Career, family, daily problems. . . In the cycle of problems, many men put concerns about their own health on the back burner and only return to them once discomfort becomes evident.
An obvious example is erectile dysfunction. On the one hand, sexual weakness is a subject of fear for many men. On the other hand, weakened sexual potential is rarely taken seriously at first. Meanwhile, the very first signs of decreased potency in men should definitely attract attention and become a reason for consultation with a specialist.
Potency problems: psychology or physiology?
Traditionally, the problem of erectile dysfunction is associated with age: the older a man is, the more problems he has in the sexual sphere. However, doctors are starting to sound the alarm: erectile dysfunction is significantly younger. From the age of 25, a modern man may experience periodic manifestations of this symptom. Moreover, the main reasons for the decrease in potency among young men today are considered not stress and psycho-emotional disorders, but chronic diseases and lifestyle peculiarities.
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 malformations 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 consult a doctor. Only a specialist will be able to identify the true causes of the dysfunction and exclude the presence of serious diseases that may be hiding behind the symptom.
The fight against power loss: on all fronts
Out of 100% of men who suffer from sexual weakness, only 10% will immediately consult a doctor and actively work to resolve this problem. Others, for various reasons, the main one being embarrassment, will ignore the "first signs", bringing the problem to its peak. That is why the first step to regaining sexual potency should be to recognize the problem and only then work to get rid of it.
The causes of decreased potency in men and its treatment are interrelated and require not only medicinal but also psychological correction, as well as serious changes in lifestyle and diet.
If the cause of the decrease in potency in young or mature men is not physiological factors, then to normalize libido and sexual potential it is necessary:
- give up habits that negatively affect potency - smoking, frequent alcohol consumption;
- balance the diet - it is important to add vitamins to the menu, exclude fatty cholesterol dishes 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 focus on the positive aspects;
- avoid hypothermia and carefully monitor personal hygiene;
- don't get carried away with promiscuous sex.
If the situation with a decrease in potency is not critical, there is no need to resort to drug treatment. A positive effect in combination with lifestyle correction can be achieved by taking an organic herbal supplement that has a slight corrective effect on the body.
premature ejaculation
Premature ejaculation is one of the most common sexual disorders among men. However, it is not a full-fledged disease, since the function of the genitals is preserved and at certain times 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 for the time required 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 occur more often, the help of an andrologist is necessary.
What causes premature ejaculation
There are primary and secondary (acquired) forms. The 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:
- hypersensitivity of the penis;
- serotonin receptor dysfunction;
- short frenulum of the penis;
- cavernous fibrosis.
Secondary premature ejaculation can occur at any time in life when a man is in perfect physical health. The main reason is chronic urogenital diseases. Hormonal disorders, characteristic of endocrine pathologies, can also lead to sexual dysfunctions.
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 sexual relations;
- surgical procedures on the genitals or pelvic region.
An important factor is a good diet and maintaining a healthy lifestyle. The lack of trace elements such as magnesium and zinc in a man negatively affects the quality of ejaculate. Excessive alcohol dependence reduces the ability to control the body, which leads to unpleasant incidents in bed.
Premature ejaculation: diagnosis and consultation with a doctor
The main consequences of pathological sexual dysfunction include:
- Sexual dissatisfaction.
- A man's inability to delay and control ejaculation.
- Conflicts and problems in personal relationships, feelings of guilt and fear of intimacy.
If you experience such symptoms, it is recommended to consult an andrologist or urologist. During the appointment, the doctor pays particular attention to taking a sexual history. For this, it turns out:
- average time before ejaculation;
- the impact of EPS on the quality of personal and sexual life;
- does man suffer from 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 medication.
A detailed study of the details of a man's sex 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 only occurs in certain circumstances (with the same partner, in a specific location).
Treatment of premature ejaculation
In some cases, it is enough to reduce the consumption of alcohol or other stimulating drinks (energy drinks, coffee) to regain a full sex life.
For psychological reasons, a positive result 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 only effective in the absence of physical health problems. The choice of treatment 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, anesthetic creams (mainly lidocaine). This method is simple 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 allow you to recognize the feeling 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.
