Erectile dysfunction (impotence) Erectile dysfunction, also called impotence (lack of power), is considered to be a typically male problem, because it is generally expected that the penis should become sufficiently hard to enter the vagina and remain there long enough to provide pleasure, orgasm, and then ejaculate. If this does not happen, most people do not worry: they blame drink or stress at work, and they do fine the next time. There are also older men who have no erections anymore and accept that. They can still be good sexual partners and enjoy orgasm and ejaculation without an erection.In most other cases, however, erectile dysfunction or impotence is problematic. Situations differ, as do causes. Some are simple, others more complex. Causes In general, a distinction is made between ‘physical’ and ‘mental’ causes of erectile dysfunction. An example of the former: after an accident at work, a man’s spine or pelvis is injured, and this injury has damaged the nerve which stimulates the small penile artery that fills the penis with blood during arousal. If the nerve is damaged, it does not pass the signal to the artery, so that no erection occurs even though the man is aroused, with or without a partner.In most other cases of erectile dysfunction the cause is (partly) mental, i.e. the man is quite capable of having erections when he is alone or in his sleep. But when he is with his partner, he cannot have an erection that is strong enough or lasts long enough. This may also be called ‘situational’, because the man may have no problem when he is with another partner.Age: Age is directly associated with erection problems. The general deterioration of physical and mental functions can be blamed, but only to some extent. There is, of course, a gradual decrease in the production of testosterone (the male hormone), an increase in prostate size, higher blood pressure and sugar levels. Life style probably also plays a part, such as excessive drinking and smoking, obesity, depression, or the use of drugs against depression, obesity or blood pressure. Men who live healthy and balanced lives (which may very well include a little drinking and smoking), who are successful and have attractive love partners, can retain good erectile function until death.Young men: When young men are impotent with a partner, even though they have morning erections and no problem when masturbating, the situation is to blame. He feels in adequate. This may be due to an earlier experience: he fears a repeat. This condition adversely influences his sexual competence, and so he ‘fails’ again. The behavior of the partner plays an important part in the whole process.Medication: Since 1998 a drug called sildenafil has come on the market under various brand names. It became a world famous remedy for erectile dysfunction. Sexologists stress that such medicines cannot be used to improve libido, or save a bad sexual relationship. Apart from the relational aspects which cause or contribute mainly to erectile dysfunction or impotence, a small number of males need other approaches to help them get erections long enough to enjoy sessions of lovemaking and intercourse. The most therapies available to overcome erectile dysfunctions, relaxes the smooth muscles round the small arteries of the penis, so that the blood can freely flow and fill the corpora cavernosa (hollow spaces) of the penis, making it hard. At the same time, the veins which carry the blood off when the penis is flaccid are closed, so that the erection continues for a sufficiently long time to have sexual intercourse. Sildenafil cannot normally be had without a doctor’s prescription, and is not normally covered by health insurance. It is not an aphrodisiac, although pleasure in sex obviously increases if a desired erection is attained and held. But if there is little or no appetite, it does not help. Because it may pose a risk for people with high blood pressure or cardiac problems. Other drugs are also available which do not work directly on the blood flow, but on the nerve centre in the brain involved in bringing about an erection. They have the advantage of working faster and have longer effective period, even a whole weekend, whereas Sildenafil works only for four hours.
Ayurveda:Plant extracts like Aswagandha, Safed musli, Crochus, ,yohimbine, ginseng and papaverine, which used to be thought of as quack medicines, have shown their effectiveness in scientific trials too, and are prescribed in sexological practice throughout the world. Numerous patent, proprietory and shastrik Ayurvedic formulations are available and they produce wonderful results, if used for prolonged periods. Quality Ayurvedic preparations prescribed by experienced physicians produce best results in short period. Ayurvedic medicines are totally free from side effects and being non hormonal can be used for longer periods with out any fear.Mechanical aids:For men who do not benefit from erection pills are advised not to use them, there are still some mechanical means left whereby they can obtain and hold an erection.The cock ring, placed around the base of the erect penis, keeps the penis from going flaccid by blocking the blood flow through the veins, which are close to the surface of the penis. A cock ring is placed into position after the penis has become hard, and must not be left in place longer than 30 minutes. The vacuum pump is a plastic cylinder with an air pump at the top. It is placed on the flaccid penis, and then the air is pumped out. As a result the air pressure inside the cylinder decreases, which causes blood to flow into the penis, making it hard. A cock ring is usually placed around the base of the penis to prevent blood flowing away again when the cylinder is removed. A hollow imitation penis or extension condom can be used if no erection is possible but intercourse is desired. A penile prosthesis is a more permanent solution, requiring an operation. Thin cylindrical tubes are placed inside the two corpora cavernosa, giving the man a lasting erection, which is not always very comfortable, although the penis can be bent to fit against the lower abdomen. A newer form is the Scott-Bradley prosthesis, in which small balloons are placed inside the penis, which can then be inflated with a fluid substance, causing an erection. Afterwards, the fluid is released again, returning the penis to its flaccid state.
