How to enhance sexual performance before sex

Career, family, everyday problems. . . In the cycle of problems, many men put concerns about their health on the back burner, only to reconsider it later when discomfort becomes apparent.An obvious example is erectile dysfunction. On the one hand, sexual weakness is a concern for many men. Diminished sexual potential, on the other hand, is initially little appreciated. At the same time, the first signs of decreased sexual potency in men will certainly attract attention and become a reason to consult a specialist.

Efficacy Questions: Psychology or Physiology?

Traditionally, erectile dysfunction problems have been associated with age: The older a man gets, the more sexual problems he has. However, doctors are starting to sound the alarm: Erectile dysfunction is apparently getting younger. Starting at age 25, modern men may experience this symptom periodically. Furthermore, the main cause of reduced potency in young men today is thought to be not stress and psycho-emotional disorders, but chronic diseases and lifestyle characteristicsSo, what are the main factors leading to reduced male sexual performance?

• Infectious diseases (usually chronic);
• Diseases associated with metabolic instability (including obesity);
• prostatitis;
• blood vessel damage;
• bad habits;
• diabetes;
• Neurosis, chronic stress, depression;
• Acquired or congenital defects of the male reproductive organs.

It should be noted that the factors listed do not always contribute to the development of sexual dysfunction, but the first signs of worsening erections or decreased libido should indicate the need to see a doctor. Only a specialist can determine the real cause of the dysfunction and rule out the presence of a serious disease that may be hiding behind the symptoms.

Decreased combat effectiveness: in all aspects

Of the 100% of men who experience sexual impotence, only 10% immediately consult a doctor and actively work to resolve the problem. The rest, for various reasons, mostly embarrassment, will ignore the "first signs" and let the problem come to a head. That's why the first step in regaining your sexual potency should be recognizing the problem and then working to get rid of it.The causes of male sexual dysfunction and its treatment are interrelated and require not only medical treatment, but also psychological correction, as well as serious changes in lifestyle and diet.If the cause of sexual decline in young or mature men is not physiological, then in order to normalize sexual desire and potential it is necessary:

• Give up habits that negatively affect potency - smoking, regular alcohol consumption;
• Balanced diet - it is important to add vitamins to the menu, exclude fatty cholesterol dishes and fast food, like sauerkraut, watermelon and dark chocolate;
• Make your lifestyle more active, but don’t be overly physically active;
• Avoid stressful situations and be able to relax and shift focus to the positive;
• Avoid hypothermia and carefully monitor personal hygiene;
• Don't indulge in messy sexual relationships.

If the decrease in potency is not severe, there is no need to resort to medication. Positive results can be achieved by taking herbal biological supplements that have a slight corrective effect on the body, combined with lifestyle corrections.

Premature ejaculation

Premature ejaculation is one of the most common sexual disorders in men. However, it is not a complete disease, since the function of the reproductive organs is preserved and is usually the norm during certain stages of life (puberty, long-term abstinence). Premature ejaculation (PE) is the ejaculation with little sexual stimulation and the inability to delay ejaculation long enough for adequate intercourse. This results in sexual partners being unable to obtain sexual satisfaction, resulting in conflict. Men begin to have psychological problems and fear of intimacy. If this condition becomes chronic and starts to occur more frequently, the help of an andrologist is needed.

What are the causes of premature ejaculation?

There are primary and secondary (acquired) forms. Primary is due to anatomical defects of the reproductive organs or pathological inheritance. The first appearance of premature ejaculation occurs during puberty and is independent of external factors (partner, situation, psychological state).Causes of congenital forms:

• Penile allergy;
• Serotonin receptor dysfunction;
• short penile frenulum;
• Cavernous fibrosis.

Secondary premature ejaculation can occur at any time in a man's life if he is otherwise healthy. The main cause is chronic urogenital diseases. Hormonal imbalances are characteristic of endocrine pathology and may also lead to sexual dysfunction.Factors that significantly increase the risk of PE include:

• obesity;
• traumatic sexual experiences;
• chronic stress;
• Family problems (conflicts between husband and wife, emotional coldness);
• Presence of neurological diagnosis - sclerosis, Parkinson's disease;
• Irregular sex life;
• Surgery on the genital or pelvic area.

An important factor is good nutrition and maintaining a healthy lifestyle. Lack of trace minerals such as magnesium and zinc in men can negatively impact ejaculation quality. Excessive drinking can reduce your ability to control your body, which can lead to unpleasant things happening in bed.

