Career, family, daily problems. . . In the cycle of problems, many men put concerns about their health on the back burner, returning to them only after the discomfort becomes evident.
An obvious example is erectile dysfunction. On the one hand, sexual weakness is a cause for fear for many men. On the other hand, at first, weakened sexual potential is rarely taken seriously. Meanwhile, the very first signs of decreased potency in men should definitely attract attention and become a reason for consultation with 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 greater the problems in the sexual sphere. However, doctors are starting to sound the alarm: erectile dysfunction has become significantly younger. Starting from the age of 25, a modern man can experience periodic manifestations of this symptom. Moreover, the main reasons for the decrease in sexual potency in young people today 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 erection or decreased libido should signal the need to visit a doctor. Only a specialist will be able to identify the true causes of dysfunction and exclude the presence of serious diseases that may hide behind the symptom.
The fight against power decline: on all fronts
Of the 100% of men who suffer from sexual weakness, only 10% will immediately consult a doctor and actively work to solve this problem. The rest, for various reasons, first of all embarrassment, will ignore the "first signals", bringing the problem to a head. This is why the first step to 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 medical, 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, 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 dishes rich in 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 shift attention to positive aspects;
- avoid hypothermia and carefully monitor personal hygiene;
- do not get carried away by promiscuous sexual relations.
If the situation with decreased potency is not critical, it is not necessary to resort to drug therapy. A positive effect in combination with lifestyle correction can be achieved by taking an organic herbal 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, this is not a full-fledged disease, since the function of the genital organs is preserved and at some moments of life (adolescence, long-term 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 long enough for full sexual intercourse. This leads to the fact that sexual partners do not receive satisfaction from sex and conflicts arise. A man begins to experience psychological problems, fear of intimacy. If the pathology becomes chronic and begins to manifest itself more often, the help of an andrologist is needed.
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 heredity. The onset of premature ejaculation occurs during puberty and does not depend on external factors (partner, situation, psychological state).
Causes of the congenital form:
- penile hypersensitivity;
- dysfunction of serotonin receptors;
- short frenulum of the penis;
- cavernous fibrosis.
Secondary premature ejaculation can occur in the context of a man's full physical health at any time in life. The main reason is chronic urogenital diseases. Hormonal disorders, characteristic of endocrine pathologies, can also lead to 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;
- surgery on the genitals or pelvic area.
An important factor is good nutrition and maintaining a healthy lifestyle. A man's lack of microelements such as magnesium and zinc negatively affects the quality of ejaculate. Excessive dependence on alcohol reduces the ability to control the body, which leads to unpleasant accidents in bed.
Premature ejaculation: diagnosis and consultation with a doctor
The main consequences of pathological sexual dysfunction include:
- Sexual dissatisfaction.
- Inability of a man to delay and control ejaculation.
- Conflicts and problems in personal relationships, feelings of guilt and fear of intimacy.
If such symptoms occur, it is recommended to consult an andrologist or urologist. During the appointment, the doctor pays special attention to taking sexual history. For this reason it turns out:
- average length of time before ejaculation occurs;
- the impact of premature ejaculation on the quality of personal and sexual life;
- the man has endocrine diseases or metabolic disorders;
- How often do cases of premature ejaculation occur?
- At what age did the first case of PE occur?
- if the man is taking medications.
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 PE 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 sufficient to reduce the consumption of alcohol or other stimulating drinks (energy drinks, coffee) to restore a full sexual life.
For psychological reasons, a positive outcome is achieved by establishing friendly communication between partners/spouses. Using a condom or changing position can help reduce penile sensitivity and increase the duration of intercourse. But such recommendations are effective only 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 anesthetic (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 adhere to 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 sensation of imminent 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 medications. Antidepressants and anxiolytic drugs are used. Prescribing selective serotonin reuptake inhibitors (SSRIs) also gives good results. Their side effects lead to delayed ejaculation.
If infectious diseases of the urogenital area are detected, a course of 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, which is used only when congenital PE is detected. To determine the need for surgery, a lidocaine test is needed.
