Male potency, reasons for its decline, methods of recovery are constantly being investigated. Erectile dysfunction has long been considered a problem for 60-year-olds. Studies conducted in 1993 showed that half of men over the age of 40 experienced a decrease in potency. Improving erections requires a series of actions aimed at identifying and eliminating the cause of problems in bed.
Likelihood in men at 40: the first signs of impotence
Men always equate potential with power. Therefore, even the slightest sign of decreased erection is a cause for serious concern. Single fires are not indicative of erectile dysfunction.
Signs of decline in erection ability in men after the age of 40 are:
- flaccidity of the penis - inability to achieve a firm erection;
- a decrease in erection spontaneously or at the entrance to the vagina;
- impaired sexual response due to fear of failure;
- the onset of ejaculation to orgasm with a partner;
- prolonged intercourse, the man cannot reach orgasm for a long time;
- decreased sex drive;
- Long recovery after ejaculation, inability to have intercourse more than once per night.
If a man has more than two signs, this indicates impaired ability.
Causes of problems in bed
In the body of men over 40 years old, there are many physical changes that negatively affect the ability to get an erection. But the natural aging process isn't the only cause of problems in bed. Accurate definition of the factors associated with impotence will allow you to prescribe the appropriate treatment.
Inflammatory diseases of the vagina
Inflammatory diseases can be infectious or non-infectious. Infectious diseases are divided by pathogen type into viral, fungal and bacterial and include the following:
- urethritis;
- infectious prostatitis;
- frequent sexually transmitted infections;
- prostatitis;
- balanoposthitis;
- vesicular inflammation;
- epididymitis.
- pyelonephritis.
Non-communicable diseases occur without the involvement of pathogenic microorganisms. Including:
- non-infectious prostatitis;
- Brown planthoppers;
- malignant and benign tumors in the organs of the genitourinary system (cancer of the prostate, penis, urethral polyps, and others).
The disease affects not only sexual function, but also the work of all organs of the genitourinary system.
Hypodynamia
Hypodynamia is a condition characterized by weak physical activity. It is also known as the "disease of civilization". In people who are inactive, overweight, reduce muscle strength. Violation of neuromuscular regulation leads to impaired contractility of all muscle fibers.
The "disease of civilization" negatively affects the work of all organs. People with psycho-emotional disorders, decreased libido, men with this disease have no interest in sex.
Heart-related diseaes
There is a strong link between erectile dysfunction and diseases of the cardiovascular system. Decreased potency is due to diseases affecting blood vessels. These diseases include atherosclerosis, hypertension, and high cholesterol.
These diseases, which account for about 70% of the organic causes of ED, restrict blood flow to the cavernous bodies of the penis.
Fat
Being overweight is a psychological and physiological factor in the development of sexual disorders in men. Obese people have low self-esteem, they are prone to depression and stress, which contributes to reduced libido and sex drive.
With obesity, due to a large load, blood vessels are damaged. With excessive weight, increased blood pressure, increased cholesterol in the blood and inflammatory processes that interfere with normal blood circulation can be observed.
In men, belly fat converts testosterone into estrogen, causing a hormonal imbalance. Lack of testosterone leads to corpus cavernosum, erectile dysfunction.
Bad Habits
Smoking and alcohol damage blood vessels, restricting blood flow to the penis. Nicotine resin deposits on artery walls, risk of hyperlipidemia and arterial hypertension, poor blood circulation.
Ethanol, entering the bloodstream, "sticks" the platelets, leading to blood vessel blockage. As a result, thrombosis depletes the nutrition of organ tissues, especially those rich in arteries and veins, such as the brain and penis.
Stress and psychological problems
Stress is an adaptive response of the body to the effects of psychological stimuli. Under constant nervous tension, the production of adrenaline and cortisol increases - hormones that, in high concentrations, negatively affect all body systems, including the genitourinary system.
The first encounters with fires in bed significantly lower a man's self-esteem. Fear and uncertainty contribute to the development of psychogenic impotence. Over time, the sensitivity of the cavernous tissue to neurotransmitters decreases, blood flow to the cavernous body decreases, and as a result, erections occur.
How do doctors treat erectile dysfunction?
Treatment for ED depends on the underlying cause. Modern endocrinology offers a wide range of treatment protocols and techniques. Their choice was determined by the ornithologist, based on acceptability for a particular patient.
Initially, the doctor must be sure that the man is being treated for a medical condition that is causing or negatively affecting sexual function. Medication is indicated for both the psychological and physiological factors of ED disorders. Psychotherapy is used for psychological and neurological impotence. In severe cases, surgical treatment is prescribed.
Consequences of erectile dysfunction in men
The decrease in potency is caused by various pathological changes, and as a rule, there are several of them. When there is no treatment, the man suffers from mental disorders: depression, psychosis, neurasthenia.
By itself, impotence leads to impaired spermatogenesis, ejaculation, and infertility. But the list of consequences for ED is much broader. Infectious diseases become chronic, hormonal disorders lead to dysfunction of most organs, life-threatening vascular diseases. But if a man sees a doctor in time, he will avoid complications and improve potency.
