The occupations of daily life, work and spouse problems, mental tensions, fatigue, relational problems, etc. For reasons, every man may face erection problem at some point in his life. This situation is natural and normal. It is nothing more than a sexual myth that men are always ready for sexual intercourse and should achieve an erection under all circumstances. However, if the erection problem recurs frequently and prevents union, this situation requires treatment. During sexual contact, the situation where the male genitalia cannot be erected adequately and absolutely despite sexual desire is called “erectile dysfunction”, “impotence” or “impotence”.
The point that should not be confused is that it is not a problem of impotence, sexual reluctance or ejaculation. It also has nothing to do with premature ejaculation or infertility. Contrary to the common misconception in our country, a man with erectile dysfunction can have an orgasm and become a father. In this sense, sexuality has an importance in our lives beyond reproduction and the continuation of generation. Sexuality, which regulates the relations between spouses and plays the role of "the insurance of marriage", so to speak, is one of the main building blocks of happiness. For this reason, as with all sexual dysfunctions, impotence should be perceived as a common problem of the couple, not just one person's problem. There are two spongy cylinders called Corpora Covernose parallel to the urinary tract. When sexual stimulation occurs, the nervous system stimulates the penis to enliven. The muscles and arteries of the penis relax so that the sinusoids inside the cylinder fill with blood. This provides an erection with enlargement and hardening of the organ. Brain, spinal cord, nerves, blood vessels, penile smooth muscle and hormones are involved in the occurrence of this event. The muscles of the spongy cylinders are managed by special centers in the brain and spinal cord, allowing the erection and relaxation of the penis. While this system provides erection by being influenced by sexual contact, erotic stimuli or fantasies; It also affects erection negatively with anxiety, insecurity, excitement, fear and stress. It varies according to the frequency of contact, the degree of hardness that occurs or the level of deficiency of expected stiffness). Although it can be seen in 60% of the entire male population, this rate increases significantly over the age of 60. While the rate of men who have experienced erectile dysfunction for a certain period of time is 20%, the rate of men who experience it 1-2 times reaches 70-75%.
In a study conducted by Feldman (Massachusetts Study), 40 Erectile dysfunction was found in 52% of men aged -70 years. In a study conducted by the Institute of Sexual Health in Turkey, different levels of erectile dysfunction (mild, moderate, severe) were found in 60% of the adult male population. However, less than 10% of men with erectile dysfunction receive treatment. Despite this, it is the most common sexual dysfunction in applications for treatment.
Reasons
-
Performance anxiety
-
Unresolved, persistent problems between spouses
-
Misconceptions and information about sexuality
-
Intensive life social and occupational depression
-
Extramarital affairs accompanied by feelings of guilt
-
Partner sexual dysfunction
-
Premature ejaculation, orgasmic disorders and sexual reluctance
-
Excessive smoking, alcohol, cannabis, etc. other drugs
-
Chronic diseases of the lungs, liver, heart, kidneys, nerves, arteries or veins (especially heart diseases, diabetes, high blood pressure, arteriosclerosis, decrease in testosterone hormone, etc.). )
-
Surgeries for prostate, bladder or rectal cancer
-
Antidepressants, antihistamines, hypertension drugs or drugs used in the treatment of prostate cancer some drugs
Treatment
-
Sexual therapy
-
Limiting smoking and alcohol use
-
Changing medication habits
-
Changing eating habits
-
Exercise
-
Sildenafil citra t, yohimbine, apomorphine, trazodone etc. drug treatments
-
Intrapenal injection
-
Surgical methods
-
Pump treatment
-
Penile prostheses (happiness bars)
-
Herbal mixtures (gingo biloba, oat tincture and tea, ginseng root preparations etc.)
The main purpose of sexual therapy in erectile dysfunction; It is to help the couple to have a satisfying sex life with their partner again by overcoming the fear of failure, called performance anxiety, by putting their feelings into words and creating the ideal environment in a safe therapy environment. In this direction, the steps of correct information about sexuality, using behavioral homework and cognitive restructuring are applied.
Read: 0
