Almost all people know what an erection, or the excitement of the penis. But few who are aware of the term "detumescence". It is believed that without an erection Erection - what hinders and what helps a man to be a man   It can not be a normal sexual intercourse. This statement is undeniable, but of great importance to the sexual contact has detumescence. Various diseases in men not only cause erectile dysfunction (impotence), but also to the pathological detumescence or its absence.

Detumescence

Detumescence (from the Latin word detumesco - termination of swelling) - this is the cessation or decline of erection after ejaculation and orgasm .  In men after a certain period of time, which lasts from a few seconds to a few minutes after orgasm and ejaculation the penis softens, its voltage decays, it loses its elasticity, which makes it impossible to continue intercourse .  Some men, mainly young people who are sexually erotic and exciting environment, detumescence may come much later (10-20 minutes or more), making it possible to repeat the sexual act .  Unlike men, women detumescence occurs later .  If we can reach an orgasm after 10-20 minutes, and in the absence of 30-60 minutes .  Pathological detumescence - a premature decline in sexual arousal, which can occur during any phase of sexual intercourse as a result of any disturbance of the normal course of sexual intercourse (coitus) .

The mechanism of erection

Penis consists of two cavernous or erectile bodies which are two cylinders arranged on the outer side. Under the corpora cavernosa is a spongy body, turning into the glans penis. The blood supply to the penis is well developed, which plays a role in the occurrence of an erection. Cavernous and spongy bodies have their own arteries that supply blood to the penis, and the veins that drain blood occurs. Vienna begin at the central portions of the corpora cavernosa, which are contained in the body of the penis. Thus, the penis by its structure resembles a sponge. With this device the blood supply to a member of the blood in the corpora cavernosa may be delayed, resulting in their compaction during erection.

Relaxation of smooth muscles of the walls of the arterioles and the corpora cavernosa occurs under the action of nerve impulses coming from the peripheral (autonomic) nervous system during sexual arousal. As a result, the arterial bed of the penis expands and increases intracavernous pressure (due to the expansion of the arteries that carry blood to the cavernous and spongy bodies and narrowing of the veins carrying blood flow). The increase in blood volume in the cavities causes compression of the venous plexus, which violates the venous outflow. It is a vascular factor in erection (tense and hard penis). Maintaining an erection is carried accumulation of blood in the cavities and stress. The rest of the penile tissue, except the skin, do not get enough blood supply (ishemiziruyutsya). It is fraught with certain problems during prolonged intercourse.

It is also in the process of erection plays the role of the perineum muscle tension that causes an additional compression of the base of the penis.

The mechanism of detumescence

Detumescence directly opposed to an erection. Detumescence occurs due to ejaculation and stopping sexual stimulation or intercourse. Starting detumescence is associated with activation of the nerve fiber plexus, and then into the cavernous body stand neurotransmitters such as noradrenaline, neuropeptide Y and endothelin. Neurotransmitters again cause spasm of smooth muscles of cavernous bodies and arterioles, which causes processes that are opposed to the erection.

The outflow of blood from the penis is much more intense than the inflow (erection). There is the elimination of excess blood drop intracavernosal pressure and swelling disappears Prevention and treatment of edema - it is important to understand the root cause   the erectile tissue. Arterioles and capillaries return to their original condition and take the form of spirals and corkscrews. Detumescence process occurs in two stages. During the first phase of the penis is reduced by about half their size during arousal. After a few minutes (the time depends on the individual characteristics of men) the penis comes into a state of total relaxation.

Anna Sozinova

Impaza - description of the drug provided by the manufacturer, it can be used in the treatment of erectile dysfunction of various origins. Impaza effective as in single as well as in exchange application, after treatment the therapeutic effect lasts for about six months.

Features of action compared with other drugs for the treatment of erectile dysfunction

It is believed that a drug for treatment of erectile dysfunction (ED - ED) should be effective and safe. Furthermore, such a drug must act quickly, and long enough for its therapeutic effect should not affect food intake, alcohol and other drugs. The main purpose of such a drug - providing spontaneous erections occurring in the necessary situation.

About 15 years ago there was the first drug to treat erectile dysfunction - Viagra. This preparation meets almost all the requirements, but it required the use of strictly defined time. The reception could not be combined with alcohol, to thereby perform the planned sexual intercourse, but reduced their spontaneity, depriving the halo of romance. In every fifth patient Viagra does not have a therapeutic effect (the reason for this phenomenon is not yet established). More effective was the next drug - Cialis, but it had its drawbacks. Viagra and Cialis have many side effects and contraindications. Contraindications include ED often accompany the disease and taking certain medications used to treat them.

Impaza in this regard has a number of advantages. This drug with sufficient efficiency has no contraindications and side effects as it contains ultra-small (homeopathic) doses of active principle - antibodies to endothelial NO-synthase. Endothelial NO-synthase - an enzyme that promotes the formation of nitrous oxide (NO) - the substance, has been actively involved in the formation of erections. In addition, under the influence of Impaza it relaxes the smooth muscles of the penis, which contributes to filling the cavernous bodies with blood - this is the beginning of the process is the cause of erectile dysfunction.

Features of the application Impaza at various comorbidities

Impaza special feature is that it can be taken with this disease is often accompanied by erectile dysfunction, as coronary heart disease (CHD). Furthermore, in clinical trials it was established that in almost half of patients with erectile dysfunction have problems with erection Erection - what hinders and what helps a man to be a man . It was also found that these processes are associated emergence of similar violations in the endothelium (the inner layer of blood vessels and the heart). These changes eventually lead to the appearance of angina and erectile dysfunction.

Introducing such cases, part of the comprehensive treatment Impaza contributes not only to the restoration of an erection, but also improve the flow of coronary artery disease - in patients with exertional angina Angina - the consequences of the activity   increased exercise tolerance, reduce the frequency and duration of attacks of cardiac pain. As you know, attacks of pain in angina pectoris shoot taking nitroglycerin. Nitroglycerin while taking Viagra and Cialis Cialis, a medicine man   contraindicated, amid Impaza - no.

Positively affect reception Impaza on patients with essential hypertension (hypertension). The introduction of an integrated treatment of such patients Impaza helped to improve the blood supply to the heart muscle and sustained reduction in blood pressure. This Impaza can be combined with any other drugs to treat hypertension.

Diabetes mellitus is one of the most difficult problems of modern society. Erectile dysfunction often develop on the background of the disease, one of the complications of which are vascular disorders. This diabetes complications such as erectile dysfunction (ED), significantly reduces the quality of life is not always given due attention. It was found that the drug Impaza has a positive impact on all the main elements of the formation of erectile dysfunction in patients with diabetes Diabetes - threatening and incurable disease . After his admission to a course of treatment improves physical and mental condition of the patient, normal erectile function.

Contraindications

Impaza has virtually no contraindications for use. The only exception is the idiosyncrasy of the components of the drug by the body of the patient. Be wary of this drug is used in a stable low blood pressure.

Side effects Impaza known allergic reactions, which are extremely rare. All other adverse effects (bloating, nausea, diarrhea, etc.) associated with the adjuvants which include lactose (milk sugar).

Galina Romanenko