How can you identify the signs of erectile dysfunction. What are the risk factors associated with this condition. Which lifestyle changes can help prevent or manage erectile dysfunction. What treatment options are available for those experiencing persistent symptoms.

Understanding Erectile Dysfunction: More Than Just a Bedroom Issue

Erectile dysfunction (ED) is a complex condition that affects many men, often causing distress and impacting relationships. While occasional difficulties with erections are common, persistent problems may indicate underlying health issues. Recognizing the signs and understanding the causes of ED is crucial for seeking appropriate help and treatment.

What Defines Erectile Dysfunction?

Erectile dysfunction is characterized by the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It’s important to note that experiencing erectile issues occasionally does not necessarily constitute ED. The condition is typically diagnosed when symptoms persist over an extended period.

Recognizing the Signs: When to Be Concerned

Identifying erectile dysfunction involves observing certain patterns and symptoms in sexual function. While a single instance of erectile difficulty is not cause for alarm, recurring issues may warrant attention.

• Reduced sexual desire
• Difficulty achieving an erection
• Inability to maintain an erection during sexual activity
• Decreased firmness of erections
• Anxiety or stress related to sexual performance

Are these symptoms always indicative of ED? Not necessarily. Temporary factors such as stress, fatigue, or alcohol consumption can affect sexual performance. However, if these issues persist over time, it’s advisable to consult a healthcare professional.

The Multifaceted Nature of Erectile Function

Achieving and maintaining an erection is a complex process involving various bodily systems. Understanding this complexity can shed light on why erectile dysfunction can occur and why it may be a sign of other health issues.

Systems Involved in Erectile Function

• Nervous system
• Endocrine system (hormones)
• Cardiovascular system
• Muscular system
• Psychological factors

Does erectile dysfunction always indicate a physical problem? No, psychological factors such as stress, anxiety, or depression can significantly impact erectile function. Often, ED results from a combination of physical and psychological factors.

Risk Factors: Who’s Most Susceptible to Erectile Dysfunction?

While erectile dysfunction can affect men of all ages, certain factors increase the likelihood of experiencing this condition. Understanding these risk factors can help in prevention and early intervention.

1. Age: The risk of ED increases with age, though it is not an inevitable part of aging.
2. Medical conditions: Diabetes, heart disease, and hypertension are strongly associated with ED.
3. Lifestyle factors: Smoking, excessive alcohol use, and obesity can contribute to erectile problems.
4. Psychological health: Stress, anxiety, and depression are significant risk factors.
5. Medications: Certain medications, including some antidepressants and blood pressure drugs, can affect erectile function.
6. Neurological disorders: Conditions affecting the nervous system can impact erectile function.
7. Hormonal imbalances: Low testosterone levels can contribute to ED.

Can addressing these risk factors improve erectile function? In many cases, yes. Lifestyle modifications and managing underlying health conditions can significantly improve erectile function or prevent the onset of ED.

The Mind-Body Connection: Psychological Aspects of Erectile Dysfunction

The psychological impact of erectile dysfunction cannot be overstated. It often creates a cycle where physical symptoms lead to anxiety and stress, which in turn exacerbate the physical symptoms.

Common Psychological Factors

• Performance anxiety
• Stress from work or personal life
• Relationship issues
• Depression
• Low self-esteem
• Past sexual trauma

Is psychological counseling effective in treating ED? For many men, especially those whose ED is primarily psychological in nature, counseling can be highly effective. It can help address underlying issues and break the cycle of anxiety and erectile difficulties.

Prevention Strategies: Maintaining Erectile Health

While not all cases of erectile dysfunction can be prevented, adopting a healthy lifestyle can significantly reduce the risk and potentially improve existing symptoms.

Key Preventive Measures

1. Regular exercise: Improves cardiovascular health and boosts testosterone levels.
2. Healthy diet: A balanced diet rich in fruits, vegetables, and whole grains supports overall health.
3. Stress management: Techniques like meditation or yoga can help reduce stress.
4. Limiting alcohol and quitting smoking: Both can significantly impact erectile function.
5. Regular check-ups: Monitoring overall health and addressing any issues promptly.
6. Open communication: Discussing concerns with partners and healthcare providers.

Can lifestyle changes alone cure erectile dysfunction? While lifestyle modifications can significantly improve erectile function, they may not be sufficient in all cases, especially when there are underlying medical conditions. It’s important to work with a healthcare provider to develop a comprehensive treatment plan.

Treatment Options: A Multi-Faceted Approach

Treatment for erectile dysfunction is often multifaceted, addressing both physical and psychological aspects of the condition. The approach may vary depending on the underlying causes and individual circumstances.

Common Treatment Modalities

• Oral medications (PDE5 inhibitors): Viagra, Cialis, Levitra
• Lifestyle modifications: Diet, exercise, stress reduction
• Psychological counseling: Individual or couples therapy
• Vacuum erection devices
• Penile injections
• Penile implants (for severe cases)
• Hormone therapy (if hormonal imbalances are present)

Are all treatments equally effective for everyone? No, the effectiveness of treatments can vary significantly between individuals. What works well for one person may not be the best option for another. It’s crucial to work closely with a healthcare provider to find the most suitable treatment plan.

The Importance of Open Communication and Seeking Help

One of the biggest challenges in addressing erectile dysfunction is overcoming the stigma and embarrassment often associated with the condition. Many men hesitate to discuss sexual health issues, even with their doctors. However, open communication is crucial for effective diagnosis and treatment.

Benefits of Discussing ED with a Healthcare Provider

• Early detection of underlying health conditions
• Customized treatment plans
• Addressing both physical and psychological aspects
• Improved overall health and well-being
• Enhanced relationship satisfaction

Is it normal to feel embarrassed about discussing ED? Yes, many men feel uncomfortable talking about sexual health issues. However, healthcare providers are trained to handle these discussions professionally and sensitively. Remember, ED is a common medical condition, and seeking help is a sign of taking charge of your health.

Beyond ED: Associated Health Concerns

Erectile dysfunction can sometimes be an early warning sign of other health issues. In many cases, ED is not just a sexual health problem but a symptom of underlying conditions that require attention.

Health Conditions Often Associated with ED

1. Cardiovascular disease
2. Diabetes
3. Hypertension
4. Metabolic syndrome
5. Neurological disorders
6. Hormonal imbalances
7. Prostate issues

Should ED be considered a potential indicator of heart disease? Yes, in many cases, ED can be an early sign of cardiovascular problems. The blood vessels in the penis are smaller than those in the heart, so they may show signs of damage earlier. This is why ED is sometimes referred to as a “canary in the coal mine” for heart health.

The Role of Partners: Support and Understanding

Erectile dysfunction doesn’t just affect the individual experiencing it; it can have a significant impact on their partner and the relationship as a whole. The support and understanding of partners play a crucial role in addressing and managing ED.

How Partners Can Help

• Encouraging open communication about the issue
• Being supportive and understanding
• Participating in couples counseling if needed
• Helping to implement lifestyle changes
• Exploring alternative forms of intimacy
• Accompanying their partner to medical appointments

Can ED strengthen a relationship? While ED can initially strain a relationship, many couples report that working through the issue together strengthens their bond. It can lead to improved communication, increased intimacy, and a deeper understanding of each other’s needs.

Emerging Treatments and Future Perspectives

The field of erectile dysfunction treatment is continually evolving, with new therapies and approaches being researched and developed. Staying informed about these advancements can provide hope and additional options for those struggling with ED.

Promising Areas of Research

1. Gene therapy
2. Stem cell treatments
3. Novel drug delivery systems
4. Regenerative medicine approaches
5. Improved psychological interventions
6. Personalized medicine based on genetic profiling

Will future treatments make ED a thing of the past? While complete eradication of ED is unlikely, future treatments promise to be more effective, with fewer side effects and more personalized approaches. The goal is to provide better management options and improve quality of life for those affected by ED.

Living with ED: Coping Strategies and Quality of Life

For many men, learning to live with erectile dysfunction involves more than just medical treatment. It requires developing coping strategies and finding ways to maintain a satisfying quality of life, both personally and in relationships.

Strategies for Coping with ED

• Educating oneself about the condition
• Joining support groups or online communities
• Practicing stress-reduction techniques
• Focusing on overall health and wellness
• Exploring non-penetrative forms of intimacy
• Maintaining open communication with partners
• Setting realistic expectations and goals

Can men with ED still have satisfying sex lives? Absolutely. While ED can present challenges, many men and their partners find ways to maintain intimacy and sexual satisfaction. This often involves broadening the definition of sexual activity beyond just penetrative intercourse and exploring other forms of physical and emotional connection.

The Global Impact: ED as a Public Health Concern

Erectile dysfunction is not just an individual health issue; it has broader implications for public health and society. Understanding the prevalence and impact of ED on a global scale can help in developing more comprehensive approaches to prevention and treatment.

Global Perspectives on ED

1. Prevalence rates across different countries and cultures
2. Economic impact of ED on healthcare systems
3. Cultural attitudes and stigma surrounding ED
4. Access to treatment in different regions
5. Impact on population health and well-being
6. Research and funding for ED studies worldwide

Is ED being addressed adequately as a public health issue? While awareness of ED as a health concern has increased, there’s still room for improvement in many areas. This includes better public education, reduced stigma, improved access to treatment, and more comprehensive research into prevention and management strategies.

Understanding erectile dysfunction involves recognizing its complexity, acknowledging its impact on physical and emotional well-being, and being aware of the various treatment options available. By fostering open communication, seeking professional help when needed, and adopting a holistic approach to health, men experiencing ED can find effective ways to manage the condition and maintain a satisfying quality of life. Remember, ED is a common and treatable condition, and seeking help is a proactive step towards better overall health and well-being.

How Do I Know If I Have Erectile Dysfunction?

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Few men want to talk about their inability to get or maintain an erection, however, erectile dysfunction can have a profound impact on relationships and self-esteem. Fortunately, trouble in the bedroom doesn’t necessarily mean you’re dealing with erectile dysfunction. Most men will have problems with an erection at some point in their sexual history. But one bad day in the bedroom doesn’t mean major sexual health problems. So how can you know if you’re dealing with erectile dysfunction?

Signs of erectile dysfunction

Your ability to become aroused is a complicated process. Your emotions, brain, hormones, nerves, blood vessels, and muscles all play an intricate part in male arousal. When any of these pieces aren’t in line, it can cause some kind of dysfunction.

It’s also important to remember that your mental health plays as much a part of your sexual ability as your physical health. Stress and other mental health concerns can cause or make erectile dysfunction worse. Minor health problems may slow your sexual response, but the accompanying anxiety that comes with the slow sexual response can shut things down entirely.

Occasional, or intermittent, sexual problems don’t necessarily point to erectile dysfunction. But you may be dealing with erectile dysfunction when the following symptoms are persistent:

• Reduced desire for sex
• Inability to maintain an erection
• Inability to get an erection

Who’s at risk for erectile dysfunction?

You may be at a greater risk for erectile dysfunction if you:

• Are getting older
• Have a psychological condition like anxiety, depression, or stress
• Suffer from medical conditions such as a heart disease or diabetes
• Use tobacco
• Use drugs and alcohol
• Are overweight
• Are undergoing medical treatment such as radiation treatment for cancer
• Are taking medications such as antihistamines, high blood pressure medications, or antidepressants
• Have an injury that might damage the nerves or arteries that contribute to erections

Can I prevent erectile dysfunction?

Although it might not be possible to always prevent erectile dysfunction, taking care of yourself can help you avoid persistent problems. In general, the healthier you are, the less likely you’ll be to have erectile dysfunction. Doing the following can help:

• Reduce your stress
• Manage health conditions like diabetes and heart disease with the help of your doctor
• Manage your mental health
• Exercise consistently
• Stop smoking, don’t use recreational drugs, and limit alcohol use

Treating erectile dysfunction

There’s no one-size-fits-all treatment for erectile dysfunction. Its causes vary, which means you may need to develop a multi-pronged approach to your treatment plan. Work with your doctor to come up with the best treatment for you. Possible treatments include:

• Lifestyle modifications. Lose weight, exercise regularly, manage your medical conditions, stop smoking, and avoid alcohol and illicit drugs.
• Counseling. Seek treatment for anxiety, depression, and other mental health concerns. If you’re having relationship difficulties, consider couples counseling.
• Prescription medications. If needed, your doctor may prescribe oral medications such as Viagra, Cialis, Levitra, and Stendra (ask your pharmacist if there’s a generic available, as it will cost much less). Discuss any concerns or health conditions you have with your doctor before taking medications for erectile dysfunction.
• Other medications such as an Alprostadil self-injection, Alprostadil urethral suppository, or testosterone replacement may also be prescribed by your doctor.
• Physical treatments like a penis pump or penile implants don’t require medications. However, penile implants are generally not considered until other more conservative treatments have failed.