- To take pills. Antidepressants and anxiolytics are used. The prescription of selective serotonin reuptake inhibitors (SSRIs) also gives good results. Their side effects lead to delayed ejaculation.
If infectious diseases of the urogenital region 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, used only when congenital PE is detected. To determine the need for surgery, a lidocaine test is required.
- 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 relapse. Currently, 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 the internal organs are often temporary and completely reversible. To do this, a man just needs to be more attentive to his own health. To quickly detect and treat infectious diseases, it is recommended to regularly consult 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 cannot cope with psychological discomfort on your own, do not hesitate to seek help from a psychotherapist.
How to maintain potency: advice from a urologist
Is it possible to maintain a full sex life into old age? What affects potency? How to eat, what sports to do to remain a man in the full sense of the word? In what situations do you need help from a doctor? In this article, I will answer questions that concern all men and give specific advice from a urologist to preserve men's health.
Myths and truths about male potency
The subject of power has become overrun with so many myths that to dispel them would require not an article, but an entire book. But I will still mention a few to put an end to it once and for all.
Stormy youth - sexless old age.
If in your youth you had active sexual relations, 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 ensured that a man’s reproductive function functions until his death. Unlike women, who have a limited number of eggs (conditionally), the production of seminal fluid continues during the man's lifetime.
The number and frequency of sexual intercourse in young people does not affect male viability in old age. Another problem concerns indiscriminate and unprotected contacts and their consequences. Complications from sexually transmitted diseases, especially those that are left untreated or left to chance, will definitely come back to haunt you, and it's only a matter of time.
- Unable to control ejaculation like before
- Does not experience strong sensations, the orgasm is erased
If you stop having sex, you will become impotent.
This also includes sexual arousal without subsequent release. Some men use this myth to manipulate their partner into having sex every time they are aroused.
Arousal without continuation (ejaculation) is indeed not very good for men's health, but not as critical as many think. Interruption of sexual intercourse, when a man is maximally aroused and is ready to ejaculate, can lead to prostatitis due to stagnant processes. And only if you interrupt them regularly. Two or three episodes per month are unlikely to have any effect on his health.
Men's Health - Urology
Among the large number of factors that affect potency, urological diseases are among the "leaders". Especially in men older than fifty. The main enemies of potency in this regard are prostate adenoma and prostatitis.
Urological problems in men associated with prostate adenoma usually appear after 40-45 years of age. What leads patients to see a doctor for male problems is a weakened bladder or a man's inability to urinate.
An enlarged prostate puts pressure on the urethral canal and interferes with the complete flow of urine. Frequent urges, discomfort due to the feeling that the bladder is not completely emptied - all this, neither emotionally nor physically, is not conducive to an active sex life. Plus, it's worse. Urination problems affect the functioning of the kidneys and in this condition there is no time for carnal pleasures.
Unlike prostate adenoma, prostatitis is not just an age-related disease. Young men can also benefit from it. Typically, prostatitis is the result of an unhealthy lifestyle and light sex. specifically, sexually transmitted infections. The situation with them is particularly difficult.
Most infections leading to prostatitis are chlamydia, mycoplasmosis, ureaplasmosis, etc. - do not produce acute symptoms for a long time. The disease almost immediately passes into the chronic stage. But there comes a time when the disease manifests itself with pain, atypical discharge and problems urinating due to inflammation of the prostate. A man simply cannot think about sex in such a state.
As you already know, there is no direct physiological link between prostate diseases and erectile dysfunction. But this does not mean that the problem should not be solved: therefore they prevent a man from leading a normal sex life. Neither prostate adenoma nor prostatitis disappears on their own, like a runny nose. It is impossible to restore the sexual health of men without the help of a doctor if it is available.
Because urological symptoms often appear when the disease has already become chronic. Its detection at an early stage, when we can be content with simple conservative treatment, is only possible with regular preventive consultations with a urologist and urological tests.