Premature ejaculation: Diagnosis and consultation with a doctor

The main consequences of pathological sexual dysfunction include:

1. Sexual dissatisfaction.
2. Men are unable to delay and control ejaculation.
3. Conflicts and problems in relationships, feelings of guilt and fear of intimacy.

If you have such symptoms, it is recommended to consult an andrologist or urologist. During the appointment, the doctor pays special attention to collecting a sexual history. It turns out:

• average length of time before ejaculation;
• The impact of PE on personal and sexual quality of life;
• Whether men suffer from endocrine diseases or metabolic disorders;
• How common is premature ejaculation?
• At what age did the first case of PE occur?
• Whether the man is taking any medications.

Detailed study of the details of a man's sexual life will allow doctors to differentiate between congenital and acquired diseases. Physicians also classify situational forms of PE into a special group. In this case, premature ejaculation occurs only under certain circumstances (with the same sex partner, in a specific place).

Premature ejaculation treatment

In some cases, reducing the consumption of alcohol or other stimulating beverages (energy drinks, coffee) is enough to restore a fulfilling sex life.For psychological reasons, positive results can be achieved by establishing friendly communication between partners/spouses. Using a condom or changing positions can help reduce the sensitivity of the penis and increase the duration of intercourse. But such advice is only valid if there are no physical health issues. The choice of treatment depends on the cause of the pathology and its severity.

Conservative treatment of premature ejaculation

This group includes 3 main areas:

• Use topical ointments, anesthetic creams (mainly lidocaine). This method is easy to use and helps reduce sensitivity of the glans. It is important to choose the dosage correctly and strictly follow the treatment regimen prescribed by your doctor. If you take too much, the opposite result may occur - numbness of the penis and the inability to achieve an erection.
• Psychosexual therapy actively uses two behavioral techniques - the "stop-start" and the "squeeze technique". They help recognize the feeling of impending ejaculation and slow down ejaculation. Treatment also aims to control the level of sexual arousal. These methods are included in the comprehensive treatment of acquired premature ejaculation.
• take medicine. Use antidepressants and anti-anxiety medications. Prescriptions of selective serotonin reuptake inhibitors (SSRIs) can also produce good results. Their side effects can cause delayed ejaculation.

If an infectious disease in the urogenital area is detected, a course of antibacterial and anti-inflammatory drugs should be prescribed. In addition, vitamin complexes may be prescribed.

Surgical treatment for premature ejaculation

Surgery is a last resort and is used only when congenital PE is detected. To determine whether surgical intervention is needed, a lidocaine test is performed.

1. Denervation of the glans penis is a microsurgical procedure that corrects the nerves in the penis.
2. Frenotomy (short frenuloplasty).
3. Hyaluronic acid injections.

The main disadvantages of surgical treatment methods are the recovery period and the possibility of recurrence. Currently, SSRIs are considered the best and most effective treatment. Improving interpersonal relationships and creating a comfortable environment are also important.Ejaculatory disorders not associated with visceral organ disease are usually temporary and completely reversible. To do this, men just need to pay more attention to their health. In order to promptly detect and treat infectious diseases, it is recommended to visit an andrologist or urologist regularly. Sometimes an explanatory conversation with your doctor is enough.It is important to avoid mental stress, enrich your diet with healthy foods and overcome bad habits. If you can't cope with your psychological discomfort on your own, don't be afraid to seek help from a psychotherapist.

How to maintain potency: Advice from your urologist

Can you still maintain a complete sex life into old age? What affects potency? How should I eat and exercise to remain a complete man? When do you need a doctor's help? In this article, I will answer questions that concern all men and give specific urologist advice for maintaining men's health.

Myths and Truths About Male Potency

The topic of effectiveness has been permeated with so many myths that dispelling them would not require an article, but an entire book. But I’ll mention a few anyway to wrap them up once and for all.Stormy youth - old age without sex.If in your youth you had sex actively, for example, every day or even several times, then by the age of 40-50 the limits of sexual possibilities will be exhausted - is this true?
Physiologically speaking, this statement is unfounded. Nature ensures that a man's reproductive functions remain active until his death. Unlike women who have a limited number of eggs (conditionally), semen production continues while a man is alive.
The amount and frequency of sexual intercourse in youth does not affect an older man's viability in any way. Another issue is indiscriminate unprotected exposure and its consequences. It's only a matter of time before complications of STDs, especially those that go untreated or occur accidentally, will come back to haunt you.