If you suffer from erectile dysfunction, there’s help. Discuss your symptoms and concerns with your doctor to help figure out the cause of your erectile dysfunction. Then work toward treatment options that will get you feeling back to your old self again.

Bedroom Signs That Your Man Might Have Health Troubles > News > Yale Medicine

You may notice he wakes up to use the bathroom more frequently. His urine stream may be less powerful, and it may take him longer than usual to empty his bladder. He might stop more often to use the restroom on road trips. In addition, you might notice he is producing less semen. Maybe you’ve seen blood in his urine, and he may report finding ejaculation painful sometimes.

“All of these observations can be important warning signs of prostate issues, which may become more common as men age. Prostate enlargement is observed in many men over time and can be effectively treated by a variety of approaches,” says Michael Leapman, MD, a Yale Medicine urologist who practices at Yale Cancer Center at Smilow Cancer Hospital.

There are two kinds of prostate issues that men with these symptoms should be checked for:

Enlarged prostate: An enlarged or swollen prostate, also called benign prostatic hyperplasia (BPH), is a very common condition in men. It affects half of men by age 50 and 90 percent of men by age 80. The prostate is involved in both urinary and sexual function in men, and while not life-threatening, BPH can significantly impact a man’s quality of life. In addition to causing both sexual and bathroom issues, the problem can occasionally be uncomfortable for guys who have it, especially when seated because of the prostate’s location (below the bladder).  

“Both BPH and erectile issues are more common as men age,” says Yale Medicine urologist Thomas Buckley, MD. Although the exact nature of the relationship is unclear, recent studies show that men with BPH symptoms have a higher incidence of erectile dysfunction (ED). “Many of the treatments for BPH can have an impact on sexual function and satisfaction,” says Dr. Buckley. “So, it is crucial to discuss sexual function with your urologist before undertaking any treatment for BPH.”

Prostate cancer: Prostate cancer affects 1 in 7 men. To detect prostate cancer, a man’s prostate-specific antigen (PSA) is measured through blood tests. PSA is a protein produced exclusively by prostate cells. “The American Urological Association suggests that men ages 55 to 69 consider prostate cancer screening via a PSA blood test, based on their individual values and preferences,” says Dr. Leapman. (It’s a good discussion for a man to have with his doctor.) Also, men at increased risk—who have prostate cancer in their families or who are African American—should have this talk with their doctor sooner, between ages 40 and 54.

What can be done: For symptoms from an enlarged prostate, there are many different treatments available. The newest BPH treatment available is called UroLift, according to Daniel Kellner, MD, a Yale Medicine urologist who performs this procedure. The minimally invasive treatment is done in the doctor’s office on an outpatient basis. It solves the problem of a blocked urethra by inserting a tiny implant that pushes the enlarged prostate out of the way. No prostate tissue is removed, and the procedure takes about an hour.

Other BPH treatments your doctor may consider include:

• Medications
• Surgery
• Prostatic artery embolization
• GreenLight Laser

Because enlarged prostate affects men to varying degrees, a urologist can help men weigh the pros and cons of each treatment and select the right one.

For some prostate cancers that are slow-growing, doctors may recommend not treating initially because the cancer is often not life-threatening. When treatments are needed, they include surgery, radiation or androgen deprivation therapy. Side effects of treatment can include urinary incontinence and impotence, which is why doctors often take a “wait and watch” approach when a man is diagnosed with prostate cancer and delay treatment until it’s warranted. Almost all prostate cancer is curable if identified early on.

If your partner suffered from impotence would you recognise the signs?

Impotence is the condition in which a man is unable to attain or maintain an erection sufficient for satisfactory completion of a chosen sexual activity. It is a common problem, affecting at least one in ten men across all ages in all countries. The problem can be global, in that it occurs in all situations when sexual activity is attempted, or it can be situational – where erections can occur in some situations but not in others. For example, the man may have good erections on awakening but fail to attain or maintain erections when he tries to have sexual intercourse with his partner. There are many different causes of impotence but fortunately, nowadays, as many as 90% of sufferers can be helped to regain their potency.

Tell-tale signs
A man who is experiencing impotence often feels embarrassed and guilty that he finds it difficult to talk about the situation, even with his partner. Instead, he may manipulate events so that he avoids situations in which sexual intercourse may occur.

Common examples of this include staying up late at night, so that his partner is asleep before he goes to bed, or working longer hours than usual at work, so that he is tired in the evenings, goes to bed earlier than his partner, and is asleep when she retires to bed. Another often-used play is to invite friends and relatives to the house frequently, so as to reduce the amount of ‘private’ time he has with his partner. He may also start going out more during the day, again to ensure that he is not available if his partner wants to approach him sexually. And of course, men can have the avoidance ‘headache’ when it comes to sex, just as women traditionally do.

These are all normal responses to the problem, but they can all make the problem worse. When the man can attain an erection but has doubts about maintaining it during sexual intercourse, he may reduce the time spent in foreplay and may ejaculate soon after penetration, before he loses his erection.

Partner’s reaction
The changes in the man’s behaviour as described above may make the partner think that the man is having an affair. When she thinks this, a woman sometimes reacts by trying to be more attractive and behaves more sexually to try to ‘win’ her man back. Obviously, this can make the situation worse as it will put more pressure on the man and he may then take more extensive steps to avoid physical contact with his partner, a reaction that will probably reinforce the woman’s mistaken idea that he is having an affair.

When a woman knows that her partner is having problems with erections, she may react in a number of ways. Some women feel responsible for the problem: “It must be my fault he is having a problem. Perhaps I’m no longer sexually attractive to him”; “Perhaps my dislike for a lot of sexual experimentation has made him lose interest”. Other women feel physically rejected, unsatisfied and resentful, feelings that can easily extend to other areas of their lives leading to arguments and bickering, often about trivial things. When a man can get an erection but loses it soon after penetration, some women blame themselves by thinking that their vaginas are too large to stimulate the penis sufficiently.

What causes impotence?
There are many causes of impotence. These can de divided broadly into physical or psychological causes.

Physical causes include conditions which damage the nerves or blood vessels that supply the penis, such as diabetes, high blood pressure, atherosclerosis (furring up of the arteries, such as occurs when the man has high cholesterol) and spinal injuries. The nerves and blood vessels can also be damaged as a result of surgery on the rectum, prostate gland and bladder, or by radiotherapy to pelvic organs. Another important physical cause of impotence is drugs. Many, but not all, drugs prescribed to treat high blood pressure and various drugs used for psychiatric conditions impair erections. Smoking and excessive drinking of alcohol can also lead to impotence. Rarely, impotence can be caused by having too little testosterone (male sex
hormone).

Among the psychological causes of impotence, “fear of failure” is the most common. This is when the man is so pre-occupied that he will not be able to get or maintain his erection that he is unable to relax during sex. Other common psychological causes of impotence include tiredness, guilt, worry, depression and stress.

What can you do to help?
The conspiracy of silence that many couples maintain about impotence does nothing to help the problem. The first step to overcoming impotence is to face up to the problem and discuss it as openly as possible.

Women can often take a lead in this respect by broaching the subject in a non-judgemental and nonpressuring way. Mutual reassurance of continuing affection and love can go a long way in helping the couple discuss the problem. It is also helpful to discuss each others sexual needs. So many men hold the view that sex means full penetrative intercourse and anything less than this is not acceptable. Hence, if they are unable to have erections, they feel that all sexual contact must cease. For many women sexual intercourse is a means to have intimate contact with their partners; they find foreplay just as or even more enjoyable and satisfying than penetrative sexual intercourse. When an impotent man realises this, it can remove a considerable burden of guilt and feelings of inadequacy and this can sometimes have the effect of improving his erections because he knows he is not under such enormous pressure to perform. It is often helpful for the couple to agree that they will not try to have intercourse even if an erection occurs but instead just enjoy mutual caressing and close contact.

When these simple measures fail to overcome impotence the couple can mutually agree that professional help is needed. Women can sometimes take the lead in arranging such help. In the first instance this may involve discussing the problem with her general practitioner or the doctor at the Well Woman’s clinic. At other times it would be necessary for the man himself to attend his general practitioner and it might be helpful if his partner went along too.

Some general practitioners may have a special interest in impotence and are able to offer in-depth advice and a full range treatments. However, your GP may decide that a referral to a specialist is more appropriate.

Final Word
Fortunately it is now possible to treat up to 95% of impotent men by variety of different treatments. Not all the treatments are acceptable to all couples and it is therefore important that you discuss with your partner the treatments offered and come to a decision together which seems the most appropriate for you both.

Does your partner have these 7 signs of impotence (Erectile Dysfunction)? – Khang Shen Herbs Malaysia

Impotence is a common problem among men. It got its name by the consistent inability to sustain an erectile dysfunction for sexual intercourse or the inability to achieve ejaculation. The signs of impotence or erectile dysfunction (ED) can vary. It involves a total inability to achieve an erection or ejaculation, an inconsistent ability to do so, or a tendency to sustain only very brief erections. The risk of ED increases as age catches up. This is one of the reasons why impotence are more commonly found among older men from the age of 50.

Besides age, medical or psychological are some of the reasons that contribute to ED. Erectile dysfunction affects relationships more than couples can imagine. Fret not. There are ways to cure erectile dysfunction naturally and permanently such as Cialis pills from CialDoc online drugstore. First, let’s check out these 7 signs of impotent to know if you/your partner are facing problems with ED as well.

1. Lack of sexual desire

One of the major symptoms of erectile dysfunction is the lack of sexual desire. The sign includes 0 to very minimal extended kissing or other physical contacts. If your partner is constantly ignoring sexual attempts at intimate contact may be an early symptom of lack of sexual desire. This can cause a further wreck and affects the relationship in the long term. However, do identify properly that occasional lack of sexual desire may be due to a medical condition, desire to remain abstinent until marriage, fear of intimacy or fear of embarrassment.

2. Inability to obtain an erection

More than 70% of men over 40 suffered from erectile dysfunctionality according to British Heart Foundation. All men facing the problem of ED admitted it is embarrassing and somewhat deflects their level of confidence. The inability to obtain an erection means that men are involved in a sexual activity but unable to achieve an erection. The penis may remain soft and flaccid even though he seems sexually aroused. This condition is known as erectile dysfunction.

Besides the natural way of curing ED through trustable herbs supplements and seeking medical treatment, the easiest way that you can do is to make your presence felt when your partner is in times of need. Let your man know that you still love him no matter what. Remember that trust and support is always the key to overcome all obstacles in a successful relationship and marriage.

3. Inability to maintain an erection

The inability to maintain an erection that is sufficiently firm enough for intercourse is another sign of impotence. The man can still achieve an erection either through mental stimulation, being touched by his partner or by touching his himself. However, the man will lose his erection prior to sexual intercourse.

This is an indication of erectile dysfunction is due to a psychological cause. There are a variety of things that can affect this, including stress, guilt, fear, etc. Many have trusted that Tongkat Ali Malaysia can cure erectile dysfunction as it is known widely as the natural testosterone boosters and the best male enhancement products.

4. Premature Ejaculation

Another common problem comes with erectile dysfunction faced by older men is the premature ejaculation. This ejaculation problem may be also be seen as a sign of impotence. Premature ejaculation is where the man ejaculates soon after initial arousal or ejaculation within seconds of intercourse. A study looking at 500 couples from five different countries found that the average time taken to ejaculate during intercourse was around 5 & 1/2 minutes.  

When you realise the signs of your partner suffering from ED, don’t come forward with strong and blunt confrontation. Instead, use your feminine charm and let your man know that you are always there for him no matter what. If taking natural herbs supplements and male enhancement products are not in your consideration, you can try talking him into seeking medical treatment if he is yet to go.

5. Impaired blood circulation

Certain lifestyle choices that cause impair blood circulation can also contribute to impotence. Some of these choices include smoking, excessive drinking, and drug abuse which damage the blood vessels and reduce blood flow to the penis. Smoking makes men with atherosclerosis particularly vulnerable to erectile dysfunction.

Do you know that besides these bad habits mentioned above, being obese can contribute to ED? Men who are overweight and getting little to no exercise are exposed to a higher risk of erectile dysfunction even more. Maintaining a healthy lifestyle and balanced diet are the most natural way to cure erectile dysfunction permanently beside living a quality life. Studies indicate that men who exercise regularly have a lower risk of erectile dysfunction.

