Erectile dysfunction suggests a multifactorial psychosomatic syndrome that occurs in men of any age, characterized by typical symptoms of decreased quality of an erection that is necessary to satisfy sexual desire.
Impotence in men after the age of 50 can be an indicator of multiple organ dysfunction. Erectile dysfunction significantly reduces a man's quality of life.
Impotence means the inability to achieve a full and stable erection, the inability to maintain it and ensure a successful sexual intercourse. The concept of "disability" is considered obsolete, however, it continues to be used in everyday life to this day and does not lose its relevance.
In urological practice, the term "erectile dysfunction" is commonly used.
In men after 50 years, the frequency of reduction of activity reaches 25%. Complaints of erectile dysfunction peak in the sixth decade.
Causes of poor strength and disability in 50
Male power after 50 years weakens for many reasons. Accumulated health problems are felt not only by manifestations of diseases of the heart, blood vessels, gastrointestinal tract, joints, but also by problems in the functioning of the reproductive system.
The main causes of reduced power in men over 50 years are vascular pathologies, psychological disorders and diseases of the nervous system. In addition, in men over the age of 50, prostate adenoma is often considered the cause of erectile dysfunction.
According to international studies, there are many major causes of disability in older men:
- Vascular: atherosclerosis, hypertension, disturbance of fat metabolism (elevated cholesterol levels, low-density lipoprotein, high atherogenic index). These vascular factors lead to the abnormal function of the tunnels of the penis, narrowing of the arteries and veins that prevent the normal filling of blood, which prevents an erection. For normal strength in men, it is necessary to expand the veins of the corpora cavernosa, which is impossible with vascular pathology, which is determined by elevated blood pressure, atherosclerotic plaques in the abdominal aorta. Progressive varicose veins that affect the vessels of the small pelvis also lead to impotence in men over 50 years of age.
- Neurogenic: central and peripheral. The central ones include parkinsonism, multiple sclerosis, cerebral infarction, epilepsy. Peripherals include pathologies of the nervous system caused by other diseases, especially diabetes, alcoholism, polyneuropathy. These diseases lead to a gradual disruption of the nutrition of the tissues of the genital organs, degenerative processes in the nerve fibers.
- Urological: prostate adenoma, chronic prostatitis.
- Iatrogenic, due to the provision of medical care: damage to the nerves of the rectum, testicles, prostate, bladder during surgery.
- Traumatic: lesions of the pelvis, lesions of the genital arteries, urethra, spinal cord, fractures of the pelvic bones.
- Endocrine: obesity, insufficient or excessive thyroid function, type 1 and type 2 diabetes, pituitary pathologies, adrenal glands (Itsenko-Cushing syndrome).
- Medications: taking medications that lower blood pressure, restore heart rate, diuretics, antidepressants, antiallergics, sedatives, antiandrogens, certain hormonal factors (estrogens, analogs and antagonists of pituitary release hormones), antia.
- Anatomically, ie abnormalities or diseases of the penis: Peyronie's disease, sub and epipadia, penile fracture, severe curvature of the penis.
- Psychological: violation of sexual arousal due to two types of provocative factors. The generalized formula means a complete lack of libido, a violation of intimacy in a relationship. The occasional type suggests a strong stressful effect on a man's body, personal relationships with a partner. Occasional impotence, as a rule, is not a pathology and requires the solution of personal problems, after which erectile function is restored.
As a result of sexual arousal, a nerve impulse along the reflex arc ligaments of a healthy man leads to a stable erection. This process is based on the release of nitric oxide, the source of which are the cells of the inner lining of the blood vessels of the penis.
In order for an erection to occur and continue, the nerve impulse must reach the smooth muscle cells that make up the vessels of the penis. As a result, the nerve endings interact with the endothelium (the inner layer of blood vessels) and nitrogen monoxide is released.
Nitric oxide, in turn, activates an enzyme that promotes the release of calcium ions from cells. Smooth muscle cells relax and an erection occurs.
The full function of the reflex arc, which provides normal power, is possible only if the healthy state of its ligaments is maintained: nerves, blood vessels, endocrine glands.
The pathogenesis of power disturbances in men over 50 years of age is associated with a decrease in the release of nitric oxide from the cells of the penile vessels. As a result, the cascade of reactions that provide a full erection is interrupted.
Many organs and systems are involved in the process of creating normal power in a 50-year-old man. A series of diseases that an adult man in his sixties inevitably faces leads to the defeat of one of the reflex arc ligaments that provides power.
Almost every man experiences episodes of impotence by the age of 50, however, depending on the severity of the dysfunction of various organs and systems, erectile dysfunction can be occasional (temporary) or persistent.
