The first experience of using viagra

My experience of using viagra: just a clarification: I did not take the original viagra, but its generic with the same name as the active substance – “Sildenafil”.

First: the drug itself does not raise anything (in the sense of viagra does not create an erection). Its action is different – it does not allow you to fall (supports an erection). And one more thing-without sexual actions, he will not show himself in any way. That is, you can swallow viagra, and go to sweep the streets or play playstation – an erection will not arise just like that. But it is worth hugging your beloved, stroking her ass – and immediately get the proper effect. This effect holds perfectly, even if “tired after work”. Adds stamina.

It was interesting to find out – will there be a permanent erection for two hours after the reception? No, when the goal of sex is achieved, everything calms down. However, if you want to repeat the process soon, you do not need to swallow the second tablet – the first and second time will work. By the way, the pill should be taken an hour before the process.

About the side effects. It is written about increased heart rate, increased blood pressure and shifted color perception. I didn’t notice anything like that, although I sometimes suffer from high blood pressure.

And about the regularity. In my 40+ years, if you sleep with your wife a couple of times a month, it’s not bad. So here about excessive dosage and fear of side effects is not worth it. Those who are going to eat it every day by handfuls-not viagra, but a psychologist is needed. Here is a mode of reception and really inspires concern.

experience of using viagra

A few reviews about the first experience of taking viagra

You can read reviews from our clients in the Testimonials section.

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How to take Viagra for the first time?

So, how to take viagra for the first time for those who have never tried it and decided? Viagra is one of the most popular medications for restoring a healthy erection and treating premature ejaculation. The drug has a high-quality and fast action, is suitable for men of all age categories, has a minimal risk of side effects in the absence of contraindications. You can use Viagra every day. The drug is not addictive when taken regularly.

It accumulates in small amounts in the blood, but in the absence of severe liver pathologies, it does not harm health and does not cause complications of existing chronic ailments. Taking Viagra is recommended for men who are not able to achieve a strong erection on their own and hold it for a full-fledged sexual act. Erectile dysfunction is the most common disease, which is expressed by a sluggish and short-lived erection, premature ejaculation of seminal fluid and low sexual energy.

Viagra can be drunk as an auxiliary product in the complex therapy of prostatitis or infertility. The drug is suitable for healthy men who want not only to increase the duration of their intimacy, but also to enhance the sensations received from orgasm. To achieve a temporary effect, it is recommended to take Viagra occasionally.

How to take Viagra for the first time. Dosage.

The drug is available in three standard dosages: 25, 50 and 100 mg. It is not obvious that the higher the dose, the more effective the drug will be. It’s different for everyone. For example, a high dose of “Viagra” in women can lead to the fact that the clitoris will become too sensitive and instead of the pleasure of making love will turn into a monstrous torment. On the other hand, too low a dosage of the drug may not be enough for a full-fledged erection in a man.

Viagra for the first time

There are several approaches to selecting the dosage of the drug. Usually, the drug is prescribed in an average dosage of 50 mg, and then, depending on the effect that has occurred (or has not occurred), the dosage is adjusted or, in the case of a good effect, does not change. Another approach is to start treatment with a minimum dosage, increasing it until a good therapeutic effect occurs.

The maximum daily dose is 100 milligrams. This amount of the component is safe for middle-aged men who do not have chronic kidney or liver pathologies. The effect of the drug persists for four hours.

The selection of the dose should be handled by a doctor who will do it more professionally and with less risk to your health.

Dosage and age

Older men and those who suffer from chronic liver or kidney diseases should reduce the daily dose to 25-50 milligrams (depending on their state of health). With regular use of the product (more than twice a week), you should also reduce the daily dose of the active substance.

With frequent use, it is recommended to use 25 milligrams once every 24 hours. When using medications containing vasodilators, it is necessary to use a minimum dose of Viagra (up to 25 milligrams per day), after receiving medical advice. Before starting treatment of sexual dysfunction with Viagra, a number of contraindications should be excluded.

