Erectile dysfunction (abbreviated ED, formerly impotence) is one of those conditions that is not usually talked about out loud. However, do not be ashamed of potency problems – they are in most cases reversible. The sooner a man receives medical advice and begins treatment, the sooner the positive effects will be noticeable.
An important role in restoring potency is played by a trusting relationship with a partner. Therefore, this article will also be useful for women whose partners have had difficulties in bed. In order to fully support your man, you need to have a good understanding of this delicate issue.
Top 5 main causes of erectile dysfunction
Erection problems are based on psychological or organic causes, which are often combined.
stress and psychological problems
The influence of the emotional factor on libido is often underestimated, as men are forced to hide experiences within themselves. The representatives of the stronger sex are still assigned the role of provider and protector, while society expects them to be steadfast in all of life’s hardships and does not accept men’s tears.
A long stay in the mode of increased psycho-emotional stress leads to exhaustion of the nervous system, which in itself does not favor intimacy. In addition, against the background of chronic stress, the biochemistry of internal processes changes: a large amount of cortisol is produced, which inhibits the production of testosterone.
It happens that short-term erection problems lead to an anxious expectation of new failures. If these are repeated, the erectile dysfunction intensifies and the fear of another fiasco comes full circle.
At the same time, acute stress that is not accompanied by severe shocks and losses can have a positive effect on potency. That’s probably why men subconsciously choose hobbies that involve risk and extreme sports. The feeling of victory serves as an additional strong incentive for sexual acts. Couples who are losing their attraction to each other are often recommended to go on an extreme vacation together.
The quality of an erection depends on the blood supply to the penis. In its structure there are cavernous bodies (corpora cavernosa), which at rest are less intensively supplied with blood. At the moment of excitement, blood rushes to them intensively through the dilated arteries, as a result of which the organ increases in size.
Venous permeability can be impaired, for example, by arteriosclerosis or thrombosis. The development of erectile dysfunction is also accompanied by arterial hypertension, coronary artery disease.
These include diabetes mellitus, which is at the interface of vascular and endocrine pathologies that affect potency.
Against the background of a decrease in testosterone production, problems with erection may occur. The production of the main male hormone begins to decrease naturally after the age of 30, but without accompanying factors is not critical.
In the male body there are also typically “female” hormones (estrogen, prolactin), albeit in small amounts. When they become more than normal, there is a decrease in libido and erectile dysfunction. The body takes on a more feminine shape as fat is deposited on the abdomen, sides, and thighs. In the most extreme cases, gynecomastia develops – an increase in the mammary glands.
Side effects of certain medications
Drugs that negatively affect potency include the following groups of drugs:
- Psychotropic drugs (neuroleptics, tranquilizers, sedatives);
- Medicines for high blood pressure (antihypertensives);
- hypoglycemic drugs – to reduce sugar;
- some antibacterial agents (sulfonamides, cephalosporins, etc.);
- Drugs based on anabolic steroids.
The use of anabolic steroids to build muscle mass initially causes an improvement in potency, because. The body receives additional doses of testosterone or its analogues from the outside and continues to produce its own hormones. Against the background of taking anabolic steroids, the production of your own testosterone decreases, after which there are difficulties with erection.
The desire to maintain potency for as long as possible is a good reason to give up addictions. Nicotine causes vasospasm, which prevents normal blood supply to the penis and the achievement of a stable erection.
The systematic consumption of alcohol also leads to sexual impotence. Alcohol disrupts the liver and metabolism and causes hormonal imbalances.
A sedentary lifestyle and malnutrition can also be attributed to bad habits that have a negative impactaffect libido.
Contrary to popular belief, the age factor is not the determining factor for the occurrence of erectile dysfunction. Problems with potency occur in both mature men and young people.
However, with age, as a rule, the number of chronic diseases increases.some diseases that in one way or another affect male sexual activity.
The principle of action of drugs for good potency
Drugs used to treat erectile dysfunction are referred to as potency regulators. The mechanism of action of such funds depends on the components included in the composition, which can be both synthetic and of vegetable origin.
Medicines that increase nitric oxide (NO) levels
Nitric oxide has a vasodilating effect, promotes oxygen saturation of the blood, prevents blood clots and reduces the effects of stress hormones. These drugs work in two ways:
- They slow down (inhibit) the action of the PDE5 enzyme, with the participation of which the erection stops. These include products based on Sildenafil, Tadalafil, Vardenafil, Udenafil. PDE5 inhibitors serve as the first-line drugs in the treatment of ED.
- Activate NO synthase – an enzyme involved in the formation of nitric oxide. An example is the homeopathic preparation Impaza.
Alpha blockers are better known as blood pressure lowering drugs. In urology, they are used as adjuvants in the treatment of prostatitis and other diseases of the urogenital area.
They relieve inflammation of the prostate, normalize the process of urination, cause dilation of the iliac arteries and improve blood circulation. All this contributes to the restoration of potency.
Representatives of drugs in this group are yohimbine (a herbal remedy), phentolamine.
Prostaglandin E1 Analogues
An example of such agents is the drug alprostadil. It has a relaxing effect on the smooth muscles of the cavernous bodies, promotes better blood circulation and stimulates the microcirculation.
The drug is applied topically in the form of injections into the erectile tissue of the penis (intracavernous) or by placing a solution in the urethra (intraurethral).
Preparations of this group provide smooth muscle relaxation and improve blood supply to the penis. An example is papaverine, which is used intracavernously.
Testosterone supplements (androgens)
Androgens are used as hormone replacement therapy when the body produces low levels of testosterone. Methods of administering drugs vary – orally in tablets, by injection, or topically. For example, Androgel gel is applied to the skin of the shoulders and/or abdomen.
Sexual enhancers of complex composition are preparations and dietary supplements of plant and animal origin. The components of such funds have a different effect: strengthening, tonic and stimulating. The drugs and dietary supplements of this group are characterized by proandrogenic activity, i.e. the ability to influence the production of their own sex hormones.