6. Sickness

Impotence can be a side effect of the medication your partner are eating when suffering a certain type of sickness. Some medication includes certain blood pressure drugs, tranquillizers, etc may be the cause of the erectile dysfunction. Men should talk with their doctor if they suspect a prescription or over-the-counter drug are the reasons of their ED. However, do take note that never to stop any medicine without consulting your doctor first.

7. Depression

Working life and adulthood are the phase where a grown-up feel stressed the most. If your man has been facing life difficulties and work-related problems, it may lead him to depression. Erectile dysfunction usually has something physical that causes it, particularly in older men. However, psychological factors are also the major factor in many cases of ED. Experts stated that stress, depression and poor self-esteem can fasten the process that leads to impotence. The problem may worsen in men whose erectile dysfunction comes from physical factors with the addition of psychological factors.

Many men are embarrassed and shy away from the matter of impotence as they are afraid of being the laughing stock. Erectile dysfunction can be a serious matter that affects the relationship or even personal health if doesn’t seek immediate treatment. If you have almost all of these 7 signs of impotence, it is best to seek medical attention and not shun away from help.

Even though it might be embarrassing at first but it’s the only way to get better. The earlier you seek help, the earlier you are able to get cured and free from erectile dysfunction. Being impotent usually affects not only just you but also your partner. Therefore, it is only wise to let your partner know about your condition and get through this together.

Erectile Dysfunction (Impotence) Causes in Older and Younger Men

What Is Erectile Dysfunction?

Erectile dysfunction (ED), also known as impotence, happens when you can’t get or keep an erection of the penis that’s adequate for the sexual satisfaction of both partners. While almost all adult males have ED once in a while, as many as 30 million American men have it regularly. Nearly all men who seek treatment for ED find some relief.

Erectile Dysfunction Causes

In the past, doctors tended to blame erectile dysfunction on psychological problems or, with older men, on the aging process. Medical opinion has changed. While it takes longer to get aroused as you age, regular erectile dysfunction deserves medical attention. Also, the problem isn’t usually psychological. Urologists now think physical problems contribute to most long-lasting cases of ED in men over 50.

Erectile dysfunction in older men. Erections mainly involve the blood vessels. And the most common causes of ED in older men are conditions that block blood flow to the penis. These include hardening of the arteries (atherosclerosis) and diabetes. Another cause may be a faulty vein that lets blood drain too quickly from the penis. Other disorders, as well as hormonal imbalances and certain operations, may also cause ED.

The blood vessel processes that lead to an erection are controlled by your nervous system. Some medications can interfere with the nerve signals that make an erection happen. They include certain stimulants, sedatives, diuretics, antihistamines, and drugs to treat high blood pressure, cancer, or depression. But never stop taking a medication unless your doctor tells you to. Alcohol, tobacco, and illegal drugs, such as marijuana, may also contribute to ED.

Erectile dysfunction in younger men. In younger men, psychological problems are the most likely reason for ED. Poor communication with your partner, or differences in sexual preferences, can lead to tension and anxiety. The problem may also be linked to these things:

• Depression
• Fatigue
• Stress
• Feeling that you’re not good enough
• Sexual fears
• Rejection by your parents or peers
• Childhood sexual abuse

Erectile Dysfunction Symptoms

The symptoms of erectile dysfunction can vary from person to person. If you have ED, you might:

• Be unable to get an erection at all
• Get an erection sometimes
• Have trouble keeping an erection long enough for sex
• Lack desire for sex

Erectile Dysfunction Diagnosis

When you see a doctor for ED symptoms, they’ll try to find out whether you have another health condition that could cause the problem. They’ll ask about your medical history, including questions about your sex life. You might have:

• A physical. It will include an examination of your penis and testicles.
• Blood and pee tests. These check for problems like diabetes, heart disease, and low testosterone.
• A mental health exam. This can reveal whether you have stress, depression, or other issues that could lead to ED.
• An ultrasound. This allows your doctor to see whether blood flow problems are affecting your penis.

Erectile Dysfunction Treatment

The treatment for your ED will depend on what’s causing it, as well as what you and your partner think will work best. Your doctor can help you decide. Treatments include:

Medications. You take drugs like sildenafil (Viagra), vardenafil (Levitra, Staxyn) and tadalafil (Cialis, Adcirca) as pills before you have sex. They work by increasing blood flow in your penis. This helps you get an erection once you’re sexually excited.

Your doctor might prescribe testosterone if your levels of this hormone are low. It won’t help if circulation or nerve problems cause your ED.

You can inject an ED medicine called it alprostadil into your penis to help it fill with blood and quickly cause an erection. It’s sometimes used in combination with other drugs. You may also insert alprostadil into your urethra (the small hole in your penis where urine comes out) as a suppository. That’s a solid form of the medicine that gets dissolved by your body heat.

Lifestyle changes. Your doctor might suggest that you lose weight or start an exercise routine to improve your ED symptoms. They might also recommend that you stop smoking, drinking alcohol, or using marijuana or other drugs.

Counseling. If stress, depression, or relationship problems contribute to your ED, talking to a counselor could help.

Vacuum device. Also called a penis pump, this is a tube that fits over your penis. It includes a pump, which you use to suck air from the tube. This pulls blood into your penis to make it erect. You place an elastic ring around the bottom of your penis to keep it erect, and take off the vacuum tube. After sex, you remove the ring to end the erection.

Surgery. Most men don’t get surgery for ED. But in some cases, doctors will do an operation to repair your arteries to boost blood flow to your penis. Or they can implant a bendable or inflatable rod inside your penis that you adjust to make it erect.

Erectile dysfunction (impotence) – NHS

Erection problems (impotence) are very common, particularly in men over 40. It’s usually nothing to worry about, but you should see a GP if it keeps happening. It could be the sign of a more serious problem.

Causes of erection problems

Most men occasionally fail to get or keep an erection.

This is usually caused by stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.

If it happens more often, it may be caused by physical health or emotional problems.

Non-urgent advice: See a GP or go to a sexual health clinic if:

• erection problems keep happening

It could be a sign of an underlying health condition such as diabetes.

Information:

How sexual health clinics can help with erection problems

Sexual health clinics treat problems with sexual health. They can provide the same treatment you would get at your GP surgery.

Many sexual health clinics offer a walk-in service, where you do not need an appointment.

They’ll often get test results quicker than GP practices.

Find a sexual health clinic near you

What happens at your appointment

The doctor or nurse will ask about your lifestyle and relationships, and any problems you might be having.

They’ll carry out basic health checks, such as taking your blood pressure.

They’ll also examine your genitals to rule out any obvious physical cause.

If you have symptoms like needing to pee more often, you may also need to have an examination of your prostate.

Treatment for erection problems depends on the cause

Treatments for erectile dysfunction are usually effective and the problem often goes away.

There are also specific treatments for some of the causes of erectile dysfunction.

Medicine such as sildenafil (sold as Viagra) is also often used by doctors to treat erectile dysfunction. It’s also available from pharmacies.

Because of changes in regulations, you no longer need a prescription to get sildenafil.

But you’ll have to have a consultation with the pharmacist to make sure it’s safe for you to take it.

There are other similar medicines called tadalafil (Cialis), vardenafil (Levitra) and avanafil (Spedra) that work in a similar way.

You’ll still need a prescription to get these medicines.

Buying Viagra online

You can buy sildenafil (Viagra) over the internet. Be very careful if you do this as many websites sell fake medicines.

Online medicines are not always regulated and the ingredients in them can vary from one pack to another. They can cause unpleasant side effects, or may not be suitable for you.

It’s best to see a doctor before buying medicines online. They know your medical history and can discuss whether you might benefit from treatment.

If you choose to buy sildenafil (Viagra) on the internet, make sure:

Important

Never buy off-prescription Viagra tablets online.

Make sure they’re prescribed by a doctor or come from a UK pharmacy.

Things you can do to help with erectile dysfunction

Healthy lifestyle changes can sometimes help erectile dysfunction.

The Sexual Advice Association has factsheets on medicines and other treatments for erectile dysfunction.

Do vacuum pumps work?

Vacuum pumps encourage blood to flow to the penis, causing an erection.

They work for most men and can be used if medicine is not suitable or does not work.

They’re not always available on the NHS. Speak to a doctor about where to get a vacuum pump.

Emotional (psychological) problems

It’s more likely to be an emotional problem if you only have erection problems some of the time. For example, you get an erection when waking up in the morning, but not during sexual activity.

Anxiety and depression can be treated with counselling and cognitive behavioural therapy (CBT).

A GP might recommend sex therapy, either on its own or in combination with other psychotherapy.

There’s usually a long wait for these services on the NHS.

You can also pay to see someone privately.

Information:

Finding private counsellors or sex therapists

Counsellors and psychotherapists should be a member of the:

Sex therapists should be a member of the:

Relate also offers sex therapy for a fee.

Advice and support is also available from the Sexual Advice Association.

Page last reviewed: 26 August 2020
Next review due: 26 August 2023

Erectile dysfunction – Illnesses & conditions

If you have erectile dysfunction (ED), treatment will depend on what’s causing it. The various treatments for erectile dysfunction are outlined below. 

Treating underlying conditions

If your erectile dysfunction is caused by an underlying health condition, such as heart disease or diabetes, that condition may need to be treated first. In some cases, treating the underlying cause may also resolve the problem.

If you are taking medication that can cause erectile dysfunction, there may be an alternative. It is important never to stop taking a prescribed medication unless you are advised to do so by your GP or another qualified healthcare professional responsible for your care.

Lifestyle changes

Erectile dysfunction can often be improved by making changes to your lifestyle, such as:

As well as helping to improve your erectile dysfunction, these changes can also improve your general health and may help to reduce your risk of cardiovascular disease (conditions that affect your heart and blood vessels).

Read more about preventing cardiovascular disease  

Phosphodiesterase-5 (PDE-5) inhibitors

Phosphodiesterase-5 (PDE-5) inhibitors are one of the most widely used and effective types of medication for treating erectile dysfunction. They work by temporarily increasing the blood flow to your penis.

In England, four PDE-5 inhibitors are available for treating erectile dysfunction. They are:

• sildenafil – sold under the brand name Viagra 
• tadalafil – sold under the brand name Cialis
• vardenafil – sold under the brand name Levitra
• avanafil – sold under the brand name Spedra

Sildenafil, vardenafil and avanafil work for about eight hours and they are designed to work ‘on demand’. Tadalafil lasts for up to 36 hours and is more suitable if you require treatment for a longer period of time, for example, over a weekend.

Depending on the type of PDE-5 inhibitor you are taking and the dose, it should take about 30-60 minutes before it starts to work. With sildenafil, vardenafil and avanafil, you should be able to have sex from one to 10 hours after taking the medicine. After taking tadalafil, the effects will last for up to 36 hours.

It may take longer to notice the effects if the tablet is taken with food, so it’s best to take it on an empty stomach. You can then eat after an hour without affecting the medicine.

Only take one tablet within a 24-hour period.

Your GP should explain the benefits of each medication and how it works. The choice may depend on:

• how often you are sexually active 
• whether you have tried any of the medications before

There have been many studies to test the effectiveness of these medications. In general, at least two-thirds of men report having improved erections after taking one of these medicines.

If you do not find that PDE-5 inhibitors are effective it may be because:

• you have not waited long enough after taking the dose
• you have waited too long after taking the dose
• the dose is not high enough
• you have not had enough sexual stimulation

These medications are triggered by sexual stimulation, so you also need to be aroused for it to work.

Warnings

PDE-5 inhibitors should be used with caution in men who have cardiovascular disease, such as coronary heart disease. However, sexual activity is also likely to be beneficial for your cardiovascular health. You should discuss the risks and benefits with your GP.

PDE-5 inhibitors should also be used with caution in men who have anatomical problems with their penis, such as Peyronie’s disease (a condition that affects the tissue of the penis).

PDE-5 inhibitors should also be used with caution in men who:

• are at risk of priapism – a painful erection that lasts for several hours
• are also taking long lasting alpha-blockers – a medication used to treat a number of conditions, such as high blood pressure (hypertension)

Do not take PDE-5 inhibitors if you are also taking medicines or recreational drugs that contain nitrates. The combination of the two substances can have a dangerous effect on your heart.

Organic nitrates are often used to treat angina, and butyl nitrate is a recreational drug that is more commonly known as ‘poppers’.

