The potential of men, the cause of their decline, methods of recovery are constantly investigated. Erectile dysfunction has long been considered a problem for those over the age of 60. A study conducted in 1993 showed that half of men over the age of 40 experience a decline in potency. Improving an erection requires a set of actions aimed at identifying and eliminating the root cause of the problem in bed.
Potency in men at age 40: the first signs of impotence
Men always equate potential with power. As a result, the slightest sign of erectile dysfunction causes serious concern. A single error does not indicate erectile dysfunction.
Signs of erectile dysfunction in men after 40 years are:
- penile flexibility - the inability to achieve a strong erection;
- erections deteriorate spontaneously or at the entrance to the vagina;
- insufficiency of the genital response for fear of failure;
- the onset of ejaculation to orgasm with a partner;
- prolonged sexual intercourse, a man can not reach orgasm for a long time;
- decreased sexual desire;
- long recovery after ejaculation, inability to perform more than one sexual intercourse per night.
If a man has more than two signs, this indicates a decrease in potential.
The cause of the problem in bed
In the body of men over the age of 40, there are many physical changes that negatively affect erections. But the natural aging process is not the only cause of problems in bed. A proper definition of the factors that bind impotence will allow you to prescribe adequate treatment.
Inflammatory diseases of the genital area
Inflammatory diseases can be contagious or non -contagious. Infectious diseases are divided according to the type of pathogen into viruses, fungi and bacteria 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. This includes:
- non -infectious prostatitis;
- BPH;
- malignant and benign neoplasms in the organs of the genitourinary system (cancer of the prostate, penis, urethral polyps, etc. ).
The disease affects not only sexual function, but also the work of all organs of the genitourinary system.
Hypodynamics
Hypodynamia is a condition characterized by poor physical activity. It is also called the "disease of civilization". In people with less physical activity, overweight, muscle strength decreases. Violation of neuromuscular regulation leads to a deterioration in the contraction of all muscle fibers.
"Diseases of civilization" negatively affect the work of all organs. People have psycho-emotional disorders, decreased libido, men with this disease do not enjoy sex.
Heart disease
There is a strong link between erectile dysfunction and diseases of the cardiovascular system. Decreased potency is caused by diseases that affect blood vessels. These pathologies include atherosclerosis, hypertension, high cholesterol.
The disease, which accounts for about 70% of the physical causes of ED, restricts blood flow to the cavernous body of the penis.
Obesity
Being overweight is 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 desire and sexual desire.
With obesity, due to a large load, blood vessels are damaged. With overweight, hypertension, hypercholesterolemia, and inflammatory processes that impede normal blood circulation are observed.
In men, belly fat converts testosterone to estrogen, causing a hormonal imbalance. Lack of testosterone leads to cavernous insufficiency, disorders of erectile mechanisms.
Bad habits
Tobacco, alcohol damages blood vessels, limiting blood flow to the penis. Nicotine resin settles in the arterial walls, the risk of hyperlipidemia and arterial hypertension increases, and blood circulation becomes worse.
Ethanol, getting into the blood, "sticks" to platelets, leading to blockage of blood vessels. The resulting thrombosis affects 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. With constant nervous tension, the production of adrenaline and cortisol increases - hormones that, in high concentrations, negatively affect all body systems, including sexual ones.
The first offense in bed dramatically reduces a man’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 body worsens and, consequently, an erection.
How do doctors treat erectile dysfunction?
Treatment for ED depends on the underlying cause. Modern andrology offers a variety of therapeutic regimens and techniques. Their choice is determined by the andrologist, based on the acceptance of use for a particular patient.
Initially, the doctor must ensure that the man is undergoing therapy for a pathology that negatively causes or impairs sexual function. Medication intake is indicated for both psychogenic and physiological factors of ED disorders. Psychotherapy is used for psychogenic and neurogenic impotence. In severe cases, surgical treatment is prescribed.
Consequences of erectile dysfunction in men
Potential deterioration is caused by various pathological changes, and, as a rule, there are several of them. In the absence of therapeutic measures, a man suffers from mental disorders: depression, psychosis, nervous disorders.
By itself, impotence leads to impaired spermatogenesis, ejaculation and infertility. But the list of consequences that cause ED is much broader. Infectious and chronic pathology becomes chronic, hormonal disorders lead to dysfunction of most organs, pathology of the vascular system is life -threatening. But if a man sees a doctor on time, he will avoid complications and increase potency.