Viagra for the first time: Features

Take the Viagra tablet 55-60 minutes before the start of sexual intercourse. The drug should be washed down with warm water or other non-alcoholic liquid. You can use Viagra regardless of the meal. During treatment, it is recommended to refuse to take food products whose fat content is higher than 30%. Fatty foods prevent high-quality absorption of drugs into the blood and slow down the action of this product.

Give preference to cereals, fruits and vegetables. Viagra can not be drunk at the same time with medications that contain nitrates, alpha-blockers, nitric oxide donators, inhibitors of other types. These substances reduce the effect of Sildenafil, increasing its concentration in plasma. The break between taking these substances and Viagra should be three weeks. Terms of release and storage of Viagra tablets are indicated on the package. Do not take the product after its expiration date. Before treatment, read the instructions. Make sure that the air temperature in the room does not exceed 25 degrees Celsius.

In addition, do not lose hope for those men who did not help Viagra the first time. The drug can be taken daily without worrying about health. In addition, it is recommended to make several attempts, and the drug will definitely help next time. At the same time, you need to follow the dose set by the doctor.

Taking viagra at an elevated temperature

Can I taking viagra at an elevated temperature of?

Many people who decide to purchase drugs for potency ask various questions, such as whether it is possible to take viagra for hypertension. is it possible to use the product with a particular food? and others. Recently, the question of taking viagra tablets at a temperature has become relevant. In order to understand this issue, we will analyze the principle of operation of the tool and its composition.

Many people know that pills were developed not in order to eliminate erectile dysfunction or improve sexual life, but in order to solve problems from the cardiovascular system, which should have been beneficially affected by the active component sildenafil. It really had a powerful effect, not on the heart, but on another organ in men. Since that time, more than one study has passed during which it was actually revealed that viagra is able to solve problems related to the intimate sphere, and not only men’s, but also women’s, which appeared not so long ago.

Returning to our topic about taking viagra at elevated temperatures. it is worth saying that many opinions differ, some say that it seems to be not contraindicated, while others, on the contrary, stand their ground, assuring that this can not be done. We suggest that you find the answer to this question yourself by studying all the pros and cons of taking this remedy at an elevated temperature.

Viagra at a temperature, all the pros and cons

The principle of action of viagra is that in response to sexual desire, an erection occurs. Thanks to the active component sildenafil, the cavernous bodies of the penis expand, relax and actively fill with blood. This means that the blood flow begins to flow more actively not only to the penis, but also to other human organs.

At high temperatures, the blood circulates so quickly, and if you still take viagra, this process will increase, many believe. In fact, this is not quite true, because the pills do not affect the entire body, but only some important organs for this process. While taking female viagra, the pelvic organs of a woman are enriched with blood, when using male viagra, almost everything happens the same, only the penis itself is already involved.

Therefore, taking the drug for potency is unlikely to affect the increase in temperature. In addition, at the very beginning of research, when it turned out that viagra is not suitable for the treatment of heart diseases, it turned out that some components of the drug can cure angina, which means that using this drug for potency can still get rid of colds. Experts, however, say that you should not get carried away with these tablets to eliminate colds, because, despite the individual components, the tool is created for other purposes.

So should I take viagra for a cold or not?

As for colds, there are no strict contraindications for taking the drug. Another thing is when the cause of the temperature is not established. In this case, it is better to abandon the use of viagra. Yes, the drug itself will not have any negative effect on the body, however, intimacy can.

viagra at an elevated temperature

During the temperature, a person feels weak, sometimes drowsy. At such moments, the body fights infection. And here it is unlikely that there will be a desire to make love. In addition, during a high temperature, it is undesirable to do this, because the blood circulation in this case will be even faster than usual, the heartbeat will increase several dozen times and it is not a fact that after a bright discharge, a person will not lose consciousness. Therefore, it is best not to experiment.

