Diagnosing Erectile Dysfunction
Usually, the doctor will know about the problems of erectile function of the patient during his initial conversations with him. There is also a special medical questionnaire to identify sexual dysfunctions and initial symptoms of impotence - the International Index of Erectile Function (IIEF-5). Answer 5 simple questions and to evaluate the presence of dysfunction on our website: go to the questionnaire IIEF-5.
Like any other illness, it is easier and more efficient to treat impotence in the initial stage. It is important not only to establish the diagnosis of "erectile dysfunction", and identify the cause of disturbances to develop policies aimed at increasing potency.
Diagnosis of impotence in the early stages is a collection of physical and psychological history. It is necessary to establish a mechanism to ensure the appearance of erection, disturbed. For making potency recovery rate must first pass analysis on blood hormones in some cases - to make test samples and the cardiovascular system. Timely professional diagnosis is the key to successful treatment of impotence.
Unfortunately, modern medicine pays little attention to the issue of interdependence of disorders of the nervous system and symptoms of erectile dysfunction. The main reason for that is still not developed effective methods for evaluating the so-called "neurogenic" component "of an erection. Neurogenic impotence dysfunction is a consequence of the defeat of structures of central and peripheral nervous system. For patients in our clinic developed neurogenic erectile dysfunction diagnosis method Kalinchenko-Rozhivanova. Among the common causes of this type of impotence - diabetes, alcohol consumption and smoking, as well as a number of long-term use of drugs. Diagnosis of neurogenic disorders is a fundamental step in the survey for the development of policies aimed at increasing potency.
There are primary and secondary erectile dysfunction. Primary (congenital) is characterized by the fact that a man never in his life could not have intercourse. This is extremely rare. Secondary erectile dysfunction - the most common option when the time in the sexual life of the man everything was fine, and then there were problems with erection.
Most often men complain about the weak erection, does not allow sexual intercourse. Sometimes, on the contrary, there is a sufficiently strong erection, but when you try to close it quickly disappears.
If erectile dysfunction is psychogenic, treatment includes counseling therapist and physical therapy techniques.
Treatment of erectile dysfunction caused by organic disorders begins with their correction. Prior to this examination, usually includes:
tests for hormone levels;
Analysis of blood sugar;
ECG stress and at rest;
study lipid (triglycerides, total cholesterol, and high density lipoprotein).
Doppler blood vessels of the penis and / or prostate cancer.
The rational organization of the daily routine - it is a simple but effective method of preventing impotence. By "rational mode of the day" is meant the optimal alternation of work and rest. If the working and personal time are calculated correctly, then all body systems are working properly. Women whose husbands have impotence at an early stage, it is important to pay particular attention to healthy sleep spouse organization, because without it, the brain can not be a full-fledged vacation, nervous system and muscles. Chronic lack of sleep in men undermined the health and exhausted nervous system, which in turn leads to a weakening of potency. The duration of sleep is individual for each person, on average, the figure is 8-9 hours a day, at the same time to go to bed is better to 12 hours of the night. A perfect recipe for the prevention of male impotence are walking in the fresh air. Also, prior to the appointment of special preparations should try to give up hard work, start keeping a regular sex life, and avoiding long abstinence, and frequent sex.
Exercise for impotence
Regular exercise in the gym or at home to help man strengthen the immune system and maintain muscle tone. Each loving wife to her husband to offer the joint execution of a complex of simple exercises for impotence.
Walking raising the knees high. Starting position: standing up, back straight, hands are lowered. Legs raised up pressing his knees to his stomach.
Squats. Starting position: standing up, back straight, hands on his belt, legs slightly bent at the knees. A man must make shallow squats while to stretch the muscles of the buttocks. Legs bent as much as possible.
Running on the spot. Starting position: standing up, back straight, knees bent. The man starts to run on the spot. This work should only heels, socks do not break away from the floor, your knees are moving at a fast pace back and forth.
Tension and relaxation of intimate muscles. Starting position: any position. It is necessary to alternately tense and relax the muscles between the testicles and anus. During a workout, strengthens the intimate muscles responsible for potency in men.
Vacuum therapy for impotence
Vacuum therapy - is one of the most popular procedures, which allows men get rid of impotence (erectile dysfunction). This method is effective in over 90% of cases, recovery potency. Vacuum therapy has established itself as a safe treatment for ED, acting as an alternative to surgery (implantation of implants) and reception products. In the course of treatment around the penis creates a vacuum, which causes the natural blood flow to the penis.
