To Be - To Be

To clarify, you must immediately define the terminology. To date, medical terminology, a number of changes. The term "erectile dysfunction" includes a full range of "male" issues in any way appear on the fertility and the ability to conduct the sexual act. The concept of "impotence" is increasingly rooted in the past, and less frequently used in the medical community. The word "impotence" is negatively perceived by the patient, it offends the feelings, leads to mental problems in the physician-patient communication. The word "impotent", is increasingly becoming a dirty sentence deters people. Among our patients "impotent" is no more! All fixable, and the doctor must help any man to cope with the current erectile dysfunction!
What is erectile dysfunction

The concept was formed in 1992. Urologists around the world have adopted this term as a designation of a particular condition in which a man is not able to achieve and maintain the necessary erection of the penis, and this interferes with normal sexual intercourse.

It is with regret to admit that this problem is increasingly concerned with the scientific minds of the world of medicine, and she devoted an enormous amount of research and international conferences. The trend towards an increase in patients with such problems is developed parallel to urbanization and technological progress.

If we take the official statistics, only in the United States from problems with erectile dysfunction affects about ten million men. And this is only the data of official statistics, which is based on medical evaluations and some already diagnosed. And what about those men who for personal reasons did not go to the doctor? And if we compare Russia magnitude of the problem?

Chronic stress, poor diet, bad habits (smoking and alcohol) - all risk factors, which inevitably increases the number of patient-doctor urology worldwide. And especially these statistics for the countries in which economic reformation in the moment a serious impact on the overall level and quality of life.
Doctors define five main groups of causes leading to erectile dysfunction:

1. Psychological disorders.

A) Depression

B) Drugs

B) Alcohol

D) Specific psychiatric disorders - fear of sexual impotence, sexual depleted appliances, etc.

2. Endocrine disorders.

A) Reduced function of sexual glands (hypogonadism)

B) Diabetes

B) Prolaktinoma (pituitary tumor)

D) Sarcoidosis with damage to certain areas of the brain

3. Vascular disorders.

A) atherosclerotic lesions of blood vessels in the penis on a background of diabetes, smoking, excess cholesterol in the blood, hypertension.

B) Obstruction of the pelvic arteries as a result of fractures of the pelvis.

B) Violation of the circulation of blood in the vessels of the penis (penile angiospasm), as a result of smoking, intake of some medicines.

D) Violation of the function of the venous system of the penis.

D) A combination of different causes

4. Organic (anatomical) changes in the penis.

A) Peyronie's disease

B) Fibrosis and sclerosis of cavernous tissue of the penis, as a consequence of trauma, injury, inflammatory diseases, etc.

5. Neurological disorders.

A) the cerebral circulation

B) Diseases of the spinal cord

B) Multiple sclerosis

D) Peripheral toxic neuropathy

D) Parkinson's Disease

It is important also to understand that erectile dysfunction is often a consequence of a combination of several causes simultaneously. Scientists believe that about eighty percent of all clinically diagnosed to have a list of reasons for its emergence diabetes, hypertension and smoking. It is also almost always these causes piling psychological disorder. That is why the treatment of erectile dysfunction should be treated comprehensively, and only highly professional urologist andrologist can correctly identify the reasons for assign treatment, to arrange a joint consultation with experts of related professions - a psychologist, endocrinologist, etc.

Men's "failure" in the colloquial language is called "impotence". However, this is not correct from a medical point of view. Impotence - the medical term for the utter impossibility of sexual intercourse. This problem, fortunately, does not occur very often. Recurring problems with erectile dysfunction to classify as erectile dysfunction. And it is these problems, modern medicine has learned a very good deal.

Now let's talk about the treatment

The severity of sex education, or complete lack thereof, complexes and susceptibility to common misconceptions around the world hinders men promptly seek medical attention if you experience problems with erection. Male psyche in the preservation of manhood very vulnerable, that really there to say. It is unlikely that in a normal district hospital doctor can tell the therapist about the presence of intimate problems.

Many simply do not know that modern medicine has leaped forward, and their personal, secret problems with erection, which they are accustomed to with no one to share, and for years to suffer from unresolved problems can be solved within a few weeks.

Any obscheozdoravlivayuschee event, aimed at organizing a healthy lifestyle, in principle, can already be considered as a treatment for erectile dysfunction. Experienced specialists - urologists will not restrict the treatment only medication, but necessarily recommend a range of general measures that will help restore the body as a whole. In combination with other therapeutic measures are often used physiotherapy, hyperbaric oxygen therapy, magneto-and laser therapy.

In some cases, in which erectile dysfunction is caused by organic causes, unfortunately, the patient can not completely rid of problems. But in such difficult cases the physician must be able to improve the quality of the patient's life by appointing him to symptomatic treatment, which is bound to help cope with, if not by disease, with its consequences in the form of erectile dysfunction.