- Denervation of the head of the penis is a microsurgical procedure 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 recurrence. 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 internal organs are often temporary and completely reversible. To do this, a man just needs to be more attentive to his health. For timely detection and treatment of infectious diseases, it is recommended to regularly visit an andrologist or urologist. Sometimes an explanatory conversation with a doctor is enough.
It is important to avoid mental stress, enrich your diet with healthy foods and overcome bad habits. If you can't cope with psychological distress on your own, don't be afraid to ask a psychotherapist for help.
How to maintain potency: advice from a urologist
Is it possible to maintain a full sex life into old age? What influences potency? How to eat, what sports to do to remain a man in the fullest sense? In what situations do you need a doctor's help? In this article I will answer questions that concern all men and give specific advice from a urologist to maintain men's health.
Myths and truths about male potency
The topic of potency has been invaded by so many myths that debunking them would require not an article, but an entire book. But I will mention a few more to put an end to it once and for all.
Stormy youth - old age without sex.
If in your youth you actively had sex, for example, every day and even several times, then by the age of 40-50 the limit of sexual possibilities will be exhausted - is this true?
Physiologically this statement is absolutely unfounded. Nature has made sure that the reproductive function of a man works until he dies. Unlike women, who have a limited number of eggs (conditionally), the production of seminal fluid continues while the man is alive.
The number and frequency of sexual intercourse in youth have no influence on male vitality in old age. Another problem is indiscriminate unprotected contact and its consequences. Complications of STDs, especially those left untreated or left to chance, will surely come back to haunt you, and it's only a matter of time.
- I can't control my ejaculation like before
- Does not experience vivid sensations, orgasm is canceled
If you stop sexual intercourse, 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 excited.
Arousal without continuation (ejaculation) is indeed not very good for men's health, but it is not as critical as many think. Interruption of sexual intercourse, when a man is at the peak of arousal and is ready to ejaculate, can lead to prostatitis due to stagnant processes. And only if you stop them regularly. Two or three episodes a month are unlikely to have any effect on his health.
Men's Health - Urology
Among the large number of factors affecting potency, urological diseases are among the "leaders". Especially in men older than middle age. The main enemies of potency in this regard are considered prostatic adenoma and prostatitis.
Urological problems in men associated with prostatic adenoma usually appear after 40-45 years. What brings patients to the doctor for male problems is a weakened bladder or when a man is unable to urinate.
An enlarged prostate gland puts pressure on the urethral canal and interferes with the complete flow of urine. Frequent urges, discomfort resulting from the sensation that the bladder has not been completely emptied: all this, neither emotionally nor physically, is not conducive to an active sexual life. Further - worse. Problems with urination affect the functioning of the kidneys, and in this state there is no time for carnal pleasures.
Unlike prostatic adenoma, prostatitis is not just a disease of age. Even young people can get it. Typically, prostatitis is the result of an unhealthy lifestyle and promiscuous sexual intercourse. in particular, sexually transmitted infections. The situation with them is particularly difficult.
Most infections that lead to prostatitis are chlamydia, mycoplasmosis, ureaplasmosis, etc. - do not produce acute symptoms for a long time. The disease passes almost immediately to the chronic stage. But there comes a time when the disease manifests itself with pain, atypical secretions and problems with urination due to the inflamed prostate. A man simply cannot think about sex in such a state.
As you already know, there is no direct physiological connection between prostate diseases and erectile dysfunction. But this does not mean that the problem should not 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 available.
Since symptoms in urology often 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 turn to
Let's now talk about what impairs potency in addition to urological diseases and which doctor to turn to to restore men's health.
Although there are many reasons for sexual impotence, they are all divided into three types:
- Biological. 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, traumatic situation.
- Mixed. When both physiology and psyche are responsible 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 quickly filling with blood. As a result, 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 erectile dysfunction. Sexual impotence is often observed with prolonged depression, neurosis and psychological trauma. Much more often, a combination of psychogenic and physiological problems leads to impotence.
