Male potency, the reasons for its deterioration, recovery methods are constantly being investigated. Erectile dysfunction has long been considered a 60 year old problem. Studies conducted in 1993 show that half of men over 40 experience a decrease in potency. Improving an erection requires a set of actions that aim to identify and eliminate the cause of problems in bed.
Potency in men at 40: the first signs of impotence
Men have always equated potency with power. As a result, the slightest hint of decreased erection causes serious concern. Single failures do not indicate erectile dysfunction.
Signs of erection deterioration in men after 40 years are:
- flaccidity of the penis - the inability to obtain a firm erection;
- erection declines spontaneously or at the entrance to the vagina;
- insufficiency of genital reaction due to fear of failure;
- the onset of ejaculation to orgasm with a partner;
- intercourse is prolonged, a man cannot reach orgasm for a long time;
- decreased sexual desire;
- long recovery after ejaculation, inability to have more than one sexual intercourse per night.
If a man has more than two signs, this indicates a decrease in potency.
Causes of bed problems
In the body of men over 40, many physical changes occur that negatively affect erections. But the natural aging process is not the only cause of bed problems. The correct definition of the factors that link impotence will allow you to prescribe an appropriate treatment.
Inflammatory diseases of the genital area
Inflammatory diseases can be infectious or non-infectious. Infectious diseases are divided according to the type of pathogen into viral, fungal and bacterial and include the following pathologies:
- urethritis;
- infectious prostatitis;
- frequent sexually transmitted infections;
- prostatocystitis;
- balanoposthitis;
- vesiculitis;
- epididymitis.
- pyelonephritis.
Noncommunicable diseases occur without the participation of pathogenic microorganisms. These include:
- non-infectious prostatitis;
- HPB;
- malignant and benign neoplasms in the organs of the genitourinary system (prostate, penis, urethral polyps and others).
Diseases affect not only sexual function, but also the work of all organs of the genitourinary system.
hypodynamia
Hypodynamia is a condition characterized by poor physical activity. It is also called the "disease of civilization". In people with physical inactivity, overweight, reduced muscle strength. Violation of neuromuscular regulation leads to a deterioration in the contractility of all muscle fibers.
The "disease of civilization" negatively affects the work of all organs. People have psycho-emotional disorders, decreased libido, men with this disease do not like sex.
Cardiovascular diseases
There is a strong link between erectile dysfunction and diseases of the cardiovascular system. Decreased potency is caused by diseases that affect blood vessels. These pathologies include atherosclerosis, hypertension, high cholesterol.
These diseases, which account for about 70% of the physical causes of ED, restrict blood flow to the cavernous bodies of the penis.
Obesity
Excess weight is a psychogenic and physiological factor in the development of sexual disorders in men. Obese people have low self-esteem, are more prone to depression, stress, which contributes to a decrease in sexual desire and desire.
With obesity, due to a great load, blood vessels are damaged. With excess weight, hypertension, hypercholesterolemia and inflammatory processes that impede normal blood circulation are observed.
In men, abdominal fat converts testosterone to estrogen, causing a hormonal imbalance. The lack of testosterone leads to cavernous insufficiency, interruption of the erection mechanism.
Bad habits
Tobacco and alcohol damage blood vessels, limiting blood flow to the penis. Nicotine resins are deposited on the walls of the arteries, the risk of hyperlipidemia and high blood pressure increases and blood circulation worsens.
Ethanol, entering the blood, "glues" the platelets, leading to clogging of blood vessels. The resulting thrombosis impairs the nutrition of organ tissues, especially those with a high concentration of arteries and veins, such as the brain and penis.
Stress and psychological problems
Stress is an adaptive response of the body to the impact of psychological stimuli. With constant nervous tension, the production of adrenaline and cortisol increases - hormones that, in high concentrations, negatively affect all systems of the body, including the sexual one.
The first failures in bed drastically reduce men's self-esteem. Fear and uncertainty contribute to the development of psychogenic helplessness. Over time, the sensitivity of the cavernous tissue to neurotransmitters decreases, the blood filling of the corpora cavernosa worsens and, as a result, an erection.
How do doctors treat erectile dysfunction?
Treatment for ED depends on the underlying cause. Modern andrology offers a wide range of therapeutic regimens and techniques. Their choice is determined by the andrologist, based on the acceptability of use for a given patient.
Initially, the doctor must make sure that the man is undergoing therapy for conditions that cause or negatively affect sexual function. Taking medications is indicated for psychogenic and physiological factors of erectile dysfunction disorders. Psychotherapy is used for both psychogenic and neurogenic impotence. In extreme cases, surgical treatment is prescribed.
Consequences of erectile dysfunction in men
Deterioration of potency is caused by various pathological changes and, as a rule, there are several of them. In the absence of therapeutic measures, a man has mental disorders: depression, psychosis, nervous breakdowns.
By itself, impotence leads to impaired spermatogenesis, ejaculation and infertility. But the list of consequences that cause ED is much broader. Infectious and chronic pathologies become chronic, hormonal disorders lead to dysfunction of most organs, pathologies of the vascular system are fatal. But if a man consults a doctor in a timely manner, then he will avoid complications and improve potency.
