How Erectile Dysfunction Works
Erectile dysfunction — commonly known as impotence — affects 15 to 30 million American men and more than 140 million men worldwide. It is estimated that in the past only 10 percent of men affected by erectile dysfunction (ED) sought treatment; the vast majority of them simply lived with it, keeping silent out of fear, embarrassment, and the mistaken belief that nothing much could be done to help. Today, however, approximately 60 percent of affected men seek treatment. But for those who don’t, their relationships suffer and their self-esteem plummets. That’s extremely unfortunate, because ED is not only common, it’s treatable. And since ED is often caused by some other health problem, seeking treatment is crucial to more than just your sex life: Your life itself could depend on it.
In this article, we will explore all facets of erectile dysfunction over the course of the following sections:
- Understanding Erectile Dysfunction
Most people are familiar with the results of erectile dysfunction, but not many understand the how and the why. Before you can begin to determine if you have erectile dysfunction or what treatment options you would like to pursue, you must first understand what exactly erectile dysfunction is. On this page we will delve into the mechanics of an erection and find out exactly what can go wrong whether the cause is physical or psychological. - Causes of Erectile Dysfunction
There are two main causes of erectile dysfunction. The first cause is a preexisting medical condition. For instance, many cardiovascular disorders will affect blood flow, and, consequently, the ability to form an erection. There are also many prescription medications that can affect sexual desire and cause ED. Finally, abuse of either tobacco or nicotine may also cause ED. The other main cause of erectile dysfunction is psychological factors such as excess stress or depression. We will also explain how ED can cause a mental “vicious cycle” of insecurity and frustration. - Diagnosing Erectile Dysfunction
If you believe you might have erectile dysfunction, you might be apprehensive about seeing a doctor. It might comfort you to know exactly what steps your doctor will most likely take to diagnose you with the condition. We will take you through these steps in this section. First, we show you how creating a detailed medical history is the important initial step you should take in diagnosing any medical condition, and which important questions you will need to know the answer to. We will also let you know what type of physical and psychological screening you might undertake. Finally, we explain the various tests for erectile dysfunction. - Seeking Help for Erectile Dysfunction
The first trip to the doctor’s office to seek treatment for erectile dysfunction can be stressful for some patients. In this section, we will tell you everything you need to know to begin getting medical treatment for ED. We will tell you what type of doctor you should see and what you will need to bring to your appointment. We will also weigh the pros and cons of attending the appointment by yourself or with a loved one. Finally, we will give a list of general considerations you should keep in mind throughout your treatment. - Non-Invasive Treatments for Erectile Dysfunction
Of the many treatments for erectile dysfunction, the most desirable are the non-surgical or non-invasive treatments. Surgery, especially in such a sensitive area can be an upsetting prospect for some patients. However, there are still many non-invasive treatments to sort through. On this page, we will help you wade through the various treatments, including psychological counseling, muscle toning, oral medications — such as Viagra or Cialis, hormone supplements, vacuum devices, and injection therapy. With all this information, you should be able to choose the treatment that is right for you.
- Surgical Treatments for Erectile Dysfunction
Finally, we will review the surgical treatments for erectile dysfunction. While most people tend to avoid surgery at all cost, sometimes there is no other option. First we will talk about urethral inserts, which is a pellet inserted into the tip of the penis. Next we will examine arterial and venous surgery, which involve reconstructing arteries to improve blood-flow to the penis. Lastly, we will discuss what many feel is the last resort, penile implants. As the name implies, this surgery involves the insertion of an object into the penis.
Treatments and drugs
A variety of options exist for treating erectile dysfunction. They range from medications and simple mechanical devices to surgery and psychological counseling. The cause and severity of your condition are important factors in determining the best treatment or combination of treatments for you.
Cost
You and your partner may want to talk with your doctor about how much money you’re willing to spend and your preferences. Treatment for erectile dysfunction can be costly and insurance coverage varies. Because erectile dysfunction can by a sign of a number of underlying health conditions, initial evaluation of the problem is covered by most insurance policies. Medications or other treatments for erectile dysfunction may or may not be covered by your policy — check with your insurance provider to find out. Many policies have a limit on how many pills or injections are covered per month. Standard Medicare prescription drug coverage doesn’t cover medications for erectile dysfunction.