Great
Persistent impotence in a 50-year-old man requires a systematic and comprehensive approach to treatment. A one-sided approach to the treatment of impotence leads to a temporary improvement of the condition.
Diagnosis of disability
Not all men turn to a urologist and sex therapist to solve power problems. As a rule, members of the stronger sex use folk remedies or independently buy popular remedies at a pharmacy to improve potency.
The complete diagnosis of impotence in men over 50 consists of the following steps:
- Ultrasound of the small pelvis, including transrectal ultrasound of the prostate, pharmacodynography of the vessels of the penis.
- visual test of erotic arousal.
- monitoring of penile enlargements, including nocturnal.
- palpation of the prostate through the rectum.
- speleography, sponge painting?
- CT and MRI;
- study of the endothelial functions of the penile vessels (coronary angiography with acetylcholine, study of the flow-dependent extension of the brachial artery in a sample with its stenosis, Doppler laser flowmetry, study of the peripheral artery tone).
- biochemical blood test, glucose tolerance test, evaluation of blood lipid spectrum.
- Ultrasound of the abdominal organs?
- blood test for hormones (male and female, thyroid and adrenal hormones).
- blood test for prostate specific antigen.
- studies of the heart and blood vessels (veloEKG, ultrasound).
An important point in diagnosing the main causes of impotence in men over 50 is the advice of a sexologist and psychologist. In addition, tests are widely used to determine the pathology of power, which are widely available on the Internet, for example, ICEF.
How to increase power after 50
The treatment of impotence in men after the age of 50 in the vast majority of cases is carried out by a conservative method, including drug therapy and the intervention of a psychologist.
First of all, for the success of the treatment of impotence in mature men, it is necessary to treat or restore as much as possible the pathologies of the heart and blood vessels, the endocrine system, the diseases of the liver, the kidneys, thebladder. and prostate.
Strength in men aged 50 years without chronic pathology of the internal organs can be corrected by popular means - phosphodiesterase inhibitors (PDE).
PDE inhibitors in male sexual pathology are the most effective and rapidly acting drugs. These include funds based on:
- vardenafil - the duration of the effect is 5-12 hours.
- sildenafil - duration of action 4 hours.
- tadalafil - duration of action 36 hours.
The drugs are used one hour (half an hour) before sexual intercourse. You should know that in order to form an erection while receiving the funds of this group, it is necessary to have a minimal arousal. The average dose is 50 mg, but can be reduced to 25 mg or increased to 100 mg at a time.
However, such drugs have a fairly wide range of side effects on the lungs and heart, as the drug acts not only on the endothelium of the vessels of the penis.
Increased potency in men after 50 with the help of PDE inhibitors is achieved by influencing the main mechanism of the pathogenesis of erectile dysfunction: increasing the concentration of nitric oxide. In addition to this group of agents, NO-synthase activators are used to increase nitric oxide content.
Many men worry about whether alcohol can be used to relax and increase the chances of a stable erection, how to increase strength after 50 with the help of drugs and whether they can be combined with alcohol.
If a man does not abuse alcohol, does not suffer from serious pathologies of the cardiovascular system, then the popular means of increasing strength can be taken together with alcohol.
In addition to PDE inhibitors, popular treatments for impotence include:
- Testosterone means. Restoration of strength in men after 50-60 years, when testosterone production is reduced by the testes, male sex hormone preparations can be used.
- Prostaglandins, which are injections given into the tissues of the penis. The means improve blood flow, normalize the filling of blood in the veins and arteries.
- Alpha-blockers, whose action is based on the expansion of the vessels of the penis and small pelvis.
The power can be increased in combination with folk remedies such as Eleftherococcus, Ginseng, Aralia, pumpkin seeds, nuts, celery, honey, ginger. In addition, dietary supplements are widely used.
As it is rather difficult to improve strength after 50 years in the presence of chronic diseases, the additional use of physiotherapy methods, especially acupuncture, electrophoresis is recommended.
Power can also be increased by mechanical means, in particular by using a vacuum pump for the penis.
Important for the treatment of impotence is the fight against obesity and alcohol addiction.
As you know, fat cells in a man's body are considered a source of female sex hormone, which upsets the hormonal balance, leading to prostate pathologies and sexual dysfunction. The source of natural estrogen is beer. A man over 50 should not drink beer no more than once a week.
It is necessary to lose weight gradually, losing no more than 5 kg per month. Moderate exercise and diet are recommended. Intense, spontaneous and abrupt exercises in the gym will not lead to the restoration of strength, but will only worsen the condition.
A dosing approach to dynamic loads, diet correction will allow you to overcome impotence without harming the body.