Career, family, everyday issues. . . In the cycle of problems, many men put concerns about their own health in the background, returning to them only after the discomfort becomes evident.
An obvious example is erectile dysfunction. On the one hand, sexual weakness is a source of fear for many men. On the other hand, weakened sexual potential is rarely taken seriously at first. Meanwhile, the first signs of decreased potency in men should definitely attract attention and become a reason for consulting a specialist.
Problems with potency: psychology or physiology?
Traditionally, the problem of erectile dysfunction has been associated with age: the older the man, the more problems he has in the sexual sphere. However, doctors are beginning to sound the alarm: erectile dysfunction has become noticeably younger. From the age of 25, modern men may experience periodic manifestations of this symptom. Moreover, nowadays it is considered that the main reasons for a decrease in potency in young men 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 a deterioration in erection or a decrease in libido should signal the need for medical consultation. Only a specialist will be able to identify the true causes of the dysfunction and exclude the presence of serious diseases that may be hidden behind the symptom.
The fight against decreased power: on all fronts
Of the 100% of men who experience sexual weakness, only 10% will immediately consult a doctor and actively work to resolve this problem. The rest, for different reasons, the main one being embarrassment, will ignore the "first signs", taking the problem to its peak. That's why the first step to regaining sexual power should be to recognize the problem and only then fight to get rid of it.
The causes of decreased potency in men and their treatment are interconnected and require not only medicinal, 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, then to normalize libido and sexual potential it is necessary:
- abandonment of habits that negatively affect potency - smoking, frequent alcohol consumption;
- balance your diet - it is important to add vitamins to your menu, exclude fatty dishes with 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 focus on positive aspects;
- avoid hypothermia and carefully monitor personal hygiene;
- Don't get carried away by promiscuous sexual relations.
If the situation with a decrease in potency is not critical, there is no need to resort to drug therapy. A positive effect in combination with lifestyle correction can be achieved by taking a herbal biological 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, it is not a complete disease, since the function of the genital organs is preserved and at certain times in life (adolescence, prolonged 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 necessary for full sexual intercourse. This leads to the fact that sexual partners do not receive satisfaction from sex and conflicts arise. The man begins to have psychological problems, fear of intimacy. If the pathology becomes chronic and begins to occur more frequently, the help of an andrologist is needed.
What are the causes of 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:
- penile hypersensitivity;
- dysfunction of serotonin receptors;
- short frenulum of the penis;
- cavernous fibrosis.
Secondary premature ejaculation can occur against the background of a man's full physical health at any time in his 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;
- surgeries on the genitals or pelvic region.
An important factor is good nutrition and maintaining a healthy lifestyle. The lack of microelements such as magnesium and zinc in men negatively affects the quality of ejaculation. Excessive alcohol addiction reduces the ability to control the body, which leads to unpleasant incidents in bed.
Premature ejaculation: diagnosis and medical consultation
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 these symptoms, it is recommended that you consult an andrologist or urologist. During the consultation, the doctor pays special attention to collecting sexual history. For this happens:
- average length of time before ejaculation occurs;
- the impact of PE 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?
- whether the man is taking any medication.
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 only occurs under certain circumstances (with the same partner, in a specific location).
Premature ejaculation treatment
In some cases, it is enough to reduce the consumption of alcohol or other stimulating drinks (energy drinks, coffee) to restore a full sex life.
For psychological reasons, a positive result is achieved by establishing friendly communication between partners/spouses. Using a condom or changing positions can help reduce penis sensitivity and increase the duration of sexual intercourse. But such recommendations are only effective 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, anesthetic creams (mainly lidocaine). This method is easy to use and helps reduce glans sensitivity. It is important to choose the dosage correctly and strictly follow the treatment regimen indicated by the doctor. In case of an 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 "compression technique". They help you recognize the feeling of imminent ejaculation and delay it. 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 anti-anxiety medications are used. Prescribing selective serotonin reuptake inhibitors (SSRIs) also gives good results. Its 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 may be prescribed.
Surgical treatment of premature ejaculation
Surgery is a last resort method, used only when congenital PE is detected. To determine the need for surgical intervention, a lidocaine test is necessary.
- Denervation of the head of the penis is a microsurgical intervention during which the nerves in 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. At the moment, SSRIs are considered the ideal and effective method of therapy. 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, men just need to pay more attention to their own 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 cannot deal with psychological discomfort on your own, do not be afraid to seek help from a psychotherapist.
How to maintain potency: advice from a urologist
Is it possible to maintain a full sex life until old age? What affects potency? How to eat, what sports to practice to remain a man in the full 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 preserve men's health.
Myths and truth about male potency
The topic of potency has become filled with so many myths that dispelling them would require not an article but an entire book. But I will still mention a few to put an end to them once and for all.
Stormy youth - sexless old age.
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 ensured that man's reproductive function functioned until his death. Unlike women, who have a limited number of eggs (conditionally), the production of seminal fluid continues as long as the man is alive.
The number and frequency of sexual relations in youth do not in any way affect male viability in old age. Another issue is indiscriminate and unprotected contacts and their consequences. Complications from sexually transmitted diseases, especially those that are left untreated or left to chance, are sure to come back to haunt you, and it's only a matter of time.
