Male potency, the reasons for its deterioration, methods of recovery are constantly being studied. Erectile dysfunction has long been considered a problem for 60-year-olds. Studies conducted in 1993 show that half of men over the age of 40 experience a decline in potency. Improving erection requires a set of actions aimed at identifying and eliminating the cause of bed problems.
Potency in men at 40: the first signs of impotence
Men have always identified potency with strength. As a result, even the slightest hint of reduced erection is a matter of serious concern. Single interruptions of inflammation do not indicate erectile dysfunction.
Signs of worsening erections in men after 40 years are:
- slackness of the penis - inability to achieve a healthy erection;
- reduction of erection spontaneously or at the entrance to the vagina;
- failure of the genital response due to fear of failure;
- the beginning of ejaculation to orgasm with a partner;
- sexual intercourse is prolonged, the man can not reach orgasm for a long time;
- decreased sexual desire;
- prolonged recovery after ejaculation, inability to have more than one intercourse at night.
If the 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 erections. But the natural aging process is not the only cause of bed problems. Properly identifying the factors that link 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;
- epidemic.
- pyelonephritis.
Non-communicable diseases occur without the participation of pathogenic microorganisms. They include:
- non-infectious prostatitis;
- BPH;
- malignant and benign neoplasms of the genitourinary system (cancer of the prostate, penis, urethral polyps, etc. ).
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 lack of physical activity, overweight, decreased muscle strength. Impaired neuromuscular regulation leads to deterioration of the contractility of all muscle fibers.
"The disease of civilization" has a negative impact on the work of all organs. People have psycho-emotional disorders, decreased libido, men with this disease do not enjoy sex.
Cardiovascular diseases
There is a strong link between erectile dysfunction and cardiovascular disease. 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 corpora cavernosa of the penis.
obesity
Being overweight is both a psychogenic and a 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.
Obesity, due to high stress, damages blood vessels. Overweight, hypertension, hypercholesterolemia and inflammatory processes are observed, which impede normal blood circulation.
In men, abdominal fat converts testosterone to estrogen, causing hormonal imbalances. Lack of testosterone leads to cavernous insufficiency, disruption of the mechanism of erection.
Bad habits
Tobacco and alcohol damage blood vessels, restricting blood flow to the penis. Nicotine resins settle on the walls of the arteries, increase the risk of hyperlipidemia and hypertension, and impair blood circulation.
Ethanol, getting into the blood, "sticks" platelets, which leads to blockage of blood vessels. The resulting thrombosis disrupts the nutrition of organ tissues, especially those 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. Constant nervous tension increases the production of adrenaline and cortisol - hormones that in high concentrations adversely affect all body systems, including sex.
The first misfires in bed drastically reduce men's self-esteem. Fear and insecurity contribute to the development of psychogenic impotence. Over time, the sensitivity of the corpora cavernosa to neurotransmitters decreases, the blood supply to the corpora cavernosa deteriorates and, as a result, an erection occurs.
How does a doctor treat erectile dysfunction?
The treatment of 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 particular patient.
Initially, the doctor must make sure that the man is undergoing therapy for pathologies that cause or adversely affect sexual function. Medication is indicated for both 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
Deterioration of potency is caused by various pathological changes and as a rule there are several of them. In the absence of therapeutic measures, the man has mental disorders: depression, psychosis, nervous breakdowns.
Impotence in itself leads to impaired spermatogenesis, ejaculation and infertility. But the list of consequences that cause ED is much wider. 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 person consults a doctor in time, he will avoid complications and improve potency.
Methods of treating erectile dysfunction after 40 years
The treatment of impotence involves various methods. An integrated approach is often needed, including, above all, lifestyle changes, daily routines and dietary adjustments. The goal of complex therapy is to eliminate the causes of erectile dysfunction and prevent complications.
Immediate medication
In the absence of serious abnormalities, drugs that stimulate erection are prescribed. The action of the drugs is based on relaxing the muscles of the penis and increasing blood flow to the corpora cavernosa.
Immediate medications include:
- preparations with the active substance Sildenafil;
- based on Avanafil;
- tadalafil-based products.
The agents require adherence to the dosing regimen.
Ointments and sprays
Topical agents have a local effect and are considered safer than oral preparations. Some have broader, others narrower pharmacological activity.
The following 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.
Organic 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 the blood supply to 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 sexual intercourse. The contents of the vial are sprayed on the genitals, waiting 5-7 minutes until the substances penetrate the tissues. The procedure is repeated daily.
Folk recipes and supplements
Men over the age of 40 have had bed problems for centuries. Before the advent of drugs, people increased potency with the help of folk recipes, which are used successfully now:
- Musk tincture (beaver stream). 200 g of dry musk is poured a liter of vodka and infused for 30 days. Take one teaspoon three times a day.
- Deer horn tea. The cut horns are crushed with a knife. Take 2 teaspoons of 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 nutritional supplements.
They, like folk remedies, belong to alternative methods of treating impotence, but are no less effective than traditional medicines.
Nutritional supplements should be taken in courses.
Doctors prescribe supplements as a remedy for men suffering from:
- prostatitis of any origin and neglect;
- erectile dysfunction associated with various causes;
- short sexual intercourse;
- low libido;
- premature ejaculation;
- disorders of the genitourinary system;
- inability to reach orgasm or weak sensations during intimate contact.
vacuum treatment
An erection is provided due to the blood supply to the corpora cavernosa. An erection vacuum pump helps to improve blood flow to 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 using a pump. This creates a vacuum and increases blood flow.
hormone therapy
If erectile dysfunction is associated with decreased 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. The drugs can be taken, taken parenterally or in the form of subcutaneous implants.
Taking testosterone medications can cause prostate growth, swelling
Surgical intervention
Surgical treatment options are used when other treatments fail. Phalloprosthesis - implantation of a bioinert silicone prosthesis. The procedure is indicated for congenital anomalies, deformities after organ injuries, atherosclerosis, persistent metabolic disorders. The disadvantages of this method are the need for surgery, the risk of infection, in case of failure of the operation it is almost impossible to use other methods for the treatment of ED.
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 his back or on the simulator;
- circular movements of the pelvis;
- running on the spot
- "scissors"
Massage helps to relieve tension and improve blood circulation. Light strokes are arousing, they can be used as a foreplay.
Principles of nutrition
Proper nutrition helps to lose 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 in diseases of the cardiovascular system (Table № 10).
Power supply characteristics:
- they consume 2500-2600 kcal per day, the basis of the diet (60%) are animal proteins;
- limiting 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 all foods and beverages that excite the vascular and nervous systems.
Prevent potency problems after 40 years
There are several steps to prevent ED.
Most of them are aimed at changing lifestyles and improving overall health:
- regular exercise;
- maintaining a healthy weight;
- avoid stress whenever possible and learn to deal with it;
- abstinence from alcohol, smoking;
- regular sex life;
- undergoing routine medical examinations to detect heart and endocrine diseases.
In most cases, men over 40 can easily restore potency. To do this, at the first symptoms you should consult a doctor. The specialist will help to get rid of fears, strengthen self-confidence, because the key to a favorable prognosis for treatment is the belief that the problem will be overcome.