You are also warned not to take PDE-5 inhibitors if you:

• have been advised not to take part in sexual activity or in activities that widen your blood vessels 
• have low blood pressure (hypotension) 
• have recently had a stroke – a medical emergency that occurs when the blood supply to the brain is interrupted
• have unstable angina – an underlying heart condition that causes symptoms such as chest pain
• have had a heart attack – a medical emergency where the blood supply to the heart is suddenly blocked
• have a history of non-arteritic anterior ischaemic optic neuropathy – an eye condition that causes a sudden loss of vision

Side effects

PDE-5 inhibitors can cause some side effects, including:

• headaches and migraines
• flushing (redness) 
• indigestion
• nausea (feeling sick)
• vomiting (being sick)
• a blocked or runny nose
• back pain
• vision disturbances
• muscle pain

Vacuum pumps

A vacuum pump consists of a clear plastic tube that is connected to a pump, which is either hand or battery operated.

You place your penis in the tube and pump out all of the air. This creates a vacuum that causes the blood to fill your penis, making it erect. You then place a rubber ring around the base of your penis to keep the blood in place, allowing you to maintain an erection for around 30 minutes.

It may take several attempts to learn how to use the pump correctly, but they are usually effective. After using a vacuum pump, nine out of 10 men are able to have sex, regardless of the cause of their ED.

Considerations 

You should not use a vacuum pump if you have a bleeding disorder or if you are taking anticoagulant medicines, which reduce the ability of your blood to clot.

Side effects of vacuum pumps include pain or bruising, although these occur in less than a third of men.

Men who qualify for NHS prescriptions for erectile dysfunction treatments may be able to get a vacuum pump on the NHS (see above for more details). However, some men will need to buy one.

The Sexual Advice Association produces a number of factsheets, including one on vacuum pumps that provides details of companies that supply them.

Alprostadil

If your erectile dysfunction doesn’t respond to treatment, or you are unable or unwilling to use PDE-5 inhibitors or a vacuum pump, you may be given a medicine called alprostadil. This is a synthetic (man-made) hormone that helps to stimulate blood flow to the penis.

Alprostadil is available as:

• an injection directly into your penis – this is called an intracavernosal injection
• a small pellet placed inside your urethra (the tube that carries urine from your bladder to the tip of your penis) – this is called urethral application

You may be trained to correctly inject or insert alprostadil. If your partner is pregnant, use a condom during sex if you are inserting alprostadil into your urethra.

Alprostadil will usually produce an erection after five to 15 minutes. How long the erection lasts will depend on the dose.

In men who did not respond to PDE-5 inhibitors, alprostadil injections were successful in 85 out of 100 men. Alprostadil inserted into the urethra is successful for up to two-thirds of men.

Warnings

Alprostadil should not be used:

• in men at risk of priapism (a painful erection that lasts for several hours) – for example, those with sickle cell anaemia
• alongside other erectile dysfunction medications 
• if you have a penile implant or if you have been advised to avoid sexual activity 

Urethral application may also not be used in:

• some men who have anatomical problems with their penis (conditions that affect the physical structure of the penis) 
• men who have infections of their penis, such as balantis (inflammation of the head of the penis)

Side effects

Alprostadil can cause some side effects including:

• changes in your blood pressure
• dizziness
• headache
• pain in your penis 
• urethral burning or bleeding
• reactions at the site of the injection, such as swelling

NHS prescriptions

As with PDE-5 inhibitors, NHS prescriptions for alprostadil may only be available for men with particular health conditions or those receiving some types of medical treatments. If you need to pay the full prescription cost, a single injection of alprostadil costs around £8 to £22, depending on the dose. A single dose of alprostadil for urethral application is around £10. 

Hormone therapy

If a hormonal condition is causing erectile dysfunction, you may be referred to an endocrinologist (who specialises in the treatment of hormonal conditions).

Hormones are chemicals produced by the body. Many hormonal conditions can be treated using injections of synthetic (man-made) hormones to restore normal hormone levels.

Surgery

Surgery for erectile dysfunction is usually only recommended if all other treatment methods have failed. It may also be considered in:

• younger men who have experienced serious injury to their pelvic area – for example, in a car accident
• men with a significant anatomical problem with their penis

In the past, surgery was used if there was clear evidence of a blockage to the blood supply of the penis. The surgeon could unblock the blood vessels to restore a normal supply of blood. However, research now suggests that the long-term results of this type of surgery are poor, so it’s unlikely to be used.

Penile implants

Penile implants are a type of surgery that may be considered. These can be:

• semi-rigid implants – which may be suitable for older men who do not have sex regularly
• inflatable implants – which consist of two or three parts that can be inflated to give a more natural erection

Penile implants are not usually available on the NHS and inflatable implants may be very expensive. However, around three-quarters of men report being satisfied with the results of this type of surgery.

Complications

As with all types of surgery, having penile implants inserted carries a risk of infection. If you take preventative antibiotics, the rate of infection is around two or three in 100. Mechanical problems with the implants may occur within five years in five per cent of cases. 

Psychological treatments

If your erectile dysfunction has an underlying psychological cause then you may benefit from a type of treatment called sensate focus.

If conditions such as anxiety or depression are causing your erectile dysfunction, you may benefit from counselling (a talking therapy).

Sensate focus

Sensate focus is a type of sex therapy that you and your partner complete together. It starts with you both agreeing not to have sex for a number of weeks or months. During this time, you can still touch each other, but not in the genital area (or a woman’s breasts). The idea is to explore your bodies knowing that you will not have sex.

After the agreed period of time has passed, you can gradually begin touching each other’s genital areas. You can also begin to use your mouth to touch your partner, for example, licking or kissing, them. This can build up to include penetrative sex.

You can find out more about sensate focus from the College of Sexual and Relationship Therapists (COSRT).

Psychosexual counselling

Psychosexual counselling is a form of relationship therapy where you and your partner can discuss any sexual or emotional issues that may be contributing to your erectile dysfunction. By talking about the issues, you may be able to reduce any anxiety that you have and overcome your erectile dysfunction.

The counsellor can also provide you with some practical advice about sex, such as how to make effective use of other treatments for erectile dysfunction to improve your sex life.

Psychosexual counselling may take time to work and the results achieved have been mixed.

Cognitive behavioural therapy (CBT)

Cognitive behavioural therapy (CBT) is another form of counselling that may be useful if you have erectile dysfunction. CBT is based on the principle that the way you feel is partly dependent on the way you think about things. CBT helps you realise that your problems are often created by your mindset. It is not the situation itself that is making you unhappy, but how you think about it and react to it.

Your CBT therapist can help you to identify any unhelpful or unrealistic thoughts that may be contributing to your erectile dysfunction – for example, to do with:

• your self-esteem (the way you feel about yourself) 
• your sexuality 
• your personal relationships

Your CBT therapist will be able to help you to adopt more realistic and helpful thoughts about these issues.

Pelvic floor muscle exercises

Some studies have suggested that, in a few cases, it may be beneficial to exercise your pelvic floor muscles. These are a group of muscles around the underside of the bladder and rectum, as well as at the base of the penis.

Pelvic floor muscle exercise involves strengthening and training the muscles used to control the anus (back passage) and urinate. If your GP feels this type of exercise could be beneficial, then you may want to discuss it with a physiotherapist to learn it correctly.

By strengthening and training these muscles, you may be able to reduce the symptoms of erectile dysfunction.

Complementary therapies

Some complementary therapies, such as acupuncture, have claimed to treat erectile dysfunction. However, there is little evidence they are useful.

In some cases, they may even include ingredients that could interact with other medications and cause side effects.

Always speak to your GP before using any complementary therapies.

90,000 symptoms, causes, diagnosis, treatment and prevention

Erectile dysfunction is often a consequence of the presence of other diseases in a person, which provoke sexual impotence. This ailment should not be confused with a man’s lack of sex drive or libido. Indeed, sometimes from a physiological point of view, a person is completely healthy, but he does not have a desire for intimacy. Impotence is a condition when a person has a desire to have sex, but for one reason or another, there is no way to realize the attraction.That is, this disease makes it impossible to have sexual intercourse. Untreated infections of the genitourinary tract can cause the onset of erectile dysfunction. Disruptions in the work of the endocrine, nervous or cardiovascular systems can provoke impotence.

Symptoms and signs

Often, health problems begin to make themselves felt long before the onset of erectile dysfunction. Ignoring such alarm calls from the body can then result in a big problem.Consider the symptoms of impotence, what are the manifestations of this insidious ailment.

You should visit a urologist if one or more of the following phenomena occur. Impotence has the following signs:

• ejaculation occurs earlier than usual;
• during intimacy, it is difficult to start or continue sexual intercourse due to insufficient firmness of the penis;
• during intercourse, the erection disappears partially or completely;
• orgasm is dull, not bright enough;
• with ejaculation, the semen is less than it was before;
• during intimacy there is discomfort, discomfort in the genital area, pelvis or perineum;
• despite arousal, an erection comes with great difficulty, even in comfortable and familiar conditions for a person;
• nocturnal, morning and involuntary erections disappear, or there are very few of them.

The listed signs of impotence in men are the reason for going to the urologist. If two or more symptoms are present, visit the clinic as soon as possible.

Do you have symptoms of impotence?

Only a doctor can accurately diagnose the disease.
Do not delay the consultation – call

+7 (495) 775-73-60

Causes and causes of development

Impotence can appear suddenly, or it can make itself felt already at a fairly respectable age.A frequent occurrence when impotence occurs after 50. The comforting fact is that in 90 men out of 100 this ailment can be eliminated. The sooner treatment is started, the sooner sexual impotence will be overcome.

The main and more common causes of impotence in men are:

• malfunctions of the central nervous system;
• genetic disorders;
• pathology of veins, blood vessels;
• previous infections of the genitourinary tract;
• traumatic situations;
• unhealthy lifestyle and stressful situations;
• neglect of personal hygiene rules;
• disruptions in the hormonal system.

Other causes of impotence: endocrine diseases, diabetes, Down syndrome, inflammation in the prostate, problems with brain activity.

Risk factors

In the high-risk group, people who lead the wrong lifestyle have bad habits: alcoholism, drug addiction, smoking. For example, in those men who often and in large doses drink alcohol, impotence occurs quite often. Nicotine and drug addiction are no less harmful to the sexual health of the stronger sex.

When tobacco is smoked, the oxygen content in the blood decreases. As a result, this negatively affects the state of all cells in the body, including the brain. Since it is in the brain that impulses are created, which are then transmitted to the cells of the genital organ, smoking is quite capable of being the main cause of impotence. Even in smokers, blood vessels become inelastic, narrowing occurs, and this also provokes problems with erection.

The use of alcoholic beverages provokes disturbances in the functioning of the nervous system, thrombosis is possible and, in general, problems with the cardiovascular system arise.Another aspect of alcohol is to stimulate the production of estrogen. As a result, the hormonal background changes, which leads to problems with potency and reduces libido.

In addition to dependent people, men with obesity, overweight are at risk.

Constant stress, neurotic lifestyle, overstrain at work or work without days off, irregular work schedule, improper alternation of work and rest regimes are no less dangerous than bad habits.

In terms of the threat of impotence onset, age is not a significant factor. Over time, the possibilities of a man in an intimate sense diminish. However, if you lead a healthy rational lifestyle, then the potency can persist well beyond 50-60 years. Therefore, to say that impotence at 40 is normal, as well as at 50 is meaningless. This disorder can occur at any age as a result of certain failures in the body.

Complications

If you postpone a visit to a doctor, psychological impotence can turn into organic.Complications of the disease are very unpleasant. Timely treatment of impotence in men will prevent the occurrence of these phenomena:

• Mental and nervous breakdowns, malfunctions of the nervous system;
• family conflicts;
• decreased sex drive up to its complete disappearance;

90,012 attempted suicide due to sexual inferiority as a man.

Now impotence in men is successfully treated with various drugs.It is better not to postpone the visit to the doctor indefinitely. Even if erectile dysfunction does not cause physiological problems, it is very harmful to the psychological state of a person. Violations in the genital area are a fairly strong blow to self-esteem for the stronger sex. A man may experience depression and even suicidal tendencies. Irritability and self-doubt, fears, complexes, feelings of inadequacy, and a decrease in self-esteem appear. This does not in the best way affect social, business relationships and mood in the family.The person becomes withdrawn, aggressive, may start using alcohol or drugs. There is also the uncontrolled use of drugs for impotence, which is often advertised. Since taking any medication is best coordinated with a doctor, uncontrolled medication can only aggravate the situation and cause additional complications.

