to refer to cases of complications linked to this group of drugs.The reason for these fatal cases is the uncontrolled use of pills that boost 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 uncontrolled taking drugs to increase potency.
The combined use of drugs to increase potency and nitrates prescribed to patients with angina 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 do not differ much from sildenafil in their mechanism of action.They cause the blood vessels of the penis to dilate, leading to 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 blockage of endogenous nitric oxide breakdown can be harmful.Arterial blood flow to the penis becomes significantly higher 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", you should take drugs to stimulate erection under the supervision of a doctor and taking into account possible contraindications, adhering to the recommended dosage.
Premature or premature ejaculation
Concerning premature ejaculation, if the duration of sexual intercourse is considerably 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 human 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 start 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 particular case, you must 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 “icy” 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 containing anesthetics will also affect the sensitivity of both partners.
To solve this problem, a new class of substances has been developed, which are quickly absorbed by the skin of the penis, reducing only male sensitivity and having no effect on the partner.A man can control the timing of ejaculation with less loss of sexual sensations compared to drugs from the first group.
Method number 3. Pressure on points
By pressing on the area halfway between the anus and the scrotum.The prostate is located in this area, one of whose functions 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 index finger at the junction of the head with the main part of the penis.
Method number 4. Psychological
You can defuse the situation by remembering that your partner does not give consent to sex only in cases of prolonged friction.Premature ejaculation doesn't always mean 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 may delay ejaculation in order to distract their thoughts from sex.You can think about anything during sex (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 get distracted from your partner.A woman will notice detachment and coldness and misinterpret them.Simply switch to non-sexual thoughts during periods when you feel yourself approaching orgasm.This usually lasts 5 to 10 seconds.
Method number 6. Ejaculation control
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 incredible.In some sources, this technique may be called a "stop-and-start technique."
The point is simple: during sexual intercourse, as you approach orgasm, you must 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. Change position as you approach orgasm
Choosing positions allows you to use those that reduce pressure on the most sensitive part of the penis: the head.So-called “passive” positions include “above 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 medications 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, organize “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 adjust your lifestyle.
The following recommendations help minimize the risk of developing sexual problems:
- control of diabetes and cardiovascular diseases;
- periodic examinations by a urologist in case of injuries or operations on the external genitalia and pelvis;
- healthy lifestyle - weight control, stopping alcohol and tobacco;
- the choice of medications and their use should only be carried out under medical supervision;
- a regular sex life without sexual excesses or 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 illnesses that may lead to sexual dysfunction appear.