Erectile dysfunction is a medical term used to define the inability to get an erection with sufficient rigidity for penetration and / or keep it for a period of time adequate to the satisfaction of both partners during sex. It is important to understand that it can occur even with desire and orgasm (ejaculation) present.
Erectile dysfunction (ED) affects about two thirds of men over 50 years of age, representing 10 to 20 million Brazilians and over 40 million Americans.
Most men, at some point in their lives, have experienced episodes of erectile dysfunction, usually due to tiredness, stress or alcohol abuse. Occasional failures should not be overrated. However, if the problem persists, a urologist should be sought.
Impotence or erectile dysfunction is a humiliating and embarrassing situation for any man to endure. As mentioned earlier millions of men throughout the world are experiencing difficulty in attaining and maintaining an erection of the penis in order to enjoy satisfying sexual intercourse. The most common cause of erectile dysfunction is the restricted flow of blood to and from the penis, and the only natural way to get a harder and longer erection is to increase blood flow.
Erectile dysfunction can be due to physiological or physical issues such as anxiety, depression and stress. Past events can trigger fear, guilt or pre-conceived incorrect ideas of what it means to be a man. Emotional and relationship problems can also take their toll. Emotional repercussions of erectile dysfunction are loss of self-esteem which is part of the reason this issue is not as freely discussed as it could be in media and amongst men.
Physically the cause can be medication, drugs, alcohol, overweight or hormonal issues. In modern times such drugs as Viagra may appear helpful but, as all drugs, have their side effects. Viagra can be quite dangerous depending on your blood pressure and condition of your heart and can become addictive. This means that performance becomes even less as the person becomes dependent on taking the drug.
- 1 Erectile Dysfunction Overview
Erectile Dysfunction Overview
Erectile Dysfunction or Impotence Causes
The capacity of erection is just one of several aspects of male sexual function. The sexual response cycle has four stages of man main desire, erection, orgasm and relaxation. Each can change different.
The causes of ED are divided into organic, psychogenic and mixed, can be found with combined factors. Organic problems such as diabetes, cancer, arteriosclerosis and neurological injuries can often lead to psychological complications, for example. It can also be secondary, and appear as the first manifestation of various disorders such as hypertension, diabetes, cardiovascular disease and renal failure.
ED of psychological origin can be manifested in various ways, or delayed ejaculation, painful ejaculation and even impotence. There may also be loss of libido (sexual desire), lack of orgasm and phobias (fears) sex, all for anxiety, depression or guilt. An individual who has an unpleasant experience, such as loss of erection to have sex or ejaculate very early, tends to the next relationship, remember these "failures" and become anxious. This provides a new fault, creating a vicious circle.
Organic causes are subdivided according to the etiology. The vasculogenicas are more prevalent, particularly the flow changes, arteriosclerosis and trauma (resulting in injury to blood vessels). Venous flow abnormalities are less common. The neurogenic causes are diabetic neuropathy, multiple sclerosis, alcohol abuse, trauma, spinal cord and nerve damage by radical prostatectomy (surgery to remove the prostate). Since the causes are hormonal hipoandrogenismo primary or secondary (disorders of male hormones).
The ED may also occur, for use and abuse of drugs like marijuana, alcohol, heroin, cocaine, barbiturates, antidepressants.
Associated Disorders of Erectile Dysfunction
The DE has several risk factors as advanced age, diabetes, hypertension, peripheral vascular diseases; neurological diseases, endocrine disorders, spinal cord injuries, radical pelvic surgery, radiation therapy, alcoholism, smoking, marijuana use and / or cocaine; use of antihypertensives, tranquilizers and psychotropic substances; relationship problems with partner, stress, anxiety and fear of failure, depression, obsessive-compulsive personality, sexual deviation.
Erectile Dysfunction Diagnosis
The objectives of the initial evaluation of the patient are to determine the probable cause of ED and identify organic or psychological factors that may influence the associated therapeutic.
A detailed medical interview is the most important factor in evaluating patients with this problem. The history should identify the duration, progression and severity of ED and associated factors.
Physical examination is to assess the patient's health, with particular attention to the cardiovascular, neurological and genitourinary, due to its contribution to the erection. The neurological evaluation should include a perception of their patient's anxiety or depression. Since the assessment of genital herpes is directed to detection of local abnormalities.