• Unable to control ejaculation like before
• No vivid sensations experienced, orgasm wiped out

If you interrupt sexual intercourse, you will become impotent.This also includes sexual arousal without subsequent release. Some men use this myth to manipulate their partners into having sex every time they are aroused.
The lack of sustained sexual arousal (ejaculation) is indeed not good for men's health, but it is not as important as many people think. Interruption in intercourse, when a man's sexual desire is at its maximum and he is preparing to ejaculate, can lead to prostatitis due to the stagnant process. And only if you interrupt them often. Two to three attacks per month are unlikely to have any impact on his health.

Men's Health - Urology

Among the many factors that affect efficacy, urinary system diseases rank among the "leaders". Especially men over middle age. The main enemies of efficacy in this regard are considered prostate adenomas and prostatitis.
Male urinary tract problems associated with prostate adenomas usually appear after the age of 40-45 years. The reason why patients go to the doctor for male problems is due to weakened bladder function or the inability of men to urinate.An enlarged prostate can put pressure on the urethra and interfere with the adequate flow of urine. Frequent urges, the discomfort of an incompletely emptied bladder - all these are not conducive to an active sex life, both emotionally and physically. Further - worse. Urinary problems affect the functioning of the kidneys and in this state there is no time for physical pleasure.Unlike prostate adenoma, prostatitis is not just a disease of age. Young people can get it too. Often, prostatitis is the result of unhealthy lifestyle and promiscuous sexual behavior. Especially sexually transmitted infections. Their situation is particularly difficult.Most of the infections that cause prostatitis are chlamydia, mycoplasma, urealyticum, etc. - Does not produce acute symptoms for a long time. The disease enters the chronic phase almost immediately. But at some point, the disease becomes felt through pain, atypical discharge, and urinary problems caused by inflammation of the prostate. In this state, men cannot think about sex at all.
As you know, there is no direct physiological link between prostate disease and erectile dysfunction. But this does not mean that this problem does not need to be solved; therefore, they can hinder a man's normal sex life. Neither prostate adenoma nor prostatitis will go away on its own, like a runny nose. Restoring a man's sexual health is impossible without the help of a doctor, if at all.Because urological symptoms usually appear when the disease has become chronic. It can be detected in the early stages only with regular preventive consultations with a urologist and urological examinations, when you can do this with simple conservative treatment.

Erectile function problems – who to turn to

Now let's talk about what factors besides urinary tract diseases can impair a man's sexual performance and which doctor should be contacted to restore male health.
Although there are many causes of impotence, they are divided into three types:

1. organic. These include physiological factors – illness and injury.
2. Psychogenic. In this case, physiological functions are normal, and impotence is caused by psychological problems - stress, depression, traumatic situations.
3. mixed. When both physiology and psychology are to blame for potency issues.

Chief among the organic causes of performance problems is cardiovascular disease. Blood vessels affected by cholesterol plaque or other pathological changes can prevent the corpus cavernosum from filling quickly with blood. As a result, erections are slow. If the corpora cavernosa is not filled with enough blood, the erection will be too flaccid for adequate sexual intercourse. In extreme cases, it is completely absent.Another common cause is hormonal imbalance. Hormones regulate most processes in the body, including sexual arousal and erections. First, testosterone deficiency affects potency. In principle, this hormone is responsible for male reproductive functions. But other endocrine disorders, such as diabetes, can also affect male sexual performance.
Purely psychogenic erectile dysfunction is less common than organic erectile dysfunction. Impotence is often associated with long-term depression, neurosis, and psychological trauma. More commonly, a combination of psychological and physical problems lead to impotence.Again I use the example of a man with prostatitis and accelerated ejaculation. Suppose he cannot control ejaculation and his partner is still not satisfied and she blames her partner for it. After some time, the situation repeated itself. In addition, men do not get much pleasure from sex, which often happens with prostatitis. What comes to mind? "There's something wrong with me, I can't have normal sex! " The psychological problem is obvious. Add to that progressive prostatitis and we get impotence.

Which doctor should I contact regarding potency questions?

Many people think that the primary doctor for men's health is a urologist. This is not entirely correct. Urologists are experts in treating the genitourinary system. What conditions do urologists treat? These are diseases:

• Prostate (adenoma, prostatitis, etc. );
• Bladder (tumor, inflammation);
• Kidney (pyelonephritis, urolithiasis);
• urethra.