Oral medications
Oral medications available to treat ED include:
- Sildenafil (Viagra)
- Tadalafil (Cialis)
- Vardenafil (Levitra)
All three medications work in much the same way. Chemically known as phosphodiesterase inhibitors, these drugs enhance the effects of nitric oxide, a chemical that relaxes muscles in the penis. This increases the amount of blood flow and allows a natural sequence to occur — an erection in response to sexual stimulation.
These medications don’t automatically produce an erection. Instead they allow an erection to occur after physical and psychological stimulation. Many men experience improvement in erectile function after taking these medications regardless of the cause of their impotence.
These medications share many similarities, but they have differences as well. They vary in dosage, duration of effectiveness and possible side effects. Other distinctions — for example, which drug is best for certain types of men — aren’t yet known. No study has directly compared these three medications.
Not all men benefit
Although these medications can help many people, not all men can or should take them to treat erectile dysfunction. You should not take these medications if:
- You take nitrate drugs for angina, such as nitroglycerin (Nitro-Bid, others), isosorbide mononitrate (Imdur) and isosorbide dinitrate (Isordil)
- You take a blood-thinning (anticoagulant) medication
- You take certain types of alpha blockers for enlarged prostate (benign prostatic hyperplasia) or high blood pressure
Viagra, Levitra or Cialis may not be a good choice for you if:
- You have severe heart disease or heart failure
- You’ve had a stroke
- You have very low blood pressure (hypotension)
- You have uncontrolled high blood pressure (hypertension)
- You have uncontrolled diabetes
Don’t expect these medications to fix your erectile dysfunction immediately.
Work with your doctor to find the right treatment and dose for you. Dosages may need adjusting. Or you may need to alter when you take the medication.
Before taking any medication — including Viagra, Levitra or Cialis — make sure to discuss with your doctor:
- Potential benefits and side effects of the medication you are considering
- Any illnesses or serious health problems you have now or have had in the past
- Any prescription or over-the-counter medications you take (including herbal remedies)
Prostaglandin E (alprostadil)
Two treatments involve using a drug called alprostadil. Alprostadil is a synthetic version of the hormone prostaglandin E. The hormone helps relax muscle tissue in the penis, which enhances the blood flow needed for an erection. There are two ways to use alprostadil:
- Needle-injection therapy. With this method, you use a fine needle to inject alprostadil (Caverject, Edex) into the base or side of your penis. This generally produces an erection in five to 20 minutes that lasts about an hour. Because the injection goes directly into the spongy cylinders that fill with blood, alprostadil is an effective treatment for many men. And because the needle used is so fine, pain from the injection site is usually minor. Other side effects may include bleeding from the injection, prolonged erection and formation of fibrous tissue at the injection site. The cost per injection can be expensive. Injecting a mixture of alprostadil and other prescribed drugs may be a less expensive and more effective option. These other drugs may include papaverine and phentolamine.
- Self-administered intraurethral therapy (Muse). This treatment involves using a disposable applicator to insert a tiny alprostadil suppository, about half the size of a grain of rice, into the tip of your penis. The suppository, placed about two inches into your urethra, is absorbed by erectile tissue in your penis, increasing the blood flow that causes an erection. Although needles aren’t involved, you may still find this method painful or uncomfortable. Side effects may include pain, minor bleeding in the urethra, dizziness and formation of fibrous tissue.
Hormone replacement therapy
For the small number of men who have testosterone deficiency, testosterone replacement therapy may be an option.
Penis pumps
This treatment involves the use of a hollow tube with a hand-powered or battery-powered pump. The tube is placed over the penis, and then the pump is used to suck out the air. This creates a vacuum that pulls blood into the penis. Once you achieve an adequate erection, you slip a tension ring around the base of your penis to maintain the erection. You then remove the vacuum device. The erection typically lasts long enough for a couple to have sex. You remove the tension ring after intercourse.
Vascular surgery
This treatment is usually reserved for men whose blood flow has been blocked by an injury to the penis or pelvic area. Surgery may also be used to correct erectile dysfunction caused by vascular blockages. The goal of this treatment is to correct a blockage of blood flow to the penis so that erections can occur naturally. But the long-term success of this surgery is unclear.
Penile implants
This treatment involves surgically placing a device into the two sides of the penis, allowing erection to occur as often and for as long as desired. The inflatable device allows you to control when and how long you have an erection, the semirigid rods keep the penis in a rigid state all the time. These implants consist of either an inflatable device or semirigid rods made from silicone or polyurethane. This treatment is often expensive and is usually not recommended until other methods have been considered or tried first. As with any surgery, there is a small risk of complications such as infection.