Some are basic laboratory tests to identify disorders that can result in ED.
Erectile Dysfunction Treatment
In cases of psychogenic DE, psychotherapy is indicated. Several factors should be evaluated by the urologist and if possible, by an expert in psychology or psychiatry. Factors such as physical, psychiatric, psychological, conflicted relationship with the partner and sexual inadequacy should be addressed to the couple.
Penile injections have been the first efficient and objective, with little or no side effects, with significant improvement of erection, even in severe OF and organic. They were the main complication, painful erections. Also had the disadvantage of limiting the time limitation of erections and frequency of application (3 times per week). This method tends to be abandoned with the advancement of technology.
With the advance of treatment, some oral medications are available in the market. They are:
Viagra (Sildenafil) of Pfizer
- Viagra (Sildenafil) of Pfizer: acts on the penis by relaxing muscles and increasing blood flow to the region. Effective in cases of partial impotence, erection of providing 40 to 60 minutes after ingestion of the medication, with stimulation of the penis. Its effect can last up to six horas.Tem side reactions such as headaches, nasal congestion, facial flushing and dyspepsia. Heart patients, especially in drug treatment of nitrate (Sustrate, Monocordil, Isordil, Nitradisc, Nitroderm TTS, Isocord, Isosorbide, nitroglycerin) can not take this medicine.
Uprima (apomorphine) of Abbott
- Uprima (apomorphine), from Abbott Laboratories, acts on the central nervous system, facilitating the conduct of sexual stimulation of the brain to the penis. Generates erection 10-20 minutes after oral administration sublingually. May cause headache, nausea, dizziness, fainting and flushing, but can be used by heart patients.
Cialis (Tadalafil) of Eli Lilly
- Cialis (Tadalafil), manufactured by Eli Lilly, acts directly on the penis by inhibiting the enzyme phosphodiesterase. Leads to an erection in 30 minutes, and sustained for up to 36 hours. Can cause headache, gastric intolerance, nasal congestion, back pain, muscle pain, dizziness and flushing. As Viagra, can not be used for heart disease in the use of nitrates.
Levitra (Vardenafil) of Bayer and Glaxo
- Levitra (Vardenafil) of Bayer and Glaxo, also acts directly and selectively on the penis by inhibiting the enzyme phosphodiesterase, with fewer side effects (headache, flushing and runny nose). Leads to an erection in 15 minutes, and keeps up to 8 hours. As Viagra and Cialis, can not be used for heart disease in the use of nitrates. One of the main advantages is the most affordable price and being sold in single packs.
Although drug treatments mentioned, some patients may not fit and require treatment with mechanical devices such as vacuum erection devices or penile implants inflatable or malleable. Others may need surgery to repair vascular arteries that supply the penis with blood, in specific cases.
Because erectile dysfunction (impotence) can have many causes, there are several treatments that act by different mechanisms, with specific contraindications, a urologist should be consulted.
In short Erectile Dysfunction is the incapability of men to sustain a firm erection long enough to have sex. This is common to older men but can also be found in men of any age. If this problem persists it may affect relationships and men may lose their confidence leading to depression. Earlier impotence or Erectile Dysfunction was banned subject but now men are ready get treated, that is when permitted medications or herbal treatments comes to rescue.
In case of most of the medications, your doctor may initially start with a lower dosage whichever is the best for you. To ensure the right dosage for you, you must discuss you medical history with your doctor as such drugs ((Viagra, Cialis and Levitra) are not suitable for men with uncontrolled high blood pressure and men taking nitrate drugs. It is mostly advised not to be taken more than once a day.
Side effects of using penis erection drugs
The side-effects that can be caused while consuming above drugs are as under-:
Side-effects other than those listed above can also occur.
Home Remedies or Natural Treatments for Erectile Dysfunction (Impotence)
Sleep to treat erectile dysfunction
One of the major factors that can lead to erectile problems is your lifestyle. Lack of physical activity, excessive smoking and drinking and sleep deprivation are some of common habits that can wreak havoc on your sexual health.
Garlic to treat impotence
Make use of Allium sativum or garlic. This is an effective remedy for treating erectile dysfunction. Chinese and Indian physicians have used it for many years as an aphrodisiac. Combine one tablespoonful of garlic with one tablespoonful of honey three times daily. Carrots are believed to combat impotence, especially when combined with warm milk. This can easily lead to an improvement in your dysfunction.
