Suggested Title: how to overcome erectile issues Dysfunction: You don’t need to Live With it?
Suggested Title: Is Erectile Dysfunction Wreaking Chaos on your lifetime?
Suggested Title: Struggling with Erectile Dysfunction? There is Hope!
Typically called ED, impotence problems is described as capable of achieve and/or sustain a bigger harder erection which will enable intercourse. The issue can be chronic and absolute, meaning that you can’t provide an erection whatsoever or it might be experienced occasionally.
Although it is common for men to see capable of sustain or achieve a bigger harder erection on the few occasions on their lives, take place more than 50% with the times when enjoying sexual activity, the problem qualifies as a case of impotence problems. The ailment differs from other concerns that impact intercourse, like the insufficient desire and failure to ejaculate.
ED is just not age specific and young and relatively healthy men along with older men can suffer from the challenge however, it’s additionally familiar with advancing age. It needs to be noted that impotence problems is just not normal at all ages and in some cases, based on the underlying reason behind the challenge, it may be cured entirely or otherwise treated successfully.
The situation is a lot more common than you think!
Most men still find it incredibly embarrassing to debate erectile issues even with their doctors. Unfortunately, this is not a difficulty that could be swept within the carpet nor will it resolve by itself if not treated. The truth is, impotence problems can be symptomatic to serious medical conditions along with result in a range of psychological problem plus capable of suit your partner in bed will impact your relationship also.
In accordance with the NIH (National Institute of Health), next year, there were about thirty million men in the usa who endured the ailment. Mild to moderate ED affects about 10% with the men per decade of their lives. In terms of severe or complete impotence problems is worried, about 5% with the men of their 40′s and 15% to 25% men in the generation of 60 to 70 years are afflicted by the situation.
Different degrees of impotence problems
ED can be segregated into three categories based on the symptoms:
The complete inability to achieve a bigger harder erection that is the penis doesn’t harden whatsoever
Moderate erection is experienced yet it’s not hard enough for penetrative sex
Erection is achieved yet it’s short lived, usually not even a minute
What causes impotence problems
To know the physiological issues behind ED, you need to know about how exactly a bigger harder erection is caused. To realize a bigger harder erection:
The nerves in the penis need to be working properly to relay the sensation of stimulation to the brain, which is starting point that will get a bigger harder erection.
In reaction, the blood circulation to the penis is increased, so the level of blood entering male organ must be adequate.
The veins should be able to prevent the back flow with the blood in the penis, and should be able to trap and make the blood for long enough.
The muscles in the pelvic area must relax allowing the veins to dilate, thus allowing the excess flow of blood to the penis.
When there is a difficulty unsettling all of these functions, it is going to impact you skill to secure a full erection also to ensure that is stays.
The chance factors of ED
There’s a myriad of factors that can cause impotence problems from psychological issues including stress and panic to underlying medical conditions including atherosclerosis, angina and other cardiovascular diseases plus an unhealthy lifestyle and drug use. Listed here is a detailed take a look at how these 4 elements can inhibit your sexual performance.
1. Age and genetics
When ED is discussed the most common image that comes to mind are a frail, old man who can no longer enjoy sexual activity on account of his failing health. However, this can be a misconception in spite of the rate of impotence problems increasing as we grow older. ED can be prevented, irrespective of age because itself aging doesn’t cause lack of staying power.
It’s the health problems that afflict people as they get older which can be blamed for impotence problems. So, it’s understandable why the ED occurrence risk for men who’re 75 yrs . old is practically 45%. The genetic url to ED is also being currently studied however, what is already known is always that black and Hispanic men are more at risk with ED rates of 24.9% and 25.3% as compared with Caucasian guys that possess a risk rate of 18.1%. Although scientific study has learned that the main difference could possibly be caused by social economic conditions than to race.
2. Certain medical conditions
As much as 70% with the ED cases are symptoms of other ailments particularly, cardiovascular diseases, renal problems, endocrine disorders, diabetes and neurological problems. Typically, once the underlying health affliction is treated, ED is sorted out by itself.
3. Impact of prescribed drugs
Nearly 70% with the men on high blood pressure medication quit taking their pills given that they are afflicted by impotence problems. Although nearly 5000 several types of drugs are acknowledged to cause ED as an unwanted effect, the situation is most commonly connected to medication employed in the treatment of high blood pressure. Diuretics and beta blockers are also known to result in erection problems.
So, it’s important to discuss any sexual issues that could possibly have think about it after taking prescription medicine with your doctor. There are high blood pressure drugs that will not cause ED and a few others that could help in addressing erection problems. Usually, alpha blockers, ACE inhibitors, ARB’s and calcium channel blockers can be taken safely without worrying about sexual side effects.
N . o . deficiencies were directly connected to cases of impotence problems inside a Nobel prize winning study. NO or nitric oxide supplements acts as the catalyst in the erection process as it provides impulse to the arteries as well as the muscles in the pelvic place to relax and smoothen out, which is required to allow blood circulation to the penile tissue.
