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Термин «импотенция» в современной медицине считается устаревшим, врачи используют более точное понятие — «эректильная дисфункция» [2](https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/)[5](https://Megapteka.ru/specials/erektilnaya-disfunkciya-721). \n\n**Важно**: разовое или редкое отсутствие эрекции не всегда свидетельствует об импотенции — к врачу нужно обращаться, если проблемы с потенцией повторяются минимум в 25% случаев попыток полового акта в течение нескольких месяцев [2](https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/).\n\n## Причины\nПричины эректильной дисфункции могут носить как органический, так и психологический характер [2](https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/). Нередко в развитии импотенции участвует сразу несколько факторов [2](https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/). Некоторые причины: \n* **Сосудистые нарушения** — атеросклероз, гипертония, травмы таза [6](https://ozerki.ru/articles/erektilnaya-disfunktsiya-prichiny-diagnostika-lechenie/). Сосуды не доставляют достаточно крови к члену [6](https://ozerki.ru/articles/erektilnaya-disfunktsiya-prichiny-diagnostika-lechenie/). \n* **Неврологические расстройства** — рассеянный склероз, болезнь Паркинсона, повреждения спинного мозга или периферических нервов [2](https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/). Нервы не передают сигналы возбуждения [6](https://ozerki.ru/articles/erektilnaya-disfunktsiya-prichiny-diagnostika-lechenie/). \n* **Гормональные нарушения** — низкий тестостерон, гиперпролактинемия, болезни щитовидной железы [6](https://ozerki.ru/articles/erektilnaya-disfunktsiya-prichiny-diagnostika-lechenie/). \n* **Анатомические** — болезнь Пейрони (искривление пениса), врождённые дефекты [6](https://ozerki.ru/articles/erektilnaya-disfunktsiya-prichiny-diagnostika-lechenie/). \n* **Смешанные** — сочетание физических и психологических факторов [6](https://ozerki.ru/articles/erektilnaya-disfunktsiya-prichiny-diagnostika-lechenie/).\n\n## Симптомы\nОсновной симптом — **постоянная или периодически повторяющаяся неспособность достичь или удержать эрекцию** [2](https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/). Однако могут присутствовать и дополнительные признаки: \n* снижение полового влечения (либидо) [2](https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/); \n* ослабление интенсивности утренних (спонтанных) эрекций [2](https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/); \n* эмоциональный дискомфорт, раздражительность, тревожность [2](https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/); \n* чувство вины или страха перед интимной близостью [2](https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/); \n* негативные изменения в отношениях с партнёром [2](https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/).\n\n## Диагностика\nПри возникновении симптомов импотенции необходимо обратиться к урологу или андрологу [2](https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/). Для диагностики могут использоваться: \n* **Сбор анамнеза и опрос** — врач уточняет частоту и длительность проблем с эрекцией, а также возможные психологические факторы, сопутствующие заболевания, приём лекарств [2](https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/). \n* **Физикальный осмотр** — оценка внешних половых органов, проверка пульса, артериального давления, выявление признаков эндокринных или неврологических нарушений [2](https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/). \n* **Лабораторные исследования** — анализы крови на гормоны, глюкозу, липидный профиль [1](https://oren.medguard.ru/otdeleniya/andrologiya/erektilnaya-disfunktsiya/)[14](https://mc21.ru/articles/impotentsiya-u-muzhchin/).