Impotence (erectile dysfunction) - is inability to achieve or maintain an erection sufficient for sexual intercourse. Mild or brief erections occasionally happens in all men, but that is no reason for concern. However, persistent erection problems can be a source of stress ruin sex life and relationships with a partner and have a negative impact on self-esteem.

Many men are embarrassed to discuss erection problems with a doctor, preferring to turn a blind eye to them, but examination and consultation with a specialist is necessary for the normalization of sexual life. Inability to achieve or maintain an erection Erection - what hinders and what helps a man to be a man   It may be a sign of a more serious disease requiring treatment, in particular, heart failure or diabetes. The treatment of this disease can be enough to completely cure erectile dysfunction. If treatment of the underlying disease does not help, prescribe specific treatment.

Symptoms of impotence

Erectile dysfunction can be characterized by the following features:

• difficulty achieving or maintaining an erection occurring every fourth time you attempt to sexual intercourse, or a place for more than one month
• to achieve an erection it takes longer than usual;
• rapid ejaculation;
• decreased sexual desire.

When you need to see a doctor

You should consult a physician if:

• erectile dysfunction or other problems in the sexual sphere cause discomfort to you or your partner;
• you are suffering from diabetes, heart failure or other diseases that may be associated with erectile dysfunction;
• you have any other symptoms that are not associated with erection.

Causes of Impotence

Sexual arousal in men is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Impotence may be due to a malfunction of any of these elements. In addition, stress and neurological problems properties may serve as a trigger for impotence or worsen it. Sometimes erectile dysfunction results in a combination of physical and psychological factors. For example, a minor physical problem that slows down the reaction of excitement can cause anxiety about maintaining an erection, which in turn leads to erectile dysfunction.

Physical causes of impotence

Physical causes of erectile dysfunction are related to violation of, or damage to the sequence of events leading to an erection. Such a violation is often a consequence of the disease. For diseases which usually cause impotence include:

• heart failure;
• hardening of the blood vessels (atherosclerosis);
• high blood pressure;
• diabetes Diabetes - threatening and incurable disease ;
• obesity;
• metabolic syndrome - a disorder characterized by high blood pressure, high insulin levels, and cholesterol in the blood;
• Parkinson's disease;
• multiple sclerosis;
• cancer or prostate enlargement.

Physical causes of impotence are linked not only with the disease. There are other potential causes of its origin:

• Low levels of testosterone;
• taking certain prescription drugs;
• the use of tobacco, alcohol and drugs;
• surgery or trauma affecting the pelvic area or spinal cord;

Psychological causes of impotence

The brain plays a key role in the launch of a number of physical reactions that cause an erection from the reaction of sexual arousal. Many factors affect Sexuality Nine ways to experience their sexuality   men and cause or worsen erectile dysfunction. These include:

• depression, anxiety Anxiety - how to distinguish normal from disease?   or other psychiatric disorders;
• stress;
• fatigue;
• tension (caused by stress, misunderstandings, disagreements or other problems).

Complications

Erectile dysfunction can have the following complications:

• unsatisfactory sex life;
• chronic stress and anxiety;
• low self-esteem;
• problems in relations with the opposite sex;
• the impossibility of conceiving naturally.

  Sexual disorders - a phenomenon quite common, but not all of them are turning to the doctor. Some men have much trust advertising, which promises to remove all the existing problems taking the miracle pill (invented, such as wizards in the wilds of the African jungle). Many men have already paid for the health of their gullibility, but the number of those wishing to quickly solve all their problems is not decreasing.

Sexual disorders and their causes

To sexual disorders are painful changes of sexual manifestations - sexual desire, sexual excitability, erection (penis fill with blood) and ejaculation (ejaculation). At the time, it is well established that only a small part of the sexual disorders are observed at various neuropsychiatric, endocrinological diseases and diseases of internal organs, The bulk of these disorders is not is based on some ill effects. This means that the basis of such diseases often lie features (accentuation) character.

What is ejaculation and its phases

Ejaculation or ejaculation - this selection Discharges in women when there is cause for concern   secretion of the testes and accessory genital glands. This is a complex reflex act, which is deployed in a particular sequence, and consists of two phases (launch, mixing secret of sexual glands and throwing it). The sequence of this act promotes mixing of the secrets of various glands, which is a prerequisite for life and activity of sperm.

A man in a series of ejaculations, following each other at short intervals, sperm disappear in the third or fourth portion and again found in the ejaculate obtained after 2-3 days of sexual rest.

Premature ejaculation and its causes

Premature ejaculation - ejaculation is when there is insufficient excitation occurring before or immediately after the start of sexual contact. Such violations are fairly common and cause frustration for both partners, which in turn is the cause of the violation of their relationship.

All the cases of premature ejaculation can be divided into psychological and caused by any disease. Psychological factors (anxiety and irritability) come to the fore in his youth, at the beginning of sexual activity. All of these phenomena are usually, but can sometimes cause the appearance of a constant focus of excitation in the brain, and duration of disease. These foci of excitation in the brain centers ejaculation may be inborn, a condition called syndrome paracentral lobules.

Acquired or secondary causes - is usually a result of various inflammatory diseases of the prostate and the urethra. In addition, such violations may occur against the backdrop of erectile dysfunction Erection - what hinders and what helps a man to be a man . So, too high sexual activity of men, may lead to the ability to frequent, but non-sustained (with premature ejaculation), sexual acts. Premature ejaculation can also be the result of injury or disease (eg, osteoarthritis Osteochondrosis - learn how to properly distribute the weight Tumors) of the lumbosacral spine.

How does premature ejaculation

Premature ejaculation leads to the fact that a man begins to control the sexual act, trying to delay the process of ejaculation, which means that it is in a constant state of stress, which exacerbates the situation, affecting not only ejaculation, but not an erection. All this is the reason that a man begins to fear and avoid sexual contacts.

Correct diagnosis - the mainstay of treatment

In order to identify the cause of premature ejaculation, it is necessary first of all to exclude urogenital diseases. To do this, the doctor conducts an external examination, rectal examination (the study of internal genital organs by palpation through the rectum - can be found, for example, enlargement of the prostate).

As additional methods of research is usually conducted laboratory studies. To detect infection carried microscopic examination of smears from genital secretions in the crop nutrient media, blood analysis by PCR (detection of bacterial DNA). It made a study of the ejaculate. To identify the diseases that caused the premature ejaculation, carried ultrasound genitals, if necessary - a series of x-ray examinations.

Treatment of premature ejaculation

Treatment depends on the cause of the disease. If there is a purely psychological reasons restorative treatment is carried out in conjunction with the sound (awareness) and other types of psychotherapy.

In the presence of inflammatory diseases of the urinary organs being treated them carefully (attibakterialnoe treatment, physiotherapy, etc.) with the mandatory laboratory control izlechennnosti. Local businesses procedure helps relieve inflammation and improve sexual function. ALWAYS restorative and psychotherapeutic treatment.

Any violations of sexual function better immediately consult a doctor - sex therapist or urologist, since all these violations have "secured" in the cerebral cortex, and these states are more difficult to treat.

  Galina Romanenko