At what age does a man experience erectile dysfunction?

What causes are most responsible for a lack of erection after age 40?

These include vascular factors, most commonly atherosclerotic lesions within blood vessels. The erection mechanism itself is controlled by three systems: circulatory, nervous, and hormonal. The work of the vascular system is simple: an erection is created by the entry of more blood into a limb. Thanks to that, the penis expands and hardens, allowing a man to have sex. The special valves located in the blood vessels of the penis prevent the blood flow too fast, thanks to which an erection lasts the time necessary to satisfy sexual contact.

An erection gradually disappears when blood begins to flow from the penis. Therefore, any disorder in the veins and arteries (for example, atherosclerotic lesions) will cause a decrease in the member’s blood supply or premature discharge, which is the most common cause of erection problems after age 40. Treatment often requires undergoing vascular surgery to restore normal blood supply or correct excessive drainage. The effectiveness of such treatments is high and, as a rule, has a positive effect on the quality of a man’s sexual functioning.
Erection after fifty years.

Hormonal disorders may also be largely responsible for erection problems after age 50. These include a decrease in the production of male hormones – androgens (mainly testosterone) and an increase in prolactin levels. Testosterone levels naturally drop in men, especially after age 65, when androgen production is significantly reduced. Hormone-based erectile dysfunction is treated pharmacologically by decreasing prolactin levels or increasing androgen levels.

Erection and problems of the human nervous system.

Also, a malfunction of the nervous system can cause erection problems after age 50, because the erection center … is in the brain! More precisely, in the structure of the brain, which is called the hypothalamus.

For an erection to occur, the nervous system must register certain stimuli: they can be visual, auditory, aromatic, or tactile.

Furthermore, they can be erotic fantasies or fantasies that, when experienced in states of relaxation, can also cause an erection. The nervous system also controls the valve’s operating mechanism to prevent premature blood leaking from the penis. The aging process negatively affects the nervous system: they weaken the speed of conduction of nerve impulses, which can become the proper functioning of the erection mechanism.

All diseases or injuries are also important, not only at the brain level, but also at the level of the spine (especially in the thoracolumbar spine). Serious spinal cord injury in the worst case can lead to a total lack of erection. Neurological diseases that cause degenerative changes at the level of neurons that interfere with the erection mechanism are cancer, multiple sclerosis, or meningitis.

Psychological erectile dysfunction.

So the importance of organic factors is huge for men over 40, what about psychological factors? They can also have an impact on erectile dysfunction at any stage of life, but they are generally caused by young people (20-30 years old).

Psychogenic causes of erectile dysfunction include:

  • personality factors (for example, lack of self-confidence),
  • conflicts in association,
  • anxiety (for example, against other people’s expectations),
  • depression,
  • negative beliefs about one’s masculinity,
  • chronic stress, chronic fatigue, sleep problems,
  • Alcohol abuse
  • use of psychoactive substances.

Whatever the reasons, erectile dysfunction should always be consulted with a specialist: urologist, sexologist, psychologist and even an internist who will direct the subsequent diagnosis. The cause of the problem must be diagnosed before proper treatment can be administered. It is worth remembering that due to the availability of various methods and means, the treatment of erectile dysfunction is currently very effective, but it should be under the supervision of a doctor.