Male potency, the reasons for its deterioration, methods of recovery are constantly being investigated. Erectile dysfunction has long been considered a problem of 60-year-olds. 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 potency with power. As a result, the slightest hint 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 - the inability to achieve a firm erection;
- erection decline spontaneously or at the entrance to the vagina;
- insufficiency of genital reaction due to fear of failure;
- the onset of ejaculation to orgasm with a partner;
- sexual intercourse is protracted, a man cannot reach orgasm for a long time;
- decreased sexual desire;
- long recovery after ejaculation, inability to have more than one sexual 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 old, 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 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 physical inactivity, overweight, reduced muscle strength. Violation of the 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 enjoy sex.
Cardiovascular diseases
There is a strong link between erectile dysfunction and cardiovascular disease. 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 ED, restrict blood flow to the cavernous bodies of the penis.
Obesity
Excess body weight 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, blood vessels are damaged due to a large load. With excess weight, hypertension, hypercholesterolemia, and inflammatory processes that impede normal blood circulation are observed.
In men, abdominal fat converts testosterone to estrogen, causing a hormonal imbalance. Lack of testosterone leads to cavernous insufficiency, disruption of the erection mechanism.
Bad habits
Tobacco, alcohol damage blood vessels, limiting blood flow to the penis. Nicotine resins settle on the walls of the arteries, the risk of hyperlipidemia and arterial hypertension increases, and blood circulation worsens.
Ethanol, getting into the blood, "glues" platelets, leading to 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 the sexual one.
The first misfires in bed dramatically 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.
How does a doctor treat erectile dysfunction?
Treatment for 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 negatively affect sexual function. Taking medications 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, 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 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 man sees a doctor in a timely manner, he will avoid complications and improve potency.
Methods for the treatment of erectile dysfunction after 40 years
Impotence treatment involves different methods. Often an integrated approach is required, including, 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 an erection are prescribed. The action of drugs is based on relaxing the muscles of the penis and increasing blood flow in the cavernous bodies.
Instant medications include:
- preparations with the active substance Sildenafil;
- based on Avanafil;
- funds based on Tadalafil.
Means require compliance with the dosing regimen.
Ointments and sprays
Topical agents have a local effect and are considered safer than oral preparations. Some have a broader, others narrower pharmacological activity.
The following are considered effective:
- cream based on plant 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 the synthesis of testosterone, increases libido;
- increases the strength and duration of blood supply to 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 onto the genitals, wait 5-7 minutes for the substances to penetrate the tissues. The procedure is repeated daily.
Folk recipes and dietary supplements
Men over 40 have had problems in bed for centuries. Before the advent of medicines, people increased potency with the help of folk recipes that are successfully used now:
- Musk tincture (beaver stream). 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 crushed with a knife. Take 2 tsp. raw materials, pour a glass of boiling water, insist half an hour. Strained drink is divided into 3 parts and drunk 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 must be taken in courses.
Doctors prescribe dietary supplements as a remedy for men suffering 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 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 to 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 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. The drugs can be drunk, taken parenterally or in the form of subcutaneous implants.
Taking testosterone drugs can cause prostate growth, swelling
Surgical intervention
Surgical therapy options are used when other treatments fail. Phalloprosthetics - implantation of a bioinert silicone prosthesis. The procedure is indicated for congenital anomalies, 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 of treating ED.
Therapeutic gymnastics and massage
Exercise is important for maintaining vascular and muscle health. Regular moderate physical activity helps to increase potency. The most effective are:
- Kegel gymnastics - exercises aimed at activating the muscles of the pelvic floor;
- "bicycle" lying on the back or on the simulator;
- circular movements of the pelvis;
- running in place
- "scissors"
Massage helps to relieve tension and improve blood circulation. Light strokes excite, they can be used as a foreplay.
Nutrition principles
Proper nutrition helps to 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 features:
- 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, coffee are excluded from the diet.
It is necessary to exclude alcohol and in general any foods and drinks that excite the vascular and nervous systems.
Prevention of problems with potency in 40 years
There are several steps to help prevent ED.
Most of them are aimed at changing lifestyle and improving overall health:
- regular exercise;
- maintaining a healthy weight;
- avoid stress whenever possible and learn to cope with it;
- giving up 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 need to consult a doctor. The specialist will help get rid of fears, strengthen self-confidence, because the key to a favorable treatment prognosis is the belief that the problem will be overcome.