Male potency, the reasons for its deterioration, methods of recovery are constantly being studied. Erectile dysfunction has long been considered a problem of people over 60. Studies conducted in 1993 show that half of men over 40 experience a decrease in potency. Improving erection requires a set of actions aimed at identifying and eliminating the cause of problems in bed.
Potency in men at 40: the first signs of impotence
Men have always equated power with power. As a result, the slightest suspicion of a decrease in erection causes serious concern. Single misfires do not indicate erectile dysfunction.
Signs of deterioration of erection in men after 40 years are:
- flaccidity of the penis - inability to achieve a firm erection;
- drop in spontaneous erection or at the entrance to the vagina;
- insufficient genital reaction due to fear of failure;
- the onset of ejaculation to orgasm with a partner;
- sexual intercourse is prolonged, a man cannot reach orgasm for a long time;
- decreased sexual desire;
- long recovery after ejaculation, inability to have sex more than once a night.
If a man has more than two signs, this indicates a decrease in potency.
Causes of problems in bed
In the body of men over 40 there are many physical changes that negatively affect erections. But the natural aging process isn't the only cause of problems in bed. The correct definition of the factors that bind 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 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;
- epidymitis.
- pyelonephritis.
Non-communicable diseases occur without the participation of pathogenic microorganisms. These include:
- non-infectious prostatitis;
- BPH;
- malignant and benign neoplasms in the organs of the genitourinary system (cancer of the 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 low 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 illnesses
There is a close connection between erectile dysfunction and diseases of the cardiovascular system. A decrease in potency is caused by diseases that affect blood vessels. Such pathologies include atherosclerosis, hypertension, hypercholesterolemia.
These diseases, which account for approximately 70% of the physical causes of erectile dysfunction, restrict blood flow to the cavernous bodies of the penis.
Obesity
Being overweight is both a psychogenic and physiological factor in the development of sexual disorders in men. Obese people have low self-esteem, they are more prone to depression, stress, which contributes to a decrease in sexual desire and desire.
With obesity, due to a large load, blood vessels are damaged. With excess weight, hypertension, hypercholesterolemia and inflammatory processes are observed, which interfere with normal blood circulation.
In men, abdominal fat converts testosterone to estrogen, causing hormonal imbalance. Lack of testosterone leads to cavernous insufficiency, disruption of the mechanism of erection.
Bad habits
Tobacco, alcohol damage blood vessels, restricting 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 deteriorates.
Ethanol, getting into the blood, "sticks" the platelets, leading to clogging of blood vessels. The resulting thrombosis impairs the nutrition of organic 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 body systems, including the sexual system.
The first failures in bed significantly reduce men'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 blood filling of the cavernous bodies worsens, and, as a result, an erection.
How does a doctor treat erectile dysfunction?
Treatment for erectile dysfunction depends on the underlying cause. Modern andrology offers a wide range of treatment regimens and techniques. Their choice is determined by the andrologist, depending on the acceptability of use for a particular patient.
Initially, the doctor must ensure that the man is undergoing treatment for pathologies that cause or negatively affect sexual function. Medication is indicated for psychogenic and physiological factors of ED disorders. Psychotherapy is used for psychogenic and neurogenic impotence. In extreme cases, surgical treatment is prescribed.
Consequences of erectile dysfunction in men
The 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.
In itself, impotence leads to impaired spermatogenesis, ejaculation and infertility. But the list of consequences that cause erectile dysfunction is much longer. Infectious and chronic pathologies become chronic, hormonal disorders lead to dysfunction of most organs, pathologies of the vascular system are life-threatening. But if a man sees a doctor in a timely manner, he will avoid complications and improve potency.
Methods of treating erectile dysfunction after 40 years
The treatment of impotence involves different methods. Often an integrated approach is needed, including primarily a change in lifestyle, daily routine and nutritional correction. The purpose of complex therapy is to eliminate the causes of erectile dysfunction and prevent complications.
