Erectile dysfunction implies a multifactorial psychosomatic syndrome that occurs in men of any age, characterized by typical symptoms of decreased erectile quality required to satisfy sexual desire.
Impotence in men after the age of 50 can be an indicator of dysfunction of many organs. Erectile dysfunction significantly reduces a man’s quality of life.
Impotence is understood as the inability to achieve a full and stable erection, the inability to maintain it and ensure successful sexual intercourse. The concept of "impotence" is considered obsolete, however, it continues to be used in everyday life to this day and has not lost its relevance.
In the practice of urology, it is customary to use the term "erectile dysfunction".
Among men after 50 years, the frequency of potential reduction reaches 25%. Complaints of erectile dysfunction peaked in the sixth decade.
Potential causes of weakness and impotence at the age of 50 years
The potential of men after 50 years becomes weak for many reasons. Accumulated health problems make themselves felt not only by the manifestations of diseases of the heart, blood vessels, gastrointestinal tract, joints, but also by problems in the functioning of the reproductive system.
The main causes of decreased potency in men over 50 are vascular pathology, psychological disorders and diseases of the nervous system. In addition, in men over the age of 50, prostate adenoma is often considered a cause of erectile dysfunction.
According to international studies, there are several major causes of impotence in older men:
- Vascular: atherosclerosis, arterial hypertension, impaired fat metabolism (increased cholesterol levels, low -density lipoprotein, high atherogenic index). These vascular factors lead to the pathological function of the sinus cave of the penis, narrowing is formed in the arteries and veins that prevent normal blood filling, which prevents erection. For normal potency in men, expansion of the veins of the cavernous body of the penis is required, which is impossible with vascular pathology, which is determined by the value of high blood pressure, atherosclerotic plaques in the abdominal aorta. Progressive varicose disease that affects the small pelvic canal also leads to impotence in men over 50 years of age.
- Neurogenic: central and peripheral. The middle ones include parkinsonism, multiple sclerosis, cerebral infarction, epilepsy. Peripherals include pathologies of the nervous system caused by other diseases, in particular, diabetes mellitus, alcoholism, polyneuropathy. These diseases lead to a gradual disruption of genital tissue trophism, a degenerative process in nerve fibers.
- Urology: prostate adenoma, chronic prostatitis.
- Iatrogenic, due to the preparation of medical treatment: damage to the nerves of the rectum, testicles, prostate, bladder during surgical intervention.
- Traumatic: pelvic injuries, damage to the genital arteries, urethra, spinal cord, pelvic fractures.
- Endocrine: obesity, insufficient or excessive thyroid function, type 1 and type 2 diabetes mellitus, pathology of the pituitary gland, adrenal glands (Itsenko-Cushing syndrome).
- Medications: taking drugs that reduce blood pressure, restore heart rhythm, diuretics, antidepressants, antiallergies, sedatives, antiandrogens, some hormonal agents (estrogens, analogs and antagonists of pituitary hormone-releasing hormones, antiandrogens).
- Anatomy, meaning anomalies or diseases of the penis: Peyronie's disease, hypo and epispadia, fractures of the penis, severe curvature of the penis.
- Psychology: violation of sexual arousal, caused by two types of provoking factors. The general type means a complete lack of libido, a violation of intimacy in a relationship. This type of situation implies a significant stress effect on a man’s body, a personal relationship with a partner. Situational impotence, as a rule, is not pathological and requires the solution of personal problems, after which erectile function is restored.
As a result of sexual stimulation, nerve impulses along the healthy male reflex arc link lead to a stable erection. This process is based on the release of nitric oxide, the source of which is the lining cells in the blood vessels of the penis.
In order for an erection to arise and continue, nerve impulses must reach the smooth muscle cells that make up the penile canal. As a result, nerve endings interact with the endothelium (the inner layer of blood vessels) and nitric oxide is released.
In contrast, nitric oxide activates enzymes that promote the release of calcium ions from cells. Smooth muscle cells relax and an erection occurs.
The full function of the reflex arc, which provides normal potential, is possible only if the healthy state of its links is preserved: nerves, blood vessels, endocrine glands.
The pathogenesis of potential disorders in men over 50 years of age is associated with decreased nitric oxide release by penile duct cells. As a result, the cascade of reactions that give a full erection is disrupted.
Many organs and systems are involved in the process of creating normal potential in 50 -year -old men. A number of unavoidable diseases of adult males in their sixties lead to the defeat of one of the links in the reflex arc that gives potential.
