Erectile dysfunction is the inability to achieve a persistent erection or complete sexual intercourse. This is a physiological or psychological pathology that prevents partners from enjoying intimacy due to problems with erection, lack of ejaculation or orgasm in a man. Usually, the reason for contacting a urologist or andrologist is a situation when, even with strong sexual arousal, the cavernous body of the penis does not fill with blood, that is, it does not go into an erect state.
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According to WHO statistics, erectile dysfunction occurs in 10% of men after 21 years of age and in a third of all representatives of the stronger sex upon reaching 60 years of age. And this figure continues to increase. At the same time, only 22% of men seek professional advice from a doctor, and only 36% of this number start the proposed treatment. The majority, however, are making independent attempts to combat the problem, using dubious drugs with unproven effectiveness. This approach, at best, gives a short-term effect, and at worst, leads to a complete disorder of sexual function. In order not to expose yourself to the risk of irreversible changes and serious complexes about sexual inability, you must go to an appointment with a urologist if the following warning signs appear:
- lack of erection in the morning;
- accelerated ejaculation;
- inability to achieve a full erection during masturbation;
- slowing down the speed of the onset of an erection, even with strong sexual arousal.
Causes and treatment
Erectile dysfunction in men, resulting from pathological changes of organic nature, develops gradually. It is usually accompanied by a fading interest in sexuality. A more difficult situation is the presence of psychogenic problems (depression, stress, psychological trauma, chronic fatigue, etc.). Most of these patients retain an erection in the morning and the possibility of self-satisfaction, and characteristic disorders are observed precisely in the process of intimacy with a partner. In case of mixed pathologies, both of the above factors become the cause.
Among the main risks provoking dysfunction of male potency:
- smoking for a long period;
- alcohol abuse;
- ischemia of the heart;
- neuroses and other mental disorders;
- the period of adaptation of the body with a sharp change in lifestyle and diet;
- taking certain medications;
- sedentary work;
- the consequences of injuries received;
- surgical interventions in the genital area.
Prolonged depression leads to erection problems in about 25% of cases. This is especially true for young and middle age. In such situations, the treatment of erectile dysfunction in men should be comprehensive and include regular visits to a psychotherapist. Organic disorders are much more common. They are usually caused by changes in the walls of blood vessels that occur as a result of the body’s natural aging processes.
The success of therapy mainly depends on the correct determination of the etiology of the disorder. In the presence of a psychogenic problem, sexual health and activity can be restored with the help of consultations with a specialized specialist. Unfortunately, the same cannot be said about severe organic disorders associated with surgical treatment or even removal of the prostate gland. However, in any case, qualified medical care is needed, which will stop the progression of the disease and prevent irreversible consequences.
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Shock wave therapy (SWT)
The essence of shock wave therapy is a light shock effect on tissues, whereby elasticity returns to the walls of blood vessels, contributing to the restoration of normal blood supply. In the treatment of erectile dysfunction, a tangible positive result is observed after 1-3 sessions.
Such therapy is aimed directly at the cause of the pathology, so it does not just eliminate the symptoms. Completing the full course provides a long-lasting and lasting effect even without pharmacological support or with minimal amounts of it. In some cases, shock wave therapy can prevent surgery. The method is painless and does not threaten the patient with negative consequences.
Magnetic laser therapy (MLT)
The double action of the magnetic field and laser radiation allows to increase the penetration depth of the pulses. MLT increases the effectiveness of medications, eliminates pain in the urethra and the external genital area, and significantly improves the quality of erection. The treatment is painless and comfortable. In case of superficial irradiation, the patient is provided with special glasses to protect the eyes.
Ozone therapy is a harmless and simple technique that allows you to get a pronounced result. The procedure consists in the intravenous administration of a saline solution saturated with an oxygen-ozone mixture. Its concentration is determined by the doctor. One dropper is placed for 30 minutes. As a result of the course of ozone therapy (5-15 procedures):
- pathogenic fungi, bacteria, viruses are destroyed;
- the blood is saturated with oxygen;
- the lumen of blood vessels expands;
- inflammation is removed;
- metabolic processes are accelerated;
- general and local immunity is strengthened.