What are the symptoms and when should I see a urologist?

1. discharge from urethra;
2. Difficulty urinating;
3. Pain in the perineum, scrotum, around the anus, and waist;
4. Impurities in urine or semen.

When the first symptoms appear, you should consult your doctor. Self-medication is the worst thing to do in this situation.Issues related to male sexual health are handled by another specialist. The leading physician for male sexual performance is the andrologist. He has the necessary knowledge to determine the exact cause of male impotence, prescribe appropriate treatment and, if necessary, involve other specialists (urologist, psychotherapist, endocrinologist) in the treatment.Because fertility and urology are closely related, andrologists often specialize in treating urological conditions and combine the work of both specialties.

Useful Tips for Men's Health

Let me stress again that age is not the cause of impotence. Impotence is caused by physical and psychological disorders and accumulates year by year. This means you can enjoy a fulfilling sex life even in your later years.I believe every man knows how to keep his privates healthy.

1. A healthy and balanced diet;
2. engage in regular physical activity;
3. Drink alcohol in moderation;
4. No bad habits;
5. Pay attention to your health.

The ability to have sex and reproduce is directly dependent on these simple, natural things. But most men consider it trivial, ignore it and suffer the consequences.
I still recommend rethinking your approach to your lifestyle and consider the following tips to structure it:

• Quit smoking. Toxic substances inhaled through cigarette smoke - lead, formaldehyde, arsenic, etc. - Damage to blood vessels. That is, they fill with blood, making the penis hard.
• Limit alcohol consumption. It also attacks blood vessels. In addition, it disrupts the function of the liver, which "retaliates" by converting male sex hormones into female sex hormones. You've probably seen what men with low testosterone and high estrogen look like: breasts that make women envious, fat deposits around the waist and buttocks, hair loss in atypical areas of the female body. There is tremendous difficulty with sexual desire and erections.
• do excercise. Moderate physical activity can prevent fluid from stagnating in blood vessels, "train" blood vessels and maintain their elasticity.
• Get tested and preventive exams by a uro-andrologist at least once a year.

Useful for increasing male potency:

• Various spices and seasonings: ginger, cinnamon, nutmeg, cloves, cayenne pepper, fenugreek. They promote blood circulation, improve immunity, impart vitality and increase sex appeal.
• Seeds, nuts: pistachios, pine nuts, walnuts, almonds, pumpkin seeds. They contain large amounts of protein, vitamins and fats.
• All seafood: red fish, oysters. They contain easily digestible protein and other beneficial substances.
• Dairy products, especially homemade cheese (paneer, cottage cheese, but in moderation). Rich in protein.
• Fruits: Gooseberries, strawberries, avocados, bananas, watermelon, grapes, figs, raisins. Here's how to prevent chronic fatigue, one of the common causes of loss of libido. But don't overdo it, lest your blood sugar levels get too high. Large amounts of sweets can also impair effectiveness.
• Green vegetables: celery, cilantro, parsley, dill, tarragon, basil. Improve sperm quality and sex hormone content.

TOP-7 products to improve male sexual function:

1. Raw oysters. Rich in selenium and zinc.
2. Bitter chocolate. Improves mood and increases testosterone levels.
3. Fenugreek. Lowers blood sugar levels and reduces the risk of diabetes.
4. ginger root. Causes blood to flow to the penis.
5. pumpkin seeds. They contain high amounts of zinc and are considered the most beneficial product for the male reproductive system.
6. Walnut. Source of plant protein that increases testosterone.
7. Red wine in small doses. Strengthen blood vessels.

Vitamins useful for male potency

In addition to vitamins that improve cardiovascular system function, it's important to know about other supplements that can help reduce potency.

• Vitamins A, C, E, D, B3, B6;
• folic acid;
• Omega fatty acids;
• selenium;
• zinc;
• iron;
• phosphorus;
• magnesium;
• Potassium.

The sources of these beneficial substances are a balanced, healthy diet and complex vitamin preparations. Synthetic vitamins will help relieve prostate inflammation and balance hormonal balance.important! The information in this section is not intended for self-diagnosis or self-treatment. In the event of pain or other worsening of the condition, diagnostic tests should only be performed by the attending physician. In order to make a diagnosis and properly prescribe treatment, you should contact your doctor.