Clinics of male and female health offer their patients a full arsenal of modern medical procedures and complex treatment of erectile dysfunction.

Symptomatic methods used by our experts:

Local negative pressure therapy

This is the easiest way to solve the problem.

Before intercourse the man puts the penis in a special container, which is quite tightly to the body. With the pump in the container creates a negative pressure, which leads to the expansion of the arteries of the penis and fill them with blood. Before removing the penis at its base wears a special bundle, which will prevent the outflow of blood. Thus, an erection is achieved software needed to perform a sexual act.

Pluses technique - its low cost and ease of use. Full indolence and security.

Cons - some inconvenience to use and relatively low quality of erection.

Method of vacuum restore normal blood flow, which is used in clinics - the most effective and healthy way to deal with erectile dysfunction.

In applying this method being established natural, natural blood flow in the cavernous bodies of the penis. Specialized Unit (vibrovakuumny fallostimulyator) allows, with strict accuracy to create negative pressure in the low-frequency vibration mode. This procedure causes a rush of blood in the artery member, and a natural erection. Then the apparatus is in dynamic mode, in which the pressure passages alternate with pauses of normal pressure. The whole procedure lasts about 15 minutes. The active circulation of blood, tissue oxygen saturation faster than any other procedure restores normal erectile function and restores the normal level of metabolic processes.

Usually treatment is 10 sessions. Patients are beginning to observe first morning erection, and then necessarily appear adequate - during sexual intercourse. Positive results of such treatment are observed up to 92% of cases.

Another advantage of this method is the fact that many patients have noted an increase in the size of the penis.

Intrakavernoznoe introduction of drugs

This is the first method, which has also been implemented since 1975. Ever since then, he has considerably improved and excellent technique was proven.

Prior sexual intimacy man alone produces injection of vasodilator drugs in the corpus cavernosum of the penis. This helps to ensure quality and prolonged erection. Of course, drugs are chosen only by a physician and a strictly individual basis.

Pluses of the method - the excellent quality of erection, long time effect, ease of use.

Cons - the injection is not recommended to do more than once a week, often patients do not find the strength of will in order to make a shot into his own penis. Also there is a fairly large number of predicted complications. For example, the first group of drugs in 1975, very often caused the phenomenon of priapism - persistent painful erection. A too-frequent injections can lead to sclerosis of the corpora cavernosa of the penis. However, modern drugs. When skillfully applying them under the supervision of a physician practice is safe.

Intrauretralnoe introduction suppositories

According to this method, a man 20 minutes before close to using a special device to introduce himself into the urethra dose of a drug that provides a quality erection for at least 1 hour. The disadvantages of this method is inconvenient to use and fairly high cost of drugs for intrauretralnogo introduction. One well-known urologist said that this method has made the sexual act is truly "golden".

Medical therapy

There are a number of drugs that increase overall body tone, blood pressure, has a bracing, tonic effect on the body. They contain trace elements, vitamins, which indirectly impact on venous system of the penis.

These drugs include extracts and tinctures Ginseng, Eleutherococcus, levzei, golden root, devil's, aralia, Pantocrinum. Do not rely on quacks who swear that these tools will help you miraculously cured of erectile problems. But to write off their beneficial effects on the body too, not worth it. Their reception, in general, has a healing effect on the body and as an aid in helping a very good primary care.

Only drug that significantly increase the blood flow in the arteries of the penis, which was proved by clinical trials, are yohimbe and the famous Viagra. These drugs are very big step in the treatment of erectile dysfunction, but, unfortunately, yet they can not help all patients (the effectiveness of Viagra, for example, is only 75%).

Vascular surgery on the penis

One of the most common causes of violations of erectile function is a pathological change in blood vessels of the penis. It is in such cases, the patient showed surgical treatment. And to address these issues has developed a number of techniques, well-established in the civilized countries of the world. Surgical intervention is aimed at increasing arterial blood flow and the difficulty of its venous outflow.

PLUS - the only viable solution in many cases.

Cons - 100% guarantee can not give no doctor in the world. There is a risk of damage to the nerves responsible for erectile function.

And yet, millions of men around the world regained erectile function in this way.

Endoprosthesis penis

This method doctors use when other methods of recovery of potency was no longer effective. Special prosthesis installed in place of the corpora cavernosa of the penis, replacing natural. Most simple - semi-rigid rods, causing the penis to a constant state of erection. Unfortunately, the erection in this case is not very high quality, and the life of a man with an erect permanent member has a number of intimate delicate features. The main goal, which has set itself such an operation - to provide the desired erection, and this issue is surgery doable. Modification of such a prosthesis can be a model with a kind of "joints" at the right time leads the penis is erect.
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Modern medicine, however, is not going to stop in the process of development, and one of the most recent advances in science is more complicated technical device implant, allows to approximate the sensation of sex to nature. In these prostheses in place of the cavernous bodies placed special elastic cylinders. A reservoir with fluid, which fills these cylinders, located behind lobkom next to the bladder and a pump-action device "download" is placed in the scrotum. Before intercourse man (or his partner, which allows for very interesting pre-game) stir up the liquid in the cylinders, resulting in an erection is developing good quality. And after intercourse man relieves pressure in the cylinder, and the penis returns to a calm state.

By the disadvantages of such methods should include a sufficiently high cost of prosthetics, the risk of infectious-inflammatory complications after surgery, the possible failure mechanism of the prosthesis. So we should not forget the complete irreversibility of the operation - in fact cavernous body will be completely removed.
Psychological forms of erectile dysfunction

It should be remembered that treatment of these problems should be conducted only by a physician, psychiatrist, sexologist, and specializes in the treatment of psychosexual problems. In the civilized world is natural to turn to after passing a medical sexologist violation of erectile function. Man necessarily need psychological help to ensure that as soon as possible to adapt to the moral and physiological aspects of their new state. But, unfortunately, Russia has not yet reached the level of moral maturity and openness that most people could overcome the constraint set and seek qualified help. Number of competent specialists and sexologists in our country has not much. Therefore experienced specialists - urologists have yet to assume these functions, to study a number of additional courses in psychology and sexology.

Really help the patient in such a situation can only competent urologist who has extensive experience in treating such conditions and help such patients. Remember this if you have to choose a doctor for treatment of erectile dysfunction.
Do not forget the most important!

Every man can not believe that completely immune from failure. The reason for the treatment to the doctor is any, even slight doubt in his own masculine power. If you do not have an erection during masturbation, or not marked morning or night erections, is an occasion to seek assistance from experienced urologists our clinics.

Do not experiment with the duration of sexual intercourse, even if the erectile function allows it. Intercourse lasting more than four hours leads to stagnation of blood in the cavernous bodies of the penis and their further sclerosis - conform to generally accepted norms.

To keep your sex life went on as long as possible and not cause any problems, follow a healthy lifestyle - eliminate nicotine, restrict alcohol consumption. Always consult with your doctor while taking any medication drugs, try to maintain a regular sex life without long pauses and excessive extravagance. Obligatory reason for visiting urologist-andrologist is your diagnosis of diabetes or hypertension.

These simple rules will help you preserve natural sexuality for years. And what if the problems occur, the doctor will be able to choose the method of treatment is necessary in your, case. Sexual life - a source of joy and full view of the world, do not forget about it!

What causes obesity?

Hardly anyone seriously believes that the cause of this obesity - only the lack of willpower or laziness prevents man in sports. Although the causes of obesity has not been studied, since the mid 1980's. it is considered a chronic disease, which is based on several factors.

Heredity

Studies have shown that obesity is inherited. If one or both parents are obese, the likelihood of obesity in children increases significantly, because genes determine the different physical characteristics and, to some extent, weight. However, a predisposition to obesity does not mean that man's fate is sealed. Since nature is debatable, if diet and exercise regularly. In some cases, come to the aid of drugs or surgery.

Calorie food

Hot dogs, Big Mac, fries, macaroni and cheese, chips, ice cream - all of these popular dishes are inexpensive, accessible and tasty. Not surprisingly, they are contributing to the obesity epidemic in many countries.

Lifestyles

The risk of obesity increases, if you have a lot of sitting behind a desk or on the couch. Similarly, the risk is higher in the event that fats make up more than 30% of your daily diet. The researchers found that people who devote 20-30 minutes daily of physical activity, less prone to obesity. The best results are obtained by a combination of an active lifestyle and low-calorie diet.

Metabolism

Specifically, the rate of metabolism, or the intensity with which your body uses food comes. With a low metabolic rate the likelihood that excess calories will be stored as body fat increases. In this case, the fight against excess weight will have to make more effort. However, these efforts ultimately may increase your metabolism. Muscle burns more calories than fat tissue, even at rest. Therefore, if reducing consumption of fats and by using weight training to build up muscles, burn calories will be more intense.

Psychological aspects

There are people who tend to overeat (to arrange some kind of food "binges") under conditions of stress or depression. Studies show that over 30% of people suffering from obesity, fall into this category. Psychotherapists confirm that food "binges" really allows you to temporarily remove the stress caused by negative emotions. But then, after overeating, a sense of guilt, shame, disgust and depression begins.

Often, after eating a man decides to end the "binge" and go on a diet. However, the diet is broken, there is a feeling of guilt, then depression, and all this leads to a new booze.
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Do not succumb to old age

What comes to mind when you think about old age. Wrinkles? Gray hair? Ailments and diseases? Bleak picture, right?

But even if the body is doomed to grow old, do not think that going to the clinic from doctor to doctor - is inevitable. Genes are only responsible for one third of the problems associated with aging. The rest - the result of your lifestyle and decisions that you take. Do not forget: never too late to make your life more colorful and take the right steps to help you live a maturity as the golden autumn of life, while remaining full of energy and vitality. Here are 10 tips that will teach you well to grow old:

* Practice. Train anyone can, regardless of age and physical condition. Exercise helps maintain a healthy heart, control weight, lower cholesterol and blood pressure. Sports reduce the risk of diabetes, some cancers, strengthen bones and joints, helps get rid of pains in the joints, tone down the symptoms of depression and improve sleep. You do not have to do some complicated exercise. You can simply go to either walk or take a pound dumbbells.

* Give up smoking. Nothing reduces the duration and quality of life, like smoking. Smokers are much more risk of developing cardiovascular disease, stroke and cancer. In addition, they have significantly increased risk of developing fatal lung diseases such as emphysema.

* Include in your diet more fruits and vegetables. This will reduce the likelihood of certain cancers, as well as diverticulosis (disease of the intestines). A diet low in salt and fat also helps reduce blood cholesterol and blood pressure.

* Drink plenty of water. Water is essential for life and chemical processes in your body. Man is not always aware that the body needs fluid, so drink, even if you do not feel particularly thirsty.

* Do not stay long in the sun. A large amount of sunlight increases the risk of eye diseases such as macular degeneration. In addition, the sun's rays cause wrinkles and increase the likelihood of skin cancer. Being in the sun, do not forget hats and sunscreen.

* Maintain mental activity. If you do not use and do not practice mental abilities, they too will fade. Short-term memory deteriorates with age. Therefore, read books, solve puzzles, play games, develop new hobbies.

* Do not abuse alcohol. A large amount of alcohol hurts your liver and other body cells, and accelerates the aging process.

* Maintain friendships and family relationships. This will reduce stress and prevent depression. Studies show that people with good social network is easier to adapt and accept aging more calmly.

* Stop worrying! Studies have shown that centenarians are able to cope with emotional stress. Change your attitude to stress and try to use special techniques to deal with it, such as deep breathing or yoga.

* Take your medicines regularly visit a doctor and follow his instructions. Medicines to lower blood cholesterol levels and blood pressure can reduce the risk of heart disease, heart attack and stroke. Tablets osteoporosis help maintain bone mass and strengthen bones.

* Regularly screened. Check with your doctor how often you need to have medical tests to monitor the level of cholesterol in the blood, pressure, time to detect early signs of diabetes or colon cancer. Women should ensure the absence of diseases such as uterine cancer, osteoporosis and breast cancer. Men - in the absence of prostate or testicular cancer.
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A few words about the benefits of daily rest

Everyone at least once in life - during preparation for exams or working in the preparation of the report - felt fatigue. Of course, at this moment you can drink a cup of coffee or a can of energy drink. However, there is a better way to cheer up and recover - some sleep. 20-30 minutes of sleep will improve efficiency, attention and mood, as well as reduce errors and accidents.

Daytime sleep not only helps to work. If it becomes a habit and you're relaxing by day, at least, 3 times a week, he is also a 37% reduction in the risk of heart attacks were fatal. Sleep in the daytime no less important than to eat right, to monitor the level of cholesterol and exercise regularly.

Why are you sleeping?

There are three types of daytime sleep:

* Planning (preparatory) sleep. A man goes to sleep, knowing that would have to stay awake longer than usual. Sleep saves energy and not feel sleepy.
* Son of necessity. Man asleep because of the fact that sudden feeling of sleepiness during work or drive behind the wheel. He realizes that simply can no longer do anything (not just drive the car).
* Son of habit. A man sleeps on a daily basis at the same time.

Retrieve the maximum benefit from an afternoon nap

For daytime sleep had benefited. follows:

* Not sleep too long. 20-30 minutes of sleep cheer for a short time, but not vybyut out of a rut and do not interfere with sleep at night.
* Sleep in a suitable place. This place should be:
o a calm
o Not too cold nor too hot
o dark and protected from noise
* Do not sleep at night. Too late sleep may interfere with sleep at night.

We have an afternoon nap and minuses. Sometimes after waking people feel at ease. This feeling persists from several minutes to an hour. It is difficult to get down to work again.

Yet daytime sleep - a great way to cheer up. So next time you head will tend to the table, and eyes - close by themselves, better search is not a cup of coffee and sofa.
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