Erection problems

By this evening, they both long in the making. After a lovely dinner in the restaurant, he proposed to call on him, and she shyly agreed. Then there was soft music, candles, a soft rustling of clothes falling off. And then he felt that he did not succeed, and he can only watch an apologetic look on his lover clearly did not expect such an outcome...

Puberty in modern boys usually completed in 15-18 years. ed-pillsss.com And from this age begins to excite their issues relevant to men of all ages - the problem of erectile dysfunction. There is no experienced men, who once would not have been such a failure. Some refer to this calm, for every other similar case becomes a cause severe and prolonged depression. But few men know the reason why this unfortunate event happened to them.

A bit of theory

But before we start talking about the problem of erectile dysfunction, it is necessary a little brush up on the structure of the penis, as well as the current understanding of how it functions.

Male penis consists of two cavernous and a spongy body. Cavernous body shaped like a spindle and arranged next to each other, and the spongy body, which passes into the head of the penis under them. The bodies of the penis are not related by blood vessels. Each body has its artery through which blood is delivered to him, and his veins that this blood flows away from it.

The bodies of the penis in their structure resembles a sponge. They contain a lot of small gaps, or in Latin cavities. It is this feature of their structure and makes possible the erection phenomenon. Contrary to popular belief, there are no muscles in the penis.

When sexually aroused men in the penis following happens. The arteries that bring blood to the cavernous and spongy bodies, expand, and the veins that carry blood flowing, sharply narrowed. As a result, in the bodies of the penis, or rather, in their lacunae, accumulates a significant amount of blood, each gap tense, and there is an erection. This state of the vessels retained throughout erection. At this time all of the penis tissues except the skin, they do not get the blood supply and are in a state of ischemia. At very lengthy sexual acts over time this can lead to certain problems, which we will in due time

Causes of Erectile Dysfunction

Failures in the sexual life of the man often called impotence. However, this is not entirely true. Impotence doctors consider a condition in which a man under any circumstances be able to commit a sexual act, which, fortunately, does not occur very often. A coincidence or recurring problems with erectile dysfunction should be called erectile dysfunction.

Erectile dysfunction can be caused by several kinds of reasons - endocrine, medication, local, neurological and vascular. All this refers to the form of organic erectile dysfunction when it is caused by some change or disorder in the organism. Much more common form of psychological erectile dysfunction, in which the normal sexual life interfere with neuropsychiatric features exclusively male. In addition, almost always problems with erectile dysfunction caused by organic causes, added a psychological component, which, after elimination of the root causes can come out on top.

Endocrine causes of erectile dysfunction

Endocrine causes of erectile dysfunction include primarily hypogonadism - a lack of function of sexual glands and low production of the male hormone testosterone. In addition to erectile problems in this state the man sees increase in voice frequency, the cessation of hair growth on the face and body, the deposition of fat in the breasts, hips, buttocks. As a rule, these changes occur in severe violations of the hormonal system of the human body, and in these cases always need help with an endocrinologist. Fortunately, these diseases are relatively rare.

Other endocrinological cause erectile problems may be pituitary tumor - one of the most important endocrine glands of the human body, which is in the brain. If such tumor secretes a hormone called prolactin, no other changes in the body, except for persistent erectile dysfunction, will not be marked. In this case, the diagnosis is necessary not only to investigate the hormonal status of the person, but also to perform cerebral computer tomography.

Medication causes of erectile dysfunction

There are several types of drugs that may have an adverse effect on the erectile function of male body. Hormonal drugs that block the action of male sex hormones (so-called anti-androgens), as well as preparations female sex hormones cause serious problems with erection due to a violation of all the hormonal mechanism of its occurrence. These drugs are usually prescribed only for severe diseases, the most common of which is prostate cancer. In this case, doctors are guided by the principle of * not * to fat when it is first necessary to prolong as much as possible and to facilitate the life of the patient.

However, I personally know of cases where the action of a powerful anti-androgens (differently even called castration drugs, I believe, it is clear why) a * good * doctor prescribed to patients with benign prostatic hyperplasia (more commonly known as an adenoma). Needless to say, helping them smoothly, but all the men in terror realize that longer established themselves not feel. Fortunately, erectile function was restored quickly after discontinuation of the drug.

Other medical preparations influencing erections are all substances with a depressing effect on the cerebral cortex. This is mainly alcohol and narcotic drugs that besides effects on the brain cause cachexia organism that does not contribute to any erectile function in particular audio reproduction in general. In such cases, for the restoration of normal erection requires not only the full removal of the drug, but properly conducted rekonvolestsentsii period.