When to see a doctor

If 25% of all intimate contacts ended unsuccessfully (you were unable to start or complete intercourse), perhaps it is about impotence.Also, if you find one or more of the above symptoms of erectile dysfunction, it makes sense to seek help from a specialist. The optimal treatment regimen will be prescribed, which is the most suitable and comfortable for the patient. At a consultation with a urologist, you will learn about the treatment of impotence in general terms. After making an accurate diagnosis, the doctor will tell you how to treat impotence in more detail.

Preparing to visit a doctor

Before visiting a specialist, you need to make a list of medications that you took (if any).Also, be prepared for the doctor’s need to clarify several important questions, for example:

• hereditary predisposition – did any of your family have problems with childbirth, etc.;
• Have you recently had any illness;
• Do you suffer from chronic ailments;
• how long ago the problems with potency began;
• Do you have any phobias related to sex, etc.?

Before treating impotence, the urologist will need to draw up a holistic picture of the problem.This is necessary so that the treatment is comprehensive and helps to eliminate the root causes of the disease, and not only relieve the symptoms.

Diagnosis of impotence

Diagnosis of the disease is needed in order to find out the root cause of dysfunction. For this purpose, one should initially distinguish between psychogenic and organic pathologies. Usually, the technique of monitoring nocturnal erections is used, and an intracavernous injection test is also used. This will make it possible to establish the true nature of the violations: whether the disease is provoked by psychogenic factors or is it of organic origin.In the latter case, a number of additional studies will be required to identify the root cause of the pathology.

Treatment

To find out how to cure impotence in the best way, you should consult a urologist. The optimal treatment regimen will be selected for you. Usually, one of the following methods is used to correct such violations:

• psychotherapeutic technique;
• injection therapy;
• pills for impotence are prescribed;
• mechanical stimulation of the penis is prescribed;
• surgical method.

As a traditional therapy, the prescription of drugs for impotence is usually used.

Home remedies

Treatment with folk (non-traditional) impotence remedies can be used as a small addition to the main treatment. Taking such medicines is possible only after agreement with the attending physician. With the independent manufacture and use of drugs for impotence, various complications are possible, which will only aggravate the problem.Self-medication is contraindicated in erectile dysfunction, since it can cause significant damage to health.

Prevention

Preventive measures are:

• healthy lifestyle, giving up bad habits;
• Correct alternation of work and rest, exclusion of work on irregular schedules or reduction, if necessary, of physical activity;
• moderate sports;
• balanced nutrition, inclusion in the diet of food rich in protein, vitamins and minerals;
• regular sex;
• sleep at least 8 hours a day.

How to make an appointment with a urologist

You can make an appointment with the urologist of JSC “Medicine” (the clinic of Academician Roitberg) using the form on the website, by phone +7 (495) 775-73-60 or at the clinic’s administrators: 2nd Tverskoy-Yamskaya lane, 10 …

90,000 🧬 Causes of impotence (erectile dysfunction), psychological impotence, signs of impotence

Psychological impotence

Since the causes of impotence (erectile dysfunction) are very often not any physical abnormalities that have occurred in a man’s body, but his psychological state, the problem is growing like a snowball.The more anxious, depressed and upset a man is, the greater the likelihood of another failure, and the deeper the depression.

This phenomenon is called “psychological impotence”, and it is extremely widespread: probably there is not a single man aged 35-40 years who would not have failed at least once in his life when trying to have sexual intercourse.

As a rule, there is nothing abnormal in this, since the male sexual function is extremely dependent on the psycho-emotional state of the man.Stress, fatigue, hard work can lead to a temporary inability to have sexual intercourse. But there are cases when the cause of impotence is any disease. So, erectile dysfunction can be a consequence of diseases of the central nervous system, vascular diseases, diabetes mellitus, it can also develop as a result of treatment with the use of certain medications.

Of course, no man will put up with the loss of his masculine strength, even if only temporarily, the need to take action is understood by everyone, however, very often, starting an effective treatment for impotence is hindered by a feeling of shame, the inability to admit oneself “inferior” is not that in front of a stranger, but even in front of a spouse or partner.

A man begins to try to find out how to treat impotence on his own, evades sexual intercourse under any pretext, and loses, loses self-confidence, aggravating the problem. Some try to solve the problem with the help of alcohol, others begin to change partners. Both, as a rule, only exacerbate psychological problems and aggravate the state of the central nervous system.

The main signs of psychological impotence

The main signs of psychological impotence are considered to be:

• Having an erection during sleep (for example, in the morning) or during involuntary moments and its absence during the “most important moments”
• erection and the ability to ejaculate during manual, oral and other non-traditional types of intercourse

Psychological impotence can be persistent and often difficult to cope with on your own.Therefore, we recommend contacting specialists who will conduct psychological training, suggest using hormonal therapy to increase testosterone secretion, or use other methods of treating impotence.

The main causes of erectile dysfunction

For a long time, it was believed that the main causes of impotence are psychogenic disorders or lack of testosterone. But studies of recent decades have shown that most often the cause of impotence is organic changes in the mechanism of erection.

Psychogenic

• Depression
• Anxiety

Neurogenic

• Neurotransmitter disorders at the level of the spinal cord or brain
• Injury
• Spinal myelodysplasia
• Damage to intervertebral discs
• Multiple sclerosis
• Diabetes (peripheral neuropathy)
• Alcohol abuse (binge treatment)
• Operations on the pelvic organs
• Hormonal deficiency

Arterial

• Hypertension
• Smoking
• Diabetes
• Hyperlipidemia (increased level of fat in the blood)

Venous

• Functional damage to the veno-occlusive mechanism

Medicinal

• Taking antihypertensive drugs, antidepressants, luteinizing hormone and its analogues

Peyronie’s disease (curvature of the penis)

Multifactorial

Treatment of impotence at the Men’s Health Center GMS Clinic

Our center employs highly qualified andrologists who have already helped a huge number of men solve this delicate problem.They will help you too, because they use the most modern methods of treating erectile dysfunction. You can learn more about these methods and about the treatment of impotence in general on this page or at a consultation in our clinic.

Psychologist’s blog: how to recognize the trap of a hidden sadist

• Elena Savinova
• psychologist

August 8, 2016

Often, as proof of the firmness of the intentions of a loved one, we hear that we will be behind him, like behind a stone wall.It would seem that what could be better: a man is going to take responsibility for his wife and future family.

But he needs “only” your freedom. And even your whole personality as a whole.

How not to fall into the trap of a person with sadistic inclinations disguised as care and guardianship?

Behind a “stone wall” or “in a dungeon”

Both men and women can be latent aggressors. They only have different techniques.

The aggressor differs from the responsible person in that he seeks to dominate you.Such are prone to large gestures and spectacular actions, which inexperienced natures mistakenly perceive as evidence of great love.

But the fact is that these people are not very interested in a partner as a person. Despite assurances of loyalty, the hidden aggressor may not know the tastes, inclinations, preferences of the partner for years, because he does not need it. And since the aggressor does not even assume that other people can be authoritative for you, he will mercilessly criticize everyone around you.

The more bright talents or qualities you are endowed with, the harsher the criticism will be. As soon as the person-aggressor feels what is most important and dear to you, he will begin to subject him to crushing criticism of this very thing. Therefore, it will subconsciously understand that, developing as a person, you become independent.

The “Master of Life” and his game of nobility

Another marker of the hidden sadist is the destruction of joy. His need is to disappoint others.

If you are looking forward to meeting him, happy with the date, he or she will definitely wear a mask of inaccessibility. If you want intimacy, the beloved will remain cold, because only he, in his opinion, has the right to take the initiative.

You have been planning a trip somewhere or something pleasant for a long time, and you dream in advance how good it should be for you. But at the last moment, your other half will adjust everything so that your plans will go head over heels. If this is a woman, she will definitely have a headache or she will not have something to wear.A man just before the plane can “forget” his passport or before going to the theater his car will not start. In addition, you will certainly be to blame for this, because it was you who, with your unworthy behavior, “brought” your partner to such a state.

Of course, in the life of every couple there were such troubles, but if you have such “breakdowns” regularly – you are dealing with a sadist.

Why does he need it, you ask, because he or she also suffers, because there is no intimacy, going to the theater or visiting and traveling on vacation.

And then, that such people always strive to control your feelings. After all, in their opinion, only they can be a source of joy and pleasure. And also they, not you, decide when you will receive these positive emotions. Often times, you still have to “deserve” them.

It should be noted that such “masters of life” tend to control negative emotions as well. Therefore, if someone offends you or makes you suffer, your partner will give a worthy rebuff to the ill-wisher, without sparing any effort and money.

This, of course, will pamper your vanity, confirm that there is still a stone wall and a reliable shoulder nearby. But at the same time, such “noble” actions make it difficult to identify people-aggressors. They mimic noble heroes. After all, what happened? Being protected is just a by-product of your partner’s struggle for territory. For only he has the right to grieve you.

Revenge to the whole world

Finally, people of this type are almost always vindictive, they will not forgive anyone, they will remember the offense for a long time and plan how to take revenge more painfully.

The hidden aggressor builds all his relationships on the basis of projection. That is, he sees other people as he considers himself to be.

Feeling insignificant, such a person completely displaces it from his consciousness. After all, aggressiveness combined with self-contempt gives little chance of survival. Therefore, it seems to such really unhappy people that they are surrounded by those who are worthy of contempt, hostile and ready at any moment to humiliate, commit violence, take everything away.

The only thing that can protect is the power based on absolute power, for which they so eagerly strive.Revenge, in the opinion of the latent sadist, is the only means of restoring “justice” in this world full of enemies, where the only law is “if not you, then you.”

So, although the described character deserves sympathy and, perhaps, requires a long therapy, and you recognize him in your loved one, it is better to break off relations with him.

In psychology, there is a rule “do not try to make friends with a mad dog.” It applies to cases where you are unable to help someone, and the damage from communicating with him is irreparable.

After all, even if you try to be polite and try to please such a partner, he will still find something to reproach or accuse you of.

After all, he needs to fill his empty life with the living tissue of your personality, thereby destroying it. But do you really need it?

Scientists: You can recognize a cheating man by his face. A woman – no

April 18, 2019

Photo author, Getty Images

A group of scientists from the University of Western Australia published the results of a study, according to which, having studied a man’s face, it is possible with a fairly high degree of certainty to judge the propensity of its owner to sexual infidelity.At the same time, scientists say, women’s faces do not provide an opportunity for such an assessment.

We often judge by people’s faces how much they can be trusted, but the accuracy of such judgments remains a big question. Australian scientists have suggested that being able to identify a partner’s propensity to cheat may be an evolutionary skill.

From the point of view of evolution, the wrong partner is a great danger, since in the long run it is fraught with the loss of important resources or the partner itself.Unsurprisingly, it is the issue of sexual fidelity that has become dominant in maintaining paired relationships.

Photo by Getty Images

Scientists collected information from 189 people about whether they had cheated on or had an affair with a partner in a relationship, and then tested whether other study participants could tell by their appearance.

The volunteers evaluated the tendency to cheating and the attractiveness of people on a scale from 1 to 10 using photographs. A total of 1516 people participated in the survey: 592 men and 924 women.

Since it is important to retain a partner not only to assess the likelihood of his leaving, but also the threat from competitors, the subjects were also shown photographs of people of the same sex and asked to rate how likely they are to cheat or have a relationship with someone else’s partner.

The results were disappointing for men: participants of both sexes were more accurate in guessing the wrong partners among them.

Photo author, Getty Images

Men also showed certain abilities in physiognomy, but their results in predicting the tendency of women to cheat were much more modest.If unfaithful (and having connections with other people’s partners) men were able to identify more than 14% of respondents, then the percentage of hitting with female faces was about five times lower – less than 4%.

“Together, men and women showed a higher guess rate than random on male faces, but not female faces,” the study says.

Despite the fact that the percentage of guessing was relatively low, scientists believe that this may have evolutionary significance as an adaptation mechanism that allows you to identify potential cheaters or hunters for other people’s partners.

Photo author, Getty Images

Caption to the photo,

Masculine facial features, according to the authors of the study, are highly likely to indicate a propensity for sexual infidelity

In their works of past years, they found some connection between the presence of a man of pronounced masculine facial features and his tendency to cheat. Thanks to this connection, a woman, looking at a man, can subconsciously and with a high degree of accuracy determine how much she can trust his owner.

Criticism

The works of Australian scientists, however, have already received their portion of criticism: journalists dubbed one of their studies “the most useless study of 2019” and laughed at the use of the term “poaching behavior” in relation to men who commit sexual adultery.

Critics from the academic world noted the controversial definition of “masculine facial features”, and also pointed out that the study analyzed photographs of only white men.