- I can't control ejaculation like I used to
- Does not experience vivid sensations, orgasm is erased
If you stop sexual intercourse, you will become impotent.
This also includes sexual arousal without subsequent release. Some men use this myth to manipulate their partners into having sex whenever they become aroused.
Arousal without continuation (ejaculation) is actually not very good for men's health, but it is not as critical as many people think. Interruption of sexual intercourse, when the man is maximally excited and ready to ejaculate, can lead to prostatitis due to stagnant processes. And only if you interrupt them regularly. Two or three episodes a month are unlikely to have any effect on your health.
Men's Health - Urology
Of the huge number of factors affecting potency, urological diseases are among the "leaders". Especially in men over middle age. The main enemies of potency in this regard are considered to be prostate adenoma and prostatitis.
Urological problems in men associated with prostate adenoma usually appear after 40-45 years. What brings patients to the doctor for men's problems is a weakened bladder or when the man is unable to urinate.
An enlarged prostate puts pressure on the urethral canal and interferes with the full flow of urine. Frequent urges, discomfort from the feeling that the bladder has not completely emptied - all this, neither emotionally nor physically, is not conducive to an active sex life. Further - worse. Problems urinating affect the functioning of the kidneys and, in this state, there is no time for carnal pleasures.
Unlike prostate adenoma, prostatitis is not just a disease of age. Young people can do it too. Typically, prostatitis is the result of an unhealthy lifestyle and promiscuous sex. specifically, sexually transmitted infections. The situation with them is especially difficult.
Most infections that lead to prostatitis are chlamydia, mycoplasmosis, ureaplasmosis, etc. - does 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 makes itself felt through pain, unusual discharge and problems urinating due to inflammation of the prostate. A man simply cannot think about sex in this state.
As you already know, there is no direct physiological link between prostate disease and erectile dysfunction. But this does not mean that the problem does not need to be resolved, as they prevent men from having a normal sex life. Neither prostate adenoma nor prostatitis go away 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 usually appear when the disease has already become chronic. Detecting it early, when it is possible to live with simple conservative treatment, is only possible with regular preventive consultations with a urologist and urological examinations.
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 see to restore a man'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, physiology is in order and impotence is caused by psychological problems - stress, depression, traumatic situation.
- Mixed. When physiology and psyche are to blame 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, the erection occurs slowly. If the corpora cavernosa is not filled with enough blood, the erection will be too flaccid for full sexual intercourse. In extreme cases, it is completely absent.
Another common reason is hormonal imbalances. Hormones regulate most of the body's processes, 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, neuroses and psychological trauma. Much more often, a combination of psychogenic and physiological problems leads to impotence.
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 his partner was dissatisfied, for which she reprimanded her partner. After some time the situation repeated itself. Furthermore, the man did not feel 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 this progressive prostatitis and we have impotence.
Which doctor should I contact regarding potency problems?
Many people believe that the main doctor for men's health is the urologist. This is not entirely true. The urologist is the specialist who treats the genitourinary system. What diseases does a urologist treat? These are diseases:
- prostate (adenoma, prostatitis, etc. );
- bladder (neoplasms, inflammation);
- kidneys (pyelonephritis, urolithiasis);
- urethra.
With what symptoms and when should I see 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.
Issues related to male sexual health are handled by another specialist. The head doctor for male potency is an andrologist. It is he who has the necessary knowledge to determine the exact cause of male impotence, prescribe appropriate treatment and, if necessary, involve other specialists in the treatment - urologist, psychotherapist, endocrinologist.
Because fertility and urology are closely related, andrologists are often competent in treating urological diseases and combine 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'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 directly depends on these simple and natural things. But most men consider this trivial, ignore it and receive corresponding consequences.
I still recommend reconsidering your attitude towards your lifestyle and building it taking into account the following tips:
- Quit smoking. Toxic substances that you inhale through cigarette smoke - lead, formaldehyde, arsenic, etc. - destroy blood vessels. That is, they, filled with blood, harden the penis.
- 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 female. 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.
- Play sports. Moderate physical activity prevents stagnation of fluids in the vessels, "trains" the vessels and maintains their elasticity.
- Take tests and undergo preventive examinations with a urologist-andrologist at least once a year.
Useful for increasing male potency:
- Various spices and seasonings: ginger, cinnamon, nutmeg, cloves, pepper, fenugreek. They increase blood circulation, improve immunity, give vigor and increase sensuality.
- Seeds, nuts: 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, cream cheese, but in moderation). Rich in proteins.
- Fruits: currants, strawberries, avocados, 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 or your sugar levels will skyrocket. Too many sweets also harm potency.
- Greens: – 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 levels, 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 useful product for the male reproductive system.
- Nuts. Source of vegetable protein, 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;
- phosphor;
- magnesium;
- potassium.
The sources of these beneficial substances are a healthy, balanced diet and complex vitamin preparations. Synthetic vitamins help relieve prostate inflammation 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 only be prescribed by the attending physician. To make a diagnosis and prescribe treatment correctly, you must contact your doctor.