The male potential, the reasons for its deterioration, the methods of recovery are constantly being investigated. Erectile dysfunction has long been considered a problem of 60-year-olds. Studies conducted in 1993 show that half of men over the age of 40 experience a decline in strength. Improving erection requires a series of actions aimed at identifying and eliminating the cause of problems in bed.
Potency in men in their 40s: the first signs of impotence
Men have always equated power with power. As a result, the slightest hint of a drop in erection causes serious concern. Single igniters do not indicate erectile dysfunction.
Signs of worsening erections in men after 40 years are:
- weakness of the penis - inability to achieve a strong erection;
- decreased erection spontaneously or at the entrance to the vagina;
- insufficiency of the genital reaction due to fear of failure;
- initiation of ejaculation in orgasm with a partner;
- sexual intercourse is prolonged, a man can not reach orgasm for a long time;
- decreased sexual desire;
- long recovery after ejaculation, inability to have more than one sexual intercourse at night.
If a male has more than two signs, this indicates a decrease in strength.
Causes of bed problems
In the body of men over 40 years there are many physical changes that negatively affect erection. But the natural aging process is not the only cause of bed problems. Accurately determining the factors linking impotence will allow you to prescribe adequate treatment.
Inflammatory diseases of the genital area
Inflammatory diseases can be infectious or non-infectious. Infectious diseases are divided according to the type of pathogen into viral, fungal and bacterial and include the following pathologies:
- urethritis;
- infectious prostatitis;
- frequent sexually transmitted infections;
- prostatocystitis;
- balanoposthitis;
- vesicles;
- epidemics.
- pyelonephritis.
Non-communicable diseases occur without the participation of pathogenic microorganisms. This includes:
- non-infectious prostatitis;
- BPH;
- malignant and benign neoplasms in the organs of the genitourinary system (cancer of the prostate, penis, urethral polyps and others).
Diseases affect not only sexual function but also the work of all organs of the genitourinary system.
Hypodynamics
Hypodynamics is a condition characterized by poor physical activity. It is also called the "disease of civilization". In people with physical inactivity, overweight, reduced muscle strength. Violation of neuromuscular regulation leads to a deterioration of the contractility of all muscle fibers.
The "disease of civilization" negatively affects the work of all organs. People have psycho-emotional disorders, decreased sexual desire, men with this disease do not enjoy sex.
Cardiovascular diseases
There is a strong link between erectile dysfunction and diseases of the cardiovascular system. Decreased strength is caused by diseases that affect the blood vessels. These pathologies include atherosclerosis, hypertension, high cholesterol.
These diseases, which make up about 70% of the physical causes of ED, restrict blood flow to the cavernous bodies of the penis.
Obesity
Overweight is a psychogenic and physiological factor in the development of sexual disorders in men. Obese people have low self-esteem, are more prone to depression, stress, which contributes to decreased libido and sexual desire.
With obesity, due to a large load, blood vessels are damaged. With excess weight, hypertension, hypercholesterolemia and inflammatory processes that impede normal blood circulation are observed.
In men, belly fat converts testosterone to estrogen, causing a hormonal imbalance. Lack of testosterone leads to cavernous insufficiency, disruption of the erection mechanism.
Bad habits
Tobacco, alcohol damage blood vessels, restricting blood flow to the penis. Nicotine resins settle in the walls of the arteries, the risk of hyperlipidemia and hypertension increases and blood circulation deteriorates.
Ethanol, entering the bloodstream, "sticks" platelets, leading to blockage of blood vessels. The resulting thrombosis damages the nutrition of organ tissues, especially those with a high concentration of arteries and veins, such as the brain and penis.
Stress and psychological problems
Stress is an adaptive response of the body to the impact of psychological stimuli. With constant nervous tension, the production of adrenaline and cortisol increases - hormones that in high concentrations negatively affect all body systems, including the sexual one.
The first mistakes in bed dramatically lower men’s self-esteem. Fear and insecurity contribute to the development of psychogenic impotence. Over time, the sensitivity of the cavernous tissue to neurotransmitters decreases, the filling of the cavernous bodies deteriorates and, as a result, the erection.
How does a doctor treat erectile dysfunction?
Treatment for ED depends on the underlying cause. Modern andrology offers a wide range of therapeutic regimens and techniques. Their choice is determined by the andrologist, based on the acceptability of use for a particular patient.
The doctor must first ensure that the man is in therapy for pathologies that cause or adversely affect sexual function. Taking medication is indicated for both psychogenic and physiological factors of ED disorders. Psychotherapy is used for psychogenic and neurogenic impotence. In extreme cases, surgical treatment is prescribed.
Consequences of erectile dysfunction in men
Deterioration of strength is caused by various pathological changes, and, as a rule, there are several of them. In the absence of therapeutic measures, a man has mental disorders: depression, psychosis, nervous breakdown.
By itself, impotence leads to impaired spermatogenesis, ejaculation and infertility. But the list of consequences that ED causes is much wider. Infectious and chronic pathologies become chronic, hormonal disorders lead to dysfunction of most organs, pathologies of the vascular system are life threatening. But if a man visits a doctor at the right time, he will avoid complications and improve strength.
