Male impotence: what it is, types and ways to combat it
What is impotence?
In terminology it can be called differently, but as a rule, it is sexual dysfunction in the form of impaired potency. Most often such cases occur among young men.
There is such a term as erectile dysfunction — this is a diagnosis that is made when a man has inadequate or absent erections for three months. In fact, in addition to this, there may be temporary violations of potency associated primarily with psychological factors. For example, a man got nervous, got stressed because of work or had a fight with a woman. Therefore, he may have a problem at a certain point.
Types of erectile dysfunction and their causes.
Types of erectile dysfunction and their causes.Erectile dysfunction is divided into organic and inorganic.
Organic include erectile dysfunction formed as a result of circulatory disorders. There may also be a violation of innervation, resulting from any injury, such as spinal cord, which provides innervation of the genitals. Further — when there are disorders as a result of any somatic diseases that provoke the lesion of the penis itself. This can be Peyronie’s disease, that is, the curvature of the penis.
Inorganic erectile dysfunction is a psychogenic factor. That is, there are a variety of mental disorders in men. For example, anxiety, depression, impaired sense of self-sufficiency, low self-esteem, inability to control his emotions, various stress factors. These can all lead to psychological problems and cause potency disorders. They are usually temporary, and it is possible to solve them with the help of psychotherapy and appropriate psychotic drugs.
Most often, erectile dysfunction as a diagnosis occurs in men after the age of forty. And this can be the first caller, when a man looks somatically healthy, supposedly nothing bothers him, but some vascular problems have already begun. The risk groups are inveterate smokers, in which the inner membranes of all vessels are very damaged, and people with diabetes mellitus. Therefore, a forty-year-old man who has erectile dysfunction for the first time should definitely be referred for further examination to a cardiologist. Because then a year or two later some kind of cardiovascular catastrophe in the form of a heart attack or stroke may occur.
What kind of doctor to go to for impotence.
Impotence problems can originate both through biological and psychological problems. So, which doctor — a psychologist or a urologist — should you consult in the first place?
What doctor to go to in case of impotence.It is necessary to take into account the age of the man. If he is young, up to forty years old, as a rule, he should consult a psychotherapist first of all to sort out the psychological factors. If any abnormalities are excluded, but there were some diseases of the male genital system — inflammation of the testicles, cryptorchidism, etc. — then it is worth seeing a urologist.
How often do patients under forty come to you?
Recently there have been significantly more young patients than men in their forties. And that’s impressive!
What has caused this change?
The reason is that young people, young men abuse to watch pornographic movies, sites that now have unlimited access to all these resources. By profession, they tend to be IT people, programmers, they sit in one place for 10–12 hours and they are not used to active recreation.
The effect on potency of an active lifestyle.
So active or inactive lifestyle affects potency?
Of course, activity is very important. If you live a sedentary life, blood stagnates in the pelvis. Accordingly, if there is stagnation, then all the functions are impaired.
Recommendations for young men who suffer from male impotence.
I recommend young people to start leading a physically active life, to rest. Nowadays young people often don’t even look for a partner and think that it is quite normal and they are fine with that. We have to explain to them that when a man is thirty years old and he is not married, he has not even tried to build a relationship, it is not good.
Have you ever had patients who were sexually active and had multiple partners, but they had problems with potency?
It has happened. Such men can also have some complications related to hyperfunction. That is, when a young man begins an active sexual life when his body is not fully sexually mature, for example, at the age of sixteen, this can also have consequences in the form of chronic prostatitis or any other STIs. The recommended age to start having sex is eighteen or twenty.
But guys start having erections around the age of fifteen. How do they be until eighteen?
To do that, in every young man, there is a mechanism inherent in nature called “pollution.” It is the involuntary eruption of sperm during erotic dreams. However, there are those to whom this is not enough, so they start masturbating. You have to be careful not to abuse this, because it can also cause problems.
Innovative ways to heal impotence. Drugs or folk methods?
Okay, back to impotence. On the treatment of this disease. Do you recommend patients use medications or folk methods? Maybe some innovative treatments?
Innovative ways of treating impotence.In order to treat properly, you first need to properly diagnose. It is mandatory to distinguish a psychological factor from an organic one.
The methods are varied. I am quite experienced in terms of conservative treatment, as I worked for many years at the spa, and studied physiotherapy methods, without which the treatment of impotence is almost impossible. Medication helps to some extent, but not one hundred percent and not for a long period. That’s why I think that you need to combine physiotherapy methods with medications, folk or phytotherapy.
As I know, the most common medication among older men is Viagra. Does it really help or is it more harmful to the body?
Here we need an individual approach. It depends on age, contraindications, problems with the vascular system and so on. It has been found that “Viagra” has a significant side effect — the stealing syndrome. As a consequence, there can be a disruption of cardiac circulation. A man can simply get a heart attack while satisfying a woman. So it is still too early for men at the age of 40–45 years to stimulate these processes with such a remedy.
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