ناتوانی جنسی آقایان که به عنوان اختلال نعوظ (ED) نیز شناخته می شود، ناتوانی در دستیابی یا حفظ نعوظ کافی برای مقاربت جنسی رضایت بخش است. این یک بیماری شایع است که تقریباً حدود ۱۰ درصد مردان آن را تجربه می کنند.
علل ناتوانی جنسی مردان را می توان به دو دسته اصلی طبقه بندی کرد: ارگانیک و روانی.
علل ارگانیک:
عروقی: اینها شایع ترین علل ارگانیک ED هستند که تقریباً 50٪ موارد را تشکیل می دهند. آنها شامل شرایطی هستند که بر جریان خون آلت تناسلی مانند تصلب شرایین، دیابت و فشار خون بالا تأثیر میگذارند.
عصبی: این علل شامل آسیب به اعصابی است که نعوظ را کنترل می کنند. They can be caused by conditions such as spinal cord injuries, MS and Parkinson's disease.
Hormonal: ED can be caused by a hormonal imbalance, such as low testosterone.
Explanation: Some anatomical abnormalities, such as Peyronie's disease (curvature of the penis) and hypospadias (abnormal opening of the urethra), can interfere with erection.
Psychological causes:
Psychological: These causes include anxiety, depression, stress and relationship problems.
Substance abuse: Excessive alcohol consumption, tobacco use, and illegal drug use can all contribute to ED.
symptoms of male impotence
The first symptom of male impotence is the inability to achieve or maintain an erection. Other symptoms may include:
- Decreased libido (sexual desire)
- Difficulty in ejaculation
- painful erection
- erections that are not strong enough for intercourse
Diagnosis of male impotence usually includes physical examination, medical history and blood tests. The doctor may also order additional tests, such as:
- Nocturnal penile edema (NPT): This test measures erection during sleep.
- Penile duplex ultrasound: This test uses sound waves to evaluate penile blood flow.
- Cavernosometry: This test involves injecting a substance into the penis to measure its pressure.
Methods for treating male impotence
The treatment of male impotence depends on the underlying cause.
Treatment of organic causes:
Medications: Medications such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) can improve penile blood flow and facilitate erections.
Surgery: In some cases, surgery may be necessary to correct anatomical abnormalities or improve blood flow.
Hormone replacement therapy: This therapy may be necessary to correct hormonal imbalance.
Treatment of psychological causes:
Treatment: Therapy can help people address psychological issues that may be contributing to ED.
Lifestyle changes: reducing stress, quitting smoking, and limiting alcohol consumption can improve overall health and sexual performance.
Medications: Antidepressants and anti-anxiety medications may be prescribed to manage underlying psychiatric conditions.
Pelvic floor physiotherapy
expertsPelvic floor physiotherapy can reduce physical factors that may cause ED role, assess and treat. This may include:
- Pelvic floor muscle training: Strengthening the pelvic floor muscles can improve blood flow to the penis and increase erection.
- Stretching and massage: Tight muscles in the pelvic area can restrict blood flow and cause pain that can interfere with erection. Physiotherapists can provide stretching and massage techniques to reduce tension and improve blood circulation.
- Nerve movement: Damage to the nerves that supply the penis can affect erections. Physiotherapists can use neuromobility techniques to improve nerve function and restore sensation.
- Manual therapy: Physical therapists may use manual therapy techniques to address muscle imbalances, joint limitations, and other physical issues that may contribute to ED.
- shock Wave therapy: Shock wave is one of the therapeutic modalities in physiotherapy, which is also used today to treat erectile dysfunction.
- Electrotherapy: electrical stimulation can be used to improve blood flow and muscle function in the pelvic area.
Benefits of physiotherapy
- improving blood flow to the penis
- Erectile enhancement
- Reduce pain and discomfort
- increasing sexual satisfaction
- improve overall sexual health