In the comments to the study, the scientists themselves noted that despite the fact that the percentage of guessing was statistically significant for research purposes, it is very low in order to draw conclusions about how much people are prone to cheating in life.

“An attempt to determine who could potentially be a traitor or to enter into a relationship with someone else’s partner, relying solely on the impression of male faces, is fraught with a high risk of error,” – concluded the Australian scientists.

After the wedding, I found out that my husband was impotent. Is it possible to get a divorce?

Estimated reading time: 2 minutes.

Reader question:

Good afternoon, father! I would like to receive an answer to a question that worries me very much. More than 2 years ago I got married and got married.

I was 37 years old, and my husband was 42. This is not my first marriage, and that of my husband, too, but we were married for the first time. I wanted to get married humanly, in a Christian way, so before marriage my husband and I had no intimacy (the future husband himself in every possible way with pleasure argued that closeness was only after the wedding and was very proud of this!).I was even glad that there were still normal men. We got married …. But, there was no intimacy either on the wedding night, or in the following months. At first, I did not understand the situation, his excuses that I was very tired, that he wanted to sleep, then I smell like onions (so don’t get close) … But after a couple of months it still began to dawn on me that my husband was incapacitated for fulfillment of marital duties.

Confirmed in this when there were, so to speak, attempts, and I brought him into conversation.To which the husband replied, “get married, be patient, humble yourself, pray” and snore to the side! In general, the husband acted vilely by marrying and not saying that he was impotent. If he had told me about this before marriage, I would not have married him, because this is just a mockery of me, what could I do? At the parish, the priest advised him to be treated, and to me to pray for his health.

The treatment was not crowned with success, and after 2 years everything remained the same … My husband and I did not become close people, even friends…. We lived in different rooms. Our communication consisted exclusively on the topic of his former family, wife and adult children, his suffering, that it is not possible to return to the past and change everything and live with that family. And so every day, morning and evening. To be honest, I was just terrified and did not understand, but what am I doing here? In the end, the point is that we have been living separately in different cities for 8 months. My husband, seeing that I was not running to get a divorce, made a proposal “beat me so that I can run, filed for divorce.”But I won’t give him that luxury (beating). I have two daughters from a previous marriage. The husband said that they are nobody to him, and he is not their father, has nothing to do with them (although the youngest daughter called him dad for 2 years), now he lives happily ever after, earning good money, and not spending it on anyone but himself … And no one bothers him to live, relax, pray .. You don’t need to do anything or anyone except yourself.

I decided to divorce, because my husband was unable to fulfill marital duties, and hiding this fact before marriage.Wouldn’t this be considered a sin based on the foundations of the social concept?

Julia

Priest Viktor Nikishov answers:

God bless you! You have the right to divorce your husband, since the key point is spelled out in the foundations of the social concept. One of the reasons for divorce is just indicated: “the inability to coexist in marriage, which came before marriage or was the result of deliberate self-mutilation.”

90,000 Three types of men to avoid for women

Most often, the avengers pick-ups trade in social networks and on a popular dating site, but on occasion they can attack in real life – if they see the victim by their “profile”.To get to know a woman in order to “put her in her place” (humiliate, unsettle, etc.) is a desire that unites all kinds of pick-up artists. Those of them who cannot forget how the lady who ate at their expense “did not give” them in any way, go to the “half-cutters”. Those whom the beloved threw at the peak of the relationship – into “bastards”. The “cheaters”, respectively, become those to whom the beloved instructed the horns.

The avengers pick-ups also have their own symbolism – a snake clenched in a fist. In the absence of a snake, just a clenched fist will do.A special prowess and thrill is to show this symbol from behind the back of a companion, taking pictures with her in an embrace. Then everyone who is in the subject will see the true alignment in this photo: let the lady smile happily for now, but next to her is a convinced avenger who will one day show his true face!

The highlight of each type of pick-up revenge is a complete surprise for a lady.

The duration of each individual act of revenge lasts from one time to infinity (if the victim suddenly discovers the Stockholm syndrome).

“Fatters”: you snapped everything that happened …

31-year-old Ella (all names have been changed) describes her unfortunate date as follows:

– I met a 45-year-old man on the site, handsome, not married, wrote that he was wealthy, – the girl shares. – I immediately indicated to him that I was only interested in a serious relationship. I am a decent girl, I do not need anything, I have an apartment, a car, a prestigious job (well, so that he does not decide that I am after money).He invited me to a restaurant, offered to choose a place myself – I suggested a fashionable establishment to show him that I have good taste. At dinner, they talked so nicely – only I noted that for some reason he hadn’t taken almost anything for himself. I didn’t drink because I was driving, but I also ate like a bird. Everything became clear when the bill was brought in. He suddenly took out a calculator, meticulously calculated what he ate himself, and paid only for himself! He said that he respects me and is an adherent of equal relations … I had to pay a considerable amount myself – when they made an order, he kept persuading me to take both… Besides, before that he constantly emphasized that a person is wealthy and eats in restaurants. So I was not particularly shy … And now I think: why did he do this to me? If he didn’t like me, why did I invite me at all? A very unpleasant residue remained …

Apparently, Ella ran into a typical “half-cutter”.

The goal of the “cutter”. Meet with the lady and get her to pay her share of the bill. At least in an expensive restaurant, at most in a luxury resort. “Polammers” are confident that they are “putting in their place” women who position themselves as “financially independent”, but at the same time, at any opportunity, they try to promote men for money.

Portrait of the victim – “greedy bitch”.

– There is such a smug fifa on a dating site and writes about himself: they say, I am so successful, independent, I have my own business, – says 35-year-old Vladimir. – Like, I’m looking for a worthy companion for a serious relationship and marriage. And you start to correspond with her, so no poetry or books, just asks: what do you do, and what income, and what car, and where do you usually rest? When asked how she sees family life, she replies that she is a modern woman and that household is not the main thing in her life.With such immediately everything is clear, of them greed and rushing. For some reason, such a fifa is sure that even in a family her money is her money, and a man’s money is common. These are the ones that need to be taught. How? Very simple. You invite her to go to a restaurant, let her tell which one. The greedy bitch will one hundred percent choose the most expensive and fashionable one and order a whole clearing there, along the way saying how gastronomic it is, how often she goes to such places … And when she has already filled her womb with high cuisine and collection wines, you declare: format of relationships, no home-building, as you like.You are an accomplished business woman, I respect your independence, so we pay each for ourselves according to the bill. ” It’s a huge thrill to watch the greedy bitch change in her face! She has nothing to say, and with a crooked face she reaches into her wallet. Probably, then he tells his girlfriends what greedy men have gone … But I don’t really care.

– Do victims always react the same way?

– Almost. Somehow I came across a particularly greedy one, she said without batting an eye that she had forgotten her wallet at home. I kindly suggested that she wait at the table while she drives home for the money.I even offered to pay for the taxi, after all, I’m a gentleman. A couple of times it happened that my aunt did not even turn her ear, calmly paid her bill and began to wait for the continuation of the banquet.

– The wrong victim?

– Why, she also showed greed when meeting. It’s just that some are sure that if at the first meeting they pay for themselves, then the man will relax and unwind him – I don’t want to! With these, you can move to a larger level – an expensive resort.

– But if you immediately offer her to buy a tour in half, then she will immediately refuse!

– Who does that! You buy the tour yourself. And already at the resort you “admit” that you spent all the money on it, got into a loan and there is not a spear anymore. She, as a rule, has nowhere to go. She glamorously arrived with a gentleman on vacation, she will not be there to retreat from her high-society habits, spoil her vacation. As a result, although with a displeased look, she pays for everything, feeds, walks… I, however, only went twice like this, there is not much time for the resorts.

– Are you entering into an intimate relationship with the victim?

– Well, after counting in half in a restaurant, few give. Yes, I didn’t really want to, I have completely different girls for the soul and body. At the resort sometimes it is necessary, of course. Interestingly, some are starting to want it with a vengeance. As if you have to work them out!

– Why do you need this?

– I had a bitter experience.I met a girl, fell in love, really wanted to meet her high bar. On what she just did not untwist me! He paid for the repairs in her apartment, the car was repaired endlessly, even for her mother I had to buy a new refrigerator! And six months later she said: “You are not of my level, you are not interested in anything, you do not understand anything in art, your speech is wrong!” And dumped. And she was not ashamed to use my loot!

Judging by the thematic chats, Vladimir is far from alone: ​​the “half-men” regularly share their exploits.

“I took a woman with a mamba to a fashionable food restaurant here,” someone under the nickname Half-penny writes in the chat. – What you need – an apartment, a car, a summer residence, money, for the status she only lacks a decent husband. In a tavern she talked about how sophisticated she was, music, painting, that-behold … And at the same time she pecked at the golden grub like a bird of prey! And as she ran into an unexpected half, her jaw fell off as much! I, he says, will pay, but all of you have degenerated! ”

Lucky avengers under their posts are congratulated by like-minded people:

“Well done, guys! Women, you have ruined the full potential of respect for you.If you are essentially a prostitute, go to the appropriate site. What the hell to disguise as looking for a serious relationship if all you need is cash! By God, you got it, you yourself are destroying self-respect at the root. The guy is 55 years old. ”

“Break-ins”: not hooked – unhook!

28-year-old Svetlana worked in the HR department of a large company until she ran into Artyom. After his act, she had to quit:

“My colleagues told me that Artem from the marketing department wanted to meet me,” Sveta recalls.- Before that, I only saw him briefly in our dining room. Tall, handsome, I liked him. Once at lunch he sat down with me, then we began to dine and drink tea together. The whole dining room stared at us, the girls said that we were a beautiful couple … When Artem invited me to the ballet, I, of course, agreed. At the end of the evening we ended up at Artyom’s house. Everything went very beautifully, very romantic … But already on Monday at work, I noticed that the same colleagues who wooed us were looking at me sympathetically.It turns out that Artyom whispered to the whole office “in secret” that we had everything, but I “didn’t hook” him! Like, I look so luxurious, but upon closer examination I terribly disappointed, turned out to be “none” at all! Then there were vile comments about my appearance and body, I do not want to repeat. I was so worried that I got sick. So this was not enough for him, he sent me a message to my corporate mail, where everyone can see: “Sorry, I didn’t hook it.” As I left the hospital, I wrote a statement on my own. And then for another six months I did not get out from the psychologist, it seemed to me that I was scary and frigid and could never get married.

An explanation of Artyom’s dastardly behavior can be found in the chat of the “burglars”.

Target of the “bouncer”. Fall in love with a woman and “break off” after the first night, along the way, negatively commenting on her appearance and behavior. On dating sites, such figures sometimes deliberately, in order to lure the victim, write that “weight and age” does not matter. And when an aged donkey comes to a meeting, “they cannot hide their terrible disappointment.”

Portrait of the victim – “a narcissistic princess”.

“This is such a narcissistic star who thinks only of herself,” the same pick-up artist Vladimir describes. – She considers herself irresistible, constantly admires herself and is sure that no man can resist her. I know examples when such fifa before retirement are sure that they are irresistible!

– Why should men do such things?

– A young friend of mine ran after such a princess for a whole year, she was dynamic, but he fell in love, he could not help himself.She had several like him – she called them “retinue”, used them for small errands and to make fun of them, laugh.

– Now he is taking revenge on others ?!

– He has a normal personal life, and this is so, a hobby. He says he gets the other guys out of trouble. After the breakup, the princesses’ self-esteem falls, and they become more compliant.

“Cheaters”: since she’s so smart, why so jealous ?!

Ekaterina, a 29-year-old researcher at the Institute of General History, enjoyed her successful romance for only three months.

– Eugene was added to me on the social network, – Katya confesses, – he is cute from the photo, they began to correspond. I was bribed that he shares my interests, and I have a lot of them – history, philosophy, psychology. Zhenya impressed me as an intellectual, the personal meeting did not disappoint. We started dating, and a month later we rented a shared apartment. Zhenya, of course, does not have such deep knowledge as mine, I corrected and guided him, I thought he was grateful to me for that. But somehow he left the phone in a prominent place, and messages from another woman began to come to him.I didn’t spy on them on purpose, it was just impossible not to see them. From the messages it was quite obvious that Zhenya’s mistress was writing. Of course, Zhenya was not my husband … But still we had a serious relationship, we lived together, so I asked the question. His answer came as a complete surprise to me! He said that since I am “a woman of such a universal mind” that I teach him all the time, then I should be open-minded in sexual matters. Such a “giant of thought” like me should be in a free union, always open to new relationships! After that, of course, I left.

Evgeny, judging by his performance, is from the ranks of the “traitors”.

