Erection is one of the male concerns in adulthood, so it is not uncommon for the phrase in the office: “Dr, I am 40 years old and I have erectile dysfunction, why is it? "
If you are in this age group and have had a problem in this regard, rest assured, because you are not alone.
According to Massachusetts Male Aging Study , half of men between 40 and 70 years experience some form of erectile dysfunction.
The good news is that treating a lack of erection is very possible. The biggest problem is that the subject can still be taboo for many men.
If you have been or are going through this, see in this article how you can improve your sexual performance and avoid lack of erection doing a treatment and some following simple measures.
What is an erection: did you know it starts in the brain?
An erection is nothing more than the hardening of the male sexual organ, by the amount of blood that is directed to the place.
During sexual arousal, impulses from the brain and local nerves cause the muscles in the corpora cavernosa to relax, allowing blood to flow and fill the open spaces.
The blood then creates pressure in the corpora cavernosa, causing the penis to expand and have an erection. A membrane that surrounds the corpora cavernosa helps to retain blood in the corpora cavernosa, maintaining an erection.
go through a erection difficulty one time or another is not a reason to worry, but when the problem is repeated continuously, it can compromise self-esteem and wear out the couple's relationship.
After all, stay with flaccid penis at the moment when he should be rigid, he may be the terror of many a man. However, as embarrassing as the situation may be, it is necessary to think that there is a way out and it consists of seeking specialized medical help in a man's clinic.
According to the study cited above, from the age of 40, men begin to suffer from erection-related problems, which can increase as age advances.
According to researchers, the chances of experiencing any problems getting or maintaining an erection increase by 10% every decade.
If the man manifests episodes of lack of rigidity or a continuous weak erection, he has some degree of erectile dysfunction, and he needs to investigate whether this problem is occurring due to causes that can be organic or psychological.
But what is the erectile dysfunction? Also known as impotence, it is difficulty getting and maintaining an erection during intercourse.
Who can suffer from lack of erection?
The lack of erection can affect men of any age, usually, when it affects younger men, psychological causes are the main reason for the problem. However, as man ages, the chances of suffering from the problem increase due to organic causes.
Physical factors that impair sexual potency
In addition to poor diet, poor sleep, excessive alcohol consumption and sedentary lifestyle, some factors can contribute to erection difficulties:
- Heart disease;
- High cholesterol;
- High pressure;
- Diabetes;
- Obesity.
Psychological factors that contribute to lack of erection
It's not just eating habits or lifestyle that impair your sexual performance, the following problems can cause or increase erection problems:
- Depression;
- Anxiety;
- Stress;
- Relationship problems;
- And day-to-day worries can also interfere with sexual function.
How to improve erection?
Thanks to the evolution of medicine, man now has at his disposal several therapies developed to improve sexual performance.
Know now how to improve erection and have a healthier sex life
Treatment for a lack of erection will vary depending on the stage of the problem. Therefore, looking for an expert in the subject is the best thing to do.
Erection medication is the first line of treatment. These medications are an interesting way to treat the condition, but it must be noted that they do not solve the cause of the problem and not all men adapt.
Here are some ways to treat erection problems:
PDE5 inhibitors
These are medicines that can be found in pharmacies, in pill format or can be manipulated in the form of capsules and sublingual spray. In both formats, these drugs work by stimulating an erection.
But it is worth remembering that only a specialist can define: the necessary dose of erection pill, if it will be used daily or only when having sexual intercourse, and also, if the patient has any contraindication to the medication.
intracavernous therapy
In this treatment, vasodilating substances are applied directly to the penis. The injection for erection is applied to the side of the penis, 5 to 15 minutes before sexual intercourse, and its effect can last from 30 to 90 minutes.
Although effective, these applications can cause fibrosis at the site of application, and the suspension of treatment, which is palliative.
But now a new methodology has emerged in which the substance is applied with a pen, similar to those used to lose weight or treat diabetes. In the case of erectile dysfunction, it is possible to make combinations of medicines.
This treatment is indicated for various types of dysfunction, from men who are nervous at the time of sexual intercourse and end up suffering from performance anxiety to those who have had prostate, bladder or rectum surgeries and have erection problems.
It is a very big advance in treatment because it makes life much easier for men who want to use this therapeutic approach in the treatment of erectile dysfunction, because it is more discreet, it has a reversal dose in the pen kit.
See more information in the video below:
penile prosthesis
They are more invasive treatments, because they are devices implanted inside the cavernous bodies of the penis, but they are quite effective and with a high degree of satisfaction. It is best suited for patients who do not respond to any of the previous treatments.
Among the penile prosthesis options, we have the inflatable prosthesis that can be activated only during the sexual act and the malleable or semi-rigid prosthesis, in which the penis is continuously erect.