Methods for the treatment of erectile dysfunction after 40 years
The treatment of impotence involves different methods. Often, an integrated approach is needed, including, first and foremost, changes in lifestyle, daily routines, and dietary corrections. The goal of complex therapy is to eliminate the cause of erectile dysfunction and prevent complications.
Immediate medicine
In the absence of serious abnormalities, erectile-stimulating drugs are prescribed. The action of the drug is based on the relaxation of the muscles of the penis and increasing blood flow in the cavernous body.
Immediate medications include:
- preparations with the active ingredient Sildenafil;
- based on Avanafil;
- funds based on Tadalafil.
Means require adherence to a dosing regimen.
Ointments and sprays
Topical agents have a local effect and are considered safer than oral preparations. Some have broader pharmacological activity, others narrower.
The following are considered effective:
- plant oil -based creams;
- creams containing alprostadine;
- creams based on plant extracts;
- spray - a complex of plant extracts and aphrodisiacs.
Most creams and sprays are natural and available without a prescription.
Biological products in spray form, thanks to special dosage forms, provide a quick supply of biological substances that have the following effects:
- activate testosterone synthesis, increase libido;
- increase the strength and duration of blood filling of the cave body;
- improve the smooth muscle tone of the penis;
- improve the condition of blood vessels;
- eliminating the inflammatory process.
The spray is applied immediately before sexual intercourse. The contents of the vial are sprayed onto the genitals, wait 5-7 minutes for the material to penetrate the tissue. The procedure is repeated daily.
Folk recipes and supplements
Men over 40 have had problems in bed for centuries. Before the advent of medicines, people increased their potential with the help of folk recipes that are successfully used now:
- Musk -colored (beaver flow). 200 g of dried musk is poured with one liter of vodka and infused for 30 days. Take one teaspoon three times a day.
- The maral horn. The sliced horn is crushed with a knife. Take 2 tsp. raw materials, pour a glass of boiling water, insist half an hour. The filtered drink is divided into 3 portions and drunk during the day.
You can also use supplements.
They, like folk remedies, belong to the alternative methods of treating impotence, but are no less effective than traditional medicines.
Supplements must be taken in the course.
Doctors prescribe dietary supplements as a remedy for men who suffer from:
- prostatitis of any origin and neglect;
- erectile dysfunction associated with a variety of causes;
- short intercourse;
- low libido;
- premature ejaculation;
- violation of the function of the genitourinary system;
- inability to achieve orgasm or weak sensations during intercourse.
vacuum treatment
Erections are provided because of the blood filling of the cavernous body. Vacuum erection pumps help increase blood flow in the penile ducts. The device is a cylinder with a pump at the end. The penis is placed in a cylinder, and then the air in it 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 levels of androgens and luteinizing hormones. The drug can be taken orally, taken parenterally or in the form of subcutaneous implants.
Taking testosterone medications can cause prostate growth, swelling
Surgical intervention
The option of surgical therapy is used when other treatments fail. Phalloprosthetics - bioinert silicone prosthesis implantation. This procedure is indicated for congenital anomalies, defects after organ injury, atherosclerosis, persistent metabolic disorders. The disadvantage of the method is the need for surgical intervention, the risk of infection, in case of unsuccessful surgery, it is almost impossible to use other methods to treat 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 pelvic floor muscles;
- "bike" lying on the back or on the simulator;
- circular movements of the pelvis;
- walk in its place
- "scissors"
Massage helps relieve tension and smoothen blood circulation. Exciting light shot, it can be used as foreplay.
Principles of nutrition
Proper nutrition helps to lose 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 a day, the basis of the diet (60%) is animal protein;
- limit salt intake;
- preference is given to low-fat types of meat and fish, cereals, dairy products, boiled vegetables and fresh fruits;
- smoked meats, sausages, pickles and pickled vegetables, tea, coffee are excluded from the diet.
It is necessary to exclude alcohol and in general any foods and beverages that stimulate the vascular and nervous systems.
Problem prevention with potential in 40 years
There are several steps to help prevent ED.
Most are aimed at changing lifestyles and improving overall health:
- regular exercise;
- maintain a healthy weight;
- avoid stress when possible and learn to deal with it;
- quit alcohol, smoking;
- ordinary sex life;
- undergo 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 symptom, you need to consult a doctor. Specialists will help dispel fears, strengthen self -confidence, because the key to a favorable prognosis of treatment is the belief that the problem will be overcome.