Target of the “traitor”. To humiliate a woman by offering to voluntarily put up with the presence of rivals.

Portrait of the victim – “overwhelming selfish”.

“There are women who definitely need to demonstrate their superiority over a man,” explains our pickup expert Vladimir. – It doesn’t matter in what area, – she constantly emphasizes that a man is either poorly erudite, or does not correctly formulate his thoughts, or it is time for him to start improving his figure, or learn to understand classical music… It sounds like a constant refrain: you don’t know this, you don’t catch up with that, you didn’t look, you didn’t read it, you didn’t listen to it… Usually men start to live with such people out of love, then it gets them, and they leave. But if a man is a pick-up spirit, he will surely click her on the nose before leaving. And he will do the right thing! If you are all so perfect, above everyone else, then you should not stoop to various small showdowns. And she can arrange different showdowns – do not come to spend the night, for example, or bring a crowd of tipsy friends, or spend all the money left before the paycheck – a woman living with highly spiritual interests, all this should be indifferent.But the easiest way, of course, is to cause jealousy. As soon as it comes to having another, this clever girl turns into an ordinary jealous woman!

* * *

“These men made a diagnosis for themselves, explaining their motives and goals,” concludes psychologist-practitioner Elena Pikhovkina. – These are people with severe complexes, not self-confident and unable to forgive. Apparently, they have no realization either in their personal or professional life, since they find the time and desire to “teach” women.As for women, they should be more vigilant when meeting new people, especially on the Internet. It only seems to these men that nothing betrays them. If at the first meetings you are not fixated on yourself and take a closer look and listen to your counterpart, you will certainly notice if something is wrong with him. Do not be lazy to show more attention to a new acquaintance: talk less about yourself, ask more about him. Without exception, all women are by nature very intuitive, some simply do not have enough sensitivity or desire to understand who is in front of you.But if a woman turns on her natural intuition, it will be almost impossible to deceive her. Use your natural gift, ladies, and be happy!

90,000 signs and treatment at home, causes of 9,0001

Author: editor3. 27 June 2018

No man will voluntarily agree to become impotent and no half kingdoms will be able to convince him. Male dignity – it is the dignity to stand proudly and please its owner and his girlfriend.Rather, girls – everyone who is lucky enough to face in a lifetime.

Summary of article

If this most unpleasant condition touches you, take urgent action. An exception is if you, that is, you, are already over 70. Then you can put up with it and retire to sexual rest. But if you’ve been here before, it’s a mess.

Impotence is not a topic that is customary to discuss with friends in a bar. Although absolutely everyone has experienced “this awkward moment” at least once.If it has just begun to repeat itself more often than usual, and also if the problems have already frankly got out, it is time to solve something with it.

In most cases, a man goes to the doctor with a problem when she is swollen to the maximum extent. Everyone hopes that “it will pass by itself” and absolutely no one wants to see oneself as impotent. In fact, these are all fundamentally wrong attitudes. Even the brain throws up unpleasant surprises, because of which the patient behaves inappropriately. For example, for no reason at all begins to brag about his bed achievements, although this has not been observed before.And this is a rather stupid way to hide problems that no one else would know about. But subconscious fear is stronger than common sense. Absurd? He is.

If you are already touched by the difficulties of a bed nature – act as befits an adult in your mind: assess the problem, find solutions and do everything that depends on you.

To win, the enemy must be studied as deeply and in detail as possible, even if the topic is as unpleasant as possible. Below is everything about what impotence in men is and how to cope with a common and very delicate problem.

What is potency and impotence and erectile dysfunction

Let’s deal with the conditions of the problem and what impotence is. The point “given” consists of two terms – potency and the opposite impotence. Impotence is called erectile dysfunction in another way, this term is more often used by doctors and sexologists, it sounds softer and more delicate, but the same is meant. Just keep in mind that this article uses both definitions. Erectile dysfunction is a condition of the body in which it is unable to have sex.And a short erection, and its complete absence – this is impotence. But due to the fact that “short erection” is an extensible concept and no one has established an exact reference time, confusion begins. Fans of long marathons, in whom ordinary sex takes half an hour or more, suspect that they have a pathology in reducing sexual intercourse to 15 minutes. For others, this figure is already a great success. And this is absolutely normal, any condition must be considered with an adjustment for a personal norm, there are no identical people.

Views

According to the severity, impotence is divided into primary and secondary.

Let’s start with the secondary. This is when you can start sexual intercourse, but there are difficulties with the ending.

Some time after the beginning, the penis falls and no longer returns to the “correct” state, and the elapsed erection time is not enough for full sex.

The owners of the primary are less fortunate – this word denotes male frigidity, that is, the inability to enjoy sex.The complete absence of an erection in men is a characteristic and very serious symptom. That is, at the physiological level, you simply have no attraction, and that’s it.

Causes of erection problems

The male reproductive system is considered to be less subtle and sensitive than the female, but this does not mean that everything is simple there. Several parts of the body are involved in erection and orgasm:

• brain – sends signals;
• hormones – they determine the level of libido;
• nerve fibers that transmit a signal from the brain;
• vessels supplying the penis with blood.

If one of the systems is out of order, the whole chain collapses. According to this principle, erectile dysfunction in men is divided into several types.

Depending on the cause, organic, psychogenic and mixed impotence are distinguished.

• Organic – the result of malfunctioning of internal organs or congenital diseases. It manifests itself gradually and can become chronic. An example is disorders in the cardiovascular system, due to which the genitals are poorly supplied with blood.Treatment of impotence in men after 50 is most often associated with the organic symptoms of aging.
• Psychogenic originates from your inner clamps and experiences. Such a reaction is a combination of psychology and anatomy and resembles a reflex mechanism – a specific stimulus elicits a specific response. Once you’ve had a traumatic experience, it may happen again under similar circumstances.
• Mixed type combines the causes of impotence described above.This is the most common variety because physiological problems are always followed by psychological difficulties. Conversely, the body is sensitive to thoughts and feelings. Systems cannot exist without each other, they need to be treated in a comprehensive manner.

Symptoms and signs of potency disorders

The main symptom is obvious: no erection. All other signs of impotence are variations on this theme. To determine if you have a problem, answer questions:

1. Is there a sexual desire in principle?
2. Does the penis respond to sexual stimuli? Even a slight wiggle is counted;
3. When a member stands up in response to some action – does it increase in size completely?
4. If not, is it enough for sex?
5. If yes, is there ejaculation?
6. If not – is it due to the fact that the erection disappears during sex or you just can’t cum?

Questions are arranged according to the severity of the condition – the further down the list you go, the more sad things are.How sad they must be to finally get ready to see a doctor is up to you. For a reasonable visit, even a simple missing erection in the morning is enough.

Another important point is changes in dynamics. Always adjust for your own rate. Most often, those who have sex too often or too rarely have problems. In the first case, it takes more time and effort to bring the member into a “combat” state due to depletion of the body. In the second, on the contrary – the body has been preparing for a long time and has accumulated a huge amount of resources, they are irresistibly rushing into battle, and everything ends too quickly.

Why does an erection fall during sex

If this happens, then, most likely, the reason is hiding in the head. This is the so-called psychological impotence. Physiology is extremely rarely to blame here – if the body is capable of an erection, then it is most likely also for prolonged sexual intercourse. Although there are exceptions. First check if the information below is relevant to you.

The most common cause of erectile dysfunction is the so-called “Sexual Failure Anxiety Expectation Syndrome” or simply STOSE.This is a very common occurrence. Its main symptom is anxiety before sex or in the process. The situation is complicated by the fact that the excitement can be unconscious, you simply do not notice (or do not want to notice) it. STOSN settles in the head for a reason, it appears due to a failure in the past, an article read on the Internet or even after someone’s story.

At the decisive moment you start thinking about the process, doubting yourself and winding up – all this takes on more weight than excitement, and sex again does not work out.

To defeat STOSN, you need to gain self-confidence – after all, this is nothing more than a stupid vicious circle. It’s still okay, but you are already wondering “what to do if the member is not worth it?” At the same time, you scare yourself and get exactly what you are afraid of. Fear is unfounded – if you overcome it, and the problem will be solved.

It is important that your girlfriend also understands this, and not aggravate the situation. Whining “you don’t love me anymore” will not help and will even make it worse. You need support to give you confidence.

A man’s erection may subside if:

• Society or your parents, at the stage of forming your personality, laid down the wrong attitudes. For example, they said that sex is bad or dirty;
• you had a painful failure in the past, inwardly you are afraid of repetition;
• in fact, you don’t really like your partner, and your imagination fails at some point;
• or vice versa – a man cannot cum due to an interrupted erection if he likes the girl too much.There is a fear that it will not be possible to satisfy her;
• you are afraid of specific problems – for example, publicity (someone who should not find out about your sex) or venereal disease;
• in the head during sex – not sex, but a thousand “more important” heavy thoughts. You suddenly remember that you forgot to pay a loan or send a report, and that’s it, now your head is occupied with only this.
• confuses the behavior of the girl. For example, if she hotly whispers in her ear “I love your 12 centimeters of pure pleasure so much,” but you have, in fact, 16.

Sometimes one action, one sex, one minute is enough to create STOSE in a man for the rest of his life. And over time, the situation only gets worse. In a neglected case, men no longer even try to have sex, because they are 100% sure of failure. They have long forgotten that this is erectile dysfunction, which appeared almost from scratch. This approach minimizes the chances of a good outcome. We must pull ourselves together!

Interesting characteristics will help determine what is STOSN.The syndrome is known for being able to manifest with only one partner and not with others. Masturbation, too, usually does not cause any difficulties.

This is the key to success – you don’t owe yourself anything, in front of you you will not blush in case of failure. Therefore, everything is fine with masturbation – you are calm, do not worry and everything turns out fine.

When you want to impress a girl who (for example) you really like, you involuntarily get hung up on the fact that an erection is extremely, vital, very necessary.Otherwise – fire, deluge, explosion. Excessive importance spoils everything, get rid of it and improve potency will not keep you waiting.

General methods of treatment of impotence

There are many ways to treat male impotence – from loyal to shock. The problem of the latter is that they also cling to other, innocent, systems of the body. But, undoubtedly, the result from them is the fastest and most obvious. This refers to drug therapy.

More delicate treatment of impotence at home or in the clinic is quite possible – proper nutrition, physiotherapy, massages, exercises.They do not give the effect “right in front of our eyes”, which we are all waiting for. But such methods, for the most part, work for the long term. They help the body to get stronger, and do not force to spend emergency supplies.

Drug treatment

It’s strange if the first thing that comes to your mind is something other than Viagra. Most men (and women as well) will never name at least a couple of other brands. And they exist! Moreover, they differ not only in name, but also in the way of action.

Drugs for the treatment of erectile dysfunction are divided into those that improve potency, increase libido or normalize hormonal balance in the body. They have a different active substance and principle of action. In any case, it is advisable that the treatment is prescribed by a specialist.

But you are most likely not a doctor. And therefore it is not at all obliged to understand the intricacies of medicines and delve into complex terminology. Below you will find general information described in clear language.It will be quite enough to generally understand what’s what.

Preparations for effective action

Even within one group there are differences in the type of exposure. Some drugs for the treatment of impotence stimulate the production of enzymes, while others contain nitric oxide, which dilates blood vessels. These types of tablets act immediately, the effect lasts several hours. The active substance does not accumulate in the body and is not suitable for continuous use.

For long-term therapy, testosterone is sometimes prescribed in tablet form or in injections.Before starting the course, it is imperative to pass tests. This may seem obvious, but still: if the hormone is not lowered, you do not need to take it. At all. Generally. Twice you cannot become a man with all your desire, and unnecessary interventions in the hormonal balance will not lead to anything good.

Dietary supplements for every taste and budget are also popular. By the way, dietary supplements are medicines that have not passed clinical trials and therefore their effectiveness has not been proven. It’s no secret that this category is full of cool tools that help with the case.But there are enough “dummies” in it, too, we must remember about this. Reviews and opinions on the Internet will help you choose a good product.

Preparations by route of administration

The active substance can be delivered to the body not only in the usual “tablet” way. There are more sophisticated options, each of which has its own advantages.

Oral medicines have already been mentioned. With them, everything is simple, put a pill in your mouth and drink it with water, you don’t need to be a genius to cope.

Intraurethral method is when the medicine is injected directly into the urethra.Due to the fact that medicines go straight to the desired area – the effect is brighter and more pronounced, the improvement of erection occurs faster, in about 10 minutes. Plus, unlike tablets and capsules, topical agents can be administered whenever you want. For example, it won’t matter at all what you just had a snack. Side effects are so-so – discomfort in the urethra, pain, burning sensation.