In conclusion, once again I want to say that there are no particularly strict contraindications for the use of viagra tablets at high temperature, so if there is a desire, then the tool can be used, but what will be the state of health after intimacy is unknown.

Opinion of famous personalities about Viagra

The first person to speak out about Viagra was 74-year-old Robert Dole – a well-known American politician. He tried Viagra with his wife and was delighted. Advanced age and a complex operation (removal of the prostate gland) that was carried out several years ago did not become an obstacle to achieving the desired result. A popular and respected American politician with his statement: “This is wonderful!”, provoked a stir around Viagra, giving the advertising campaign an incredible scope.

Paulo Santana, a 58-year-old Brazilian columnist who already has grandchildren, was very pleased. This is what he said in an interview for Newsweek magazine. He managed to try Viagra two weeks before it was officially approved in Brazil. Paulo Santana shared his feelings in the newspaper “Zera Ora”. He told not only about the longer and more intense pleasure, but also about the pride that he felt for the sensual delight delivered to his partner. He called Viagra the elixir of eternal youth and urged to buy it, “without saving on happiness”. There is no doubt that there is some truth in Paulo’s statement. Even today, scientists do not stop actively studying the problem of the dependence of a beautiful physical condition on a regular sexual life.

about Viagra

Hartmut Porst, a well-known urologist in Germany, expressed confidence that most men who want to lead an active sexual life will turn to Viagra for help. He said this in an interview with the magazine “Spiegel”.

Stefano Tacconi – 41-year-old Italian football player, the star of “Juventus” shared in the local press his impressions of the use of Viagra. He said that the pill increased the duration of sexual intercourse by half, however, said at the same time that it was too early for him to use this drug.

What famous women say about viagra

Women also expressed their opinion on this issue. Susie Bright, a columnist for Salon magazine, noted the amazing effect of the drug, reminiscent of “melting inside a chocolate cream.” She noted another effect, which was expressed in the flow of blood to the pelvis. As a result, Viagra cured lower back pain.

At one time, an amazing advertising campaign for Viagre was held at a fashion show from Versace. The models walked down the runway in semi-transparent, condom-like suits. Their clothes were all beaded with Viagra pills. At the same time, the audience surrounding the podium was actively poured with champagne, in which Viagra was dissolved.

Try Viagra, interaction with alcohol

Experts believe that the maximum dose of alcohol, in which the risk of side effects is minimal, and the effectiveness is optimal, is 100 g of vodka. In other words, in terms of pure alcohol, about 40 g. This is equivalent to 400-450 ml of table wine, 700 ml of beer, 600 ml of gin and tonic.

Men often wonder whether it is possible to combine drugs that are used to treat impotence (Viagra, Levitra, Cialis) with alcohol.

You need to make a choice either sex or alcohol, if you want to get drunk, then go and get drunk, only when you drink Viagra in full out, there will be no effect. If you want to have sex, then you go to the pharmacy buy Viagra, Cialis or Levitra, then invite your girlfriend to coffee (restaurant, who has what finances) order a glass of wine (no more), drink and go to have sex.

Viagra (sildenafil), Levitra (vardenafil) and Cialis (tadalafil) are selective competitive inhibitors of PDE5. The molecules of these drugs are similar in structure to the cGMP molecule, but their effect is that they block the action of the PDE5 enzyme. From the point of view of pharmacochemistry, even minor differences in the structure of molecules can lead to a pronounced difference in their action. A striking example of the similarity in structure and differences in properties are the molecules of testosterone and estradiol.

Try Viagra and alcohol

To date, there is no convincing evidence that the combined use of “Viagra” and alcoholic beverages (in moderation) can lead to any fatal consequences.

A man weighing 80 kg can drink about 100 g of vodka and take Viagra without consequences.

