Prevention of impotence

Principal causes of infringement of a potentiality: the Pathology of vessels:

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1. Arteries on which blood arrives (in sexual excitation):

• - a diabetes;
• - a pathology of vessels at an alcoholism;
• - an atherosclerosis (disease of elderly men);

2. The increased outflow of blood on veins ;
Pathology of nervous system:

• 1. Brain diseases;
• 2. Diseases (trauma) of a backbone;
• 3. A pathology of nervous trunks. hormonal infringements:

• 1. Insufficiency of a man’s hormone - testosteron ;
• 2. Surplus of female hormones (estrogen) – diseases of a liver, a brain … Inflammatory diseases of genitals (a prostatitis).

The Serious illness  (hypertensive illness, an ischemic heart trouble) and nervous system.
Traumas, operations on a backbone. Mental frustration and diseases (depressions, stresses).
A syndrome of chronic weariness.
Traumas, operations on genitals and bodies of a small basin (adenoma removal, operations on a rectum and a bladder).
Collateral action of some groups of medicines (lowering pressure, at frustration of nervous system, the majority of cardiological preparations, preparations for chemotherapy).

Thus, two basic groups erection allocate dysfunctions – organic (60-70 % of cases of an impotence) and psychogenic:

Organic – night spontaneous erection are weakened, disease constantly and steadily progresses, an inclination.

Psychogenic – are kept night spontaneous erection, arises suddenly, takes place at certain reality situations (it arises in one reality situations and on it is shown in others), there is a problem of mutual relations.

Safety spontaneous and masurbation erection at easing of the adequate specifies in psychogenic character erection dysfunctions. Absence or easing spontaneous and adequate erection, diseases (a diabetes, hypertensive illness, traumas of a backbone, operation on bodies of a small basin), specify on (arterial) organic character erection to dysfunction. In the course of sexual intercourse at the given pathology there is a gradual, languid increase in pressure of a sexual member. Unstable erection, its disappearance in certain positions, strengthening erection in a standing position and easing in a prone position – is often observed at venous insufficiency of a sexual member. Erection dysfunction at a diabetes takes a special place since there are various factors closely connected among themselves – hormonal, psychological, vascular.
Diagnostics – has for an object to establish the reason and degree of infringement of a potentiality that will allow to cure effectively. It is important to doctor and patient to differentiate safety and force of a sexual inclination (libido). Patients often identify libido and ability to maintenance erection.

Methods the diagnostician:

• -Interrogation of complaints of the patient;
• - survey of the patient, its external genitals,  seed vials, palpation a sexual member;
• - clinical analyses of blood, urine, a secret простаты, sperms;
• - a hormonal profile (levels testosteron, prolactin, estradiol, hormones);
• - ultrasonic of bodies of a small basin, ultrasonic dopler scanning of vessels of a sexual member;
• - researches of vessels of a sexual member;
• - pharmacological artificial erection;
• - diagnostics of inflammatory diseases of genitals and diseases, sexually transmitted;
• - an electrocardiogram, consultation of the cardiologist, the psychiatrist.

Treatment:

• - conservative (medicamentous);
• - national methods, herbal medicine;
• - physiotherapy (LOD-THERAPY);
• - operative:
• - prosthetics of a sexual member;
• - operations directed on creation of additional arterial inflow to a sexual member at arterial;
• - operations directed on elimination of superfluous venous dump (venous leak).

Treatment should be complex, based on elimination of the pathology which have led to infringement of a potentiality. Essentially all methods promoting improvement of the general condition, normalisation of function of the basic bodies and organism systems, to improvement of a metabolism, liquidation of neurotic conditions, stabilisation of the psychoemotional status can be included in the list of actions at erection infringements. The basic groups of preparations used for treatment эректильной of dysfunction.

Today there is a huge choice of modern, effective and accessible means:

• 1. Sildenafil (viagra, potential), Vardenafil (Levitra), Tadalafil (Cialis);
• 2. Hormones (testosterons – omnadren, nebido);
• 3. Vitamins (I, Е, In, РР – aevit, polyvitamins, complexes of vitamins of group)
• 4. Phytopreparations, adaptogens (ginseng extracts);
• 5. The means selectively improving a blood-groove of a sexual member (iohimbin a hydrochloride);
• 6. Angioprotectors, vasodilating preparations, a-adrenoblokatory,  means normalising a condition of nervous system;
• 7. All spectrum of the preparations used at treatment of the basic disease when erection dysfunction is only a symptom (a diabetes, a prostatitis).

A special place belongs intrakavernos injection.

The special place belongs intravenos to injections of the Dose and a reception order should be carefully individually picked up the attending physician with the account of indications and contra-indications.

Impotence preventive maintenance:

• - a healthy way of life, regular playing sports to watch weight of a body;
• - high-grade, adequate rest (8 hour dream, rest on days off, change of labour activity, rest during holiday, sanatorno-kurorotnoe treatment);
• - reduction of influence of alcohol, smoking not to be on drugs;
• - preventive maintenance of stresses and a psychological overstrain;
• - timely treatment of illnesses of genitals and somatic diseases (a diabetes, the raised arterial pressure, a heart trouble and a liver, other systems);
• - not to start a problem, in time to address to the doctor to the urologist, andrologist;
• - correctly to accept medical products, not to self-medicate;
• - correctly to eat (not to transfer, especially for the night);
• - A regular sexual life without the interrupted and tightened sexual intercourses.

If you awake to observe recommendations – a sexual life will be long and joyful!

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(translated from Russian - doctorkozlov.kiev.ua)

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