Already after 30 years, a man begins the gradual extinction of sexual function. Each year, the level of testosterone in his body dropped by an average of 1%. As a result, at the age of 60, male potential becomes significantly weakened. All sexual functions worsen - libido decreases, erectile difficulties arise, and sexual sensations become weaker. However, even after the age of 60, a man may live a full sexual life using medical support.
Potential in men after 60 years
Consider the main cause of natural or pathological potential deterioration after 60 years. Let's sort by frequency in descending order. But do not forget that the reasons listed can be combined, which requires an integrated approach to the elimination of sexual dysfunction. These are the factors:
Lowers testosterone levels
In young men, this condition is called hypogonadism and is considered pathological. However, in men after 60 years, this phenomenon is physiological in nature, and is associated with the aging process of the body. With a decrease in testosterone levels, a person notices not only sexual weakness, but also other changes:
- hair fall;
- skin relaxation;
- palpitations and pain in the heart;
- depression;
- rapid fatigue;
- decreased muscle strength;
- bone fragility;
- weight gain;
- sweating.
None of these symptoms can clearly indicate a decrease in testosterone levels in the body. However, their combination should be worrisome.
With a decrease in male sex hormone concentrations, a person is diagnosed with "age -related androgen deficiency". This is not a pathology, but a normal state of the body after 60 years. Diagnosis is made after a blood test for hormones. Deficiency can be compensated with the help of medications (hormone replacement therapy).
Vasculogenic erectile dysfunction
Vascular erectile dysfunction in men after 60 years is very often combined with testosterone deficiency. The essence of the problem is that the blood filling of the penis is declining. Therefore, even with preserved libido and normal levels of testosterone in the blood, sexual intercourse will not take place. It is in this condition that men take medication to temporarily restore sexual function.
Neurogenic erectile dysfunction
A man over the age of 60 can suffer from various diseases. One of the most common pathologies is diabetes mellitus. The disease is indicated by polyneuropathy. Peripheral nerves throughout the body are affected, including those located in the penis. As a result of impulse conduction disturbances, erectile function suffers. There are other neurological diseases that violate the potential by similar pathogenetic mechanisms.
Potential violation of iatrogenic origin
After 60 years, a man often has to take a handful of pills every day, because his somatic health is currently deteriorating significantly. Some drugs can have a negative effect on sexual function. Among them are medications for high blood pressure (beta-blockers) and for prostate adenoma (antiandrogens), which are often prescribed to men after the age of 60 years.
Pathology of the organs of the reproductive system
Past surgeries, injuries, prostatitis, benign prostatic hyperplasia - all of these diseases and conditions can disrupt a man’s potential at any age. The older the person, the higher the risk of pathology of the organs of the reproductive system.
Increase male potential after 60 years
Potential increase in men after 60 years is possible only after knowing the cause of its violation. Medicines themselves are undesirable because:
- Medications that you self -prescribe can irreversibly worsen your health - after all, you’re no longer a boy, and many medications pose a threat to you. Men with heart disease should be careful.
- The drug may not be effective if the potential cause of the disorder is not determined. For example, it does not make sense to take the pill if you have neurogenic erectile dysfunction. Testosterone preparations will not help if the potency is impaired due to a decline in the blood supply to the penis.
Therefore, the action algorithm should be as follows:
- Visit to a urologist or andrologist.
- Pass the test and pass the instrumental study.
- Get a prescription from a doctor. Their implementation usually leads to a significant improvement in erectile function.
Let us briefly describe how the recovery of the affected potential is done:
- Age -related androgen deficiency. A man is prescribed hormone replacement therapy with a testosterone preparation. They are usually given by injection, although there are other dosage forms of this hormone medication. Treatment is carried out as long as the man wants to have sex. The dose is chosen by the doctor based on the results of laboratory tests.
- Vascular erectile dysfunction. Treatment depends on the severity of the disorder. In the early stages, drugs of the PDE-5 inhibitor group or LOD therapy (pumps that ensure the onset of erections by forming negative pressure and blood flow to the genitals) are sufficient. In cases of pathology of moderate severity, it is necessary to administer the drug directly into the penis. In the final stages of the violation, only surgical resection can help.
- Neurogenic erectile dysfunction. Treatment is carried out in conjunction with an endocrinologist (if a man has diabetes) and a neurologist. As a rule, alpha-lipoic acid preparations are prescribed for life. They not only improve erections, but also reduce the risk of other diabetic complications, prolonging the patient’s life. Other medications may be used, depending on the clinical condition, cause and degree of peripheral nerve involvement.
- Potential violations due to medication. If possible, the medications are replaced with other medications that do not have the side effects of worsening erections. It is impossible to cancel the medication on your own - this can lead to a deterioration in well -being.
- Diseases of the organs of the reproductive system. Potential recovery depends on the pathology leading to its deterioration. The underlying disease is being treated.
A man who wants to maintain sexual function until old age should do the following:
- avoid excessive weight gain;
- to lead an active lifestyle;
- to reject bad habits;
- constantly observed by a urologist or andrologist;
- monitor physical health conditions.
You need to have sex regularly. After 60 years, the absence of sexual intercourse for several months can result in a complete loss of potential and interest in sexual intercourse.