Male potency, causes of its deterioration, methods of recovery are constantly being studied. Erectile dysfunction has long been considered a problem in people in their 60s. Studies conducted in 1993 showed that half of men over the age of 40 experience impaired potency. Erection improvement requires a set of actions aimed at identifying and eliminating the underlying cause of problems in bed.
Potency in men over 40: The first signs of impotence
Men have always equated potency with power. As a result, the slightest hint of erectile dysfunction raises serious concerns. A single malfunction does not indicate erectile dysfunction.
Signs of erectile dysfunction in men after 40 years are:
- Penile eclipse - inability to achieve a solid erection;
- Decreased erection spontaneously or at the entrance to the vagina;
- Genital reaction failure due to fear of failure;
- Start ejaculating with a partner before orgasm;
- Sexual intercourse is delayed, men can not reach orgasm for a long time;
- Decreased sexual desire;
- Prolonged recovery after ejaculation, inability to have more than one sexual intercourse per night.
If a man has more than two signs, it indicates a decrease in potency.
Causes of bed problems
There are many physical changes in the body of men over the age of 40 that negatively affect an erection. But the natural aging process is not the only cause of problems in bed. Correctly determining the factors linking to impotence will allow you to prescribe adequate treatment.
Inflammatory diseases of the genital area
Inflammatory diseases can be infectious or non-infectious. Infectious diseases are divided into viral, fungal and bacterial according to the type of pathogen and include the following pathologies:
- Urethritis;
- Infectious prostatitis;
- Frequent sexually transmitted infections;
- Prostatocystitis;
- Balanoposthitis;
- Vesiculitis;
- Epidimit.
- Pyelonephritis.
Non-communicable diseases occur without the participation of pathogenic microorganisms. ᲔYour include:
- Non-infectious prostatitis;
- BPH;
- Malignant and benign neoplasms in the organs of the genitourinary system (cancer of the prostate, penis, urethral polyps, etc. ).
Diseases affect not only sexual function but also the functioning of all organs of the genitourinary system.
Hypodynamics
Hypodynamics is a condition characterized by weak physical activity. It is also called the "disease of civilization. "Decreased muscle strength in physically inactive, overweight people. Disruption of neuromuscular regulation leads to a deterioration in the contraction of all muscle fibers.
The "disease of civilization" negatively affects the work of all organs. People have psycho-emotional disorders, impaired libido, men with this disease do not enjoy 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 the blood vessels. These pathologies are 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 both a psychogenic and a physiological factor in the development of sexual dysfunction in men. Obese people have low self-esteem, are more prone to depression, stress, which contributes to a decrease in sexual desire and cravings.
Obesity damages blood vessels due to high load. Excess weight is associated with hypertension, hypercholesterolemia and inflammatory processes that interfere with normal blood circulation.
In men, belly fat converts testosterone to estrogen, causing hormonal imbalances. Lack of testosterone leads to cavernous insufficiency, disruption of the erection mechanism.
ᲪCood habits
Tobacco, alcohol damages blood vessels, restricts blood circulation to the penis. Nicotine resins break down the walls of arteries, increasing the risk of hyperlipidemia and arterial hypertension, and impairing blood circulation.
Ethanol, when it enters the bloodstream, "sticks" to platelets, causing blood vessels to clog. The resulting thrombosis interferes with the nutrition of the tissues of the organs, especially with high concentrations of arteries and veins, such as the brain and penis.
Stress and psychological problems
Stress is the body's adaptive response to the effects of psychological stimuli. During 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.
The first delays in bed dramatically reduce a man's self-esteem. Fear and uncertainty contribute to the development of psychogenic impotence. Over time, the sensitivity of the cavernous tissue to neurotransmitters decreases, the filling of the cavernous bodies with blood deteriorates, and the resulting erection.
How does a doctor treat erectile dysfunction?
Treatment of ED depends on the underlying cause. Modern andrology offers a wide range of therapeutic regimens and techniques. They are chosen by an andrologist based on the acceptance of the use for a particular patient.
The doctor must first make sure that the man is undergoing therapy for pathologies that cause or adversely affect sexual function. Medication has been shown to be effective in both psychogenic and physiological factors in AD disorders. Psychotherapy is used in 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 there are usually several of them. In the absence of therapeutic measures, the man develops a mental disorder: depression, psychosis, nervous disorder.
By itself, impotence leads to impaired spermatogenesis, ejaculation, and infertility. But the list of consequences that lead to ED is much broader. Infectious and chronic pathologies are chronic in nature, hormonal disorders cause dysfunction of most organs, pathologies of the vascular system are life-threatening. But if a man consults a doctor in a timely manner, he will avoid complications and improve potency.
Methods of treatment of erectile dysfunction after 40 years
Treatment of impotence involves different methods. An integrated approach is often needed, including, above all, lifestyle changes, daily routine, and dietary adjustments. The goal of complex therapy is to eliminate the causes of erectile dysfunction and prevent complications.
