Male potency, the reasons for its deterioration and methods of recovery are under constant study. Erectile dysfunction has long been considered a problem for 60-year-olds. Studies conducted in 1993 show that half of men over 40 experience a decrease in potency. Improving erection requires a number of measures 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 gives cause for serious concern. Single dropouts do not indicate erectile dysfunction.
Signs of worsening erection in men after 40 years are:
- flaccidity of the penis - the inability to achieve a firm erection;
- Erection drop spontaneously or at the entrance to the vagina;
- insufficiency of genital response due to fear of failure;
- the beginning of ejaculation to orgasm with a partner;
- sexual intercourse is protracted, a man cannot achieve orgasm for a long time;
- decreased sexual desire;
- long recovery after ejaculation, inability to have more than one 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 erection. But the natural aging process is not the only cause of problems in bed. The correct definition of the factors binding impotence allows you to prescribe an adequate treatment.
Inflammatory diseases of the genital area
Inflammatory diseases can be contagious or non-contagious. By the type of causative agent, infectious diseases are divided into viral, fungal and bacterial diseases and include the following pathologies:
- urethritis;
- infectious prostatitis;
- frequent sexually transmitted infections;
- prostatocystitis;
- balanoposthitis;
- vesiculitis;
- epididymitis.
- pyelonephritis.
Noncommunicable diseases occur without the involvement of pathogenic microorganisms. These include:
- non-infectious prostatitis;
- BPH;
- malignant and benign neoplasms in the organs of the genitourinary system (prostatic, penile, 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 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 connection 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 erectile tissue of the penis.
obesity
Obesity is both a psychogenic and a physiological factor in the development of sexual disorders in men. Overweight people have low self-esteem, they are more prone to depression and stress, which contributes to a decrease in sexual desire and desire.
With obesity, due to a large load, blood vessels are damaged. With obesity, hypertension, hypercholesterolemia and inflammatory processes that impede normal blood circulation are observed.
In men, belly fat converts testosterone to estrogen, leading to hormonal imbalance. Testosterone deficiency leads to cavernous insufficiency, disruption of the mechanism of erection.
Bad habits
Tobacco and alcohol damage blood vessels and restrict blood flow to the penis. Nicotine resins settle on the walls of arteries, the risk of hyperlipidemia and arterial hypertension increases, and blood circulation worsens.
Ethanol that gets into the blood "sticks" 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 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 breaks in bed dramatically reduce a man's self-esteem. Fear and insecurity contribute to the development of psychogenic impotence. Over time, the sensitivity of the cavernous tissues to neurotransmitters decreases, the blood filling of the cavernous bodies deteriorates 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 procedures and techniques. Their choice is determined by the andrologist based on acceptability of use for a particular patient.
First of all, the doctor must ensure that the man undergoes therapy for pathologies that cause or negatively affect sexual function. Medication 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
The deterioration of potency is caused by various pathological changes, of which, as a rule, there are several. In the absence of therapeutic measures, a man has mental disorders: depression, psychosis, nervous breakdowns.
Impotence alone leads to disturbed spermatogenesis, ejaculation and infertility. But the list of consequences that cause ED is much longer. 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 consults a doctor in time, he will avoid complications and improve potency.
Methods of treating erectile dysfunction after 40 years
The treatment of impotence includes various methods. A holistic approach is often required, initially involving lifestyle changes, daily routine and dietary correction. The purpose of complex therapy is to eliminate the causes of erectile dysfunction and prevent complications.
Instant Medication
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 ingredient sildenafil;
- based on avanafil;
- Means based on Tadalafil.
Means require compliance with the dosage regimen.
ointments and sprays
Topical agents act locally and are considered safer than oral preparations. Some have broader, others narrower pharmacological activity.
The following are considered effective:
- cream based on vegetable oils;
- cream with 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 quick supply of biological substances that have the following effects:
- activates the synthesis of testosterone, increases libido;
- increases the strength and duration of blood filling of 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 on 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, which are now successfully used:
- Musk tincture (Biberbach). 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. Cut 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 they are no less effective than traditional medicines.
Dietary supplements must be taken in courses.
Doctors prescribe dietary supplements as a remedy for men with:
- prostatitis of any origin and neglect;
- erectile dysfunction related to various causes;
- short sexual 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 the erectile tissue. 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 inserted into the cylinder and then the air inside is sucked out with a pump. This creates a vacuum and increases blood flow.
Hormone therapy
If erectile dysfunction is accompanied by 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 and swelling
Surgical intervention
Surgical therapy options are used when other treatments fail. Phalloprosthetics - implantation of a bio-inert silicone prosthesis. The procedure is indicated for congenital anomalies, malformations 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 unsuccessful surgery, it is almost impossible to use other methods of treating ED.
Remedial gymnastics and massage
Exercise is important for maintaining vascular and muscle health. Regular moderate physical activity will help increase potency. The most effective are:
- Kegel gymnastics - exercises to activate the pelvic floor muscles;
- "Bike" lying on your back or on the simulator;
- circular movements of the pelvis;
- run on the spot
- "Scissors"
Massage helps relieve tension and improve blood circulation. Light strokes excite, they can be used as foreplay.
nutritional 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, a diet makes sense in diseases of the cardiovascular system (Table No. 10).
Features:
- They consume 2500-2600 kcal per day, the basis of nutrition (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 meat, sausage, pickled and pickled vegetables, tea, coffee are excluded from the diet.
It is necessary to exclude alcohol and, in general, all foods and drinks that stimulate the vascular and nervous systems.
Prevention of potency problems in 40 years
There are several steps to prevent ED.
Most of them are aimed at making lifestyle changes and improving overall health:
- regular exercise;
- maintaining a healthy weight;
- Avoid stress whenever possible and learn to manage it.
- abstinence from alcohol, smoking;
- regular sex life;
- undergo routine medical examinations to detect cardiac and endocrine disorders.
In most cases, men over 40 can easily restore their potency. To do this, you need to see a doctor at the first symptoms. The specialist will help to reduce fears, increase self-confidence, because the key to a favorable prognosis for treatment is the belief that the problem will be overcome.