Surgical treatments for impotence
For the treatment of impotence in men following surgical methods can be used.
Revascularization of the penis. To treat male impotence can be one of the methods of microsurgical revascularization of the penis. The most popular treatment - surgery Michal-2. The surgeon creates an anastomosis between the inferior epigastric artery and dorsal artery of the penis. Also used Virag 5 operation to combat impotence, at which the anastomosis inferior epigastric artery and deep dorsal vein.
Venous Surgery. This method is treated impotence with penile lesions venookklyuzivnogo mechanism. Surgical treatment is of several types: 1) spongiolizis 2) ligation of the legs of the penis, 3) endovascular embolization of veins of the penis, 4) ligation and resection of the corporal and emissarnyh veins. Venous surgery is often performed in conjunction with traditional methods of treatment and medication.
Endofalloprotezirovanie. This surgical treatment is considered the most effective. It allows you to get rid of impotence in 90% of all cases. Treatment helps to restore the rigidity of the penis during implant inserted into the corpora cavernosa.
Impotence (Erectile Dysfunction)
Impotence (erectile dysfunction) - is inability to achieve and / or maintain an erection sufficient for satisfactory sexual activity. Erectile dysfunction can occur at any age but are most common for older men. The prevalence of disease in persons 40 to 70 years is 52%, increasing with age. If a 40-year potency disorders of varying severity to suffer 40% of men, then in 70 years the number reaches 67%.
The etiology and pathogenesis of erectile dysfunction.
Erectile dysfunction (impotence) is a multifactorial condition. Any factors that lead to a decrease in blood flow to the cavernous bodies (arterial insufficiency of the penis), or to increase the outflow from them (venookklyuzivnaya dysfunction) may be the cause of erectile disorders. Erectile dysfunction is usually associated with chronic diseases, primarily from atherosclerosis, hypertension, diabetes, depression and neurotic disorders. Erectile disorders often occur under the influence of environmental factors - radiation, electromagnetic radiation. The cause of impotence can be a chronic disease of the vascular, endocrine and nervous systems, pelvic or spinal injury. Loss of erectile dysfunction can be a result of radical surgery on the pelvic organs.
The main risk factors for erectile dysfunction include age, smoking, overweight. Among smokers impotence occurs in 15-20% more likely than non-smoking men.
There are more than 200 medicinal drugs that can inhibit sexual function. These include some antihypertensives (clonidine, beta-blockers, reserpine), gastrointestinal (cimetidine, ranitidine, metoclopramide), psychotherapy (amitriptyline, fluoxetine) and all anti-neoplastic drugs.
The pathogenesis of erectile dysfunction is variable. There are psihogennnye, organic, and mixed forms of erectile disorders.
Psychogenic erectile dysfunction is caused by the suppression of the central mechanism of erection. The main conditions leading to psychogenic erectile disorders are depression and phobic neurosis. In some cases, psychosomatic disorders arise type.
Organic erectile dysfunction is divided into vasculogenic, neurogenic and hormonal form.
Vasculogenic erectile disorder may be associated with both arterial and veno-occlusive with disabilities.
Among neurogenic erectile dysfunction in the first place on the frequency of occurrence is spinal cord injury and multiple sclerosis.
Hormonal erectile dysfunction occurs in Pasqualini syndrome, disease-Itsengo Kushenga, endocrinopathy, leading to hyperprolactinemia and reduced testosterone levels. It should be noted that in most cases the organic erectile dysfunction secondary psychogenic disorders marked.
Symptomatology and clinical course of the disease.
Terminology decided to allocate adequate, spontaneous erections and masturbation. Under adequate imply erection occurring through sexual contact. Spontaneous erections are reflex, there is sexual activity, often in REM sleep, disappearing on waking (another term - nochnaya penile tumescence). Tumescence (blood circulation, swelling of the penis to erect organ size) is one of the phases of erection.
Manifestations of erectile dysfunction is largely dependent on the etiopathogenic forms of suffering. For psychogenic impotence, usually characterized by a sudden, sharp weakening of adequate erections with preservation of spontaneous and masturbation. The quality of sexual function can be, regardless of the sexual partner, forms of intercourse and situational circumstances. In a number of cases are reported ejaculation disorders, orgasm and libido.
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