Overcome your Erectile Dysfunction with harmless herbs – Age No Bar
Erectile dysfunction (impotence)
Erectile dysfunction, also called impotence (lack of power), is considered to be a typically male problem, because it is generally expected that the penis should become sufficiently hard to enter the vagina and remain there long enough to provide pleasure, orgasm, and then ejaculate. If this does not happen, most people do not worry: they blame drink or stress at work, and they do fine the next time. There are also older men who have no erections anymore and accept that. They can still be good sexual partners and enjoy orgasm and ejaculation without an erection.
In most other cases, however, erectile dysfunction or impotence is problematic. Situations differ, as do causes. Some are simple, others more complex.
Causes
In general, a distinction is made between ‘physical’ and ‘mental’ causes of erectile dysfunction. An example of the former: after an accident at work, a man’s spine or pelvis is injured, and this injury has damaged the nerve which stimulates the small penile artery that fills the penis with blood during arousal. If the nerve is damaged, it does not pass the signal to the artery, so that no erection occurs even though the man is aroused, with or without a partner.
In most other cases of erectile dysfunction the cause is (partly) mental, i.e. the man is quite capable of having erections when he is alone or in his sleep. But when he is with his partner, he cannot have an erection that is strong enough or lasts long enough. This may also be called ‘situational’, because the man may have no problem when he is with another partner.
Age:
Age is directly associated with erection problems. The general deterioration of physical and mental functions can be blamed, but only to some extent. There is, of course, a gradual decrease in the production of testosterone (the male hormone), an increase in prostate size, higher blood pressure and sugar levels. Life style probably also plays a part, such as excessive drinking and smoking, obesity, depression, or the use of drugs against depression, obesity or blood pressure. Men who live healthy and balanced lives (which may very well include a little drinking and smoking), who are successful and have attractive love partners, can retain good erectile function until death.
Young men:
When young men are impotent with a partner, even though they have morning erections and no problem when masturbating, the situation is to blame. He feels in adequate. This may be due to an earlier experience: he fears a repeat. This condition adversely influences his sexual competence, and so he ‘fails’ again. The behavior of the partner plays an important part in the whole process.
Medication:
Since 1998 a drug called sildenafil has come on the market under various brand names. It became a world famous remedy for erectile dysfunction. Sexologists stress that such medicines cannot be used to improve libido, or save a bad sexual relationship. Apart from the relational aspects which cause or contribute mainly to erectile dysfunction or impotence, a small number of males need other approaches to help them get erections long enough to enjoy sessions of lovemaking and intercourse.
The most therapies available to overcome erectile dysfunctions, relaxes the smooth muscles round the small arteries of the penis, so that the blood can freely flow and fill the corpora cavernosa (hollow spaces) of the penis, making it hard. At the same time, the veins which carry the blood off when the penis is flaccid are closed, so that the erection continues for a sufficiently long time to have sexual intercourse. Sildenafil cannot normally be had without a doctor’s prescription, and is not normally covered by health insurance. It is not an aphrodisiac, although pleasure in sex obviously increases if a desired erection is attained and held. But if there is little or no appetite, it does not help. Because it may pose a risk for people with high blood pressure or cardiac problems. Other drugs are also available which do not work directly on the blood flow, but on the nerve centre in the brain involved in bringing about an erection. They have the advantage of working faster and have longer effective period, even a whole weekend, whereas Sildenafil works only for four hours.
Ayurveda:
Plant extracts like Aswagandha, Safed musli, Crochus, ,yohimbine, ginseng and papaverine, which used to be thought of as quack medicines, have shown their effectiveness in scientific trials too, and are prescribed in sexological practice throughout the world. Numerous patent, proprietory and shastrik Ayurvedic formulations are available and they produce wonderful results, if used for prolonged periods. Quality Ayurvedic preparations prescribed by experienced physicians produce best results in short period. Ayurvedic medicines are totally free from side effects and being non hormonal can be used for longer periods with out any fear.
Mechanical aids:
For men who do not benefit from erection pills are advised not to use them, there are still some mechanical means left whereby they can obtain and hold an erection.
The cock ring, placed around the base of the erect penis, keeps the penis from going flaccid by blocking the blood flow through the veins, which are close to the surface of the penis. A cock ring is placed into position after the penis has become hard, and must not be left in place longer than 30 minutes.
The vacuum pump is a plastic cylinder with an air pump at the top. It is placed on the flaccid penis, and then the air is pumped out. As a result the air pressure inside the cylinder decreases, which causes blood to flow into the penis, making it hard. A cock ring is usually placed around the base of the penis to prevent blood flowing away again when the cylinder is removed.
A hollow imitation penis or extension condom can be used if no erection is possible but intercourse is desired.
A penile prosthesis is a more permanent solution, requiring an operation. Thin cylindrical tubes are placed inside the two corpora cavernosa, giving the man a lasting erection, which is not always very comfortable, although the penis can be bent to fit against the lower abdomen.
A newer form is the Scott-Bradley prosthesis, in which small balloons are placed inside the penis, which can then be inflated with a fluid substance, causing an erection. Afterwards, the fluid is released again, returning the penis to its flaccid state.
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