Male power, the reasons for its deterioration, the methods of rehabilitation are constantly being investigated. Erectile dysfunction has long been considered a problem for 60-year-olds. Studies conducted in 1993 show that half of men over 40 show a decrease in activity. Improving an erection requires a set of actions aimed at identifying and eliminating the cause of the problems in bed.
Strength in men in their 40s: the first signs of impotence
Men have always equated power with power. As a result, the slightest sign of erectile dysfunction is a cause for serious concern. Individual breaks do not indicate erectile dysfunction.
Signs of worsening erection in men after 40 years are:
- penile looseness - the inability to achieve a stable erection.
- reduction of erection spontaneously or at the entrance to the vagina.
- insufficiency of the response of the genitals due to fear of failure.
- the onset of ejaculation in orgasm with a partner.
- sexual intercourse is prolonged, a man can not reach orgasm for a long time.
- decreased sexual desire.
- long recovery after ejaculation, inability to have more than one sexual intercourse per night.
If a man has more than two signs, this indicates a decrease in strength.
Causes of bed problems
In the body of men over 40, there are many physical changes that negatively affect erections. But the natural aging process is not the only cause of problems in bed. Properly defining the factors that bind impotence will allow you to prescribe adequate treatment.
Inflammatory diseases of the genital area
Inflammatory diseases can be infectious or non-infectious. Infectious diseases are divided according to the type of pathogen into viral, fungal and bacterial and include the following pathologies:
- urethritis;
- infectious prostatitis;
- common sexually transmitted infections.
- prostatocystitis?
- balanoposthitis?
- cystitis?
- epidymitis.
- pyelonephritis.
Non-communicable diseases occur without the involvement of pathogenic microorganisms. These include:
- non-infectious prostatitis.
- BPH;
- malignant and benign neoplasms of the organs of the urogenital system (cancer of the prostate, penis, urethral polyps, etc. ).
Diseases affect not only sexual function, but also the work of all organs of the urogenital system.
Weakness
Hypotension 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 worsening of 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 link between erectile dysfunction and cardiovascular disease. The decrease in strength 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 natural causes of SD, restrict blood flow to the cavernous bodies of the penis.
Portliness
Being overweight is both a psychogenic and a physiological factor in the development of sexual disorders in men. Obese people have low self-esteem, are more prone to depression, stress, which helps reduce sexual desire and desire.
With obesity, due to a large load, the blood vessels are destroyed. With overweight, hypertension, hypercholesterolemia and inflammatory processes are observed that impede normal blood circulation.
In men, belly fat converts testosterone to estrogen, causing hormonal imbalance. Lack of testosterone leads to cavernous insufficiency, a disorder of the erectile mechanism.
Bad Habits
Tobacco, alcohol damage blood vessels, restricting blood flow to the penis. Nicotine resins settle on the walls of arteries, the risk of hyperlipidemia and hypertension increases and blood circulation deteriorates.
Ethanol, which enters the bloodstream, "sticks" the platelets, leading to blockage of blood vessels. The resulting thrombosis impairs the nutrition of the tissues of the organs, 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 the effect of psychological stimuli. With constant nervous tension, increases the production of adrenaline and cortisol - hormones that, in high concentrations, adversely affect all body systems, including the sexual.
The first failures in bed dramatically reduce men's self-esteem. Fear and uncertainty contribute to the development of psychogenic impotence. Over time, the sensitivity of the tunnel tissue to the neurotransmitters decreases, the blood filling of the tunnel bodies deteriorates and, as a result, an erection.
How does a doctor treat erectile dysfunction?
Treatment for SD depends on the underlying cause. Modern andrology offers a wide range of therapeutic regimens and techniques. Their choice is determined by the andrologist, based on the acceptance of use for a specific patient.
First, the doctor must make sure that the man is being treated for pathologies that cause or adversely affect sexual function. Taking medication is indicated for both psychogenic and physiological factors of SD 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 power is caused by various pathological changes and, as a rule, there are several of them. In the absence of treatment, a man has mental disorders: depression, psychosis, nerve damage.
By itself, impotence leads to impaired spermatogenesis, ejaculation and infertility. But the list of consequences that causes SD is much wider. 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 sees a doctor in time, he will avoid complications and improve strength.
Methods for treating erectile dysfunction after 40 years
The treatment of impotence involves different methods. An integrated approach is often required, including, first and foremost, lifestyle changes, daily routine and dietary correction. The purpose of complex therapy is to eliminate the causes of erectile dysfunction and prevent complications.
