How to increase potency after 40 years? What medications and pills are most effective at this age? Problems with potency at 40 years old are associated with achieving and maintaining an erection, as well as a decrease in libido. The causes of sexual dysfunction can be of two types - somatic or psychological. In young men, problems with potency are usually associated with psychogenic causes, while in adulthood somatic factors predominate. What causes erectile dysfunction after 40 years of age? How to cure erection problems? What to use to restore male power?
- Causes
- Impotence
- How to increase
Causes of potency problems
Potency depends on both the physical and psychological state of a man . Maintaining an erection during sexual intercourse is ensured by the proper functioning of the nervous system, blood vessels and heart, the speed and quality of metabolic processes . A decrease in potency is often accompanied by additional symptoms that suggest the cause of the problem.
Vascular pathologies
Good potency implies a full and stable erection. The quality of blood supply to the penis directly depends on the condition of the veins and arteries . The main vascular pathologies that provoke problems with potency:
- Deposition of calcium salts on the walls and valves of blood vessels.
- Pathological contraction of the muscles of the vascular walls due to intoxication, stress, disturbances of nervous regulation, caffeine abuse, physical inactivity.
- Atherosclerosis is a narrowing of the vascular bed due to cholesterol deposits.
The prerequisites for the development of the above diseases are often bad habits - smoking and alcoholism. When inhaling nicotine, the blood vessels dilate for a short time, then spasm along with an increase in pressure. Toxins from tobacco smoke affect the inner lining of blood vessels, disrupt fat metabolism, stick platelets together, thicken the blood, and impair the conductivity of nerve pathways. These factors provoke problems not only with potency, but also with health in general.
We have written a detailed article describing the effect of cigarettes on male potency.
Alcohol can cause blood vessels to dilate and relax the nervous system. There is even a theory that drinkers do not develop atherosclerosis, since ethyl alcohol dissolves fats. However, to do this, you will have to drink it in such quantities that the positive effect of cleansing blood vessels is offset by the development of fatty degeneration of the liver and heart, as well as a high risk of hemorrhage in the brain. Liver intoxication also leads to disruption of estrogen metabolism - the amount of female hormone increases as the process of its breakdown slows down.
The spermatogenic epithelium, composed of Sertoli cells, which are connected by a local regulation mechanism with Leydig cells, is very sensitive to alcohol and tobacco toxins. With regular consumption of alcohol, the synthesis of your own testosterone and the production of sperm are reduced . Alcohol also disrupts the interaction between nerve cells, which has a detrimental effect on potency and libido in general (more information about the effect of alcohol on male potency).
I. A. Izmakin, chief urologist at the Euromedica clinic, talks about the effect of alcohol on a man’s sex life
The cause of an unstable erection may be venous leakage - when the vein that drains blood from the penis is not sufficiently compressed by the filled cavernous bodies. Sexual desire and arousal during sex do not decrease. The causes of venous dysfunction are the above factors.
The vascular origin of potency problems can be confirmed by additional symptoms: numbness, tingling in certain areas of the skin, pallor, periodic dizziness, high blood pressure.
Diabetes
According to statistics, about 33% of potency problems occur with type 2 diabetes . This disease is diagnosed in every second man who visits doctors for sexual disorders.
Endocrinologist-andrologist, sexologist S. Yu. Kalinchenko talks about the effect of diabetes on a man’s sexual health and methods of treating erectile dysfunction in diabetics
Diabetes has a negative impact on potency in several ways:
- Impaired vascular patency due to thickening of their walls, microthrombosis, endothelial hypertrophy;
- Nerve damage. Nervous tissue is extremely sensitive to impaired blood supply. As a result, the cells die and their regeneration does not occur due to metabolic disruptions caused by diabetes. Both the peripheral (spinal cord) and autonomic nervous systems can be affected;
- Decrease in testosterone levels.
Along with impaired potency, one of the first symptoms of diabetes is periodic tingling in the legs, numbness in some areas, and pain in the areas where the nerve trunks pass .
Diabetes and impotence - the mechanism of the disease on the reproductive system and ways to maintain erectile function.
Hormonal pathologies
Potency problems can occur in men suffering from thyroid dysfunction . Excessive amounts of its hormones lead to an increase in the level of testosterone binding globulins and estradiol. As a result, the female hormone begins to prevail, which leads to problems with potency and increased nervousness. Insufficiency of the thyroid gland leads to a slowdown in metabolic processes, which is manifested by a decrease in libido, deterioration of erection, joint pain, and excess weight. The lack of adequate treatment for this pathology in adolescents leads to impaired potency in adulthood.
One of the common causes of potency problems is a decrease in testosterone levels against the background of an increase in the amount of estrogen . The most common provoking factor is excess weight , and one “beer” belly is enough. Fat cells in the abdominal region actively synthesize aromatase, an enzyme that converts testosterone into estrogen. At the same time, the level of proteins that inactivate the male sex hormone increases.
To explore the infographic, click on the image
Problems with sex often occur in men who regularly lack sleep . If you have less than 7-8 hours of sleep, testosterone can decrease by 2 times.