From the point of view of chemistry, the main component of Viagra (sildenafil) does not interact with alcohol, this is what is called science proven. But life has proven that after an immoderate amount of alcohol in the blood (everyone has it, of course, different), there may be problems with an erection in principle. Some even turn off the entire motor system, and the consciousness that guides them meaningfully, but such, in fact, do not buy Viagra.

You can take Viagra (sildenafil) with alcohol, but you risk turning the holiday into a nightmare. Why? Alcohol increases the load on the heart, increases the number of contractions of the heart muscle, heart work increases. Viagra also has an effect on the heart, increases the number of contractions.

Putting one on top of the other, the heart begins to experience a double load. The pressure increases, there is a headache, heaviness in the head, redness of the face. Those Sami phenomena that are observed with a hangover. However, if there are no problems with high blood pressure, and vice versa, if the pressure is low, then such side effects may not happen, and the viagra taken after alcohol will pass without unnecessary inconvenience and will give a satisfactory result.

Also, alcohol can increase the side effects of Viagra.

Among the various side effects of Viagra are dizziness, headache, upset stomach, redness of the face, muscle pain, diarrhea, which can also be a side effect of alcohol consumption. That is why the use of Viagra increases the chances of unpleasant side effects from these drugs, reducing the chances of normal sex.

Well, getting drunk when taking Viagra is stupid, not only because there will be no effect, but because even if there is an effect, then when you wake up in the morning you will hardly remember, and your headache (hangover) will not make you feel cheerful, so Viagra and alcohol are not only physically incompatible, but also morally.

But it’s stupid to blame the consequences of binge drinking on Viagra: “everything would be fine if I hadn’t already drunk Viagra.” Everything would be fine if you didn’t drink the “extra” half a bottle of vodka. And with an erection, and with well-being, and with memories of the time spent.

Cialis and alcohol

Cialis is recommended to be used orally before the intended sexual activity, regardless of the concomitant intake of food or alcohol. According to the information in the annotation to the drug, Cialis does not interact with alcohol, when they are used together, neither the concentration of ethanol nor the therapeutic dose of Cialis does not change. This is quite understandable: pharmacodynamic studies have shown that the active substance of Cialis practically does not interact with those drugs whose metabolism requires the participation of the cytochrome P450 enzyme system. A small amount of alcohol will not cause any problems, but a significant dose of alcohol can interact with Cialis.

Small doses of alcohol (200 grams of wine or 0.5 liters of beer or 100 grams of vodka) with Cialis will not cause any problems for most men.

Try Viagra, interaction with alcohol

Studies have shown that the effect of Cialis does not depend on alcohol and a hearty dinner, no doubt, for Russian men this will be another argument in favor of the drug. However, it should be noted that alcohol in large doses itself negatively affects the erection and, in addition, alcohol abuse can cause erectile dysfunction.

However, we must not forget that Cialis and alcohol have a systemic effect: Cialis and alcohol dilate the walls of blood vessels, which can lead to a sharp drop in blood pressure, especially in the presence of provoking factors. This is stated in the annotation, but not too “loudly”. Clearly, those who had dizziness and an orthostatic reaction after taking alcohol will have the same reactions when using Cialis (as a result of a vascular response), and with a combination of Cialis and alcohol, these side effects will increase.

Currently, Cialis is the only phosphodiesterase-5 inhibitor, the effect of which persists for more than a day – up to 36 hours.

Methods of erectile dysfunction therapy

If a man has erectile dysfunction, then it is treated. What types of therapy are known?

Doctors use conservative treatment.

In the first line, phosphodiesterase inhibitors of the 5th type are used. A distinctive feature of them is their good tolerance and noticeable effect in any type of erectile dysfunction.

PDE-5 is not applied constantly, but periodically. They should be taken immediately before sexual intercourse. The dose is selected individually.

If the patient does not want to use this type of medication, then the use of local negative pressure (shock wave therapy of the penis) is offered as an alternative.

