Of all health problems able to unsettle the modern man, erectile dysfunction is stands apart, which the inhabitants often called impotence. The tragedy of this disease is that in society it is perceived as something shameful, so sick, in most cases, is left alone with the trouble. Men often faced with the inability to begin or complete sexual intercourse, avoid even a visit to the doctor, hoping to help the "miraculous" pharmacy means, but as a result of such self-medication can only exacerbate your condition.

Meanwhile, experts note that current medical methods of treatment of erectile dysfunction not only return to man the joy of a full sexual life, but also allow to achieve the desired result even in complex cases - already after two or three visits to the doctor.

What is erectile dysfunction?

Erectile dysfunction means chronic difficulties with implementing a full-fledged sexual intercourse. Speech can go as about problems with erection and lack of ejaculation or orgasm, and other phenomena that prevent to enjoy sex and satisfy the female partner. However, most patients come to the doctor with the complaint of the first version of the disorder - when when sexually stimulated the penis for some reason is not filled with blood sufficiently (remains soft, does not increase in size).

At the same time, despite the fact that the treatment gives the effect in 95% of cases, a doctor no more than 10% of patients.

There are several risk factors contributing to erectile dysfunction. So, the potency problems are often observed in smokers with the experience, in men with diabetes, coronary heart disease and hypertension, as well as those who suffer from depression, neuroses and some other disorders. Sometimes impotence is caused by certain medication, sudden change of diet or lifestyle, and injuries and operations in the groin area. Men who abuse alcohol, and those the most for spends sitting at the computer or driving a car should also be ready for a possible "mutiny", which one day will destroy plans for a romantic evening.

Causes and types of erectile dysfunction

Doctors divide the causes of impotence, into three groups: organic (associated with a physical obstacle to the natural appearance and maintaining an erection), psychogenic (in which no physiological disorders in humans are not observed, and problem in sex due to the stress, chronic fatigue or psychological trauma), and mixed (when its contribution to the development of the disease contribute to both of these factors).

For psychogenic causes of erectile dysfunction accounts for about 20% of the total number of cases referred to the hospital with complaints. Often we are talking about men young or of middle age. The main role in the treatment of these patients given medical therapy.

The most common causes of impotence are organic: they are often associated with age changes of walls of blood vessels.

The fact that the mechanism of erection can be partly compared with filling the bath with hot water: when you close the drain tube and open the valve, the reservoir gradually filled, and to empty it, you need to shut off the water supply and remove the plug. With the defeat of vessels (for example, cholesterol plaques) a process of filling the corpora cavernosa of the penis - a kind of analogue of the bath slows down, sometimes so much so that an erection does not occur at all. Also, in some cases, the problem with sex is due to "leaky tube" pathology of the veins, in which blood too quickly to complete sexual intercourse, goes out of the penis. If the cause of erectile dysfunction is violation of hormonal background, it is going downhill the whole mechanism of excitation: a man can do to stop interest in sex.

Signs of the disease

Do I need to sound the alarm in case of a single "fiasco"? No! Doctors believe a pathologic situation in which erection problems occur not less than a quarter of sexual contacts. However, there are some signs that should be cause for consultation with a specialist:

• the lack of morning erection,
• the inability to get an erection during Masturbation,
• slowing the rate of occurrence of erection when excited or its complete absence,
• fast ejaculation.

Organic nature of erectile dysfunction increases gradually, often accompanied by a loss of interest in sex. If the disease are psychological problems - no signs of disturbance outside sexual intercourse may not be (stored morning erection and difficulty during sexual intercourse are observed not continuously but only from time to time).

Whatever it was, to establish the true cause of erectile dysfunction can be a doctor - to do this, after the initial consultation, he will prescribe laboratory tests and special examinations (ultrasonography, testing innervation of the penis, etc.). If the patient will be identified a chronic somatic disease (diabetes or hypertension), an important element of diagnosis and treatment will be a visit to a relevant specialist: cardiologist or endocrinologist.

