EUROMEDICA  Hanover 29-30  Mai 2006	Advanced methods of diagnosis, treatment and prophylactics
	European Academy of Natural Sciences, Hanover European Scientific Society, Hanover Russian Academy of Natural Sciences, Moscow

Home

Abstracts

Contact

Disclaimer

Psychogenic erectile dysfunctions (ED) of patients with neurotic disorders happen primarily in young men. However, the criteria of their diagnostics and correction haven’t been approved by now. The complexity of therapy in this case results from both rigid psychological status of patients and side effects of psychoactive drugs used in the main therapy. According to WHO (1995) more than 152 million men in the world suffer from erectile dysfunctions. Some experts prove that up to 80% of men experiencing sexual problems never turn to a doctor or ask for treatment. Psychogenic ED, resulted from depression, situational sexual failure or other stress-factors occur in 25%-90% of cases and depend on the intensity of neurotic disorders. On the other hand, coitus failure could be one of the most serious emotional traumas for any man and because of paramount personal importance of sexual life could provoke neurotic disorder. In both cases the neurotic disorder therapy includes psychoactive drugs reducing libido and disqualifying erection. This is the reason why the new approaches to the correction of the abovementioned disorders are needed.

Purpose of the given research was to study the effectiveness of manual therapy and reflex therapy in the correction of psychogenic erectile dysfunctions of patients with neurotic disorders.

Material and methods: 47 men at the age of 34.6+1.4 complaining of failed erection underwent clinical, psychopathological and sexology examination. Average ED period was 1.1±0.3 year. The most typical complaints were no or weakening pre-coitus erection and insufficient coitus erection. The group of patients included the men who: 1) had no inborn sexual pathology confirmed by special complex examination (ultra-sonic examination of penis, visual and palpation estimate of genitals condition, digital investigation of prostate gland and testing of its secretion in the lab, diagnostics of the touch sensibility and genital reflex); 2) had ED psychogenic mechanism; 3) had permanent sexual partner; 4) agreed to non-medicinal correction therapy. MMPI test helped to estimate via psychometry the current mental condition and personal characteristics of patients. The correction included manual and reflex therapy techniques.

Treatment results and review. All 47 patients proved insufficient genital reactions following ICD-10 criteria (F52.2). Clinical and psychological tests identified the following ED-provoking factors: 28 patients experienced neurotic symptoms like non-automatic genital reactions with weak or no coitus erection, anxious anticipation of coitus failure and possible reproachful comments made by the sexual partner, hypochondriac ideas and low self-appraisal and mood. 19 patients suffered from improper adaptation as the psychopathological symptoms resulted from permanent stress-factor. 4 of them experienced short-term depressive reactions (F43.20); 7 – prolonged depressive reactions (F43.21); 8 – mixed anxious and depressive reactions (F43.22). Since ED are classified as the syndromes of heart, liver and kidneys meridians insufficiency (In-syndrome), the energy balance in those meridians was restored. The treatment started with the general points (Е-36, ТR-5, PC-3) followed by local and distant ones (R-6, R-11, RP-4, RP-6, I-1, I-2, I-4, E-42, V-62, AP-22, AP-28, AP-33, AP-34, AP-58, AP-98, F-2, F-3, MC-6, MC-7, C-7, IG-4, GI-10, VB-20, VB-43). Sedative and restorative stimulations were used one after another, 4-5 points (12-14 procedures) per day. The auricular points were used as well (26А, 22, 28, 32, 40, 55, 104, 130). The manual diagnostics, manual mobilization, post-isometric relaxation, osteopathic recoil techniques were used simultaneously to improve the functioning of common and external iliac and fernoral arteries. After the medication 32 patients regained the erectile function. The same patients mentioned improved libido and better psychological condition.

Hence, the given research proved that the non-medicinal correction of psychogenic ED of patients with neurotic disorders was efficient and economically feasible. It can be recommended for practical use.