Almost every man experiences an episode of impotence at the age of 50, however, depending on the severity of dysfunction of various organs and systems, erectile dysfunction can be situational (temporary) or persistent.
important
Persistent impotence in 50 -year -old men requires a systematic and integrated treatment approach. A biased approach to the treatment of impotence leads to a temporary improvement in the condition.
Diagnosis of impotence
Not all men turn to urologists and sex therapists to solve problems with potency. As a rule, representatives of the stronger sex use folk remedies or independently buy popular drugs in pharmacies to increase potency.
The comprehensive diagnosis of impotence in men over the age of 50 consists of the following steps:
- Small pelvic ultrasound, including prostate transrectal ultrasound, penile duct pharmacodyopplerography;
- visual examination of erotic stimuli;
- monitoring of penile tumescences, including nocturnal ones;
- palpation of the prostate through the rectum;
- cavernosography, spongiosography;
- CT and MRI;
- studying the endothelium function of the penile canal (coronary angiography with acetylcholine, studying flow -dependent brachial artery expansion in samples with narrowing, laser Doppler flowmetry, studying peripheral artery tone);
- biochemical blood tests, glucose tolerance tests, blood lipid spectrum assessment;
- Ultrasound of the abdominal organs;
- blood tests for hormones (male and female sex, thyroid and adrenal hormones);
- blood tests for prostate -specific antigens;
- heart and blood vessel studies (veloEKG, ultrasound).
An important point in diagnosing the cause of impotence in men over 50 is the consultation of a sexologist and psychologist. In addition, tests are widely used to determine potential pathologies, which are widely available on the internet, for example, ICEF.
How to increase potency after 50
Treatment of impotence in men after 50 years in most cases is carried out by conservative methods, including drug therapy and the intervention of psychologists.
First of all, for the successful treatment of impotence in men of mature age, it is necessary to cure or restore as much as possible the pathology of the heart and blood vessels, endocrine system, diseases of the liver, kidneys, bladder. and the prostate gland.
Potential in men at the age of 50 years without chronic pathology of internal organs can be corrected by a popular means - phosphodiesterase inhibitors (PDEs).
PDE inhibitors in male sexual pathology are the most effective and fast -acting drugs. This includes funds based on:
- vardenafil - the duration of effect is 5-12 hours;
- sildenafil - duration of action 4 hours;
- tadalafil - duration of action 36 hours.
The drug is used an hour (half an hour) before sexual intercourse. You should know that for the formation of erections when taking funds of this group, it is necessary to have minimal excitation. The average dose is 50 mg, but can be reduced to 25 mg or increased to 100 mg at a time.
However, such drugs have a relatively wide range of side effects on the lungs and heart, as the drug acts not only on the endothelium of the penile duct.
Increased potency in men after 50 with the help of PDE inhibitors is achieved by influencing the main mechanism of pathogenesis of erectile dysfunction: increased nitric oxide concentration. In addition to this group of agents, NO-synthase activators are used to increase nitric oxide content.
Many men worry about whether alcohol can be used to relax and increase the chances of a stable erection, how to increase potency after 50 with the help of medications, and whether they can be combined with alcohol.
If a man does not abuse alcohol, does not suffer from severe pathology of the cardiovascular system, then a popular way to increase potency can be taken together with alcohol.
In addition to PDE inhibitors, popular treatments for impotence include:
- How to testosterone. Potential recovery in men after 50-60 years, when the production of testosterone by the testicles is reduced, male sex hormone preparations can be used.
- Prostaglandins, which are injections given into the tissues of the penis. Means increase blood flow, normalize blood filling in veins and arteries.
- Alpha blocker, an action based on the expansion of the penile ducts and small pelvis.
Potency can be increased in combination with folk remedies such as Eleutherococcus, Ginseng, Aralia, pumpkin seeds, nuts, celery, honey, ginger. In addition, dietary supplements are widely used.
Since it is quite difficult to increase potency after 50 years in the presence of chronic diseases, it is recommended to use additional physiotherapeutic methods, in particular, acupuncture, electrophoresis.
Potency can also be increased by mechanical means, in particular, using a vacuum pump for the penis.
Important in the treatment of impotence is the fight against obesity and alcohol addiction.
As you know, fat cells in the male body are considered a source of female sex hormones, which disrupt the hormonal balance, leading to prostate pathology and sexual dysfunction. The natural source of estrogen is beer. A man over the age of 50 should drink beer no more than once a week.
It is necessary to lose weight gradually, losing no more than 5 kg per month. Exercise and a moderate diet are recommended. Intense, spontaneous and abrupt workouts in the gym will not lead to potential recovery, but will only worsen the situation.
A dosing approach to dynamic load, dietary correction will allow you to beat impotence without harming the body.