Poor potency is a natural phenomenon in bodybuilders (“jocks”) after discontinuation of steroid drugs taken to gain muscle mass and increase endurance. When synthetic testosterone enters the body, the production of its own slows down or stops altogether (can be seen by a decrease in the size of the testicles). As long as a man is “on the course,” everything is fine with his potency. After cancellation, it is often necessary to take measures to restore it.
Neurogenic pathologies
Erection is ensured by the interaction of psychogenic and reflex factors . The sexual impulse is formed in the cerebral cortex under the influence of imagination or external stimuli, then it is transmitted to the lumbar spinal cord, from where it goes directly to the penis - the mechanism of psychogenic erection. During physical stimulation, the impulse is transmitted in a different direction - from the point of influence (erogenous zone) to the genital centers of the spinal cord. This is how a reflex erection occurs. That is, if a man is not aroused without physical stimulation, then the reason may be a disruption of the pituitary-hypothalamic system of the brain . If even when exposed to erogenous zones the erection is weak and unstable, then damage to the lumbar spinal cord is likely.
A sharp decrease in potency can be caused by pinching in the back . From each vertebra there are bundles of nerve endings, compression of which by hernias or injuries leads to disruption of the functioning of the corresponding area of innervation. Segments 2-4 of the sacral region are responsible for potency. Damage to the spinal cord at this level will also lead to erectile dysfunction. Men who frequently engage in masturbation or sex may experience depletion of the lumbar genital centers , which will inevitably cause problems with potency.
Other physiological causes of decreased potency
Incomplete erection can be caused by damage to the structure of the corpora cavernosa of the penis: scarring due to inflammation caused by infections, intracavernous injections, injuries, Peyronie's disease.
Pain during sexual intercourse is possible with prostatitis or colliculitis . Prolonged inflammation of the prostate leads to atrophy of its tissues and a decrease in the level of testosterone in its bioactive form.
Some medications have a detrimental effect on potency, for example:
- Tricyclic antidepressants.
- Antiandrogenic hormonal agents.
- Medicines to lower blood pressure.
Popular drugs for lowering blood pressure
Some herbs, although slightly, can reduce potency: oregano, peppermint or spearmint, licorice root.
Surgical operations in the pelvic area (especially transurethral ones) often cause erectile dysfunction. Temporary impairment of potency almost always occurs after instrumental transurethral examinations.
Psychological reasons
Psychological problems can lead to decreased potency at any age. Most often, the violation is provoked by two factors:
- Long-term depression , in which a man loses his taste for life and the desire to do anything at all. The reason for this condition is often the loss of a job and failure to find a new one;
- Chronic stress caused by unresolved issues in your personal life or at work. In such a situation, the level of stress hormones is constantly increased, libido automatically decreases.
Stress factors affecting male potency - says candidate of psychological sciences Yu. N. Levchenko
A sharp weakening of potency can occur after a strong nervous shock or insult from a partner .
Depending on the further development of events, sexual dysfunction can be temporary or develop into a chronic form.
Sex strengthens the heart and brain3
Sex is also the best training for the cardiovascular system, as well as preventing heart attacks, because during the act of love, the blood vessels narrow and dilate, despite the fact that this happens naturally without any overwork. The stabilization of heart function is also influenced by hormones that are released during sexual intercourse, as well as during orgasm.
Scientists from the University of Michigan conducted an experiment in which about 1000 volunteers, men of different ages, took part. The conclusion was clear - even 2 full-fledged lovemaking sessions per week significantly reduce the risks of cardiovascular diseases, because the level of dehydroepiandrosterone and testosterone in the blood increases, and oxytocin increases 5 times.
The levels of the hormones prolactin, adrenaline and cortisol also significantly increase, which promotes the regeneration of brain cells, so that regular sex life activates our thinking and helps us be smarter. We should also not forget that making love at least twice a week helps stabilize blood pressure in hypertensive patients, lowering it to normal levels.
With the help of regular sex, you can cure insomnia, boost immunity and even straighten wrinkles, because the amount of collagen also depends on the frequency of sexual intercourse. Is sex a panacea for all ills? You shouldn’t perceive the act of love so categorically, but it is a fact that sex is the most pleasant prevention of most common diseases.
In the old days, knowledgeable people advised making love at the first symptoms of a cold, and this really helps, because immunity rises sharply and acute respiratory infections recede. According to scientists, people who regularly make love have almost no problems with insulin and, as a result, do not get diabetes, even if they are overweight.
Problems with potency at different ages
For each age category of men, one can identify its own characteristic set of reasons for the deterioration of potency:
- 18-20 years old: excessive anxiety, anxious anticipation syndrome. At an early age, the psyche is especially mobile due to hormonal changes (more about problems with potency in young people);
- 30-40 years: stagnant processes, beginning problems with blood vessels, chronic stress, prostatitis;
- 50-60 years: age-related decrease in testosterone, diabetes mellitus, chronic prostatitis, atherosclerosis, taking medications.