How to treat erectile dysfunction: methods and tools

Success in the treatment of impotence depends on many factors, first and foremost, from the causes of the disease. So, to deal with erectile dysfunction of psychogenic young men undoubtedly easier than, for example, with severe organic impotence due to surgery to remove the prostate gland. An important element of a positive outcome of therapy is the timely treatment of the patient for medical care because the longer the disease progresses, the harder it is to reverse the pathological process.

Andrology is the branch of medicine specializing in the treatment of diseases of male genital sphere, it has a wide arsenal of methods based on different approaches to dealing with erectile dysfunction. Doctors say that hopeless of cases in which to improve the condition of the patient does not possible, today almost never. Therefore, you should never accept such a problem as an irreversible tragedy, and to avoid a visit to the doctor for fear of a bleak prognosis. Erectile dysfunction is only surmountable nuisance which in any case must not become cause for a severe emotional crisis.

Psychotherapy

The aim of psychotherapy is the removal of block that prevents a physically healthy man to perform sexual function. A trusting relationship with an expert help to find the cause underlying the disorder and to overcome past negative experience. Often there are effective joint consultations with the constant partner men, because the role of behavior in recovery of the patient is very large.

Medical treatment of erectile dysfunction

In some cases, when organic erectile dysfunction effective can be the administration of medicines. For example, drugs from the group of inhibitors of phosphodiesterase of the fifth type of expand blood vessels of the penis, enabling an erection even with serious circulatory disorders. However, their use provides only short-term effect and does not affect the root cause of the disease. Similarly, there are the drugs prescribed in the form of ointments and injections.

Vacuum therapy

This type of treatment involves the use of special medical devices operating on the principle of a pump able to pump blood into the penis (maintaining an erection this is achieved by using special compression rings). As in the case with medication, vacuum therapy provides a long-term effect and is used as a situational support means to cause an erection long enough to implement one of sexual intercourse.

Massage

Special types of massage and self-massage of the pelvis and pubic bone have beneficial effects on vascular tone in the region of the male genital organs. Regular treatments improve circulation in the pelvic area and positively influence the process of excitation. It is believed that in the absence of gross organic pathology underlying the impotence, this approach (as a subsidiary) significantly improves sexual function

Physical therapy

Training the muscles of the perineum is another way non-drug therapy of erectile dysfunction. Owing to sedentary lifestyle many men experiencing chronic congestion in the pelvic area, which disrupts blood vessels and negatively affects erection. Regular exercise with the aim of developing the musculature surrounding the penis and scrotum, significantly improve the quality of sex. Such exercises can be useful to all men regardless of whether they have signs of violations in this area.

Surgery

Unfortunately, in some cases, treatment of erectile dysfunction without resorting to surgical procedures does not give the desired result. In addition, in certain injuries and pathologies of the genitourinary system another opportunity to return to the patient "virility", but to hold a penile prosthesis does not exist. Currently developed various models of implants, which is capable of a high degree of accuracy to reproduce a natural sexual function and to provide pleasure for both partners. The main drawback of this method is imposing the cost of falloprotezy and operations for its installation.

Shock wave therapy

A relatively new but increasingly popular treatment for erectile dysfunction is shock wave therapy (SWT). It is based on the ability of acoustic waves to soften the walls of blood vessels and stimulate the expansion of the network of the blood supply to the penis, which leads to tangible results already after 1-3 sessions. The key advantage of UHT — effect on the cause, not the symptoms. This means that a course of treatment by this method provides a resistant long-term effects to significantly reduce, and in some cases completely abandon the use of pharmaceuticals, and removes the need for surgical treatment. Shock wave therapy has virtually no contraindications, is not accompanied by unpleasant sensations or side effects.

Every man wishing to prolong youth, should think about the prevention of erectile dysfunction. It includes Smoking cessation and alcohol abuse, weight loss with increased body weight, regular physical activity, adequate sleep and treatment of chronic diseases — hypertension, diabetes, and others. But even if time is lost do not despair, ask for help to the urologist-andrologist, and your life will return to harmony and brightness of intimacy.