Male potency, the reasons for its deterioration, recovery methods are constantly being investigated. Erectile dysfunction has long been considered a problem for people in their 60s. Studies conducted in 1993 show that half of men over the age of 40 experience decreased 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 potency with power. As a result, the slightest hint of a decreased erection causes great concern. Single misfires do not indicate erectile dysfunction.
Signs of impaired erection in men after the age of 40 are:
- penile flaccidity - the inability to achieve a firm erection;
- decreased erection spontaneously or at the entrance of the vagina;
- insufficiency of the 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 more than one intercourse per 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 years of age, there are many physical changes that negatively affect erections. But the natural aging process is not the only cause of problems in bed. The correct definition of the factors that bind impotence will allow you to prescribe an 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.
Noncommunicable 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 weak physical activity. It is also called the "disease of civilization". In people with a sedentary lifestyle, overweight, reduced muscle strength. Violation of neuromuscular regulation leads to impaired contractility of all muscle fibers.
The "disease of civilization" negatively affects the work of all organs. People have psycho-emotional disorders, low 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. A decrease in potency is caused by diseases that affect the blood vessels. These pathologies include atherosclerosis, hypertension, high cholesterol.
These diseases, which account for about 70% of the physical causes of erectile dysfunction, restrict blood flow to the corpora cavernosa 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, 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 that prevent normal blood circulation.
In men, abdominal fat converts testosterone to estrogen, causing a hormonal imbalance. The lack of testosterone leads to cavernous insufficiency, disruption of the erection mechanism.
Bad habits
Tobacco and alcohol damage blood vessels and limit blood flow to the penis. Nicotine resins are deposited on the walls of the arteries, increasing the risk of hyperlipidemia and high blood pressure and worsening blood circulation.
Ethanol, getting into the blood, "glues" platelets, which causes 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 body systems, including sexual.
The first failures in bed drastically reduce the self-esteem of men. 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 occurs.
How does a doctor treat erectile dysfunction?
Treatment for erectile dysfunction 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 particular patient.
Initially, the doctor must ensure that the man is being treated for pathologies that cause or negatively affect sexual function. It is indicated to take medications for psychogenic and physiological factors of erectile dysfunction disorders. Psychotherapy is used for psychogenic and neurogenic impotence. In extreme cases, surgical treatment is prescribed.
Consequences of erectile dysfunction in men
Impairment 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 erectile dysfunction is much broader. 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 for the treatment of erectile dysfunction from the age of 40
Treatment of impotence involves different methods. Often an integrated approach is required, which includes, first of all, a change in lifestyle, daily routine and nutrition 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, drugs that stimulate erection are prescribed. The action of drugs is based on relaxing the muscles of the penis and increasing blood flow in the corpora cavernosa.
Instant medicines 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 a broader pharmacological activity, others more limited.
They are considered effective:
- vegetable oil-based cream;
- 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 the synthesis of testosterone, increases libido;
- increases the strength and duration of blood filling of the cavernous bodies;
- 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 sexual intercourse. The contents of the vial are sprayed on the genitals, wait 5-7 minutes for the substances to penetrate into the tissues. The procedure is repeated daily.
Popular recipes and dietary supplements.
Men over 40 have had problems in bed for centuries. Before the advent of drugs, people increased potency with the help of popular recipes that are now successfully used:
- Musk Tincture (Beaver Creek). 200 g of dry musk is poured with a liter of vodka and infused for 30 days. Take a teaspoon three times a day.
- Maral antler tea. Sliced antlers are shredded with a knife. Take 2 tsp. raw materials, pour a glass of boiling water, insist half an hour. The colada drink is divided into 3 parts and is drunk 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 drugs.
Dietary supplements must be taken in courses.
Doctors prescribe dietary supplements as a remedy for men who suffer from:
- prostatitis of any origin and neglect;
- erectile dysfunction associated with various causes;
- short intercourse;
- 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 filling of the cavernous bodies with blood. A vacuum pump for erection 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 out with 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. Medicines can be drunk, taken parenterally or in the form of subcutaneous implants.
Taking medications with testosterone can cause an enlarged and swollen prostate.
Surgical intervention
Surgical therapy options are used when other treatments fail. Phalloprosthesis: implantation of a bioinert silicone prosthesis. The procedure is indicated for congenital abnormalities, deformities after organ injuries, atherosclerosis, persistent metabolic disorders. The disadvantages of the method are the need for surgical intervention, the risk of infection, in case of an unsuccessful operation, it is almost impossible to use other methods to treat erectile dysfunction.
Therapeutic Gymnastics and Massage
Exercise is important for maintaining vascular and muscular health. Regular moderate physical activity helps increase power. The most effective are:
- Kegel gymnastics - exercises aimed at activating the pelvic floor muscles;
- "bicycle" lying on the back or on the simulator;
- circular movements of the pelvis;
- running in place
- "pair of scissors"
Massage helps relieve tension and improve blood circulation. Light strokes excite, can be used as foreplay.
nutrition principles
Proper nutrition helps reduce weight, restore hormonal balance and improve general 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 Characteristics:
- they 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, boiled vegetables and fresh fruits;
- Smoked meats, sausages, pickled and pickled vegetables, tea and coffee are excluded from the diet.
It is necessary to exclude alcohol and, in general, any food and drink that excites the vascular and nervous systems.
Prevention of problems with potency in 40 years.
There are several steps to help prevent erectile dysfunction.
Most of them are intended to change lifestyle and improve overall health:
- regular exercise;
- keep a healthy weight;
- avoid stress whenever possible and learn to cope with it;
- give up alcohol, smoking;
- regular sex life;
- undergo routine medical examinations to detect cardiac and endocrine diseases.
In most cases, men over 40 years of age can easily restore potency. To do this, at the first symptoms, you need to consult a doctor. The specialist will help 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.