From the author: People nowadays have a lot of problems and deviations in the sexual sphere, although it is not customary to talk about it. From all kinds of paraphilias - disorders of sexual preference, to genital reactions such as vaginismus, anorgasmia and accelerated ejaculation. Perhaps the most famous problem is erectile dysfunction in men. People nowadays have a lot of problems and deviations in the sexual sphere, although it is not customary to talk about it. From all kinds of paraphilias - disorders of sexual preference, to genital reactions such as vaginismus, anorgasmia and accelerated ejaculation. Perhaps the most well-known problem is erectile dysfunction in men. For a man, an erection is identical with vitality, and a malfunction of this small organ, which a man uses for at most 600 hours in his entire life, and this is one thousandth of his entire life, is perceived as IMPOTENCE - total powerlessness and inability! Statistics show erectile dysfunction as one of the common causes of suicide among healthy young men. This relationship is genetically determined as the ability to procreate, and this is supported socially. Even I, being a psychologist and specialist in the field of sexology, notice my male vulnerability when I write these lines. But the “era of Viagra” has arrived - and it would seem that the problem is solved! I took a pill and miraculously became a “real man”, even perhaps a “super man”! But often men turn to a sexologist for whom “Viagra does not work”. An ordinary man, faced with an erection problem, impaired potency, first of all tries self-medication - Viagra and the rest of the wide range of pharmacology and folk remedies. Having failed with Viagra, he becomes even more frightened; suspecting some kind of disease, he goes to an andrologist. And it’s good if it’s all about prostatitis - this is an understandable diagnosis and an understandable treatment, but if this does not help - what then? This is where a man feels truly impotent and believes that his life is over. They go to a psychologist last, and not everyone: “How can a psychologist help me, even if Viagra didn’t help!” And in vain. In order to understand why Viagra does not help some physically healthy, physiologically complete men, let's look at how it works. In normal healthy men, the brain, when excited, sends a signal to nerve cells about pleasure, which transmit chemicals through nerve impulses to the genital organ, causing it to swell and straighten. Nitric oxide saturates the blood with oxygen and promotes relaxation of blood vessels and arterial walls, so the blood vessels dilate. In this case, the smooth muscles of the cavernous bodies of the genital organ and the muscles at the root of the penis relax and are completely filled with blood, and an erection occurs. Immediately after this, the outflow veins narrow, which prevents blood from flowing back. The second substance, phosphodiesterase, has the opposite effect: it prevents the muscles from relaxing and allows blood to drain from the sexual organ so that an erection does not occur when the man is not aroused. Sildenafil, better known as Viagra, helps accelerate the reproduction of nitric oxide and inhibits the production of the phosphodiesterase enzyme . As a result, the flow of arterial blood to the penis increases and the outflow of venous blood decreases, the blood supply to the penis increases. There is one nuance in the use of Viagra that I often forget: this drug does not affect libido and acts only in the presence of sexual arousal. Viagra does not increase arousal, but only enhances erections when aroused. If there is no arousal, then there is nothing to increase! Now imagine with what feelings a man who already has a need for Viagra approaches a woman? What is more - fear, shame, guilt and is there room for excitement? Thus, Viagra will enhance what a man approaches a woman with - it can strengthen the erection, or it can lead to disappointment. Most often, problems with erection in healthy men/ +7 996 740 94 74