Impotence - Causes, Symptoms and Treatment .MF .
Impotence (this is an outdated concept, currently applied the concept of erectile dysfunction) is a common problem among men, impotence is characterized by the constant inability to maintain an erection sufficient for sexual intercourse or the inability to achieve ejaculation, or both.Impotence may include a total inability to achieve an erection or ejaculation, or short-term maintenance of an erection.
risk of impotence increases with age.It is four times higher in men over 60, compared with men, in their 40s according to a study published in the Journal of Urology (2000; 163: 460-463).Men with low levels of education are more likely to experience impotence, perhaps because they are less healthy lifestyle, eat less healthy foods, drinks, and have a lot of bad habits.Exercise, as a rule, reduce the risk of impotence.
• Alcohol abuse and alcoholism
• High blood pressure
• Renal failure
• Multiple sclerosis
• Prostate Cancer
• Smoking (How to quit smokin
•trauma or surgeries (the penis, spinal cord, prostate, bladder, and pelvis)
• Medications (both prescription and non-prescription)
With which diseases occur impotence:
hypogonadism (decreased testosterone levels)
Multiple sclerosis spinal cord Injury
sexual disorders and infertility in men - the study of the etiology and development of methods of treatment and prevention - are engaged in the field of medicine urology and andrology.However, not all sexual dysfunction in men are associated with diseases of the genital organs - their causes can be varied .
causes of sexual dysfunction and infertility in men
impossibility of perfectly normal sexual intercourse man can depend on organic or functional changes in the central or peripheral nervous reflex path, as well as the pathological state of the endocrine system.In this section, the most sexual function disorders will be discussed in detail, associated with diseases of the genital organs themselves, that is, those that are within the competence urologist.
Impotence may be the result of functional diseases of the brain, in which for one reason or another broken relationship between the processes of excitation and inhibition.This impotence called cortical .Among her reasons play a role neuroses (neurasthenia, hysteria), accompanied by various kinds of states of uncertainty and fear of sexual intercourse (seksonevroz).With the predominance of the cerebral inhibition in the cortex cortical impotence may manifest decrease sexual excitability (reduction in libido and orgasm, while maintaining an erection), erectile function (Erez disappears before sexual intercourse, there is no ejaculation, but sexual desire is normal), ejaculatory function (normallibido ierektsiya in the absence of orgasm and ejaculation, although wet dreams can be).Cortical impotence with the prevalence in the cerebral cortex of excitation manifested coming quickly erection, but with premature eruption of semen at the beginning of sexual intercourse or to him.Sometimes it is not accompanied by ejaculation erection.
Spinal impotence is a consequence of the primary lesion (organic or functional) sexual centers, embedded in the spinal cord.The most common functional disorders of these centers, which are accompanied by increased excitability erectile and ejaculatory centers (erection normal, but there is often and quickly, premature ejaculation), increase the excitability of ejaculatory and decreased excitability Erection centers (rapid ejaculation with a weakened erection), decrease the excitability of both centers(violations vary widely - from excitability, which is close to the norm, to its complete disappearance, when the erection and ejaculation completely stop), absence of or a decrease in excitability ejaculatory center with the normal function of erection (libido and erections are normal, but there is ejaculation and orgasm).
Impotence associated with diseases of the genital organs , can have three forms, depending on the effect of three factors: the violation of endocrine testicular function, diseases of the prostate and seminal tubercle, for purely mechanical reasons (due to defects, damage, or sexual diseasesmember).
The first of these forms of impotence has endocrine origin: as a result of reduced production by the testes of male sexual hubbub comes weakening and sexual desire.Violation of testicular function may be congenital (hypoplasia of the testes - hypogonadism), acquired in childhood (bilateral orchitis, especially after the pigs, followed by scarring and shrinkage of the testicles) or at a later age (orchitis, trauma testes and result in old age changes andold age).
In the event second forms of impotence leading role played by the disease of the prostate gland and seminal tubercle associated with either deviations from normal sexual activity (sexual excesses, interrupted or artificially tighten intercourse, abuse of masturbation), or contracting infections from the outside (postgonoreyny, posttrihomonadny and other forms of infectious prostatitis) or other reasons (stagnation due to sedentary, insufficiently active lifestyle, and so on. n., BPH).Prostate and seminal tubercle and play an important role in sexual function, primarily its handling by nervnoreflektornym.And the prostate and seminal colliculus equipped with abundant network of nerve plexus, nodes and receptors (ie nerves, perceive irritation).Here we can not say that the acute prostatitis, even hard flowing, no effect on sexual function, while in chronic prostatitis prolonged inflammation, congestion, degenerative and scar changes in the prostate gland affect the present in her numerous receptor nerve endingsthat conduct impulses to the centers of erection and ejaculation, and spinal cord stimulation is transmitted to these centers.The result is a depletion of these centers, and sexual dysfunction: first, premature ejaculation, while maintaining an erection, and then and the weakening of the latter.
should be noted that in chronic prostatitis can vozninut and cortical, ie psychogenic impotence, as associated with the disease uncomfortable feeling or pain in the genital area is fixed on them sick note vayzyvaet his fear of sexual intimacy, self-doubttheir capabilities, fear of being insolvent, and in this connection and the actual sexual dysfunction.In later life adverse effects on sexual function may have a prostate adenoma.Developing deep in the prostate tissue, adenomatous nodes being pushed to the periphery and compress breast tissue, which leads to dysfunction of the prostate gland, and then to atrophy.
third form impotence is caused by abnormalities or diseases of the penis, which by virtue of a purely mechanical reasons make it impossible to introduce it into the vagina.For young men (under 30) are more common psthogennye forms of impotence;for the middle-aged (30-50let) - neyroretseptornogo-spinal impotence associated with prostate disease, seed tubercle and depletion of spinal cord centers that control erection and ejaculation;for men over 50 years - the impotence of endocrine nature, associated with a decrease in age hormonal testicular function.
In all these forms of impotence further aggravates the role played by alcohol abuse and smoking.Reliably demonstrated that nicotine, causing inhibition of sexual centers in the brain, leads to a weakening of erection.Harmful effects of alcohol on the gonads (testes, prostate gland) is also well known.In animal studies, chronic alcoholism caused fatty degeneration and atrophy of the gonads.These changes tend to lead to a reduction or complete extinction of sexual potency.Many clinicians have noted the phenomenon of feminization that is effeminacy, in alcoholics (obese female pattern hair loss and armpits, atrophy of the gonads).Undoubtedly, the destructive effects of alcohol on the central nervous system also contributes to the development of impotence both cortical and spinal cord.An important role is played by such effects of chronic alcoholism, as neurosis, depression, emotional and volitional instability, uncertainty in the forces, anxiety, etc.
By the way physicians treat when there
impotence When the first symptoms of impotence should consult a urologist or andrologist.Can potrebovatsya and consultation following physicians: