"It's not even a problem - it's a dysfunction!" Where do erectile dysfunction come from and what to do?

Photo is illustrative in nature. From open sources.
According to statistics , men over 40 face erectile dysfunction. And how common are these problems for young men today? BELTA's "In the Know. Health" project discussed this delicate topic with urologist-andrologist Alexander Batsenko. "
I can say that today, 30-40% of my appointments are young men over 20. Of these, 20% are purely psychological: nerves, stress, anxiety, the fear of failure, insecurity, overly assertive behavior by a girlfriend, high expectations, or some kind of lack of fulfillment. All of this leads to young men experiencing this problem—the fear of failure.
 
Furthermore, social media and the now-available use of erotic or pornographic videos can create purely mechanical insecurities in some men. They feel their penis isn't big enough, their penis is uneven, and so on. This also creates insecurity." Sometimes young women prefer older men because they are more confident, stable, know how to court women, and so on.

But there is also the health issue. Many cardiovascular diseases are becoming more common in younger women. And the ability to have a good sex life is primarily a vascular issue. Many men in their 20s and 30s are already facing cardiovascular disease and hypertension. Again, it's a lifestyle issue. Don't sleep? It's cortisol and high blood pressure. Don't exercise? We also increase the risk of high blood pressure. Smoking andAlcohol . The younger generation is more active, I would say, more aggressively destroying their own health with their own hands.

And at 40, age-related changes can occur. But it's important to understand that a man can have a good, effective erection until his very last day. This is a solvable problem... not even a problem, but a dysfunction.
At 40, you can have prostate adenoma, prostate inflammation, diabetes, cardiovascular problems, problems associated with taking certain medications such as sedatives, tranquilizers, antidepressants, and psychotropics. Again, this is a consequence of stress, and we can manage it. Simply starting some kind of physical activity will help reduce it. Many people, before seeing a doctor, immediately go to a psychotherapist, who prescribes antidepressants. These can have a side effect - decreased libido and erectile dysfunction. It's a vicious cycle.

I always say: to avoid getting caught in a vicious cycle of seeing a urologist, andrologist, psychotherapist, and cardiologist, you need to take steps to avoid it in advance.

| Based on a BELTA video. Video screenshots.

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