Treatment for erectile dysfunction after 40 years
Treatment of impotence includes different methods. Often, an integrated approach is required, which includes first of all lifestyle changes, daily habits, and nutritional adjustments. The aim of complex therapy is to eliminate the causes of erectile dysfunction and prevent complications.
Instant Drugs
In the absence of serious deviations, drugs that stimulate an erection are prescribed. The effect of the drug is based on relaxing the muscles of the penis and increasing blood flow in the cavernous bodies.
Immediate medications include:
- preparations with the active ingredient Sildenafil;
- based on Avanafil;
- Tadalafil-based fund.
Means that require compliance with the dosing regimen.
Ointments and sprays
Topical medications work locally and are considered safer than oral medications. Some have a broader pharmacological activity, others a narrower pharmacological activity.
The following are considered effective:
- cream based on vegetable oil;
- cream containing alprostadin;
- cream based on plant extracts;
- spray - a complex of plant extracts and aphrodisiacs.
Most creams and sprays are natural and available without a prescription.
Probiotics in spray form, thanks to a special dosage form, rapidly deliver active biological substances:
- activates the synthesis of testosterone, increases libido;
- increase the strength and filling time of the cavernous bodies;
- increased tone of the smooth muscles of the penis;
- improves the condition of blood vessels;
- eliminate inflammatory processes.
The spray is used right before sexual intercourse. The contents of the vial are sprayed on the genitals, wait 5-7 minutes for the substance to penetrate into the tissues. The procedure is repeated daily.
Folk recipes and functional foods
Men over 40 have had problems in bed for centuries. Before the advent of medicines, people increased their potency with the help of folk recipes that are successfully used today:
- Musk tincture (beaver line). 200 g of dried musk is poured with a liter of vodka and infused for 30 days. Drink one teaspoon three times a day.
- Deer velvet tea. Thinly sliced gauze, smashed with a knife. Drink 2 teaspoons. raw materials, pour a glass of boiling water, insist for half an hour. Sac drink divided into 3 parts and drink during the day.
You can also use functional foods.
They are like folk remedies, belonging to an alternative method of curing impotence but equally effective as traditional medicines.
Dietary supplements must be taken in courses.
Doctors prescribe supplements as a remedy for men with:
- prostatitis of any origin and neglect;
- erectile dysfunction associated with various causes;
- short intercourse;
- low libido;
- premature ejaculation;
- violation of the function of the genitourinary system;
- inability to achieve orgasm or feeling weak during intimate contact.
vacuum treatment
An erection is provided by the blood of the cavernous bodies. Vacuum erection pumps help improve blood flow in the vessels of the penis. The device is a cylinder with a pump at the end. The penis is placed in the cylinder, and then the air inside is sucked out using a pump. This creates a vacuum and increases blood flow.
hormone therapy
If erectile dysfunction is associated with decreased androgen levels, testosterone replacement therapy is indicated. Duration of androgen replacement therapy is at least 3 months. During treatment, it is necessary to constantly monitor the level of androgens and luteinizing hormone. The drug can be taken orally, orally, or as an implant under the skin.
Taking testosterone pills can cause prostate enlargement, swelling
Surgical intervention
Surgical therapy options are used when other treatments have failed. Phalloprostists - implanting a bio-silicon prosthesis. The procedure is indicated for congenital malformations, malformations after visceral trauma, atherosclerosis, and persistent metabolic disorders. The disadvantages of the method are the need for surgical intervention, the risk of infection, and in case of unsuccessful surgery, it is almost impossible to use other methods of treating ED.
Gymnastics and massage
Exercise is important for maintaining blood vessel and muscle health. Regular moderate physical activity increases potency. The most effective are:
- Kegel gymnastics - exercises aimed at activating the muscles of the pelvic floor;
- "bicycle" lying on the back or on the simulator;
- circular movements of the pelvis;
- running in place
- "scissors"
Massage helps relieve stress and improves blood circulation. The gentle strokes are stimulating, they can be used as a foreplay.
Nutrition principles
Proper nutrition helps to lose weight, restore hormonal balance and improve overall health. Since the pathogenesis of erectile dysfunction is based on circulatory disorders in the penis, it is advisable to follow a reasonable diet for diseases of the cardiovascular system (Table 10).
Power features:
- they consume 2500-2600 kcal per day, the basis of the diet (60%) is animal protein;
- limit salty foods;
- give preference to low-fat meats and fish, cereals, dairy products, boiled vegetables and fresh fruits;
- smoked meats, sausages, pickled vegetables, tea, coffee are excluded from the diet.
It is necessary to exclude alcohol and in general any food and drink that has a stimulating effect on the vascular and nervous systems.
Prevent problems with validity for 40 years
There are several steps to help prevent ED.
Most of them are aimed at making lifestyle changes and improving overall health:
- exercise regularly;
- maintain a healthy weight;
- avoid stress whenever possible and learn to deal with it;
- give up alcohol, smoking;
- regular sex life;
- Regular health check-ups to detect heart and endocrine diseases.
In most cases, men over the age of 40 can easily restore potency. To do this, at the first symptoms, you need to consult a doctor. The therapist will help eliminate fear, strengthen self-confidence, because the key to a favorable treatment prognosis is the belief that the problem will be overcome.