Psychological counseling and sex therapy
If stress, anxiety or depression is the cause of your erectile dysfunction, your doctor may suggest that you, or you and your partner, visit a psychologist or counselor with experience in treating sexual problems (sex therapist). Even if it is caused by something physical, erectile dysfunction can create stress and relationship tension. Counseling can help, especially when your partner participates.
How does high blood pressure cause erectile dysfunction
| HBP damages arteries. There are two root causes of erectile dysfunction (ED): psychological and medical. High blood pressure is a contributing medical factor that leads to ED. HBP damages the entire vascular system. |
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| Adequate blood flow is necessary for erection. Because effective blood flow through the arteries and veins is essential to achieve and sustain an erection, any problem that impairs blood flow can cause ED. A number of medical causes associated with erectile dysfunction are problems with the arterial system. |
Although many men resist seeking treatment for erectile dysfunction, those who do may discover an underlying medical problem, such as hardening of the arteries or untreated diabetes.
The Penis, Erectile Dysfunction, and Erections
About Erectile Dysfunction
Erectile dysfunction, a sexual problem that affects between 15 million and 30 million American men, can be caused by injury, stress, or certain diseases or medications, among other things. A man with erectile dysfunction has a repeated inability to get or keep an erection firm enough for sexual intercourse. While the incidence of erectile dysfunction increases with age, erectile dysfunction is not an inevitable part of aging. There are medicines (such as Viagra®, Levitra®, Erectine® and Cialis®) that can effectively treat erectile dysfunction at any age; and additional types of erectile dysfunction medication are currently being tested for safety and effectiveness.
Natural Therapies for Relieving Impotence
Until recently, the very mention of Erectile Dysfunction or impotence could bring about a blush to even the most manly of Men. Embarrassing as it may be, erectile dysfunction affects more than 18 million men in America. It can vary in severity from an inability to achieve, maintain and sustain an erection, to an inability to achieve an orgasm, even though a Healthy sexual desire exists. Because of the sensitive nature of this disorder, it often goes unreported.
Achieving a normal erection is a complex process. It involves psychological impulses from the Brain, adequate levels of testosterone (Male Sex hormone), a functioning nervous system, and healthy vascular tissue of the penis. Electrical impulses from the brain, when stimulated, Cause the nerves in the penis to release nitric oxide. This, in turn, increases the production of guanylate MonoPhosphate (cGMP) in the muscle cells of the corpora cavernosa (the tissue of the penis, consisting of smooth muscles, fibrous tissues, spaces, veins and arteries). The cGMP triggers the muscles of the corpora cavernosa to relax and fill with Blood, which causes the penis to expand.
Because of the intricate nature of the physiological processes involved, a number of different factors can interfere with a Man’s ability to achieve a normal and healthy erection. The most common of these is Aging. As a man gets older, his ability to produce nitric oxide decreases, thus affecting the proper functioning of the corpora cavernosa.
A number of Health issues can also underscore this disorder. The most frequently seen are Diabetes mellitus and hypertension. Diabetes, for example, can damage the sensory nerves in the Body. In turn, individuals who suffer from hypertension exhibit low nitric oxide production. Other factors that can contribute to erectile dysfunction include cardiovascular Disease, nerve or spinal cord damage, cigarette Smoking, low testosterone levels, prescription medications, Depression, Stress and Anxiety.
Until recently, it was believed that little could be done to help a man who is suffering from erectile dysfunction, but there are a number of Natural alternative health remedies that can be tried before having to rely on the “little blue pill”.
Few Causes of Male Impotence
The physical causes of impotence in men are often related to damages to nerve impulses in the brain, spine and penis, among other things. Diseases like diabetes and kidney failure can also cause male impotence although it not been exhaustive, better to take advice from your concerned doctor for physical causes of impotence.
The psychological factors causes of impotence are often include stress, financial worries, work pressures, relationship problems. You can overcome these problems with proper guidance and also through meditation.
Few natural impotence remedies that work effectively on your below belt
Some of the best foods that you have to take are, low-fat, low-cholesterol diet better to take natural foods which will have large content of nutrition and cut down or stop eating processed food, adding to this you have to take fresh fruits, vegetables and legumes in this you find large numbers of vitamins which is necessary for your body and arteries.
To help out the male issue like impotence problem eat fresh fruits and vegetables daily and do some simple exercise for 30 minutes a day and quit smoking and drinking. Follow the above impotence remedies for few days you will experience a chance which makes you impotence free.