Mit is secreted by the endothelium (lining with the veins), so if there is any damage to this lining there will be an insufficiency of NO in the system. Inflammation and cholesterol related oxidation are the primary reasons behind nitric oxide supplements deficiency.
A lack of nitric oxide supplements not merely leads to impotence problems but also a number of cardiovascular diseases including high blood pressure, strokes, cardiac event, coronary blockages, infections, memory loss, arthritis, stomach ulcers and other inflammatory ailments. It had been discovered that deficiency of nitric oxide supplements is usually to be primarily blamed for age-related impotence problems.
5. Obesity plus an unhealthy lifestyle
This Year, research was published in the Journal of Sexual Medicine which pointed that the lowest calorie diet not merely helped in the lowering of weight in males, but also increased virility and erectile function. This showed a definite eating habits study obesity and ED.
Similarly, drug use, abusive drinking and smoking can all cause impotence problems. The truth is, smoking is the main cause of ED in males below the age of 40, since nicotine is known to constrict the veins, preventing the circulation of blood to the penis.
6. Spinal and nerve damage
Any damage to the nerves in the pelvic and penile area, whether it be on account of a personal injury, surgical procedure or diseases will definitely impact erectile function. Usually such damage is known to occur after surgical procedures are conducted to help remedy prostate cancer, automobile accident, spinal trauma, surgery for prostate enlargement, long term diabetes and ms.
7. Cancer and its treatment
Nearly 10% to 90% of cancer patients experience impotence problems following the diagnosis and the treatment of their condition. The prevalence rate varies based on the location and type of cancer along with the use of treatment modalities. Particularly, patients who suffer from testicular and prostate cancer are susceptible to experiencing ED.
Can be your ED connected to psychological causes?
About 20% of ED cases can be caused by psychological factors. The psychological issue may be a secondary a reaction to a health concern. In some instances, ED can be traced back to childhood abuse and sexual trauma experienced when young. However, the most common psychological reasons behind impotence problems include:
Stress: It is usually job related, on account of marital or relationship problems or other factor.
Anxiety: A couple of episodes of ED can cause intense performance anxiety which will therefore result in a higher occurrence rate.
Depression: Because depression has physical and psychological ramifications, it may cause ED even during guys that are snug in sexual situations. Also, drugs utilized to treat the situation can cause ED.
Low self confidence: Erectile dysfunction can be caused due to a feeling of guilt over not being able to satisfy ones partner and from confidence issues.
Lack of interest: Indifference also can cause ED this means you will originate from relationship problems, medication or age.
How to determine if your ED is rooted in psychological problems?
Typically, a sudden loss of erectile capability points to a psychological issue. When the condition is caused due to a health concern or medication, the loss in erectile function is gradual. Also, men who experience ED due to psychological triggers will continue to have erections while asleep and in the morning.
If the erectile issues are linked to mental problems, you will have normal erections during masturbation. However, if the erectile dysfunction is experienced across the board, you need to see a doctor at once.
A self test for erectile dysfunction involves circling the flaccid penis with a row of postage stamps (the ones which come with dry glue on the back). Put on a fresh pair of underwear and pull out the shaft from the fly in your underwear, moisten the stamps and wrap them around your penis. Make sure that you keep them away from pubic hair.
The stamp ring should be snug around the penis. In the morning, if you find the stamps broken, it means that you did get a normal erection, which means that there is no physical dysfunction. However, this test does little to gauge problems that prevent you from sustaining the erection.
How would your doctor diagnose ED?
There are several tests used for the diagnosis of ED; generally, a doctor will analyze the physical issues first. Only after these have been ruled out will it be concluded that the erection issue is attributed to psychological causes. The diagnostic procedure used will include:
Physical examination: The doctor will assess your overall health, injuries, and illnesses and ask about the medication you are taking. The penis and the testicles will be examined for sensitivity.
Nocturnal erection test: Not very different from the stamp self test, this one involves the use of a special tape that will give away if erection occurs.
Pathology tests: The doctor will also tell you to get blood and urine checks; this is done to detect cardiovascular disease, renal problems and diabetes which may be causing ED.
Ultrasound: This is done to check the blood flow to the penile tissue.
Psychological testing: Your doctor will try to assess the psychological issues that may be contributing to erectile dysfunction. This is done through several rounds of question and answering through which you are being checked for depression, anxiety, stress and relationship issues.
How is erectile dysfunction Treated?
There are a plethora of treatment options for ED, depending on the underlying cause. If the ailment is a symptom of another health issue, this will be treated first. ED specific treatment methodologies can range from least invasive to very invasive and will be governed by the cause for the condition.
Oral medication: The first line of treatment for ED involves the use of drugs such as Sildenafil (commonly known as Viagra), Tadalafil (sold as Cialis) and Vardenafil (available as Levitra). Other PDE- 5 inhibitors are also used to treat ED as they help in preventing the exit of blood from the cavernous blood vessels and enhance erections.