Instant medications
In the absence of serious deviations, drugs that stimulate an erection are prescribed. The action of the drug is based on relaxing the muscles of the penis and increasing blood flow to the cavernous bodies.
Instant medications include:
- Preparations with the active substance sildenafil;
- Avanafil-based;
- Tadalafil-based funds.
Remedies require adherence to the dosing regimen.
Ointments and sprays
Topical remedies have a local effect and are considered safer than oral preparations. Some have broader, some have narrower pharmacological activity.
The following are effective:
- Cream based on vegetable oils;
- Alprostadine-containing cream;
- Cream based on plant extracts;
- Spray - a complex of plant extracts and aphrodisiacs.
Most creams and sprays are natural and available without a prescription.
The biological product in the form of a spray, thanks to a special dosage form, provides a fast delivery of biological substances that have the following effects:
- Activates testosterone synthesis, increases libido;
- Increases the strength and duration of filling the cavernous bodies with blood;
- Increases the smooth muscle tone of the penis;
- Improves the condition of blood vessels;
- Eliminates inflammatory processes.
The spray is applied immediately before sexual intercourse. Spray the contents of the vial on the genitals, wait 5-7 minutes until the substances penetrate into the tissues. The procedure is repeated daily.
Folk recipes and dietary supplements
Men over the age of 40 have had bed problems for centuries. Before the advent of medicine, people increased their potential with the help of folk recipes that are now successfully used:
- Musk tincture (beaver stream). 200 g of dry musk is poured into a liter of vodka and boiled for 30 days. Take a teaspoon three times a day.
- Maral horn tea. The cut horns are cut with a knife. Take 2 tsp. K. Raw, pour a glass of boiling water, insist half an hour. Divide the crushed drink into 3 parts and drink during the day.
You can also use dietary supplements.
They, like folk remedies, belong to alternative methods of treating impotence, but are no less effective than traditional medicines.
Dietary supplements should be taken in courses.
Doctors prescribe dietary supplements as a remedy for men who suffer from:
- Prostatitis of any origin and lining;
- Erectile dysfunction associated with a variety of causes;
- Short sexual intercourse;
- Low libido;
- Premature ejaculation;
- Dysfunction of the urogenital system;
- Inability to reach orgasm during intimate contact or weak sensations.
Vacuum treatment
An erection is provided due to the filling of the cavernous bodies with blood. The vacuum erection pump helps to improve blood flow to the blood vessels of the penis. The device is a cylinder with a pump at the bottom. The penis is placed in a cylinder, and then the air is sucked in from inside 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. Constant monitoring of androgen and luteinizing hormone levels is essential during treatment. Medications can be taken parenterally or by subcutaneous implantation.
Taking testosterone drugs can cause an enlarged, swollen prostate
surgery
Surgical therapy options are used when other treatments are unsuccessful. Phalloprosthetics - implantation of a bioinert silicone prosthesis. The procedure is shown in cases of congenital anomalies, deformities after organ damage, atherosclerosis, persistent metabolic disorders. The disadvantage of this method is the necessity of surgical intervention, the risk of infection, in case of unsuccessful surgery it is almost impossible to use other methods of treatment.
Therapeutic gymnastics and massage
Exercise is important for maintaining vascular and muscle health. Regular moderate physical activity helps to increase potency. Most effective:
- Kegel Gymnastics - Exercises aimed at activating the pelvic floor muscles;
- A "bicycle" lying on its back or on a simulator;
- Circular movements of the pelvis;
- Running on the ground
- "Scissors"
Massage helps to relieve tension and improve blood circulation. Light pieces are exciting, they can be used as a pre-game.
Principles of nutrition
Proper nutrition helps to lose weight, restore hormonal balance and improve overall well-being. Since the pathogenesis of erectile dysfunction is based on circulatory disorders in the penis, it is prudent to follow a diet in diseases of the cardiovascular system (Table No. 10).
Power characteristics:
- They consume 2500-2600 kcal per day, the basis of the diet (60%) is animal protein;
- Limit salt intake;
- Preference is given to lean meats and fish, cereals, dairy products, cooked vegetables and fresh fruits;
- Excluded from the ration are smoked meat, sausages, pickles and pickled vegetables, tea, coffee.
It is necessary to exclude alcohol and in general any food and drink that irritates the vascular and nervous systems.
Prevention of potency problems in 40 years
There are several steps you can take to begin the process of preparation for mediation.
Most of them are aimed at changing lifestyle and improving overall health:
- Regular exercise;
- Maintain a healthy weight;
- Avoid stress as much as possible and learn to deal with it;
- Abstinence from alcohol, smoking;
- Regular sex life;
- Undergo routine medical examinations to detect heart and endocrine diseases.
In most cases, men over the age of 40 can easily regain potency. To do this, at the first symptoms, you need to consult a doctor. The specialist will help you to escape from fears, to strengthen self-confidence, because the key to a favorable treatment prognosis is the belief that the problem has been overcome.