Fitness to cure erectile dysfunction
Regular exercise not only helps boost blood circulation throughout the body and to the genitals. Good blood flow is the most crucial factor that helps you get harder erections. Not only this, exercise also helps boost your testosterone production. This is the hormone that controls sex drive and sexual function in men.
Quit smoking to treat erectile dysfunction
Smoking is not just bad for your overall health but is also a big hazard for your sexual function. It affects blood flow to the penis and also impairs the valve mechanism that is used to store blood into the penis. As such you must quit smoking for the sake of better overall and sexual health.
It is also very clear that smokers are liable to die young, so quit smoking. Bring out time and make an honest assessment of the choices you are making that affect your health and wellness. For instance, smoking can also inhibit a man's ability to achieve and maintain an erection in addition to causing a myriad of health issues, according to the Centers for Disease Control. If you smoke, quitting or cessation should be your first and most important step toward a natural erectile dysfunction cure. Life is often determined by the decisions we make and the priorities we set. Be honest with yourself about what is more important to you and the truth shall set you free.
Raisins and walnuts to cure erectile dysfunction
Take a cup of seasoned raisins, a cup of prunes, a cup of walnuts, a cup of dried apricots and two full lemons and blending them all at once with a few tablespoons of honey. This is known to be an old wives' tale type mixture that may help if a teaspoonful is taken three times per day, at least thirty minutes before mealtimes. Onion has been touted as second only to garlic for enhancing sexual health. Try to take one hundred milliliters of the extract three times a day.
Ayurveda to treat impotency
You can also use remedies involving Indian herbs to cure erectile dysfunction. Herbs that can only be found in specialty stores are often mentioned by the Indian Ayurvedic treatment of conditions. Here are some Ayurvedic treatments to cure impotence. In the morning try to take equal portion of powdered acacia seedless pods and unrefined sugar and take six grams with a glass of milk. Honey, milk and an infusion of jambal fruit may help you to get rid of erectile dysfunction. Finally, fifty grams of dried Indian gooseberry with fifty grams of mango ginger and one hundred grams of unrefined sugar should be mixed with milk as an early morning libido enhancer.
Gingko herb to cure erectile dysfunction
Poor blood circulation mostly contribute to impotence problems, in which case Ginkgo biloba is a well-known cure to increase the blood flow. Gingko herb is another natural remedy for erectile dysfunction. This herb is very beneficial to individuals who experienced impotence or ED. It is also useful in relieving the ill effect of anti-depressant drugs. Just like the L- arginine, Gingko herb aids in improving the blood flow in the penis. To prove its effectiveness, 60 men diagnosed of erectile dysfunction were examined. Surprisingly, these men have shown great sexual improvement of up to 50% after six months of continuous treatment of gingko herb. This result proves that home remedies for erectile dysfunction are even better compared to other synthetic medications.
Yohimbe to treat erectile dysfunction
Yohimbe, an African herb, can aid your staying power and ginseng is believed to enhance testosterone levels. Milk thistle and schizandra can help to rebuild your internal damaged organ if alcoholic beverage has limited your sexual capacity. Stress can also lead to impotence. Kava and valerian are two herbs that you can use to get rid of the problem. It is very important to watch over your prescription drugs that may be leading to your condition. Try to change or replace the drugs with more natural treatments that may not have the same sexual side effects.
Zinc to cure erectile dysfunction
Zinc plays an important role in maintaining the sexual well being among men. When you don't have enough zinc in your body, you are likely to develop diabetes and impotence. Zinc depletion is also the primary reason of various diseases in kidney, liver and digestive tract. Foods that are rich in zinc must be sternly included in your diet especially if you suffer from impotence or ED. This mineral can be obtained from red meat, fish, oysters, nuts, beans and eggs. Admit it. These home remedies for erectile dysfunction are all present in your fridge.
Last but definitely more popular among impotence patients suffering from erectile dysfunction is the Indian Ginseng. It is very cost effective and give better results than some of the expensive drugs available in the market. This is known to improve your stamina, energy and sexual function. Further studies and testing are being conducted to verify if Indian Ginseng can efficiently treat ED or impotence.
You should also take care of your diet and have foods that boost blood circulation. Moreover, you should avoid fast or junk food that can build plaque into the arteries and restrict blood circulation.