What is it?
Impotence called the lack of penile erection in men, which leads to the impossibility of intercourse. Often, this is definitely a pathological condition, accompanied by a lack of desire (libido) and sensations of orgasm, rapid ejaculation, which, of course, greatly reduces the quality (and quantity) of sexual activity and has a negative impact on the psycho-emotional status of men, interpersonal and family relationships.
For a long time the diagnosis of "impotence" put all men without exception, who complained about the doctor to reduce the duration and strength of erections. However, a large number of these patients maintained an erection just force it is not enough to carry out normal sexual intercourse.
In addition, it was found that men with reduced quality of erections much more than with its complete absence. So now in vogue often the term "erectile dysfunction", i.e. erectile dysfunction and impotence - just an extreme degree of these disorders.
A distinction is also a secondary impotence when normal erection still was before, and the primary - in cases where a normal erection never had. It is believed that sexual function is weakened over time. In fact it is not. In the absence of diseases that cause erectile dysfunction, every man can have quality sex life and 50 and 60 years.
Why did this happen?
Previously it was thought that the main causes of impotence are psychological problems or metabolic properties of sex hormones. However, it is now clear that, although the psychological factor and promotes the development of the disease, but the main reason is the organic changes in the mechanism of erection. According to recent reports, among the main causes of impotence and erectile dysfunction release:
- Mental depression, stress.
- Nerve: injury, damage to the intervertebral discs, multiple sclerosis, alcohol abuse, pelvic surgery, and others.
- Arterial: hypertension, smoking, diabetes.
- Venous: disturbances in the mechanism limiting the outflow of blood from the penis.
- Drugs: reception reduces pressure medications, antidepressants, luteinizing hormone, certain other medicines.
There are many reasons, but the main culprits reduce potency remain progressive atherosclerosis, diabetes, hypertension, tobacco and alcohol dependence. In these diseases, changes in the vessels of the body, resulting in the walls of veins and arteries lose their flexibility and elasticity, become fragile and brittle, which is one of the most common causes of impotence.
In the normal state, under the action of pulses of the central nervous system, there is a relaxation of penile vascular walls, resulting in blood quickly fills the penis. Expands the arteries compress small vessels that in the ground state is reset to the blood veins; blood flow is sharply reduced, which provides an erection.
However, the progression of atherosclerosis and as a result, the deposition of cholesterol plaques on the walls of blood vessels, the use of drugs that reduce blood pressure, diabetic vascular lesions, alcohol abuse, stress loads - all of this, together and separately, reduces the ability of a normal erection.
Diagnosis and treatment
The call more attention to their own health - not just empty words. According to statistics, only one in ten men when confronted with sexual dysfunction, refers to a specialist. Meanwhile, more than half of the erection can be restored. Only need to correctly understand the causes of the problem. And here, without specialist advice is not to do - well worth a visit andrologist, who will your problem.
First of all, the doctor find out whether the violations are hidden in the sexual sphere inflammatory diseases of the prostate, bladder, and so forth. To answer this question, you can also send a urologist for consultation, followed by ultrasound, blood tests, as well as taking bacteriological smear.
If inflammatory diseases are detected, your doctor may refer you to a doctor, endocrinologist, as potency disorders are often associated with hormonal disorders. Special analysis of steady blood levels of either hormone.
Vascular disorders that lead to impotence, revealed by modern research methods - Doppler ultrasound, modern techniques allow to determine quantitative and qualitative indicators of blood supply to the penis.
Regarding the choice of treatments, this question depends entirely on what the cause of the disease. Many methods - from medical treatment prior to surgery.
In place of all known aphrodisiac came and widely publicized "Viagra". But this is not a panacea, as is commonly believed. The "Viagra" and have side effects, among which the most good-natured - a sudden change in color perception, in which everything becomes blue. But the list of more serious consequences of "Viagra" includes headache and facial flushing, and in some cases, worsening of heart disease, and not to mention the numerous forgeries of this tool. Because taking "Viagra" or any other tablets without consulting your doctor - do not.
It is possible that in the end will yield intracavernous injection, selection of stimulants or penile prosthesis.
As with any other sexual disorders will not be superfluous advice sexologist or therapist. By today's professional treatment of impotence long search is not necessary, because there is already a sufficient number of specialized clinics.