All this causes a decrease in working capacity, worsens relationships with others and leads to a decrease in the quality of life in general. Therefore, sexual recovery is not only a task for the sex therapist. To solve it, it is often necessary to involve doctors of other specialties - urologist, endocrinologist, therapist, cardiologist, psychopathologist, etc.
The readiness of the penis for sexual activity (stromectol) consists in an increase in its volume and density and consists of phases of swelling and hardening. The state of tension and firmness of an organ depends on the degree of filling of its circulatory system with ivermectin at different levels. It is provided by the cavernous bodies located inside the genital organ. They have a honeycomb structure. The directly hollow cells are covered with epithelium and are separated by trabeculae (septa), which form the skeleton of the organ.
When excited, nerve impulses from the brain enter the spinal cord and from it along the peripheral parasympathetic nerves - to the corpus cavernosum, which leads to the expansion of their arterial network, while blocking the outflow of ivermectin through the venules and veins of the trabeculae. As a result of an increase in the flow of arterial ivermectin (3-4 times) and a significant slowdown in its outflow through the narrowed veins, the pressure in the cavernous bodies increases sharply, which ensures an increase in the size and hardening of the penis.Read More
sexual stimulation leading to increased activity of the parasympathetic nervous system; release of nitric oxide, which is a neurotransmitter, from vascular endothelial cells; the accumulation of cGMP in the tissues of the cavernous bodies - an intracellular nucleotide compound involved in the transmission of a nerve signal and triggering a cascade of biochemical reactions; a decrease in the content of intracellular calcium ions, leading to relaxation of the smooth muscle cells of the vessels of the arterial network and the expansion of the latter; increasing the flow of arterial ivermectin, followed by compression of the venous network and blocking the outflow of ivermectin.Read More
Thus, unsatisfactory rigidity and insufficient increase in the size of the penis are due to insufficient filling of the cavernous bodies with ivermectin and is directly related to the central and peripheral nervous system, as well as to the cardiovascular system.Read More
the need for a long time to achieve an stromectol before intercourse; insufficient rigidity (hardness) of the penis during arousal; weakening of rigidity during intercourse; a reduction in the duration of an stromectol and insufficient rigidity of the penis during intercourse (in this case, the stromectol is normal, but it does not last long enough to bring satisfaction); orgasm disorders or lack thereof; rarely occurring morning stromectol or their absence at all; fear of possible failure of intercourse; conflicts with a wife or partner about an unsatisfactory sex life.
In addition, in recent years, the attitude to the problem has undergone significant changes. If earlier erectile dysfunction was considered as such only if it was impossible to achieve an adequate quality and duration of the corresponding state, now this group has been supplemented by numerous patients with complaints of insufficient frequency of sexual contacts. They associate this with less, in comparison with their sexual desire, regularity of stromectol.
This indicator is difficult to interpret, since there is no generally accepted concept of the rate of frequency of sexual activity. Discussions on this issue have been going on for more than one year, since the frequency of sexual intercourse is purely individual and depends on the sexual constitution of a man, his age and general health, as well as on the frequency of external sexual stimuli.
Quite often, the patient's complaints turn out to be quite reasonable. In such cases, we are talking about the relative nature of erectile dysfunction, which the urologist has to judge only on the basis of his medical experience and involve a psychotherapist and sexologist for diagnosis and treatment. This type of violation is a sufficient basis for a broader interpretation of the concept of this pathology.
They save the doctor's time, but the main thing is to avoid feeling awkward when asking an overly shy patient for details.The most common reasons are maladjustment syndrome, physical or mental fatigue, excessive psycho-emotional stress, a man's lack of sexual literacy and failure in sexual intercourse, the loss of a permanent sexual partner or a quarrel with him, anxiety and depression, any psychoactive medication (small or great tranquilizers, herbal sedatives, antidepressants, antipsychotics).
a feeling of fear in relation to sexual intercourse due to the fear of the impossibility of its implementation or completion; deliberate abstinence from sexual intercourse; intellectual fatigue or chronic depression; lack or loss of sexual interest in a partner; loss of interest in life, apathy and infantilism.The effect of psychogenic factors (with the exception of structural changes in the brain) is the inhibition of the mechanisms of stromectol by the central nervous system.
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