Impotence (erectile dysfunction): causes, diagnosis, treatment

What is potency and what should it be normal?

Potency is the physical ability of a man to perform a full sexual act. In order for it to take place, a complex of the following conditions is necessary for a man: sexual desire, tension of the sexual organ, maintaining a stable erection for the required time, ejaculation and orgasm. If at least one of these conditions is disturbed or absent at all, the man is suspected of erectile dysfunction, or impotence.

An interesting fact is that the disease called “impotence” does not really exist. So it is customary to call the total set of symptoms associated with the inability of a man to perform sexual intercourse. In this case, the male sexual organ may not come to an erect state at all, but may “become a worker” for a short time.

Whatever it was, in the presence of such a problem, any man suffers, he has complexes, relationships with his partner are disrupted. Impotence is a common cause of divorce and scandals in families. If you have problems with this plan, make an appointment with an experienced urologist at the Diana private clinic. Modern medicine quite copes with the treatment of erectile dysfunction, helping most patients to improve their intimate health and establish a personal life.

Causes of male sexual impotence

Restoring male power involves eliminating the factor that affects the weakening of potency. So, if the temporary lack of attraction caused severe physical fatigue, the problem will be resolved independently after a full rest. But often the reasons are more serious:

  • Psychological: usually associated with fear of the sexual act itself and may be based on fear of pregnancy partner, childhood trauma or parenting, self-doubt and fear that the partner will reject the man. Often there is a psychological barrier before sexual intercourse, which is manifested in the fear of the lack of a stable erection or other potency disorders that have already happened to a man for one reason or another.
  • Neurogenic: this includes past CNS diseases, stroke, injuries and injuries to the spinal cord or brain, multiple sclerosis. Sexual impotence in this case is caused by weak conduction of nerve impulses from the brain to the cavernous body.
  • Vascular: impotence often develops against the background of diabetes, atherosclerosis or other cardiovascular pathology, which affects the integrity of the vessel walls and thereby disrupts the full blood supply of the penis during an erection.
  • Hormonal: weakening of erectile function is observed in men who are overweight (especially in the waist area) and after they reach the age of forty. These factors strongly affect the production of testosterone, a hormone whose lack causes an erection to slow down and weaken during sexual intercourse. If the body produces prolactin in excess, a man will also face insufficient potency, since prolactin is called a direct antagonist of male sex hormones. A clear sign of endocrine disorders is a decrease in hair, an increase in voice timbre, and the appearance of obesity.
  • Local, related to diseases of the genitals: violation of the intra-secretory function of the testicles, prostate diseases, areas of the seminal tubercle, malformations or diseases of the penis. This also includes inflammation of the urethra, prostate, or testes.
  • Medication: erectile dysfunction can develop as a side effect from the use of a number of medications: hormonal, vasodilating, psychotropic, anti-ulcer and some others. In such cases, to solve the problem, it is enough to replace the drug taken with a similar form of action, but with a different active substance.

impotence are curable

Other causes of impotence

Others: overweight, chronic stress, a heated atmosphere in the family, poisoning, intoxication (including alcohol), Smoking and alcohol consumption, metabolic disorders, poor nutrition.

In addition, experts recommend to refrain from abuse of Masturbation, since self-satisfaction is not only able to provoke the development of psychological problems in bed with a partner, but also a violation of natural sexual functions. So, during Masturbation, the seminal tubules and glands of the penis are intensely irritated, which eventually causes premature sperm release. With excessive enthusiasm for Masturbation, sexual neurasthenia can develop, when a man can not be aroused by contact with a partner and an erection does not occur.

Types of male impotence

Sexual impotence is not always the end of a man’s sexual life. There are some forms of impotence that do not even require treatment to restore sexual function. But in most cases, without consulting a urologist and conducting complex therapy, it is almost impossible to get rid of an intimate problem.

The simplest classification of impotence is as follows:

  • Relative: it appears without obvious frequency and is usually directly related to certain life circumstances – problems at work, severe mental or physical fatigue, heavy alcohol consumption, etc.
  • Temporary: the problem in this case concerned a man as long as he does not get rid of blocking the implementation of the sexual function factor.
  • Absolute impotence is always associated with some disease that requires treatment. Without individually selected therapy, the chances of restoring sexual function are low.

Classification of erectile dysfunction depending on the causes

Diagnosis of impotence in men involves determining the main manifestations of the pathology and determining it to one of the two main forms of erectile dysfunction:

  • Organic impotence develops gradually and has a physiological nature: hormonal, vascular or other disorders. A man begins to notice failures in bed associated with the lack of an erection at the right time, and over time the frequency of such cases increases. Over time, for the onset of a full-fledged erection, a man has to make more and more efforts, and in the absence of a competent urologist’s consultation and treatment, sexual function may completely fade.
  • Psychological impotence can appear suddenly for a man, it is psychogenic in nature. The most common causes are various neuroses and depressions. Such disorders usually appear suddenly, bother a man with episodes, but also need to be diagnosed and treated.

To distinguish between these two forms of impotence and the selection of therapeutic tactics, a differential diagnosis is made based on the definition of manifestations of sexual impotence.

Organic form of impotence is characterized by the following factors:

  • erectile dysfunction develops gradually and becomes more pronounced over time;
  • problems with potency appear steadily and do not depend on third-party conditions or circumstances;
  • there are no spontaneous erections – morning or night;
  • there are no changes in the sex drive and ejaculation process.

Psychological impotence has some differences in the development of the disease and the features of such a disease:

  • erectile dysfunction appears suddenly and can immediately be obvious;
  • morning and night erections appear with the same frequency;
  • a man notices that a weak erection or lack of it at all appears under certain circumstances.

Such criteria allow you to better understand the causes of developing impotence and approach it from the right side in the matter of its treatment.

How to get rid of impotence

To overcome sexual impotence, it is necessary to eliminate the cause that caused impotence. To do this, a man needs to come to an appointment with a urologist, who will determine the therapeutic direction based on the patient’s complaints and diagnostics. So, you may have to undergo treatment for diabetes, atherosclerosis, neurosis, or go on a diet.

Attention! If you notice signs of impotence, do not despair and do not self-medicate. No matter how advertised some drugs-remember that they will never replace qualified medical care. Erectile dysfunction and impotence are curable!

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