Male potency, the reasons for its deterioration, methods of recovery are constantly being studied. Erectile dysfunction has long been considered a problem in the 60s. Studies conducted in 1993 show that half of men over 40 experience a decrease in potency. Improving erection requires a series of actions aimed at identifying and eliminating the cause of the problems in bed.
Potency in men at 40: the first signs of impotence
Men have always equated power with power. As a result, the slightest hint of a decrease in erection causes serious concern. Single ignitions do not indicate erectile dysfunction.
The signs of deterioration of erection in men after 40 years are:
- flaccidity of the penis - inability to achieve a firm erection;
- erection decreases spontaneously or at the entrance to the vagina;
- insufficiency of the genital reaction due to fear of failure;
- the onset of ejaculation to orgasm with a partner;
- sexual intercourse is prolonged, a man cannot 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, there are many physical changes that negatively affect erections. But the natural aging process isn't the only cause of problems in bed. Correct definition of the factors that bind impotence will allow 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.
Non-communicable 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.
Hypodynamy
Hypodynamy is a condition characterized by low physical activity. It is also called the "disease of civilization". In people with physical inactivity, overweight, reduced muscle strength. Violation of 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 like sex.
Cardiovascular disease
There is a strong link between erectile dysfunction and diseases of the cardiovascular system. 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 corpora cavernosa of the penis.
Obesity
Overweight 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, due to a large load, the blood vessels are damaged. With excess weight, hypertension, hypercholesterolemia and inflammatory processes are observed that impede normal blood circulation.
In men, abdominal fat converts testosterone to estrogen, causing hormonal imbalance. Lack of testosterone leads to cavernous insufficiency, disruption of the erection mechanism.
Bad habits
Tobacco and alcohol damage blood vessels, restricting blood flow to the penis. Nicotine resins are deposited on the walls of the arteries, increases the risk of hyperlipidemia and arterial hypertension and worsens blood circulation.
Ethanol, getting into the blood, "sticks" to the platelets, leading to blockage of the blood vessels. The resulting thrombosis alters 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 which, at high concentrations, negatively affect all body systems, including the sexual one.
The first starts in bed drastically reduce men'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 bodies worsens and, as a result, 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 physician must ensure that the man is undergoing therapy for conditions that cause or adversely affect sexual function. Medication is indicated for both the 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
The deterioration of potency is caused by various pathological changes and, as a rule, there are a lot of them. In the absence of therapeutic measures, a man has mental disorders: depression, psychosis, nervous breakdown.
By itself, impotence leads to impaired spermatogenesis, ejaculation and infertility. But the list of consequences that ED cause is much broader. 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 several methods. Often an integrated approach is needed, which includes, first of all, a change in lifestyle, daily routine and diet correction. The purpose of complex therapy is to eliminate the causes of erectile dysfunction and prevent complications.
Instant medications
In the absence of serious deviations, drugs that stimulate an erection are prescribed. The action of the drugs is based on the relaxation of the muscles of the penis and the increase of blood flow in the corpora cavernosa.
Instant medications include:
- preparations with the active ingredient Sildenafil;
- based on Avanafil;
- funds based on Tadalafil.
Means require compliance with the dosage regimen.
Ointments and sprays
Topical agents have a local effect and are considered safer than oral preparations. Some have a broader pharmacological activity, others narrower.
They are considered effective:
- vegetable oil-based cream;
- 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.
An organic product in the form of a spray, thanks to a special dosage form, provides a quick supply of biological substances that have the following effect:
- activates testosterone synthesis, increases libido;
- increases the strength and duration of blood filling of the cavernous bodies;
- increases the tone of the smooth muscle 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, wait 5-7 minutes for the substances to penetrate the tissues. The procedure is repeated every day.
Folk recipes and food 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 now successfully used:
- Moss tincture (beaver stream). 200 g of dry moss is poured with a liter of vodka and infused for 30 days. Take a teaspoon three times a day.
- Maral horns tea. Sliced horns are 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 parts and drunk throughout the day.
You can also use food supplements.
They, like folk remedies, belong to alternative methods of treating impotence, but they are no less effective than traditional medicines.
Food supplements must be taken during the courses.
Doctors prescribe dietary supplements as a remedy for men suffering from:
- prostatitis of any origin and abandonment;
- erectile dysfunction associated with various causes;
- short relationships;
- low libido;
- premature ejaculation;
- violations of the functioning of the genitourinary system;
- inability to 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 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 in 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. Drugs can be drunk, injected or in the form of subcutaneous implants.
Taking testosterone-based drugs can cause prostate growth, swelling
Surgical intervention
Surgical therapy options are used when other treatments fail. Phalloprosthesis - implantation of a bioinert silicone prosthesis. The procedure is indicated for congenital anomalies, deformity after organ injury, atherosclerosis, persistent metabolic disorders. The disadvantages of the method are the need for surgery, the risk of infection, in the event 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 increase potency. The most effective are:
- Kegel gymnastics - exercises aimed at activating the pelvic floor muscles;
- "bicycle" lying on the back or on the simulator;
- circular movements of the pelvis;
- running in place
- "scissors"
The massage helps relieve tension and improve blood circulation. Light strokes excite, can be used as foreplay.
Nutritional principles
Proper nutrition helps reduce weight, restore hormonal balance and improve general well-being. Since the pathogenesis of erectile dysfunction is based on circulatory disorders of 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%) are animal proteins;
- limit salt intake;
- preference is given to lean varieties of meat and fish, cereals, dairy products, boiled vegetables and fresh fruits;
- smoked meats, sausages, pickles and pickles, tea, coffee are excluded from the diet.
It is necessary to exclude alcohol and in general all foods and drinks that excite the vascular and nervous system.
Prevention of problems with potency in 40 years
There are several steps to help prevent erectile dysfunction.
Most of them aim to change lifestyle and improve overall health:
- regular exercise;
- maintaining a healthy weight;
- avoid stress whenever possible and learn to deal with it;
- give up alcohol, smoke;
- regular 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 symptoms, you need to consult a doctor. The specialist will help get rid of fears, strengthen self-confidence, because the key to a favorable prognosis of treatment is the belief that the problem will be overcome.