Second-line drugs for the treatment of erectile dysfunction are injections into the cavernous bodies of the penis. They act as vasodilators.

If conservative treatment does not solve the problem, then doctors proceed to surgical treatment.

For this purpose, a phalloprosthesis is performed using a hydraulic or semi-rigid implant. They allow you to provide a natural erection.

After the hydraulic penile prosthesis implants, patients typically remain fully satisfied with your sex life. And Viagra is no longer used.

Methods of erectile dysfunction therapy

If you have erectile dysfunction, check your heart and blood vessels

When a fifty-year-old man begins to fail in the sexual sphere, then we can talk about the beginning of the development of erectile dysfunction.

Doctors say that at this age, erectile dysfunction is a wake-up call for coronary heart disease. A man should pay more attention to this, since this is the risk of approaching a heart attack in the next couple of years.

Worst of all, those who are overweight, suffer from hypertension and diabetes. And if this” bouquet ” is also joined by harmful habits such as smoking and alcohol, then a heart attack is a matter of time.

Such anamnesis leads to damage to the inner layer of the arteries and blood vessels, which results in ischemia, heart attack, erectile dysfunction and similar pathologies.

It is not for nothing that experienced urologists and andrologists send all men under 50 years of age with erectile dysfunction to consult a cardiologist.

It is extremely important to identify serious cardiovascular diseases in time and cure them.

Therefore, if you have suspicions of erectile dysfunction and at the same time you snore, are overweight, suffer from high blood sugar and pressure surges, immediately visit a cardiologist, and do not immediately run to buy Viagra.

How does hirudotherapy help in matters of potency?

Hirudotherapy: The use of leeches for medical therapy. From hirudin, the active principle in the salivary secretion of leeches that acts as a potent anticoagulant (blood thinner).

hirudotherapy or viagra

Would you be able to treat yourself with leeches? Well, who’s brave?

Hirudotherapy within the framework of urology is becoming more popular year by year. More and more doctors are talking about the effectiveness of this type of treatment.

In urology, the indications for hirudotherapy are:

However, this is not all that such seemingly ordinary leeches help to cope with.

They solve such problems as pyelonephritis, cystitis, renal colic, low libido, hydronephrosis.

By the way, in the treatment of priapism and elephantiasis of the scrotum, leeches are almost the only treatment.

Well, where is it without potency! This is one of the main topics for men, and leeches and really well solve this issue. Why is this happening?

With the help of hirudotherapy, you can well improve blood circulation in the pelvic area. Blood completely fills the cavernous bodies of the sexual organ and there are no difficulties with potency. The effect of this procedure is visible almost immediately. Almost like after Viagra.

Chronic prostatitis and erectile dysfunction

Prostatitis and erectile dysfunction-at all times, men have faced these problems. There is no” age ” in this insidious disease, it can appear even in young men. It is known that one of the causes of erectile dysfunction is chronic prostatitis. Therefore, due to such a close relationship between the two diseases, the approach to the treatment of erectile dysfunction should be comprehensive.

What is erectile dysfunction?

Normal erectile function in a man includes the ability to get an erection hard enough to penetrate a woman’s vagina, and maintain that erection long enough to complete sexual intercourse.

Erectile dysfunction is the inability to obtain and / or maintain a penile erection sufficient for adequate sexual relations. Early signs are loss of a morning erection, premature ejaculation, and lack of interest in sexual activity. It is known that smoking, drug use, and alcohol abuse play an important role in this issue. The risk of developing erectile dysfunction increases with concomitant conditions such as type II diabetes, obesity, cardiovascular disease, hypertension, and dyslipidemia. However, the most common cause of erectile dysfunction is infectious diseases, with prostatitis in the first place.

What is prostatitis?