When diagnosing, the patient’s age is an important factor in identifying the range of possible causes of potency problems.
Impotence in men over 40 years of age
Impotence in men after 40 years of age is a type of sexual dysfunction that occurs in the absence of erection or ejaculation despite being aroused. It should be emphasized that short-term erectile dysfunction should not be confused with impotence. Impotence problems can be primary or secondary, that is, after a period of normal sexual functioning.
Impotence in men over 40 is usually due to poor blood flow, which prevents you from achieving a full, firm erection. Impotence can be of mental or physical origin, associated with diseases such as diabetes, heart disease, or alcohol, cigarette or drug abuse.
It is worth noting that impotence can also be caused by taking antidepressants, antihypertensive drugs or antipsychotics. It is important to note that impotence is usually mixed, associated with hormonal and circulatory changes.
Diagnostics
If potency disorders have become systematic, then you should contact a urologist or andrologist (other doctors specializing in male problems). Initially, it is important to exclude physical pathologies, for which a number of studies are carried out:
- Blood test for hormones, sugar levels.
- Collection of biomaterial to detect STDs.
- Dopplerography of the vessels of the penis and pelvis.
- Determination of the quality of innervation of the penis.
Based on the results of the survey and preliminary tests, the doctor prescribes treatment or refers the patient to specialized specialists - a neurologist, endocrinologist, or psychologist.
Treatment
In almost all cases of potency disorders, PDE-5 inhibitors (for example, Viagra) are effective. These drugs cause a significant increase in erection in a short time, which helps to overcome psychological barriers, improves the functioning of blood vessels, helps restore the shape of the cavernous bodies, and the return of normal sexual reflexes. Taking pills on your own can have serious side effects.
Who can benefit from taking Viagra, says urologist-andrologist Arsen Tonyan
For endocrine disorders, hormonal medications are prescribed to normalize testosterone levels. These can be either stimulants for the production of one’s own hormone (for example, for the treatment of athletes after steroids), or hormone replacement therapy (more often used for men after 50 years of age).
Problems with potency caused by vascular spasms are solved by taking myotropic antispasmodic drugs. In some cases, a course of taking Impaza (a homeopathic remedy) helps to normalize the functioning of blood vessels. Alpha-blockers (Yohimbine, Fentanyl) contribute to the dilation of arteries.
Dietary supplements and nutrition
The dietary supplement market is oversaturated with various means to increase potency. It is better to give preference to drugs containing proven components, the effectiveness of which has been studied and confirmed (we reviewed them in this article). These include:
- Icariin (mountain weed);
- Tribulus (tribulus terrestris);
- Eurycoma longifolia;
- Amino acids;
- Vitamins E, C, A, group B;
- Zinc, selenium, magnesium.
The activity of these components is aimed at accelerating blood flow, cleansing and dilating blood vessels, improving nerve conduction, and stabilizing hormonal levels. Zinc is able to suppress aromatase activity, so it is especially useful for obese men and those who take aromatizing testosterone preparations.
The effect of taking dietary supplements may be reduced due to bad habits. In most cases, to improve potency, it is enough to simply stop smoking and drink regularly.
Dietary supplements will work more effectively if the diet is properly balanced. You should exclude sweet carbonated drinks, fast food, and confectionery products based on trans fats. The body needs high-quality protein and fiber much more.
Physical activity
Physical form has a direct impact on potency. A passive lifestyle is not only a decrease in muscle tone, but also the development of stagnant processes in the pelvic area. Going to the gym and regularly lifting moderate weights is an effective way to improve potency by increasing blood flow and stimulating testosterone production. The most effective are regular squats, which can be performed at home (more information about exercises to increase potency).
The easiest training option is Kegel exercises , which can be done anywhere. Strengthening intimate muscles will not only increase potency and control ejaculation, but will also serve as a prevention of prostatitis.
If potency has weakened due to psychological problems, then they can be solved either by self-analysis and training, or by contacting a psychotherapist. For chronic stress, quality physical relaxation is important. Good options are sauna, acupuncture, swimming, massage .
Where to make love?
Traditionally, a man chooses and searches for a place for the merging of bodies. It is best if the young man has a good and trusting relationship with his parents, who will happily help with a sensitive issue and leave the apartment for the time the man needs.
If the first sex took place in a dirty basement, attic, or even on the street, the young man has a huge opportunity to experience psychological trauma or perverted mania. For example, those who like to have sex in public could at one time lose their virginity in a public place.
A good, clean apartment or a rented room can be the key to not only successful first sex, but also a happy intimate life in the future.
Prevention of potency problems
The most effective and affordable measure to prevent potency disorders is taking care of blood vessels: quitting smoking, regular physical activity, and taking vitamins. Stress and depression are more difficult to deal with (however, you can learn to work with them). You can try mild herbal antidepressants. Ginseng tincture helps improve tone.
To avoid the development of serious diseases, it is useful to donate blood for sugar and hormones every six months . If you suspect urological pathologies, you should immediately consult a doctor, without waiting for them to enter the chronic stage.
Table of normal indicators for hormone tests in men