Instant drugs
In the absence of serious deviations, erection-stimulating drugs are prescribed. The action of drugs is based on the relaxation of the muscles of the penis and the increase in blood flow in the cavernous bodies.
Instant drugs include:
- preparations with the active substance Sildenafil;
- based on Avanafil;
- funds based on Tadalafil.
Means require compliance with the dosage regimen.
Ointments and sprays
Topical agents have a local effect and are considered safer than oral preparations. Some have broader pharmacological activity, others narrower.
Are considered effective:
- cream based on vegetable oils;
- cream containing alprostadin;
- 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 rapid supply of biological substances that have the following effect:
- activates testosterone synthesis, increases libido;
- increases the strength and duration of blood filling of the cavernous bodies;
- increases the tone of smooth muscles of the penis;
- improves the condition of blood vessels;
- eliminates inflammatory processes.
The spray is used immediately before sexual intercourse. The contents of the vial are sprayed on the genitals, wait 5-7 minutes for the substances to penetrate the tissues. The procedure is repeated daily.
Folk recipes and food supplements
Men over 40 have had problems in bed for centuries. Before the advent of medicine, people used to increase their potency using folk recipes which are now used successfully:
- Tincture of musk (beaver stream). 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 wood tea. Sliced woods are crushed with a knife. Take 2 tbsp. raw materials, pour a glass of boiling water, insist half an hour. The strained drink is divided into 3 parts and drunk during the day.
You can also use dietary supplements.
Like folk remedies, they belong to alternative methods of treating impotence, but are no less effective than traditional drugs.
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 sexual intercourse;
- low libido;
- premature ejaculation;
- violations of the functioning of the genitourinary system;
- inability to achieve orgasm or weak sensations during intimate contact.
vacuum treatment
An erection is provided due to the blood filling of the cavernous bodies. A vacuum erection pump helps improve blood flow in the vessels of the penis. The device is a cylinder with a pump on the end. The penis is placed in the cylinder, then the air inside is sucked out 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. Drugs can be drunk, taken parenterally or in the form of subcutaneous implants.
Taking testosterone drugs can cause prostate growth, swelling
Surgical intervention
Surgical treatment options are used when other treatments fail. Phalloprostheses - implantation of a bioinert silicone prosthesis. The procedure is indicated for birth defects, deformities after organ damage, atherosclerosis, persistent metabolic disorders. The disadvantages of the method are the need for surgery, the risk of infection, if the operation fails, it is almost impossible to use other methods of treating erectile dysfunction.
Therapeutic gymnastics and massage
Exercise is important for maintaining vascular and muscle health. Regular moderate physical activity helps increase potency. The most effective are:
- Kegel gymnastics - exercises aimed at activating the muscles of the pelvic floor;
- "bicycle" lying on your back or on the simulator;
- circular movements of the pelvis;
- run in place
- "the scissors"
Massage helps relieve tension and improve blood circulation. Light strokes excite, they can be used as foreplay.
Nutrition principles
Proper nutrition helps reduce 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 reasonable to follow a diet for diseases of the cardiovascular system (table No. 10).
Power Specifications:
- they consume 2500-2600 kcal per day, the basis of the diet (60%) is animal protein;
- limit salt intake;
- preference is given to low-fat varieties of meat and fish, cereals, dairy products, boiled 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 all foods and drinks that excite the vascular and nervous systems.
Prevention of potency problems in 40 years
There are several steps to help prevent erectile dysfunction.
Most of them are aimed at changing lifestyle and improving overall health:
- regular exercise;
- maintaining a healthy weight;
- avoid stress as much as possible and learn to manage it;
- giving up alcohol, smoking;
- regular sex life;
- undergo routine medical examinations to detect heart and endocrine diseases.
In most cases, men over 40 can easily restore their potency. To do this, at the first symptoms, you need to consult a doctor. The specialist will help get rid of fears, build self-confidence, because the key to a favorable treatment prognosis is the belief that the problem will be overcome.