Instant medications
In the absence of severe deviations, drugs that stimulate an erection are prescribed. The action of the drugs is based on the relaxation of the muscles of the penis and the increase of blood flow in the cavernous bodies.
Instant medications include:
- preparations with the active substance Sildenafil.
- based on Avanafil;
- funds based on tadalafil.
The media require compliance with the dosing regimen.
Ointments and sprays
Topical agents have a local effect 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 containing alprostadine.
- cream based on plant extracts.
- spray - a complex of plant extracts and aphrodisiacs.
Most creams and sprays are natural and available without a prescription.
An organic product in spray form, thanks to a special dosage form, provides a rapid supply of biological substances that have the following effect:
- activates the synthesis of testosterone, increases libido.
- increases the strength and duration of the blood filling of the cavernous bodies.
- increases the smooth muscle tone 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 into the tissues. The process is repeated daily.
Folk recipes and dietary supplements
Men over 40 have had problems in bed for centuries. Before the advent of medicine, people increased their power with the help of popular prescriptions that are now used successfully:
- Musk tincture (beaver stream). 200 g of dried beef is poured with a liter of vodka and infused for 30 days. Take one teaspoon three times a day.
- Deer antler tea. The cut horns are crushed with a knife. Take 2 teaspoons. raw materials, pour a glass of boiling water, insist half an hour. The strained drink is divided into 3 parts and is drunk during the day.
You can also use dietary supplements.
Like folk remedies, they belong to alternative methods of treating impotence, but they are no less effective than traditional medicines.
Nutritional supplements should be taken in classes.
Doctors prescribe dietary supplements as a treatment for men suffering from:
- prostatitis of any origin and neglect.
- erectile dysfunction associated with various causes.
- short contact;
- low libido;
- premature ejaculation;
- violations of the functioning of the urogenital system;
- inability to reach orgasm or weak sensations during close contact.
vacuum processing
An erection is provided due to the blood filling of the cavernous bodies. A vacuum erection pump helps to improve blood flow to the vessels of the penis. The device is a cylinder with a pump at the end. The penis is placed in the cylinder and then the air inside is sucked with a pump. This creates a vacuum and increases blood flow.
hormone therapy
If erectile dysfunction is associated with 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 taken, taken parenterally or in the form of subcutaneous implants.
Taking testosterone medication can cause prostate growth, swelling
Surgery
Surgical treatment options are used when other treatments fail. Phalloprosthesis - implantation of bioactive silicone prosthesis. The procedure is indicated for congenital anomalies, deformities after organ injuries, atherosclerosis, persistent metabolic disorders. The disadvantages of this method are the need for surgery, the risk of infection, in case of failure of the operation, it is almost impossible to use other methods of treatment of ED.
Therapeutic gymnastics and massage
Exercise is important for maintaining vascular and muscle health. Regular moderate physical activity helps increase strength. The most effective are:
- Kegel Exercises - Exercises aimed at activating the pelvic floor muscles.
- "bicycle" located on the back or on the simulator.
- circular movements of the pelvis.
- runs in place
- "pair of scissors"
Massage helps relieve tension and improve blood circulation. The pats are exciting, they can be used as preliminary games.
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, it makes sense to follow a diet for diseases of the cardiovascular system (Table No. 10).
Power features:
- consume 2500-2600 kcal per day, the basis of the diet (60%) is animal protein.
- limit salt intake.
- low-fat meat and fish varieties, cereals, dairy products, boiled vegetables and fresh fruits are preferred.
- Smoked meats, sausages, pickles and tea, coffee, coffee are excluded from the diet.
It is necessary to exclude alcohol and in general any food and drink that stimulates the vascular and nervous system.
Prevention of power problems in 40 years
There are many steps that can be taken to prevent ED.
Most of them aim to change the lifestyle and improve overall health:
- regular exercise;
- maintaining a healthy weight;
- Avoid stress whenever possible and learn to deal with it.
- stopping alcohol, smoking;
- regular sex life;
- undergo regular medical examinations to detect heart and endocrine diseases.
In most cases, men over the age of 40 can easily regain strength. To do this, at the first symptoms, you should consult a doctor. The specialist will help to get rid of fears, to strengthen self-confidence, because the key to a favorable prognosis of treatment is the belief that the problem will be overcome.