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Erectile Dysfunction – ED
Impotence or erectile dysfunction is the persistent inability to either get or maintain an erection sufficient for sexual intercourse. Impotence is different from other problems that interfere with sexual intercourse, e.g. Lack of desire or difficulty in ejaculation or orgasm. It affects approximately 15-20 million Americans between the ages of 40-50.
How do men get an erection?
The penis consists of two chambers made of spongy tissue, which run the length of the penis. This tissue contains smooth muscle, fibrous tissue, spaces, veins and arteries. These chambers (called corpora cavernosa) are surrounded by a membrane. The urethra, which is a common passageway for urine and semen, runs along the underside of this chamber.
When the brain and other local nerve impulses cause the smooth muscle of the chambers to relax and constrict blood flow to flood the space, pressure builds up in the chambers causing the penis to harden. When these muscles contract, trapped blood is released. Less, the penis relaxes.
Causes of Impotence:
In order to achieve and maintain an erection, all of the events described above must occur in sequence. If any of them is omitted, the erection cannot take place or be sustained. The brain must generate nerve impulses that are transmitted through the spinal cord to the male genitalia. In response to these impulses, the muscles, fibrous tissue, veins, and arteries surrounding the corpora cavernosa fill with blood.
The most common cause of impotence is damage to fibrous tissue, smooth muscle of veins, arteries, etc. Many diseases can cause this damage. Among these, the most common are:
3. Chronic smoking or tobacco
5. Multiple sclerosis, an auto immune disease
6. Kidney diseases
7. Psychological disorders – stress, depression, performance pressure
8. Prolonged use of certain drugs – Prolonged use of certain antihistamines, anti depressants, antihypertensive drugs, antidepressants, tranquilizers, appetite suppressants, antacids can cause impotence.
Atherosclerosis, or hardening of the arteries, and vascular disease are generally responsible for about 65 – 70% of cases of impotence. About 35 – 50% of men with diabetes develop impotence.
A study in the recent past has found that erectile dysfunction is also associated with cycling. The number of hours on the bike puts pressure on the penis directly from the bicycle saddle.
Injury to the spinal cord, bladder, prostate, pelvis, or male genitalia can cause damage to the nerves, smooth muscle arteries, and fibrous tissue of the corpora cavernosa. Also surgery in the pelvic area can damage nerves or blood vessels, resulting in impotence.
About 30-35% of impotence cases are due to psychological reasons. These include depression, anxiety, stress, guilt, fear of being caught, fear of failure, lack of proper knowledge about sex, myths and misconceptions about sex. These factors are usually associated with more than 80% of cases of impotence.
A good and easy way to distinguish between physical and mental impotence is to check whether the patient has ever been able to get an erection. If it’s high, it’s likely to be mental, if low, it’s physical.
Effective Home Remedies and Dietary Recommendations for Impotence:
There are also natural remedies for ED that can be recommended for treatment without too many side effects.
L-arginine An amino acid that is abundant in meat, poultry, fish, and dairy products. The body uses arginine to produce nitric oxide, which helps blood vessels relax. However, it should be taken only in moderation as excessive consumption will lead to increased stomach acid and consequent ulcers.
Ashwagandha or “Indian Ginseng” is a tonic herb capable of strengthening the body and traditionally used as an aphrodisiac to increase sexual potential.
Damiana Traditionally used as a male aphrodisiac in Mexico. It has a mild effect.
Siberian Ginseng It is believed to be an aphrodisiac that affects the body system that needs support. It is considered as a great remedy for impotence.
Traditionally Chinese scholars Lycium berries and lotus seeds were used to cure impotence while increasing kidney and liver energy.
saw palmetto Used to treat erectile dysfunction, especially when mixed with other herbs. It basically slows down the conversion of testosterone to dihydrotestosterone.
The bark of the yohimbe tree, found in West Africa, is a traditional aphrodisiac and is also the source of yohimbine, a prescription drug for erectile dysfunction. It increases libido as well as shortens the period between ejaculations. It is not recommended due to the dosage range. A very high dose of this herb can be toxic and a very low dose may have no effect. So they should be taken with caution.
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