Prostatitis is an inflammatory disease of the prostate gland. It can affect all men: those who are in monogamous or polygamous relationships, and even virgins. Prostatitis is a very common pathology of the genitourinary system. Among the serious consequences of this disease can be called erectile dysfunction – many men mistakenly associate “failures” in sexual life with stress at work, fatigue and lack of sleep. But modern research has shown that infectious diseases, such as prostatitis, are most often the cause of problems in sexual relations.

To get rid of prostatitis, as well as to avoid serious complications (for example, impotence and infertility), it is necessary to seek qualified medical help from a urologist-andrologist when the first symptoms appear.

The main symptoms of prostatitis

  • Frequent urination.
  • Feeling of incomplete emptying of the bladder.
  • Pulling pains and discomfort in the lower back, lower abdomen and perineum.
  • Whitish or greenish discharge from the urethra.
  • Pain and heaviness in the anus.
  • Decreased libido and potency.

Prostatitis and erectile dysfunction, what is the connection?

If the endothelium of the vessels of the penis is damaged by exposure to chronic diseases and toxins, this leads to a decrease in erection.

However, there is another version: most doctors believe that sexual disorders in prostatitis are usually psychological in nature. Constant and exhausting pain causes depression and increased anxiety, unpleasant symptoms and chronic pain syndrome affect not only the general well-being, but also the mood of the man, brings him stress and discomfort. However, most modern urologists are of the same opinion: the cause of erectile dysfunction lies in organic damage to internal organs.

The importance of the prostate gland in the process of erection

Erection from the point of view of normal physiology is caused by complex neurovascular mechanisms, with several central and peripheral neurological mechanisms involved in addition to molecular, vascular, psychological and endocrinological factors, and the balance between them is what ultimately determines the functionality of the penis.

An erection is not a mechanical act that can be used as a hydraulic jack to lift at any time. It is a subtle physiological process that begins with a stimulus perceived by the brain, and that comes from visual perception, smell, sensation, or touch.

prostatitis and erectile dysfunction

A person’s sensitivity to this sexual stimulus largely depends not only on their level of the hormone testosterone, but mainly on its conversion to the active metabolite dihydrotestosterone, which is formed inside a healthy prostate under the influence of an enzyme called alpha-reductase. And if there are problems with the prostate gland, respectively, problems will appear with the metabolite, which will lead to difficulties during sexual intercourse.

Restoration of potency and treatment of prostate damage

If erectile dysfunction occurred against the background of infection, then no Viagra will help: it is necessary to remove the main cause.

Bacterial prostatitis, like any infection, is treated with antibiotics. However, to create the necessary concentration of drugs in the prostate, in the focus of infection, antibiotics are very difficult, and sometimes impossible. This is due to the fact that as a result of inflammation and swelling in the prostate, blood supply is significantly reduced. Only complex treatment will be effective – a combination of medications and physiotherapy that improves blood supply to the prostate gland, relieves its swelling. The doctor may prescribe such courses as extracorporeal magnetic stimulation, vibromagnetolaser massage, sinusoidal modulated currents, shock wave therapy, ozone therapy.

If the doctor prescribed the correct treatment and the man followed all the prescriptions and recommendations, then with the elimination of inflammation in the prostate, violations in sexual life disappear without a trace.

Prostatitis and erectile dysfunction: prevention

  • Regular sex life (this is a purely individual issue, but up to 30 years of age, the frequency of sexual contact 2-3 times a week is considered the norm).
  • Hygiene during sexual intercourse.
  • Healthy lifestyle.
  • Exclusion of injuries and hypothermia.
  • Regular urological examination (at least once a year for men over 40 years of age).

A person’s recommended lifestyle should include regular exercise, adequate sleep, smoking cessation, a balanced diet with an emphasis on Mediterranean food, and moderate alcohol consumption.

In order to feel masculine strength for as long as possible and maintain a high quality of life, when the first unpleasant symptoms appear, do not delay a visit to a qualified urologist-andrologist. Complete a comprehensive urological examination, get an accurate diagnosis and effective treatment.

