It's no secret that the penis is the pride and adoration of every man. It is this part of the male body that allows a man to fulfill perhaps his most important mission in this world - to give birth to offspring and prolong his family. Men do not like to visit doctors, and can lie at home alone for weeks even at the highest temperature, but if something bad happens to a male member, a man immediately goes to the doctor. Unfortunately, one of the most common reasons why men visit a urologist is the problem of penile dysfunction, namely impotence. Why this condition occurs and how to deal with it - read on.
How does a man have sexual intercourse and what is impotence?
In order to understand the classification and causes of sexual impotence, it is necessary to understand the physiology of normal sexual intercourse in a man, which consists of four successive phases. In the first phase of sexual intercourse, psychological stimulation and the occurrence of excitation occur, as a result of which the cavernous bodies of the penis are filled with blood, and its size increases - this is the phase of erection. The second phase - copulative, begins from the moment the penis is inserted into the vagina and consists in conducting frictions. In the third phase of sexual intercourse, ejaculation occurs, that is, at the peak of frictions and sexual arousal, orgasm occurs, ejaculate is released and frictions stop. The last, fourth phase is called post-ejaculatory, and it is characterized by the onset of a somewhat depressive state immediately after intercourse. Impotence is the inability of a man to have a full-fledged sexual intercourse, while a violation can occur in any of its phases. Most often, in almost 85% of cases, impotence is manifested by a violation of the first phase, that is, erection.
Disorders of the nervous system that can cause impotence
Organic lesions of the nervous system, such as tumors, traumatic brain injuries, spinal cord lesions, sclerotic changes in the brain, and so on, can cause such manifestations of impotence as the occurrence of spontaneous erections and ejaculations, while the level of libido can be absolutely normal . Functional diseases of the nervous system, for example, neurasthenia and asthenia, cause potency disorders with a decrease in libido, impotence, manifested by premature ejaculation, incomplete or short-term erection, while cremaster reflexes are very quickly depleted. With a variety of mental illnesses, cortical impotence occurs, in which the perception of the personality is disturbed and, often, sexual function is suppressed up to a complete loss of sensitivity of the genital organs.
Endocrine pathologies and diseases of the genital organs causing impotence
Impotence caused by diseases of the genital organs occurs as a result of the appearance and conduction of pathological impulses from the receptors of these organs. With organic diseases of the penis, such as anomalies, cicatricial changes after injuries and surgeries, as well as prostate diseases, especially chronic ones, as well as urethritis, phimosis, coliculitis and short frenulum of the penis, similar manifestations of impotence occur: incomplete erections, premature ejaculation , while libido may be increased.
From the category of endocrine disorders, hormonal impotence is most often found in hypogonadism, diabetes and thyroid pathology. This form of impotence is manifested by a decrease or even complete absence of libido, deterioration of erection, and in severe forms of impotence, even the onset of a complete loss of sexual sensitivity.
What is impotence diagnosis based on: basic methods
Diagnosis of all manifestations of impotence is based on anamnesis, examination, laboratory and instrumental studies. First of all, it is necessary to collect a detailed medical history of the patient, including sexual history. It is necessary to find out when the patient began puberty, when the first sexual relationship took place, how the sexual intercourse proceeds, when the problems began, in what phase of the sexual intercourse and what nature of the violations occur, and so on. It is important to find out if the patient has had brain injuries and mental trauma, as this can affect the appearance of a problem such as impotence. With the help of an objective study, it is possible to identify some diseases and pathological conditions of the penis. If necessary, laboratory studies of the levels of sex hormones and pituitary hormones are carried out, methods of instrumental diagnostics of the state of the male reproductive system are used. In some cases, it is necessary to consult a neurologist, a sexologist and a psychiatrist.
Modern conservative and surgical methods for the treatment of impotence
The treatment regimen for impotence should be based primarily on the etiological factor of the disease, since it is precisely its elimination that can bring the desired permanent effect. With all forms of impotence, treatment is selected strictly individually and necessarily includes rational psychotherapy. Vitamins, sedatives, tranquilizers, tonics can be prescribed - if the cause of the disease is the pathology of the nervous system. In endocrine pathology, the use of androgenic drugs, especially prolonged action, is recommended. Surgical methods for the treatment of impotence are becoming more and more popular now and are performed in three main directions:
- implantation of prostheses into the penis to create artificial density;
- operations on the vessels of the penis, which increase blood flow to the cavernous bodies;
- for hormonal impotence - testicular transplantation to eliminate androgen deficiency.
It should be remembered that timely initiated and individually selected treatment will help the patient to permanently get rid of the problem of impotence and regain the former quality of sexual life.
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