Methods for treating erectile dysfunction after 40 years
The treatment of impotence involves different methods. An integrated approach is often required, including, first of all, lifestyle change, daily routine and nutritional correction. The aim of complex therapy is to eliminate the causes of erectile dysfunction and prevent complications.
instant drugs
In the absence of serious deviations, drugs that stimulate erection are prescribed. The action of drugs is based on relaxing the muscles of the penis and increasing blood flow to the corpora cavernosa.
Instant medications include:
- preparations with the active substance Sildenafil;
- based on Avanafil;
- tadalafil-based funds.
The media requires compliance with the dosage regimen.
ointments and sprays
Topical agents have a local effect and are considered safer than oral preparations. Some have a broader pharmacological activity, others more restricted.
The following are considered effective:
- vegetable oil-based cream;
- cream containing alprostadine;
- cream based on plant extracts;
- spray - a complex of plant extracts and aphrodisiacs.
Most creams and sprays are natural and available without a prescription.
A biological product in the form of a spray, thanks to a special dosage form, provides a quick supply of biological substances that have the following effect:
- activates testosterone synthesis, increases libido;
- increases the strength and duration of blood filling of the corpora cavernosa;
- increases the tone of the smooth muscles of the penis;
- improves the condition of blood vessels;
- eliminates inflammatory processes.
The spray is used immediately before intercourse. The contents of the vial are sprayed on Organs genitals, wait 5-7 minutes for the substances to penetrate the tissues. The procedure is repeated daily.
Popular recipes and food supplements
Men over 40 have had bed problems for centuries. Before the advent of drugs, people increased potency with the help of popular recipes that are successfully used now:
- Musk tincture (beaver flux). 200 g of dry musk are poured with a liter of vodka and infused for 30 days. Take one teaspoon three times a day.
- Maral horn tea. Sliced horns are crushed with a knife. Take 2 teaspoons. raw materials, pour a glass of boiling water, insist half an hour. The strained drink is divided into 3 parts and consumed during the day.
You can also use dietary supplements.
They, like folk remedies, belong to alternative methods of treating impotence, but they are no less effective than traditional medicines.
Dietary supplements should be taken in courses.
Doctors prescribe dietary supplements as a remedy for men suffering from:
- prostatitis of any origin and negligence;
- erectile dysfunction associated with various causes;
- short relationship;
- low libido;
- premature ejaculation;
- violations of the functioning of the genitourinary system;
- inability to reach orgasm or weak sensations during intimate contact.
vacuum treatment
An erection is provided due to the blood filling of the corpora cavernosa. A vacuum erection pump helps improve blood flow in the vessels of the penis. The device is a cylinder with a pump at the end. The penis is placed in the cylinder and then the air inside is sucked in using a pump. This creates a vacuum and increases blood flow.
hormone therapy
If erectile dysfunction is associated with a decrease in androgen levels, testosterone replacement therapy is prescribed. The duration of androgen replacement therapy is at least 3 months. During treatment, it is necessary to constantly monitor the level of androgens and luteinizing hormone. Medications can be drunk, administered parenterally or in the form of subcutaneous implants.
Taking Testosterone Medications Can Cause Prostate Enlargement, Swelling
Surgical intervention
Surgical therapy options are used when other treatments have failed. Phalloprosthetics - implantation of bioinert silicone prosthesis. The procedure is indicated for congenital anomalies, deformities after organ damage, atherosclerosis, persistent metabolic disorders. The disadvantages of the method are the need for surgical intervention, the risk of infection, in the event of an unsuccessful operation, it is almost impossible to use other methods of treating ED.
Therapeutic gymnastics and massage
Exercise is important for maintaining vascular and muscle health. Regular moderate physical activity helps to increase potency. The most effective are:
- Kegel gymnastics - exercises designed to activate the pelvic floor muscles;
- "bicycle" lying on the back or on the simulator;
- circular movements of the pelvis;
- running in place
- "scissors"
Massage helps relieve tension and improve blood circulation. Light strokes excite, they can be used as foreplay.
nutrition principles
Proper nutrition helps to reduce weight, restore hormonal balance and improve overall well-being. As the pathogenesis of erectile dysfunction is based on circulatory disorders in the penis, it is reasonable to follow a diet for diseases of the cardiovascular system (Table #10).
Power Features:
- consume 2500-2600 kcal per day, the basis of the diet (60%) is animal proteins;
- limit salt intake;
- preference is given to low-fat varieties of meat and fish, cereals, dairy products, cooked vegetables and fresh fruits;
- Smoked meats, sausages, pickled and pickled vegetables, tea, coffee are excluded from the diet.
It is necessary to exclude alcohol and, in general, any foods and drinks that excite the vascular and nervous systems.
Preventing potency problems in 40 years
There are several steps to help prevent ED.
Most of them aim to change lifestyle and improve overall health:
- regular exercise;
- maintain a healthy weight;
- avoid stress whenever possible and learn to deal with it;
- quitting alcohol, smoking;
- regular sex life;
- undergoing routine medical examinations to detect cardiac and endocrine diseases.
In most cases, men over 40 can easily restore potency. To do this, at the first symptoms you need to consult a doctor. The specialist will help to get rid of fears, strengthen self-confidence, because the key to a favorable prognosis of treatment is the belief that the problem will be overcome.