2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
Erectile dysfunction (erectile disorder) - dysfunction in which a man fails to achieve erection and maintain it during sex. About 10% of the male population faces this problem. In the 50-60s, doctors believed that in 90% of cases, erectile dysfunction is psychogenic. Today it has been proven that in most cases, erectile dysfunction is caused by a combination of biological, psychological and sociocultural reasons.
Biological causes … These include hormonal imbalances that reduce sex drive, vascular disease, diabetes mellitus, nervous system damage, spinal injuries, multiple sclerosis, and renal failure. In addition, the use of certain medications, alcohol abuse, and smoking can affect an erection, as well as a decrease in libido. Recent research by scientists has shown that testosterone levels in men with gambling addiction decrease.
Special medical procedures have been developed to diagnose the biological causes of erectile dysfunction, including ultrasound and blood tests. Observing erections during sleep is especially helpful in assessing the organic causes of the disorder. Men usually experience an erection during REM sleep (characterized by the presence of dreams and rapid eye movements under the eyelids). If a man experiences few or no erections, then we can talk about some organic cause of erectile dysfunction.
Psychological reasons … Any of the psychological reasons can lead to a decrease in libido and erectile dysfunction. Human sexuality is such a subtle sphere that it reacts to the smallest changes in emotional life. Nearly 90% of men experiencing severe depression experience some degree of erectile dysfunction. The cognitive theory, developed by W. Masters and W. Johnson in the 70s, provides a reasonable psychological explanation of the causes of erectile dysfunction. Particular attention is paid to anxiety related to intercourse, and observer role … When a man, for any reason, has problems with an erection, he begins to fear that he will not be able to achieve an erection, and worries about each new sexual intercourse. Instead of relaxing and getting sexual pleasure, he begins to look at himself aloof from the sidelines and concentrates all on achieving an erection. From an excited participant, he turns into a judge and an observer. Whatever the underlying cause of the dysfunction, the role of the observer brings up an ongoing problem. Failure is fixed at the level of a conditioned reflex and a vicious circle arises. One of the psychological theories suggests that erectile dysfunction is a kind of male "greed", unwillingness to give up his sperm.
Sociocultural factors … Such factors include: job loss, financial difficulties, stress in the marital relationship, inappropriate behavior patterns of partners.
Erectile Dysfunction Treatment … When such a problem arises, the first question is: “What to do? “. First, don't panic or lose confidence. To begin with, you need to consult a doctor - urologist, andrologist, sex therapist. Biological methods, which are used when erectile dysfunction was caused by organic causes, have recently gained popularity again. Especially after the appearance of Viagra. This medication increases blood flow to the penis for an hour after taking it, while blocking the activity of certain enzymes. The medicine is not recommended for men with coronary heart disease and cardiovascular disease, especially those taking nitroglycerin and other heart medications. Other uses include the use of gel suppositories, the injection of drugs directly into the penis, and the use of a vacuum erection machine. After excluding the biological causes of the disorder, the focus should be on eliminating the psychological causes. I emphasize that it is necessary focused attentionrather than convulsive panic actions. They are a priori doomed to failure. The more anxious and anxious you are, the less the result. Modern sex therapy has a variety of methods and techniques. The following methods and techniques are used in almost all cases of sexual dysfunction.
- Assessment of the problem.
- Mutual responsibility of partners. This is the problem of their relationship, and it must be solved together.
- Education and sexuality. Many people know very little about the physiology and technique of sex.
- Change in attitudes, analysis and change in ideas about sexuality that interfere with sexual life.
- Coping with anxiety associated with intercourse and the role of the observer. Therapists teach the couple to focus on their feelings and have fun calmly, they give a series of sexual tasks. It is not necessary to have sex, as thoughts of the need for copulation or orgasm can interfere with arousal.
- Change in destructive lifestyles and interactions.
- Consideration of physical and medical factors.
Various erectile dysfunctions are common. Moreover, it is difficult to find a man who would not periodically have them.
Do not lose your presence of mind and be confident in yourself!