Low-intensity shock wave therapy
This treatment has been studied since 2005, and has significant results in treating lack of erection when the cause is vascular, that is, a result of vascular obstruction in the penis.
This treatment uses acoustic waves to stimulate penile microcirculation, helping to improve erection.
This treatment is indicated for patients who no longer respond to medication, or who have contraindications and many side effects when using the medication.
Botulinum toxin in the penis
In one of the therapeutic approaches, the use of botox on the penis is also serving to improve erectile function, in addition to also improving the aesthetics of the organ.
Botulinum toxin is used with the aim of preventing muscle contraction, but in a study it was proven that, due to the property that the substance has to relax the smooth intracavernous muscles of the penis and improve the inflow of blood, the action of the substance causes an improvement of erectile function, when combined with the use of erection medication.
The detail is that these men surveyed in the study were not having a good erection before, even taking the medicine.
Other tips that help improve erection, in addition to medications
Have a healthy diet
Poor diet not only impacts the general health of men, but also the production of hormones important for sexual performance.
If your diet is low in vitamins, antioxidants and minerals like zinc and iron, your testosterone levels are compromised. And that has a direct impact on sex life.
Another thing that impairs testosterone production is inflammatory foods. Fried foods, white bread, white sugar and carbohydrates in general are highly harmful to the endocrine system and should be avoided as much as possible.
If you're having trouble implementing healthy eating into your routine, consider scheduling an appointment with a nutritionist. This professional will put together a meal plan that is appropriate for your age and lifestyle.
Have a daily exercise routine
Another thing that deteriorates testosterone production is a sedentary lifestyle. Therefore, including a daily physical exercise routine is necessary to maintain normal testosterone levels and not compromise sexual performance.
In addition, physical exercises are excellent for sexual performance, as they increase physical resistance and improve blood flow, increasing the irrigation of Organs sexual organs.
Avoid excessive consumption of alcohol and drugs
Excessive consumption of alcohol and drugs causes atrophy in the testicles, causing the production of testosterone to decrease, as well as the quality of sperm.
Cigarettes are bad for two reasons: first, because they have a high level of toxicity, and second, because they worsen the heart condition. And this directly influences the quality of erection.
Take care of sleep quality
If you're one of those who don't give up a coffee throughout the day, watch out! Too much coffee during the day impairs sleep at night, and consequently, the production of testosterone.
This is because the stimulation of testosterone production occurs between 1 am and 3 am, during REM sleep, which is the deepest sleep.
And if you are awake, or having poor quality sleep during this period, it will impair your sex hormone production and your performance.
In this sense, the issue of nutrition is very important. It's not about eliminating foods from your diet, but understanding the consequences of each one on sexual performance and how you can help your body work better.
But if the problem is respiratory, consider making an appointment with the otolaryngologist. This professional specializes in diagnosing and treating sleep disorders, such as apnea and snoring, which affect about 76% of the population.
Seek psychological counseling
If you have the typical morning and involuntary erection (which occurs due to the same mechanisms as the nocturnal erection), but you can't have or maintain penile rigidity during the sexual act, it's very likely that the problem is emotional.
It is important to remember that sexual arousal is not just a physical response, it is mental and emotional. And if you struggle to get in the mood, it's natural to have trouble getting an erection.
In young, single men, it can occur due to performance anxiety, which triggers an adrenergic rush, which is quite typical in first sexual encounters.
But after the age of 40 this can also happen because it is normal for us to be more concerned about the house, work and family at this stage. And this contributes to stress, anxiety and lack of libido.
In this regard, seeking psychological counseling, psychotherapy or couples therapy can help resolve the problem.
The professional will help you to better understand how your sexuality was constructed and the therapy will provide you with tools to deal with stressful situations that affect sexual performance and thus, achieve a good sex for the couple.
Now that you know how to improve your sexual performance. Let's understand better how the erection mechanism works?
looking for medical help
Now that you already know how to improve sexual performance and the treatment options available for lack of erection, you must be wondering: which specialist to look for?
The area that deals with male sexual health is urology or andrology. And, professionals who specialize in this area can help treat from the simplest problems, with the help of therapy, to the most serious cases.
If you're looking for help dealing with erectile dysfunction in São Paulo, there's nothing better than counting on an expert on the subject.
Discover the Cavalcanti Institute of Andrology and Performance
O Cavalcanti Institute is a center specializing in men's health and sexual performance.
Our mission is to offer multidisciplinary care for the recovery and optimization of the physical, mental and sexual capacity of men.
All in a modern and cozy atmosphere with private valet parking for your convenience.
No more suffering from erection problems!
schedule an appointment with one of our specialists and improve your sexual performance.
1 comment on “Erection after 40: what to do to improve performance?”
Jai UN problem de dysfonctionnement erectile ces dernier temps.Mais certains morning, Jai une erection reflexe.svp quel medicament pourra traiter ca definitivement?