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Impotence in Young Men – Causes and Cure
Impotence or erectile dysfunction is one of the most depressing and disturbing sexual problem among men. There are various factors that lead to impotence in men. Broadly, there is not much of a difference between factors that lead to erectile failure in young and older men. However, stress and psychological factors like performance anxiety play a bigger role in impotence in younger men.
Impotence or erectile dysfunction can be highly stressful specially if it occurs at a young age. It can delve you into depression, further worsening the situation. Agree or not, the fact is that men measure their manhood with their sexual prowess and being aware of their inability to satisfy a woman sexually can be a big blow to their confidence.
Causes of Impotence in Young Men
Lifestyle Issues
There are certain factors that can contribute to impaired sexual function in young men. Some of them include obesity, excessive smoking and drinking alcohol and use of recreation medications etc., There are studies that reveal that almost all men who take heroin are impotent. Smoking not only restricts blood flow to the penis but also impairs the valve mechanism that is used to store blood in the penis. Nicotine also affects the health of sperm and reduces sperm count. This leads to fertility issues as well.
Psychological Issues
Though above factors affect your ability to achieve erections, impotence in young men is largely a result of psychological issues like stress and performance anxiety.
Pressures to perform whether at work or home are likely to take a toll on your sexual health. Many men are too preoccupied with their jobs and careers and hardly have time to enjoy healthy sex.
Another major issues is performance anxiety. A single failure in bed can make you worry about it and this is likely to result in an inevitable failure time and again. This is a vicious circle and getting out of it requires the right approach. The key is to relax and do not worry about it.
Moreover, having sex for the first time or having it with someone new new can also result in performance anxiety and lead to failure in bed.
How to Get over Impotence
When you think of impotence, the first remedy that comes to your mind is Viagra. This medicine has become almost synonymous with impotence. However, prescribed medications like Vigara, Cialis or Levitra and their generic versions come with side effects.
There are some safer and better options that you can avail of and enjoy a far more healthy and active sex life.
Herbs and botanical extracts have been used since ancient times to help cure various sort of health problems. In fact, these herbs form the core Indian and Chinese medicine systems.
Some of the common herbs being used to treat sexual problems in men include ginseng, ginkgo biloba, muira pauma, saw palmetto, tribulus terrestris, damiana, etc.,
These herbs work upon various factors that affects sexual function in men. For instance, ginseng not only increases blood circulation but also reduces stress. Ginkgo biloba is essentially a brain tonic and increases nervous response to sexual stimulation. It also enhance blood circulation throughout the body and to the genitals as well. Tribulus Terrestris and Long Jack are few of the rare herbs that can help increase the production of the male sex hormone Testosterone. Horny Goat Weed helps increase the secretion of nitric oxide in the walls of the blood vessels that supply blood to the penis. This allows penile muscles to relax so that blood vessels can dilate and more blood can flow into the erectile tissue.
These herbs are now being used in the potent mix to formulate herbal anti impotence pills that not only ensure hard and firm erections but are also free of side effects.
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The importance of penile erection
Penile erection is very important not only in the reproduction but in a sexual relationship.
Man can get an erection through direct or indirect stimulation. When a man experiences sexual stimulation, the brain discharges a hormone that dilates the penile arteries. So blood fills up the erectile tissues and an erection is achieved. Erection allows man to enjoy his sexual encounter. As soon as sexual intercourse has been achieved, the penile arteries constrict and penile veins dilate. And the blood flows away from the penis till the penile pressure returns back to normal.
Men getting older have to find out that it is just not working any more as it used to in youth. Problems like erectile dysfunction begin develop. This can happen also with young men if they have regulary much stress and anxiety.This is a normal occurrence. But younger men with temporary impotency should not fear that it is permanent. They should just take away the stress, and their normal sexual function will come back.
But if you have persistent and chronic occurrences of erectile dysfunction you should let your partner know about this problem. It is important if you don’t want to create a conflict in the relationship. Then you should take medical consultation to resolve this matter.
It is very important to get screened for an underlying medical problem or illness because impotency can be a symptom of something more dangerous than just erectile dysfunction. If doctor finds no pathological condition he will recommend you an erectile dysfunction medications. Among these wonderful drugs are Generic Viagra, Cialis, Levitra, Kamagra, Silagra, etc. Men just have to give up doubting and shying and take their doctors consultation for help erectile dysfunction. So they will find that this problem can be resolved after all and it’s possible to return the satisfaction in an active sexual relationship.
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