Rectal suppositories are less common. They are instantly absorbed and do not really hit the body, but the sensations are not pleasant.Discomfort lasts about 30 minutes, if you have sex at this time – the sensations will be … Ambiguous.

Intraurethral drugs, or rather, their introduction – it is painful, but not too much. Intracavernous administration is even more painful. These are potency regulators that are injected directly into the penis. You can breathe easy, in our time barbaric methods are almost never used – oral drugs are no less effective.

Drug-free treatment

Non-drug methods include massage, shock wave therapy, exercise therapy, exercise therapy.

If pills, injections and folk remedies for impotence are not for you, you can turn to alternative methods of treatment. For example, to homeopathy – it seems to be related to medicines, but very mediocre. Experts in this field recommend, for example, Selenium and Sulfur for therapy, but the exact indications, even in homeopathy, are selected individually.

Physicians often prescribe physiotherapy. Such methods will help, provided that the appointment “hits the target.” That is, it will act on the causes of impotence.To do this, you need a cool doctor who knows his job perfectly.

By the way, homeopathy, physiotherapy and dietary supplements can help in one more case – if the disease arose due to the peculiarities of psychology, and the selected remedy worked like a placebo.

Regardless of what signs of impotence you have, massage treatment will be useful. Prostate massage is unpleasant for most men, but a very effective method. It improves blood circulation in the pelvic organs, supplying them with important elements and oxygen.Because of this, the prostate gland produces more secretion, and the potency improves. By the way, in vain are you so afraid of this procedure, prostate massage will bring new heights of pleasure, since a man experiences a strong orgasm from him. Involve your woman in the process itself, let her watch our video tutorial “Prostate Massage”, her skills will delight you, not only strengthening your health, but also delivering pleasure.

Sometimes there are specific medical conditions behind sexual difficulties.If the situation is getting worse, you need to be carefully examined. You may first need to learn how to treat BPH in men or take a course of therapy against prostatitis.

If an erection has disappeared due to a passive and sedentary lifestyle, love for tight trousers or tight (but, undoubtedly, sexy) underwear, exercise therapy will help. A set of special exercises is designed to influence the same pelvic organs. Exercises are shown and prescribed by the doctor.

Some couples buy a pump for home use.It is put on the penis right before sex and in a couple of seconds you become the owner of a stone erection. Pure physics – the vacuum attracts blood, it fills the blood vessels. There is no long-term effect from the pump, only one-time.

Before treating impotence with medicines, at least a little master the exercises. An effective complex has already been prepared for you, it can be found just below. Exercises are good because they do not have contraindications and pronounced side effects, it is desirable to perform them for every man – both sick and healthy.Exercises will definitely not go to the detriment.

Alternative methods – how to treat at home

Traditional medicine offers a rich variety of recipes, but not all of them look adequate. You can, for example, eat garlic in incredible quantities. Still, it is better to choose less scents and more pleasant answers to the question “how to cure impotence.”

Introduce the following foods into the diet:

• ginger root;
• ginseng;
• celery;
• walnut.

From the above, you can make decoctions and infusions, something is suitable as an addition to tea. It will not be difficult to follow the regimen of useful supplements from this list, and the condition will become better for the whole body. These are safe and effective products for the treatment of erectile dysfunction at home

Healers recommend making honey applications – dissolve 0.25 kg of honey in 1 liter of warm, but not hot water. Soak a napkin or towel in it and apply to the base of the penis twice a day for 10-15 minutes.It seems that the authors of the recipe forgot to mention that there must be a girl nearby who is not indifferent to beekeeping products. Another popular recipe is mustard plasters on the feet. They supposedly will accelerate the blood, especially in the direction of that very organ, improving its oxygen supply and filling the cavernous bodies. And for dessert – a bath with a bay leaf.

A picture worthy of a separate erotic film: you come out of the bath, with a leaf of lavrushka stuck to your shoulder, glue mustard plasters on your feet, and put honey gauze on your penis … What next – think for yourself, if you want.Try not to represent the smell in too much detail, or problems may worsen.

Exercise and training – where is the best answer to the question “how to increase an erection?” They are harmless, have no contraindications and … smell

Diet in violation of potency

Prepare for an attack with common truths, you can’t do without it.

So, you are what you eat. The body directly reflects the lifestyle of the owner, it is impossible to cure a painful condition without changing the approach to health.Before you treat potency, you need to tidy up your lifestyle as a whole.

Well, everything seems to be done, with the hackneyed phrases, now on business.

The diet should contain special nutrients that are shown specifically for potency. These are phosphorus, zinc, vitamins E and D.

The diet should not contain soy and beer (they increase the level of female hormone), deep-fried food. Fast carbohydrates – bread, pastries, potatoes – will cause harm. You also need to rule out mint – even gum and menthol in blacklisted cigarettes.

Treatment of impotence in men should begin with a reduction in the amount of salt. No more than 4 grams per day are allowed. Not only the salt with which you sprinkled the finished dish is taken into account, but also the one that was already in it. It is very important!

Coffee – no more than 1 cup per day. Too much coffee destroys testosterone molecules, directly pushing you away from the desired result. But a little bit of this drink will not hurt – in small quantities it helps the vessels.

Here are some dishes for men, tasty and healthy for potency:

• Fried eggs with fried onions;
• pork, with carrots, garlic and pepper, baked in the oven;
• salad of boiled fish and potatoes, cucumber and carrots;
• soup with cauliflower and shrimps.

As you can see, it is not at all necessary to switch to a dull and joyless diet in order to eat right and maintain potency in the norm. There are various potential causes of erectile dysfunction and treatment depends on them, it is a fact. But it is your sacred duty to start eating right, even before the start of therapy and research.

Products that increase male strength

Improving erection is impossible without maintaining the balance of vitamins and minerals. Eat cheese, oysters, red meat, organ meats, seafood, nuts, dairy products.

Add spices to your food, especially saffron, cinnamon, nutmeg and cardamom. Honey with walnuts is not only very tasty, but also healthy.

Useful juices are quite suitable as a treatment for impotence with folk remedies. The most effective for these purposes are pumpkin, celery, watermelon. It is desirable that the juices are freshly squeezed, they can be found in any cafe or bar. You need to drink at least once a week.

Prevention and exercise, how to restore an erection

Treatment of impotence at home with folk remedies is, of course, very good, but even better – to master a special set of exercises.It is aimed at working with the pubococcygeal muscle, or, in short, LMB. It is also called the “muscle of love”, this romantic name LKM received for the fact that it plays a decisive role in sex – it lifts the penis. It is not worth it if the muscle works poorly. Then there will be no sex, that’s all.

Before you can restore an erection with exercises, you need to find LMB. Try interrupting the flow of urine while urinating or moving your penis up and down during an erection.Of course, without hands. You will feel how the LMB moves.

To train this muscle was persistently recommended by the ancient admirers of the “Tao of Love”, widely using training as part of their techniques, recognized, by the way, all over the world.

Keeping her in good shape isn’t just about having perfect sex. Trained paintwork – protects against very unpleasant diseases such as urinary and fecal incontinence. So even after many years, to a ripe old age, exercise will be very useful.And it’s time to start them now.

Exercise 1

After you find the LMB and learn how to control it, master this technique: slow and smooth muscle tension ascending, to the top point, and then slow and smooth relaxation. The main thing is that there are no sudden movements, only slow and smooth ones, otherwise it does not count.

Exercise 2

Proceed to it only after the first exercise has been perfectly completed, at least a few days after the start of the session.Do the same, but with intermittent movements, as if climbing stairs. Figuratively, of course. Physically, you don’t need to move at all.

It looks like this: “tension-pause-tension-pause-tension …”. Thus, in a few “steps” you will reach the upper point of tension. Then relax your muscles, going down the same “ladder”, gradually. The main rule is to only move up or down. While “rising”, you should never relax your muscles and vice versa.

You will find a full range of exercises with a demonstration of techniques in our special video course “LKM Training”, where the best sexologist and psychologist Valeria Aginskaya reveals in detail the features of male anatomy and physiology and selects the best set of techniques for your excellent potency.The effectiveness of exercise as a way to increase erection has been proven and recognized all over the world. They have no contraindications and will be useful to every man. The same applies to regular prostate massage – it does not take much time, but gives visible results very quickly. Massaging the prostate gland stimulates blood flow to the prostate. The gland affects the regulation of all reproductive processes. The impact on it is extremely effective if there are problems with potency.

The prostate is located on the anterior wall of the rectum.Depth – about 5-8 cm from the anus. Correct stimulation = sweeping motion towards the navel.

Prostate massage can be done manually or with massagers, they are sold, including in sex shops. If you decide to purchase this useful gadget, pay attention to the vibration and rotation functions. Rotation is a change in length, due to which you do not have to manually move the massager, it will itself move in the correct way inside the rectum.

This means that you don’t have to do anything at all except insert the massager, wait for it to do its job, and remove it.Additional features add numbers on the price tag, but significantly reduce the level of discomfort. Even, one might say, they reduce it to zero. On the contrary, the benefits of the procedure increase. In general, this is clearly worth a little overpay.

Massager is by no means the same as a vibrator. It has a C-shape specially designed for this purpose. There is a notch-stopper on the body, it clearly indicates the required depth and does not allow the device to move in the process.

When massaging any type of prostate, be sure to use a water-based lubricant such as Wicked Jelle.This is a minus to soreness and plus to the comfort of the body in an unusual process for it.

Next, we offer you self-massage techniques that you can try tonight. But if you yourself are not ready to do the massage, then contact your friend, let her watch our video tutorial “Prostate Massage” in order to make this process a pleasant love game for both of you.

Technique “Circular movements”

The first option is to use a device with a rotation function, for example, Nexus Revo Stealth, it is important that the massager is anatomically shaped.Rotation is a circular motion that is directed over the entire area of ​​the prostate gland. This is the most comfortable method, since the effect is only on the gland, everything else remains alone. The main advantage of this device is that it has a control panel that will free you from the need to take an uncomfortable position. You just insert a massager with anal lubricant, for example, Pjur analyze me, and he will do everything for you.

“Come here” technique

You can choose a simpler device and buy a static model with vibration, for example, the Nexus Revo Slim.The pluses are the same: comfortable shape and intense stimulation. But in this case, the device will move entirely, or rather vibrate. This gives a very pleasant sensation, since it affects the entire area of ​​the rectum and anus, which, as you know, has more than 72 thousand nerve endings. First you need to prepare: a good, high-quality lubricant – by no means petroleum jelly or, moreover, a greasy cream, Wicked Jelle is best suited. Next, find a comfortable position, you may need to be flexible.It is best to perform the technique while lying on your back. The pose should be as comfortable as possible. You insert the device slowly in a circular motion, then do the “Come here” technique, that is, you kind of move the massager towards you, as if beckoning someone with your finger, calling to come to you, at this moment you need to bend your legs at the knees.

Jackhammer Technique

Another cool stimulator – Duke from the German manufacturer Fun Factory, all toys of this factory are made in Germany, in the city of Bremen, they go through 8 stages of control and have a 2-year unlimited warranty.After lubrication, you can gradually introduce the toy to a depth of about 4-5 cm (for all men, the location of the prostate may vary slightly). The desired point is a little rough to the touch, it is not particularly difficult to find it. The massage itself is a gentle stimulation. The main thing is not to allow painful sensations, they should not be. You also lie on your back and perform the technique – with quick upward jerks with a small amplitude, maximally affecting the gland. The massager, in its actions, really looks like a construction jackhammer.

Do not be surprised if you get the strongest orgasm without even touching your penis, because the prostate is the second erogenous zone in a man, which is responsible for pleasure. By the way, the massage of this zone will allow you not only to avoid diseases, but also to prolong your masculine strength for many, many years. Connect your woman to this process, this will diversify your relationship and help awaken passion. Let her watch our video course “Give a man a bright orgasm”, it will be a truly cool gift for both of you.

No matter how much you would like to believe that 10-15-20 years is a long time and not soon, the defining moment will come anyway. And then you will thank or (very loudly and ugly) scold yourself for being lazy. Thousands of men have passed the same road and therefore there is no doubt that it is better to take care in advance. Then you will never have to find out what to do if you are impotent, as well as how to treat impotence, prostatitis, adenoma and other unpleasant diseases. Take care of yourself, watch our video tutorial “Paintwork training” and do according to the proposed program.Check out our other men’s courses on sexual skills to improve your skills in bed, give pleasure to your woman and enjoy sex yourself.