Erectile function problems - who to contact
Now let's talk about what impairs potency in addition to urological diseases and which doctor to contact to restore men's health.
Although there are many reasons for sexual impotence, they are all divided into three types:
- Organic. 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 sufficiently filled with blood, the erection is too flaccid for full sexual intercourse. In extreme cases, it is completely absent.
Hormonal imbalances are another common reason. Hormones regulate most processes in the body, including sexual arousal and erections. First of all, testosterone deficiency affects potency. This hormone is in principle responsible for male reproductive function. 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, neuroses and psychological trauma. Much more often, a combination of psychogenic and physiological problems leads to impotence.
Once again, I take as an example a man suffering from prostatitis and accelerated ejaculation. Let's imagine that he is unable to control ejaculation and that his partner remains unsatisfied, which she blames on her partner. After a while the situation repeated itself. In addition, the man did not get much sexual pleasure, 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 progressive prostatitis and we get impotence.
Which doctor should I contact if I have potency problems?
Many people think that the primary doctor when it comes to men's health is a urologist. This is not entirely true. A urologist is a specialist who treats the genitourinary system. What diseases does a urologist treat? These are diseases:
- prostate (adenoma, prostatitis, etc. );
- bladder (neoplasia, inflammation);
- kidneys (pyelonephritis, urolithiasis);
- urethra.
With what symptoms and when should I consult a urologist?
- discharge from the urethra;
- difficulty urinating;
- pain in the perineum, scrotum, around the anus, in the lower back;
- impurities in urine or seminal fluid.
You should consult a doctor at the first symptoms. Self-medication is the worst thing that can happen in this situation.
Questions related to men's sexual health are handled by another specialist. The chief physician of male potency is an andrologist. It is he who has the knowledge necessary 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.
Since fertility and urology are closely related, andrologists are generally skilled in the treatment of urological diseases and combine their work in both specializations.
Useful tips for men's health
Let me 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 am sure that every man knows how to maintain his 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 is directly dependent on these simple natural things. But most men consider this trivial, ignore it and suffer the consequences.
I still recommend reconsidering your attitude to your lifestyle and building it taking into account the following tips:
- Stop smoking. Toxic substances you inhale through cigarette smoke - lead, formaldehyde, arsenic, etc. - destroy blood vessels. Namely, they fill with blood and make the penis hard.
- Limit alcohol. It also affects blood vessels. In addition, it disrupts the functioning of the liver, which "in revenge" converts the male sex hormone into the female hormone. You've probably seen what men with low testosterone and high estrogen look like: breasts that women can envy, fatty deposits around the waist and hips, hair loss in areasatypical for the female body. There are enormous difficulties with libido and erection.
- Play sports. Moderate physical activity prevents fluids from stagnating in the vessels, "trains" the vessels and maintains their elasticity.
- Get screened and have preventive examinations with a urologist-andrologist at least once a year.
Useful for improving 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, nuts: pistachios, pine nuts, walnuts, almonds, pumpkin seeds. They contain a lot of proteins, vitamins and fats.
- All seafood: red fish, oysters. They contain easily digestible proteins and other beneficial substances.
- Dairy products, especially homemade cheeses (paneer, cottage cheese, but in moderation). Rich in protein.
- Fruits: currants, strawberries, avocados, bananas, watermelon, grapes, figs, raisins. This is to prevent chronic fatigue, which is one of the common causes of loss of libido. But don't overdo it so that your sugar level doesn't explode. Many sweets also harm potency.
- Green vegetables: – celery, coriander, parsley, dill, tarragon, basil. Improves sperm quality and quantity of sex 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, reduces the risk of developing diabetes.
- Ginger root. Causes blood flow to the penis.
- Pumpkin seeds. They contain a large amount of zinc and are considered the most beneficial product for the male reproductive system.
- Nut. Source of vegetable proteins, increases testosterone.
- Red wine in small doses. Strengthens blood vessels.
Useful vitamins for male potency
In addition to vitamins that improve the functioning of the cardiovascular system, it is important to know other supplements that will be useful in 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 healthy, balanced 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 must contact your doctor.