About 70% to 80% men reported an improvement in erectile function after the use of PDE-5 inhibitors, including those who were suffering from diabetes and spinal cord injuries. However, this class of drugs has an adverse reaction with Nitrates that are prescribed for cardiovascular diseases.
Penile injections: Drugs such as phentolamine, prostagladinE1, papverine or a combination of these is injected into the penis. The effect includes vascular dilation that is localized and the relaxation of smooth muscles. Injections are relatively painless and can be self administered. However, there is a risk of erections that last longer than 6 hours and the scarring of penile tissue due to repeated injections.
Urethral Suppositories: This is a relatively new form of treatment and involves the introduction of alprostadil or prostaglandin E1 into the penile tissue by way of the urethra. A small tablet is introduced into the urethra by using a tube like applicator. Erection is typically experienced within 8-10 minutes.
Hormonal treatment: Decrease in the level of testosterone can cause ED to some extent along with other sexual problems. However, less than 4% men have a testosterone deficiency. Those that do will find a range of treatment options including patches, injections and tablets.
Penile pumps and vacuum erection devices: Also known as vacuum constrictive devices, these work well when the erectile dysfunction is not endocrine related. These are external appliances that exert negative pressure on the penis through the creation of a partial vacuum. This helps to draw blood into the penis. A ring is then placed around the engorged shaft to prevent the backflow of blood. The ring can be kept in place for about 30 minutes. The ring can also be used on its own if sustaining an erection is a problem.
Surgery: The most invasive of all treatments, the surgical intervention involves the insertion of penile prostheses. These are inflatable or semi rigid devices that are implanted into the penis. They do not impact the ability to urinate or ejaculate. This should be the last resort as it can cause permanent damage to the penile tissue and the cavernous bodies.
Lifestyle changes: Meditation, tai chi and other stress controlling techniques are also known to help people with sexual problems. Also, other healthy practices such as getting adequate sleep, eating nutritious and well balanced meals and regular aerobic exercise help in lowering the occurrence rate of ED episodes.
Psychological help: For people who suffer from ED due to mental health issues, therapy including relationship counseling will certainly help. In fact, even the use of a certain class of antidepressants can help in resolving erectile dysfunction. However, you will need to come clear with your doctor about your sexual concerns.
Natural treatments for ED
One of the primary reasons why natural treatments for ED are recommended over drug and surgical interventions is because these treat the underlying cause of the erectile problem. As discussed above, the narrowing of blood vessels in the penile area and hormonal imbalance are the main culprits. Unfortunately, drugs like Viagra only treat the symptoms of ED and are at best temporary cures.
In addition, these drugs cannot be used by all. Particularly, men who suffer from cardiovascular diseases may not be able to use performance enhancing drugs. Also, there are many out there who don’t want a quick fix but a complete cure for erectile dysfunction. While drugs do have their place in treating ED, a natural, holistic approach will yield long term and sustainable benefits without any harmful side effects. Here are a few herbs and nutritional interventions that help:
Panax Ginseng: Seven studies have pointed to the efficacy of red or panax ginseng in treating erectile dysfunction. The dosage should be kept at 600 to 1000 mg taken thrice a day.
Rhodiola Rosea: 150 -200 mg doses of this herb also leads to a significant improvement in sexual function as observed through one study.
DHEA: Dehydroepiandrosterone is the precursor to testosterone and is naturally produced by the adrenal glands. Studies have shown that men who suffer from ED have low levels of DHEA, so supplementation can help against erectile dysfunction.
L-l-arginine ed reviews: This is a naturally occurring amino acid which helps in the secretion of nitric oxide. Men who took 5 gm of L-Arginine experienced lower instances of ED.
Yohimbe: The bark of this tree contains Yohimbine which is effective in treating ED. However, dosages have to be strictly regulated as the chemical can cause cardiac issues.
Zinc supplementation: Men who suffer from ED also respond well to zinc supplements.
Ashwagandha: Known as Indian ginseng, this herb has been used for centuries in the treatment of sexual inadequacies.
Apart from this, acupuncture is also routinely used to treat ED and is quite effective. Without a doubt, dietary changes which impact the overall health of a person can also offer reprieve from ED. Including water melon, pistachios, cocoa, whole grains, sea food, almonds, green and black tea and vegetables does bring about a remarkable improvement. You may also want to consider avoiding red meat and processed foods.
Exercises that strengthen the pelvic floor muscles can go a long way in helping a man sustain erections. In fact, Kegels are recommended to both men and women to improve sexual function.
In conclusion, it is imperative to note that 1/3 rd of the men who suffer from erectile dysfunction report a deterioration in their condition when the ailment is left untreated. Also, 50% of the men who suffer from severe ED remain impotent in the long term if the condition is not treated.
Even if you choose to not be treated for erectile dysfunction, it is imperative to have the condition investigated by a doctor, as ED is often an indication of an increased risk for cardiovascular diseases. In fact, those who suffer from erectile dysfunction were found 35% more likely to be hospitalized for cardiac issues within 2 years. These men also had a staggeringly high rate of almost 93% of dying from these conditions.
So, if you suffer from erectile dysfunction, act now!