Once again, I will take as an example a man with prostatitis and accelerated ejaculation. Let's imagine that he was unable to control his ejaculation and that his partner was dissatisfied, for which he scolded his partner. After some time the situation repeated itself. In addition, the man did not get much pleasure from sex, which often happens with prostatitis. What thought comes to mind? "There's something wrong with me, I can't have sex normally! "The psychological problem is obvious. Add to that progressive prostatitis and we get impotence.
Which doctor should I contact regarding 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 the urologist treat? These are the diseases:
- prostate (adenoma, prostatitis, etc. );
- bladder (neoplasms, inflammation);
- kidneys (pyelonephritis, urolithiasis);
- urethra.
With what symptoms and when should I go to a urologist?
- discharge from the urethra;
- difficulty urinating;
- pain in the perineum, scrotum, around the anus, in the lower back;
- impurities in urine or semen.
You should consult a doctor at the first symptoms. Self-medication is the worst thing that can happen in this situation.
Issues relating to male sexual health are handled by another specialist. The chief doctor for male potency is an andrologist. It is he who has the necessary knowledge to determine the exact cause of male impotence, prescribe adequate treatment and, if necessary, involve other specialists in the treatment: a urologist, a psychotherapist, an endocrinologist.
Because fertility and urology are closely related, andrologists are generally competent in treating urological diseases and combine work in both specialties.
Useful tips for men's health
I would like to emphasize once again that age is not the cause of impotence. Sexual impotence is caused by physiological and psychological disorders, which accumulate more and more every year. This means that you can enjoy a fulfilling sex life even in old age.
I'm sure 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 it trivial, ignore it, and receive the corresponding consequences.
However, I recommend reconsidering your attitude towards your lifestyle and building it taking into account the following suggestions:
- Stop smoking. Toxic substances that you inhale through cigarette smoke: lead, formaldehyde, arsenic, etc. - destroy blood vessels. That is to say, by filling with blood, they make the penis hard.
- Limit alcohol. It also affects blood vessels. It also disrupts the functioning of the liver, which "with revenge" converts the male sex hormone into the female one. You've probably seen what men with low testosterone and high estrogen look like: breasts that women can envy, fat deposits on the waist and hips, hair loss in areas atypical for the female body. There are enormous difficulties with libido and erection.
- Playing sports. Moderate physical activity prevents the stagnation of liquids in the vessels, "trains" the vessels and maintains their elasticity.
- Get tested and undergo preventive visits with a urologist-andrologist at least once a year.
Useful for increasing male potency:
- Various spices and seasonings: ginger, cinnamon, nutmeg, cloves, chili pepper, fenugreek. They increase blood circulation, improve immunity, give vigor and increase sensuality.
- Seeds, dried fruit: 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, ricotta, but in moderation). Rich in proteins.
- Fruit: currants, strawberries, avocado, bananas, watermelon, grapes, figs, raisins. This is the prevention of chronic fatigue, which is one of the most common causes of loss of libido. But don't overdo it, so your sugar levels don't skyrocket. Many sweets are also harmful to potency.
- Vegetables: – celery, coriander, parsley, dill, tarragon, basil. Improves sperm quality and quantity of sexual 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.
- Nuts. Source of vegetable proteins, increases testosterone.
- Red wine in small doses. Strengthens blood vessels.
Vitamins useful for male potency
In addition to vitamins that improve the functioning of the cardiovascular system, it is important to know about other supplements that will be useful for reducing potency.
- vitamins A, C, E, D, B3, B6;
- folic acid;
- omega fatty acids;
- selenium;
- zinc;
- iron;
- phosphorus;
- magnesium;
- potassium.
The sources of these beneficial substances are a balanced, healthy 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 and self-treatment. In case of pain or other exacerbation of the disease, diagnostic tests should be prescribed only by the attending physician. To make a diagnosis and correctly prescribe treatment, you need to contact your doctor.