Signs of erectile dysfunction and form of the disease

Erectile dysfunction – the inability to create and maintain an erection of the penis to produce satisfactory sexual intercourse. Erectile dysfunction occurs not only in men older than 40 years (50%), at least once a year, the disorder of potency is observed in men at a young age (20 years and older).

Part of the male penis enters the cavernous (erectile) tissue, forming three bodies: two cavernous, spongy one. During sexual excitement blood fills arteries to advanced cavities of bodies of the penis, at the same time decreases blood flow by narrowing the veins. This state of the vessels observed during the whole erection, and other tissues of the penis at this time feel the ischemia, which can cause disorder of erection.

Classification and causes

In accordance with the reasons are the following forms potency disorders:

1. Psychogenic
2. Organic
3. Combined

Reasons:

• Psychological problems;
• Somatic diseases;
• A combination of causes, including psychological issues and somatic diseases.

Psychogenic erectile dysfunction

Psychogenic sexual dysfunction in men occurs against a background of depression, dissatisfaction, stress, fatigue, poor health. Violation of sexual intercourse in men it occurs on the background of conflicts with partner, dissatisfaction with it, increased sexual demands, lack of peace and safety during sex (home, office, car).

"Syndrome of the first meeting". Sexual dysfunction occurs when the first proximity, when the excitement is too great and the body from him prematurely tired. Repeated sexual contacts of men run without problems. After the first failure remains a deep psychological trauma rooted in the mind of doubt in their abilities and failure can be repeated. The more often repeated erectile dysfunction, the more fear and doubt are present before sexual intercourse, increasing the chance of new failures.

Condom use can be stressful to men. "Selective erectile dysfunction" (one partner sexual intercourse is successful, the other not) are also due to psychological factors.

Organic sexual dysfunction

Vascular disorders — the most common causes of erectile dysfunction in men. Given the mechanism of development of disorders of erection, there are two types of violations:

1. The decrease in blood flow through the arteries, resulting in an erection comes long and hard. The penis tense, but a little, it is as if in an intermediate position;
2. Increased blood flow through the veins of the penis, resulting in erection goodcomes quickly, but goes away quickly.

The symptoms of these disorders develop on the background of developmental abnormalities of the valve apparatus veins of the penis, atherosclerosis of arteries, endarteritis, varicose veins. A whole range of reasons (vascular, neurological, medical) occurs in hypertension and diabetes. After myocardial infarction or stroke, even among men at a young age can be fear of harm to their health as a result of increased stress during sex.

Endocrine causes of sexual disorders: hypogonadism, pituitary tumor. Hypogonadism is uncommon and leads to a low production of hormone testosterone. In addition to the impossibility of carrying out a satisfactory sexual intercourse are marked by other signs of testosterone deficiency: high voice, no facial hair and body fat deposition on the hips and chest.

With pituitary tumors that produce the hormone prolactin, persistent erectile dysfunction is the only manifestation of the disease. In this case, the cause of disturbances in sexual function in men identify the additional examination: blood tests for hormones, MRI of the brain.

Medical causes of disorders of sexual intercourse — hormonal drugs with antiandrogenic effect of female sex hormones, alcohol, drugs. Erectile dysfunction can cause antihistamines used for more than two weeks.

Neurological causes: epilepsy, brain and spinal cord, other pathology. In chronic prostatitis the weak man's strength due to deep depression and inflammation of the nerve bundles responsible for the occurrence of erection.

Men in adulthood may decrease the level of testosterone. Given the presence of the increased weight, hypertension, chronic diseases, fatigue and depression, age-related hormonal disturbances do not add health to the man. The list of reasons and situations in which there is a weak erection, and more diverse and is not limited to the above.

Symptoms

Violation of psychogenic potency has a sudden onset, occurs periodically in different situations, signs of disorder of an erection develop after the stress. The voltage of sexual intercourse may disappear at any time that sensitive in young and Mature age. Night and morning erections are saved.

Organic erectile dysfunction, occurring against the backdrop of disease or taking medications, has a gradual onset and progressive course. Organic erectile dysfunction is all the time, but if there is a good erection, sexual intercourse takes place andends without problems. Night and morning erections are absent. To violations of potency, caused by organic causes, always added a psychological component that can come out on top after eliminating the underlying cause.

Treatment

Who to contact for help with the problem? This problem deals with a sexologist (sex therapist to find often only in major cities). Need to consult a urologist, conduct a survey to clarify the hormonal status, elimination of urogenital diseases, especially prostatitis. In identifying the pathology of the other treatment. The elimination of the psychological disorders treated by psychologists.

Conservative treatment includes medical assistance (treatment of the underlying disease, symptomatic treatment), psychological assistance. Drugs that improve the quality of sexual intercourse (viagra, levitra, cialis) are used only when there is sexual arousal, can not help all patients.

Vitamins, drugs that increase the overall tone of the organism (a ginseng, eleuterokokk), indirectly improve blood flow.

Surgical treatment is used with the ineffectiveness of conservative therapy or the impossibility of its implementation for certain reasons. Secrete vascular surgery on the penis, falloprotezirovanie.