Sexual dysfunction and social adaptation

Sexual dysfunction: The concept of “violation of sexual function” traditionally includes a whole range of problems: these are violations of sexual desire, sexual arousal and orgasm, as well as pain during sexual intercourse caused by both medical and psychological problems of a person. Usually, even one of these problems leads to the inability or unwillingness to lead a sexual life, which seriously affects the social role of a person. And believe me, no viagra will help here.

Lack of sexual activity is a serious problem in people’s relationships. According to studies conducted in America in the 70s, 35% of women and 15% of men under the age of 50 say that they do not want to have sex with their spouse, and among young (under 30) unmarried people, 8% complain about the lack of sexual life in the presence of a partner.

Sexual dysfunction: Reasons

Doctors identify many reasons for the lack of sexual activity in couples. Traditionally, they are divided into psychological and organic.

Psychological factors include factors that are tied to a person’s perception of the surrounding reality. Among the most common are::

  • self-doubt;
  • fear of contracting a sexually transmitted disease;
  • overwork;
  • constant voltage;
  • insomnia.

But in addition to this, the cause can be child psychological trauma, temperament properties, difficulties in relationships with people, and much more.

Organic factors are associated with innate or acquired features due to diseases. They are associated with the physical inability to perform sexual intercourse. These can be:

It is worth noting that organic and psychological factors cannot be completely separated from each other. In about 5% of cases, they are closely interrelated.

Effects

Due to the lack of sexual life in a couple, there are usually serious problems in the relationship. Usually they are accompanied by depression, irritation, isolation. A man who is faced with impotence may not go to the doctor for a long time because of embarrassment, instead poisoning his body with numerous folk remedies and pills, which can then adversely affect his health as a whole.

sexual dysfunction

The main sign of the weakening of potency is a decrease in interest in sex, thoughts and fantasies on this topic disappear. The morning erection characteristic of a man’s body disappears or becomes irregular, and it also does not occur during sexual caresses. An erection can also disappear right during sexual intercourse. Sometimes a man may not attach importance to these “bells”, as this does not happen simultaneously.

Due to the huge number of reasons that can lead to violations of sexual function, the diagnosis can only be prescribed by the attending physician after the examination and collection of anamnesis. A few simple rules will help to prevent violations of sexual function.

Signs of impotence. Prevention and diagnosis of the disease

Modern medicine uses a term such as “erectile dysfunction” (ED) to refer to disorders associated with the partial or complete loss of a man’s ability to perform sexual intercourse (signs of impotence). Previously, this sexual impotence was called “impotence”, it was usually attributed to the natural age-related (along with this psychological and physiological) changes in the body.

The diagnosis of “erectile dysfunction” (“impotence”) can be made only to those men who have more than 25% of sexual acts were unsuccessful. Often, in the presence of physical abnormalities, the libido in these patients persists, which creates additional psychological problems. Modern medicine has reached a level of its development, thanks to which the diagnosis allows you to detect erectile dysfunction (impotence) in the early stages and select an adequate prevention. This gives a high chance of restoring a man’s sexual abilities after undergoing special therapy.

Symptoms of erectile dysfunction

The initial manifestations of the disease can be observed in more than 30% of the stronger sex at the age of 18-59 years. The first signs of impotence in men are expressed in the following symptoms of sexual disorders.

signs of impotence

Lack of erection. The first sign of impotence (erectile dysfunction) may be the absence of not only adequate, but also spontaneous morning and night erections. In cases where there is no adequate erection, but at the same time there is a spontaneous one, it is more likely that impotence is psychological in nature. With a simultaneous violation of both adequate and spontaneous erectile function, specialists diagnose the disease of an organic form.

Weak erection. One of the most important symptoms of impotence is a decrease in rigidity and the frequency of erections. This group also includes the lack of firmness of the penis during sexual intercourse. In this case, impotence can be a sign of vascular, neurogenic, hormonal and other organic disorders, somewhat less often it appears due to psychological problems.

