Impotence

What is it?

Impotence called the lack of penile erection in men, leading to the impossibility of sexual intercourse. Often, it is certainly a pathological condition is accompanied by a lack of desire (libido) and sensation of orgasm, rapid ejaculation, which, of course, greatly reduces the quality (and quantity) of sexual activity and has a negative impact on the psycho-emotional status of men, interpersonal and family relationships.

For a long time the diagnosis of "impotence" put all without exception, men who complained about the doctor to reduce the duration and strength of erections. However, a large number of these patients maintained an erection, it just is not enough power to carry out normal sexual intercourse.

In addition, it was found that men with lower quality erections far more than its total absence. So now often runs term "erectile dysfunction", i.e. erectile dysfunction and impotence — Just an extreme degree of the violations.

A distinction is also secondary impotence, when the normal erection yet was before, andprimary— In those cases where a normal erection has never had. It is believed that sexual function decreases over time. In fact it is not. In the absence of disease causing erectile dysfunction, each man can be sexually qualitative and 50 and 60.

Why did this happen?

It used to be that the main causes of impotence are psychological problems or metabolic properties of sex hormones. However, it is now clear that although the psychological factor and contributes to the development of disease, but the main reason is the organic changes in the mechanism of erection. According to recent reports, among the main causes of impotence and erectile dysfunction distinguished:

• Mental: Depression and stress.
• Nerve: Injury, damage to the intervertebral discs, multiple sclerosis, alcohol abuse, pelvic surgery, etc.
• Arterial: Hypertension, smoking, and diabetes.
• Venous: Disturbances in the mechanism limiting the outflow of blood from the penis.
• Medicinal: Receiving pressure-reducing drugs, antidepressants, luteinizing hormone, some other drug.

What's going on?

The reasons are many, but the main culprits are the progressive reduction of the potency of atherosclerosis, diabetes, hypertension, tobacco and alcohol dependence. In these diseases, changes in the vessels of the body, resulting in the walls of arteries and veins lose their flexibility and elasticity, become brittle, which is one of the most common causes of impotence.

In the normal state, under the action of pulses of the central nervous system, there is a relaxation of penile vascular walls, resulting in blood quickly fills penis. Increasing in volume of the artery is squeezed smaller vessels that supply blood to the ground state is reset to the veins, blood flow is reduced dramatically, which ensures an erection.

However, the progression of atherosclerosis and, as a consequence, the deposition of cholesterol plaques on the walls of blood vessels, the use of drugs that lower blood pressure, diabetic vascular disease, alcohol abuse, stress load — all this, together and separately, reduces the ability of normal erection.

Diagnosis and treatment

Call more attention to their own health — not just empty words. According to statistics, only one in ten men when faced with sexual dysfunction, refers to a specialist. Meanwhile, more than half of the erection can be restored. Only need to properly understand the causes of the problem. And here without the advice of a specialist is not enough — well worth a visit andrology, who will your problem.

First of all, the doctor will find out do not hide if violations in the sexual sphere of inflammatory diseases of the prostate, bladder, etc. To answer this question, you can also send a urologist for consultation, followed by ultrasound, blood tests, as well as taking bacteriological smear.

If inflammatory diseases are identified, your doctor may refer you to adoctor-endocrinologist, because the potency disorders are often associated with hormonal disorders. Special analysis of steady blood levels of either hormone.

Vascular disorders that lead to impotence are identified with the help of modern research techniques — Doppler ultrasound, modern techniques make it possible to determine the quantity and quality of blood supply to the penis.

As for the choice of methods of treatment, the question depends entirely on what the cause of the disease. Many methods — from medication to surgery.

In place of aphrodisiacs come all known and widely publicized "Viagra". But it is not a panacea, as is commonly believed. The "Viagra" and has side effects, among which the most good-natured — a sudden change in color perception, where all around is dark blue. And here is a list of the more severe the consequences of "Viagra" include pain, headache, and facial flushing and, in some cases, worsening of heart disease, and that's not to mention the numerous forgeries of the tool. Because taking "Viagra" or any other pills without consulting a doctor — not.

It is possible that in the end will yield intracavernous injection, the selection of stimulants, or penile prosthesis.

As with any other sexual disorders will not be superfluous advice sexologist or psychotherapist. As times go Specialist for the treatment of impotence long search is not necessary, as there is already a sufficient number of specialized clinics.