In addition, there are certain drugs, according to the pharmacological classification relating to a variety of groups that have the ability to block the peripheral nerve endings responsible for the occurrence of an erection. Who knows, for example, antihistamines, the most famous representative of which is diphenhydramine, for this reason should not take more than 10 days? If the question of a normal erection is not indifferent to you, then you in the appointment of any medication ask your doctor if it does not cause such violations.

Local causes of erectile dysfunction

They are different in origin factors, but they all lead to sclerosis of the corpora cavernosa. In this thin stretch fabric cavernous bodies partially or completely replaced by a rough solid connective tissue, unable to achieve an erection. To this can cause trauma of the penis, multiple injections into the penis transferred priapism (painful prolonged not passing and not associated with sexual arousal erection). By sclerosis cavernous tissue may also cause frequent practice of tightened sexual acts in which a man, in order to bring his beloved the greatest pleasure in every way possible delays ejaculation and sexual intercourse lasts longer than 4 hours. This practice can not be called useful from various points of view, including its effects on the penis tissues can not be called positive.

Sclerotherapy of cavernous tissue - very bad prognostic sign for erectile dysfunction. If the fact sclerosis diagnostically proven to help only operations falloprotezirovanie can such a patient.

Neurological causes of erectile dysfunction

Neurological causes of erectile dysfunction may be related diseases such as epilepsy, Parkinson's disease, multiple sclerosis, brain and spinal cord injuries, pelvis and perineum, the various operations in these areas. As a rule, other manifestations of the disease are so heavy and severe that erection problems extend even further than the second place. However, severe disturbance of erectile function after surgery or trauma is often a serious problem. Unfortunately, and here the possibilities of modern medicine are left much to be desired, and rarely able to help these patients other than penile prosthesis implantation.

Vascular causes of erectile dysfunction

This is one of the most common causes of groups. As we have said, during a normal erection to the penis increases sharply inflow of arterial blood, and the blood flow through the veins almost completely blocked. Hence, there are two main types of vascular disorders in erectile dysfunction - insufficient arterial inflow and excessive discharge of blood through the veins of the penis. In the first case, an erection occurs long, hard, rarely very high quality, and often the penis is in a kind of intermediate position between the state of calm and excitement. In case of violation of venous block on the contrary, the excitation of the penis occurs quickly, the erection can be very good, but very quickly passes, not allowing complete, and sometimes even to begin sexual intercourse.

These disorders can develop in diseases such as endarteritis, atherosclerosis of the aorta and large arteries, aortic aneurysm, varicose veins, as a result of various injuries the pelvic area and the perineum. Unfortunately, the causes of violations of the vascular mechanism of erection on the not so well understood today that it was possible in each case to identify the root cause of confidence that caused the violation of erectile function.

Special mention should be problems with erectile dysfunction with hypertension and diabetes. Erectile dysfunction in them can be associated with different groups of causes - neurological, vascular, local and medication. This makes the treatment of erectile problems in these diseases is extremely difficult.

Psychological causes of erection problems

However, despite the large number of diseases and conditions that can lead to erectile dysfunction, most often erectile dysfunction is due to the peculiarities of the psyche man. And if we take into account the fact that any violation of organic erectile function necessarily piling psychological component, then it becomes clear how important are the psychological causes of erectile dysfunction among all other causes.

Erection in men can appear quickly disappear or be of poor quality, if he has depression, prolonged stress (by the way, did you know that stress - it is a very useful condition for the body, which is training for an athlete to bolster the work of all vital functions the body, and brings harm only prolonged stress?), fatigue, general malaise, discontent with self, partner, a situation in conflict with a partner, inconsistency sexual habits and requirements of partners, fear of the possibility of pregnancy or infection disease, sexually transmitted, most commonly AIDS. An erection can not occur if sex is in some not provide a sense of calm and security situation (the rear seat of the car, his parents' home, unlocked cabinet in the office, elevator).

By the psychological form of erectile dysfunction include such a version thereof, as the impossibility of acting in the constant success of sexual intercourse with a partner with other (so-called selective erectile dysfunction). Older men often complain about the lack or poor quality of erection during sex with his wife, whereas with mistresses erectile problems do not arise. However, I have met and the opposite case, when a man is very worried that the erection occurs only in the marital bed, and on the other partner, he invariably suffered fiasco.