Methods for treating erectile dysfunction after 40 years
Treatment of impotence involves various methods. An integrated approach is often required, including, first and foremost, a change in lifestyle, daily routine, and nutritional correction. The goal of complex therapy is to eliminate the causes of erectile dysfunction and prevent complications.
Immediate drugs
In the absence of serious deviations, medications that stimulate the erection are prescribed. The action of the drugs is based on the relaxation of the muscles of the penis and the increase of blood circulation in the cavernous bodies.
Immediate medications include:
- preparations with the active substance Sildenafil;
- based on Avanafil;
- Tadalafil-based funds.
Means require compliance with the dosing regimen.
Ointments and sprays
Topical agents have a local effect and are considered safer than oral preparations. Some have a broader pharmacological activity, others narrower.
The following are considered effective:
- creams based on vegetable oils;
- cream containing alprostadine;
- cream based on plant extracts;
- spray - a complex of plant extracts and aphrodisiacs.
Most creams and sprays are natural and available without a prescription.
A biological product in the form of a spray, thanks to a special dosage form, provides a fast supply of biological substances that have the following effect:
- activates testosterone synthesis, increases libido;
- increases the strength and duration of blood filling of cavernous bodies;
- increases the smooth muscle tone of the penis;
- improves the condition of blood vessels;
- eliminates inflammatory processes.
The spray is used immediately before sexual intercourse. The contents of the vial are sprayed on the genitals, wait 5-7 minutes for the substances to penetrate into the tissues. The procedure is repeated every day.
Popular recipes and dietary supplements
Men over 40 have had problems in bed for centuries. Before the advent of medicine, people grew in power with the help of popular recipes that are now used successfully:
- Moss tincture (beaver stream). 200 g of dry moss is poured with a liter of vodka and injected for 30 days. Take a teaspoon three times a day.
- Maral horn tea. Sliced horns are pressed with a knife. Take 2 tablespoons. raw materials, pour a glass of boiling water, insist half an hour. The pure drink is divided into 3 parts and drunk during the day.
You can also use dietary supplements.
They, as folk remedies, belong to alternative methods of treating impotence, but are no less effective than traditional medicines.
Dietary supplements should be taken in courses.
Doctors prescribe dietary supplements as a remedy for men suffering from:
- prostatitis of any origin and neglect;
- erectile dysfunction associated with various causes;
- short relationship;
- low libido;
- premature ejaculation;
- disorders of the functioning of the genitourinary system;
- inability to reach orgasm or weak sensations during intimate contact.
vacuum treatment
An erection is provided due to the filling of the cavernous bodies with blood. A vacuum erection pump helps improve blood flow to the vessels of the penis. The device is a cylinder with a pump at the bottom. The penis is placed in the cylinder and then the air inside is sucked in using a pump. This creates a vacuum and increases blood flow.
hormone therapy
If erectile dysfunction is associated with a decrease in androgen levels, testosterone replacement therapy is prescribed. The duration of androgen replacement therapy is at least 3 months. During treatment, it is necessary to constantly monitor the level of androgens and luteinizing hormone. Medications can be taken, taken parenterally or in the form of subcutaneous implants.
Taking testosterone medication can cause prostate enlargement, swelling
Surgical intervention
Surgical therapy options are used when other treatments fail. Faloprosthetics - implantation of a bioinert silicone prosthesis. The procedure is indicated for congenital anomalies, deformities after organ injuries, atherosclerosis, persistent metabolic disorders. Disadvantages of the method are the need for surgical intervention, the risk of infection, in case of an unsuccessful operation, it is almost impossible to use other methods of ED treatment.
Therapeutic gymnastics and massage
Exercise is important for maintaining vascular and muscle health. Regular moderate physical activity helps increase strength. The most effective are:
- Kegel gymnastics - exercises aimed at activating the pelvic floor muscles;
- "bicycle" lying on its back or in the simulator;
- circular movements of the pelvis;
- running instead
- "scissors"
Massage helps relieve tension and improve blood circulation. Light strokes excite, they can be used as a prelude.
Principles of nutrition
Proper nutrition helps in weight loss, restoring hormonal balance and improving overall well-being. Since the pathogenesis of erectile dysfunction is based on circulatory disorders in the penis, it is reasonable to follow a diet for diseases of the cardiovascular system (Table no. 10).
Power Characteristics:
- they consume 2500-2600 kcal per day, the basis of the diet (60%) are animal proteins;
- limit salt intake;
- preference is given to low-fat varieties of meat and fish, cereals, dairy products, boiled vegetables and fresh fruits;
- Smoked meat, sausages, pickled and pickled vegetables, tea, coffee are excluded from the diet.
It is necessary to exclude alcohol and in general any foods and beverages that excite the vascular and nervous system.
Prevention of potential problems in 40 years
There are several steps you can take to help prevent ED.
Most of them aim to change the lifestyle and improve overall health:
- regular exercises;
- maintaining a healthy weight;
- avoid stress whenever possible and learn to cope with it;
- giving up alcohol, smoking;
- regular sex life;
- undergoing routine medical examinations to detect heart and endocrine diseases.
In most cases, men over 40 can easily regain potency. To do this, at the first symptoms, you should consult a doctor. The specialist will help remove the fear, strengthen self-confidence, because the key to a favorable treatment prognosis is the belief that the problem will be overcome.