Inability to maintain an erection. One of the first manifestations of erectile dysfunction (impotence) is premature ejaculation – an uncontrolled release of seminal fluid that occurs immediately at the very beginning of sexual intercourse or even before it. The cause of this sexual dysfunction is organic in nature and, as a rule, this symptom is associated with vascular disorders. Premature ejaculation in psychogenic impotence is quite rare.

Despite the widespread prevalence of organic causes of impotence, experts have found that in 9 out of 10 cases, sexual disorders appear against the background of unfavorable psychological factors. If a man notices at least one of the above manifestations, he should consult a doctor as soon as possible, identify the causes of the disease and choose methods of treatment and prevention of erectile dysfunction.

Stages of diagnosis of erectile dysfunction

If there are signs of impotence in men, it is necessary to promptly conduct a diagnosis and a number of therapeutic measures. In this case, it is necessary to develop a system of prevention of impotence together with a specialist. Diagnosis of erectile dysfunction can be carried out in several stages.

Determination of patient complaints. At the first appointment, the doctor should ask the patient about problems in their sexual life. Symptoms of impotence (erectile dysfunction) are detected after filling out a special questionnaire – the International Index of Erectile Function (ICEF-5). The survey form includes 5 simple questions. The answers to them allow the specialist to assess the degree of impotence, choose prevention and treatment.

Psychosocial examination. Great importance in the diagnosis of sexual disorders is given to the analysis of the psychological state of the patient. The doctor needs to find out what kind of relationship the patient has with a sexual partner, what kind of reaction they both show to erectile dysfunction. Effective treatment and prevention can not be prescribed without determining the presence or absence of a man’s anxiety and depressive states. In these cases, the most effective treatment is not medication for erectile dysfunction, but a consultation with a neurologist or psychotherapist.
Collection of medical history. In about 21% of cases, the causes of organic forms of impotence are regular medication or surgery. The collection of a medical history is necessary to identify these actions and their impact on the body of a man. Also, in the anamnesis, information should be collected about bad habits, systemic and chronic diseases, taking medications and narcotic drugs, conducting radiation therapy on the pelvic organs, etc.

Physical examination. During the examination, the doctor evaluates the patient’s physique, special attention is paid to the severity of secondary sexual characteristics in the man. One of the main tasks of the examination is to identify problems associated with the improper functioning of the thyroid gland. This includes physical examination, changes in pulse rate, skin problems, etc. A medical examination of the external genitals shows the condition of the scrotum, possible changes in the shape of the penis (congenital or with Peyronie’s disease). Prostate diagnosis (to determine inflammation) is performed rectally. Physical examination allows you to determine the causes and degree of erectile dysfunction. For example, if a weak sensitivity of the penis is detected, then the cause of impotence may be a lesion of the nervous system. In the case when the patient is diagnosed with an increase in the mammary glands, a small size of the testes, slow growth of facial hair, these are signs of problems with low testosterone levels in the blood.

Laboratory tests. Diagnosis of erectile dysfunction involves measuring the blood pressure in the vessels of the penis, conducting ultrasound and radioisotope scanning. The most effective method for detecting signs of impotence is to monitor spontaneous nocturnal erections. Normally, their duration is at least 20% of the total sleep time. This percentage of erections with reduced rigidity increases significantly with age.

Erectile dysfunction (impotence) is a treatable sexual disorder. In 95% of cases, if the course of therapy was started in a timely manner, the patient comes to a full recovery. Prevention of impotence includes a number of simple actions: maintaining a healthy lifestyle, limiting alcohol intake, complete abstinence from smoking and taking drugs, maintaining a regular sexual life (without frequent changes of partners, sexual excesses and prolonged abstinence). Before taking any medications for impotence, you should first consult with a specialist. If a man has undergone surgery on the pelvic organs or has had an injury, he will need the help of a urologist.