\n\n## Лечение\nВыбор метода лечения зависит от причины и тяжести заболевания, возраста и общего состояния здоровья мужчины [14](https://mc21.ru/articles/impotentsiya-u-muzhchin/). Некоторые способы лечения: \n* **Изменение образа жизни** — отказ от курения, нормализация веса, регулярные физические нагрузки, здоровое питание помогают улучшить кровоток в области малого таза, повысить уровень тестостерона [14](https://mc21.ru/articles/impotentsiya-u-muzhchin/). \n* **Медикаментозная терапия** — препараты для увеличения уровня тестостерона или коррекции гормонального баланса [17](https://www.altermed.ru/urology/solutions/erectile-dysfunctions/). \n* **Психотерапия** — при психогенной импотенции, позволяет сократить внутри- и межличностные конфликты [12](https://medsi.ru/articles/erektilnaya-disfunktsiya-u-muzhchin/). \n* **Физиотерапия, массаж** — дополнительные методики, способствующие более длительной эрекции и улучшению сексуальной жизни [17](https://www.altermed.ru/urology/solutions/erectile-dysfunctions/). \n\n**Важно**: выбор метода лечения всегда должен осуществляться под наблюдением специалиста, исходя из индивидуальных особенностей и возможных противопоказаний [2](https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/).","linksData":[{"sourceId":1,"url":"https://oren.medguard.ru/otdeleniya/andrologiya/erektilnaya-disfunktsiya/","shownUrl":"https://oren.medguard.ru/otdeleniya/andrologiya/erektilnaya-disfunktsiya/","title":"Импотенция, эректильная дисфункция, лечение у мужчин","shortUrl":"oren.medguard.ru","isTranslated":false,"description":"","greenUrl":"oren.medguard.ru"},{"sourceId":2,"url":"https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/","shownUrl":"https://Medgorod-clinic.ru/stati/chto-takoe-impotentsiya--prichiny--simptomy--metody-lecheniya-i-nauchnye-issledovaniya/","title":"Что такое импотенция - причины, симптомы, методы лечения и научные исследования.","shortUrl":"Medgorod-clinic.ru","isTranslated":false,"description":"","greenUrl":"Medgorod-clinic.ru"},{"sourceId":3,"url":"https://ru.wikipedia.org/wiki/%D0%AD%D1%80%D0%B5%D0%BA%D1%82%D0%B8%D0%BB%D1%8C%D0%BD%D0%B0%D1%8F_%D0%B4%D0%B8%D1%81%D1%84%D1%83%D0%BD%D0%BA%D1%86%D0%B8%D1%8F","shownUrl":"https://ru.wikipedia.org/wiki/%D0%AD%D1%80%D0%B5%D0%BA%D1%82%D0%B8%D0%BB%D1%8C%D0%BD%D0%B0%D1%8F_%D0%B4%D0%B8%D1%81%D1%84%D1%83%D0%BD%D0%BA%D1%86%D0%B8%D1%8F","title":"Эректильная дисфункция — Википедия","shortUrl":"ru.wikipedia.org","isTranslated":false,"description":"","greenUrl":"ru.wikipedia.org"},{"sourceId":4,"url":"https://polyclin.ru/articles/erektilnaya-disfunkciya/","shownUrl":"https://polyclin.ru/articles/erektilnaya-disfunkciya/","title":"Эректильная дисфункция: причины, диагностика, лечение","shortUrl":"polyclin.ru","isTranslated":false,"description":"","greenUrl":"polyclin.ru"},{"sourceId":5,"url":"https://Megapteka.ru/specials/erektilnaya-disfunkciya-721","shownUrl":"https://Megapteka.ru/specials/erektilnaya-disfunkciya-721","title":"Эректильная дисфункция у мужчин: Причины, симптомы, диагностика, профилактика","shortUrl":"Megapteka.ru","isTranslated":false,"description":"","greenUrl":"Megapteka.ru"},{"sourceId":6,"url":"https://ozerki.ru/articles/erektilnaya-disfunktsiya-prichiny-diagnostika-lechenie/","shownUrl":"https://ozerki.ru/articles/erektilnaya-disfunktsiya-prichiny-diagnostika-lechenie/","title":"Что такое импотенция: признаки и лечение эректильной дисфункции | Аптека «Озерки»","shortUrl":"ozerki.ru","isTranslated":false,"description":"","greenUrl":"ozerki.ru"},{"sourceId":7,"url":"https://www.OnClinic.ru/impotentsiya/","shownUrl":"https://www.OnClinic.ru/impotentsiya/","title":"Импотенция у мужчин - причины, симптомы, диагностика, лечение и профилактика","shortUrl":"OnClinic.ru","isTranslated":false,"description":"","greenUrl":"OnClinic.ru"},{"sourceId":8,"url":"https://sunmedexpert.ru/informaciya/urologiya/pochemu-razvivaetsya-impotentsiya/","shownUrl":"https://sunmedexpert.ru/informaciya/urologiya/pochemu-razvivaetsya-impotentsiya/","title":"Причины импотенции - почему развивается импотенция у мужчин","shortUrl":"sunmedexpert.ru","isTranslated":false,"description":"","greenUrl":"sunmedexpert.ru"},{"sourceId":9,"url":"https://volgograd.medsi.ru/articles/prichiny-impotentsii-erektilnoy-disfunktsii/","shownUrl":"https://volgograd.medsi.ru/articles/prichiny-impotentsii-erektilnoy-disfunktsii/","title":"Причины импотенции (эректильной дисфункции) | Статьи МЕДСИ","shortUrl":"volgograd.medsi.ru","isTranslated":false,"description":"","greenUrl":"volgograd.medsi.ru"},{"sourceId":10,"url":"https://new.nmicr.ru/pacientam/urological-diseases/andrologija/impotencija/","shownUrl":"https://new.nmicr.ru/pacientam/urological-diseases/andrologija/impotencija/","title":"Импотенция у мужчин – лечение в НИИ урологии и интервенционной радиологии им. 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