ERECTILE DYSFUNCTION

In principle, erectile dysfunction is defined as the inability, for a period of more than 3 months, to maintain a satisfactory erection for penetration.

It is important to say that men are not machines that are always ready for sexual intercourse, so not having an erection in sporadic situations is not characterized as erectile dysfunction.

In principle, the ability to have an erection, as well as to maintain it, depends on psychological, physical and physiological factors. Therefore, a thorough and specific evaluation is important in order to find the correct diagnosis and appropriate treatment.

In such a way that it will often be necessary to work with an interdisciplinary team that may consist of a physiotherapist, a doctor and a psychologist. Certainly all with specialization in sexuality.

TREATMENT

Above all, it is important to emphasize that adequate treatment directly depends on finding the cause of the dysfunction. In fact, the causes are often multifactorial and treatment must be interdisciplinary.

In short, when the causes are physiological, the use of medicines, whether tablets or injections, may be recommended. This way the specialist doctor will monitor this patient.

Likewise, when the causes are psychological, such as anxiety and stress, the man must undergo therapy and the specialist psychologist will be responsible for the treatment.

In the stepchild, when the causes are physical, such as as a result of prostatectomy, surgery to remove the prostate, physiotherapy is the most appropriate treatment.

It is important to highlight that it is also necessary to have a specialist physiotherapist, who has the training to promote neuromuscular rehabilitation of the pelvic floor, with the purpose of treating erectile dysfunction.

Furthermore, the metabolic changes caused by perineal rehabilitation will have the effect of increasing metabolism in the pelvis, increasing blood supply and thus will also be useful for improving erection performance.

Undeniably, the great advantage of our treatments is the fact that we always aim for a global rehabilitation of the PERINEUM muscles. Therefore, they will be able to perform ALL their functions: urinary, defecatory, and, of course, sexual.

Therefore, all treatments follow the revolutionary and innovative concept Active Perineal Rehabilitation and Series developed by physiotherapist Dr. Laira Ramos.

SEXUAL SATISFACTION

Penetration is undeniably not the only way to have pleasure and, in this sense, living a sexuality solely focused on pleasure with penetration can bring frustration and sexual dissatisfaction. Regardless of whether or not we have any sexual dysfunction.

Certainly, in order to experience full sexuality and maximum pleasure, it is important to explore our entire body and the different forms of pleasure we can feel.

In order to improve our sexual experience we can use all 5 senses: sight, hearing, taste, smell and touch. The more present and connected we are, the more intense and profound our experience will be.

MAN

In fact, men generally seek perineal rehabilitation after having undergone cancer surgery. of the prostate, prostatectomy. This man is likely to have, after surgery, urinary incontinence</ a> (loss of pee) and erectile dysfunction (problems with the erection).

Prostatectomy is not the only cause of these pathologies, they can also occur due to aging or other pathologies, such as diabetes.

Certainly, urinary incontinence (loss of pee) is the most common complaint that men present, however due to weakness of the PERINEUM muscles they can also present  fecal incontinence (loss of gas or feces), and sexual dysfunctions (erectile dysfunction).

However, muscular hyperactivity, that is, the difficulty in relaxing these muscles, can undoubtedly be the cause of urinary retention (difficulty peeing), intestinal constipation (difficulty having a bowel movement), pelvic pain< /a> (pain in the pelvic region) and pain during sexual intercourse</a >.