Another option for erectile dysfunction caused by the peculiarities of the psyche man, the so-called syndrome of the first meeting. In this case, men have problems with erection only when the first proximity with a partner, and all is well with all the other meetings. It is worth to highlight the first sexual intercourse men, in which often the excitement is so great that by the time of sexual intercourse body gets tired of it and the erection disappears. For many young men at the failure of the first sexual intercourse (especially if the partner's behavior in this case was not quite correct) it becomes big psychological blow, and may subsequently cause great difficulties and problems in this sphere of life.

Dwell more on this form of psychological erectile dysfunction is the inability to having sexual intercourse with a condom. The policy of many pharmaceutical companies, solidly backed by the influence of the media, leads many young people to the firm conviction that sex without a condom is completely unacceptable. Meanwhile, a number of psychological reasons, putting a condom on the penis for men is a certain stress, which is often quite compatible with a normal erection. As a rule, the replacement of a condom other contraceptive method solves this problem.

Finally, at the labile psyche of men can be a situation in which a random failure in the commission of sexual intercourse is a very strong emotion during the next intimacy with a partner that leads to erectile dysfunction and this time. Accumulating from time to time, the belief in man's own inadequacy can make it an absolute impotent even in his early years. A similar condition can develop after the disease, which has had an impact on erection when an organic cause dysfunction resolved, but problems with erection remained unchanged.

In most cases, to distinguish between the psychological form of erectile dysfunction from organic not difficult. Besides these cases, lack of erection in some situations, while retaining it in others, most often in the form of psychological erectile dysfunction remains an erection during masturbation and the so-called phenomenon of nocturnal penile swelling, or morning erections. Causes of morning erection is still unclear. Some experts argue that it is connected with the action on the prostate with bladder filling, the other - with erotic dreams, which are supposedly compulsory regular visits to each of us. However, both of these points of view do not stand up to scrutiny - morning erection often occurs after awakening and can not be called dreams, and, according to the first point of view, the erection should occur at every filling of the bladder, which, to put it mildly, incorrect.

Let's talk about the treatment

The reluctance of men to see a doctor about erectile dysfunction is a major problem for doctors around the world, but it is particularly relevant in our country, where the broad masses are not taken with personal problems to address to doctors. And, frankly, you can imagine how will look at ordinary district hospital on the man, who at the end of the working day will complain tired aunt therapist on their failures on the personal front. In addition, the mentality of men in terms of its sexual characteristics are extremely vulnerable, and the expression * problems * in your personal life often becomes * * personal problems, ie problems that anyone can not share. Meanwhile, modern medicine has a very large arsenal of tools needed to help these patients.

In principle, any measure aimed at improving and normalization of all body functions, can be seen as a means of recovery of erectile function. Therefore, physical therapy is often used in combination with other therapeutic measures, hyperbaric oxygen therapy, magnetic and laser therapy.

Unfortunately, the organic forms of erectile dysfunction is very often the doctor is not able to completely rid a man of the underlying disease, which led to problems with erection. In such cases, symptomatic treatment, that is treatment, which aims only to restore the ability of men to a normal erection. To this end, a number of methods. Let's talk about each of them separately.

Local negative pressure therapy

The essence of this method is quite simple. Before intercourse the man puts his penis in a special tank, pressing it tightly to the body, in which a pump creates a negative pressure. Under its influence the penis arteries dilate, and an erection. Before you remove the penis from the reservoir at its base is put on a special harness, blocking the venous outflow of blood from the corpora cavernosa. As a result, to achieve an erection sufficient for fulfillment of at least one sexual intercourse.

This technique makes it different low cost, full painless and safe, but to its disadvantage is some inconvenience to use, and relatively low quality of erection, which is achieved by the use of the method.

Intracavernous administration of drugs

This is the first way of artificial achieve an erection, it is used since 1975. The method consists in the fact that the proximity to the man injects a vasodilator drug in the corpus cavernosum of the penis. The result is a high quality and long lasting erection. Selection of the drug must be strictly individual, and its application must be made not more than 1 time per week.

The disadvantages of this method are, firstly, the inconvenience to use, because the forces will commit to its own injection into the penis is not enough for every man, and secondly, a relatively large number of complications. The first drugs in this group are often called priapism development - persistent painful erection not associated with sexual arousal. A too frequent injections in cavernous tissue may cause its sclerosis. However, modern drugs, if strictly follow all instructions of the physician, are safe enough to use.