Suggested Title: natural treatment of erectile dysfunction Dysfunction: You won’t need to Live With it?
Suggested Title: Is Erection Dysfunction Wreaking Havoc on your health?
Suggested Title: Being affected by Erection Dysfunction? There’s Hope!
Typically called ED, impotence problems is called not being able to achieve and/or sustain a harder erection which will enable intercourse. The challenge may be chronic and absolute, meaning that you can’t provide an erection in any way or it could be experienced once in a while.
Although extremely common males to have not being able to sustain or achieve a harder erection over a few occasions throughout their lives, should this happen a lot more than 50% of the occasions when involving in sexual activity, the matter qualifies as a case of impotence problems. The ailment differs from other problems that impact intercourse, such as the not enough desire and failure to ejaculate.
ED isn’t age specific and young and comparatively healthy men in addition to older men can suffer from the situation however, it is also familiar with advancing age. It should be noted that impotence problems isn’t normal at every age and even, with regards to the underlying reason for the situation, it can be cured entirely or at least treated successfully.
The condition is a bit more common than you think that!
Most men find it incredibly embarrassing to go over erectile issues even with their doctors. Unfortunately, this is simply not an issue that could be swept within the carpet nor does it resolve on its own if not treated. In reality, impotence problems may be symptomatic to serious health problems in addition to lead to a variety of psychological problem not to mention that not being able to satisfy your partner in bed will impact your relationship as well.
According to the NIH (National Institute of Health), in 2012, there was about thirty million men in the usa who endured the ailment. Mild to moderate ED affects about 10% of the men for every decade of their lives. So far as severe or complete impotence problems is involved, about 5% of the men within their 40′s and 15% to 25% men from the age bracket of 60 to 70 years are afflicted by the condition.
Different degrees of impotence problems
ED may be segregated into three categories with regards to the symptoms:
The absolute inability to achieve a harder erection that is the penis doesn’t harden in any way
Moderate erection has experience but it’s easy enough for penetrative sex
Erection is achieved but it’s over quickly, usually less than one minute
The sources of impotence problems
To know the physiological issues behind ED, you must know regarding how a harder erection is caused. To achieve a harder erection:
The nerves from the penis have to be functioning properly to relay the feeling of stimulation to the brain, which is starting point to finding a harder erection.
Responding, the blood flow to the penis is increased, so the total number of blood entering the penis ought to be adequate.
The arteries can stop the back flow of the blood through the penis, and can trap whilst the blood for very long enough.
The muscles from the pelvic area must relax to allow the arteries to dilate, thus allowing the additional the circulation of blood to the penis.
If there is an issue interfering with any of these functions, it’ll impact what you can do to obtain a full erection and to maintain it.
The risk factors of ED
There are a several factors that create impotence problems from psychological issues including anxiety and stress to underlying health problems including atherosclerosis, angina and also other cardiovascular diseases with an unhealthy lifestyle and abusing drugs. Here’s a detailed take a look at how these factors can inhibit your performance.
1. Age and genetics
When ED is discussed the most frequent image that comes to mind is a frail, old man who can’t take pleasure in sexual activity because of his failing health. However, it is a misconception inspite of the rate of impotence problems increasing with age. ED may be prevented, in spite of age because in itself aging doesn’t cause lack of staying power.
It does not take health problems that afflict people as they get older which can be blamed for impotence problems. So, it is understandable why the ED occurrence risk males that are 75 years is almost 45%. The genetic hyperlink to ED all means being currently studied however, what exactly is already known is black and Hispanic guys are more at risk with ED rates of 24.9% and 25.3% as compared to Caucasian men that use a risk rate of 18.1%. Although scientists have found out that the difference could be attributed to social economic conditions instead of race.
2. Certain health problems
Up to 70% of the ED cases are symptoms of other ailments particularly, cardiovascular diseases, renal problems, endocrine disorders, diabetes and neurological problems. Typically, in the event the underlying health affliction is treated, ED is sorted out on its own.
3. Impact of prescription drugs
Nearly 70% of the men on high blood pressure medication quit taking their pills because they are afflicted by impotence problems. Although nearly 5000 various kinds of drugs are acknowledged to cause ED as an unwanted effect, the condition is mostly associated with medication used in the management of high blood pressure. Diuretics and beta blockers can also known to cause erection problems.
So, it is imperative to discuss any sexual problems that could have come on after taking prescription medicine along with your doctor. You’ll find high blood pressure drugs that will not cause ED and a few others which could even help in addressing erection problems. Usually, alpha blockers, ACE inhibitors, ARB’s and calcium channel blockers may be taken safely without worrying about sexual negative effects.
Nitric oxide supplement deficiencies were directly associated with cases of impotence problems within a Nobel prize winning study. NO or nitric oxide supplements represents the catalyst from the erection process mainly because it provides the impulse for the arteries as well as the muscles from the pelvic place to relax and smoothen out, which is necessary to allow blood flow to the penile tissue.
Caffeine is secreted by the endothelium (lining of the arteries), so if there is any injury to this lining there’ll be an insufficiency of NO from the system. Inflammation and cholesterol related oxidation are the primary reasons for nitric oxide supplements deficiency.
Deficiencies in nitric oxide supplements not only contributes to impotence problems and also numerous cardiovascular diseases including high blood pressure, strokes, cardiac event, coronary blockages, infections, forgetfulness, arthritis, stomach ulcers and also other inflammatory ailments. It was found out that scarcity of nitric oxide supplements shall be primarily blamed for age related impotence problems.
5. Obesity with an unhealthy lifestyle
This Year, a survey was published from the Journal of Sexual Medicine which pointed to the fact that a decreased calorie diet not only helped from the lowering of weight in men, and also increased sexual interest and erections. This showed a definite eating habits study obesity and ED.
Similarly, abusing drugs, abusive drinking and smoking all can cause impotence problems. In reality, smoking is the explanation for ED in men under the age of 40, since nicotine is known to constrict the arteries, preventing the circulation of blood to the penis.
6. Spinal and nerve damage
Any injury to the nerves from the pelvic and penile area, whether it be because of an accident, surgical treatment or diseases will impact erections. Usually such damage is known to occur after surgical treatment is conducted to treat cancer of prostate, automobile accident, spinal trauma, surgery for prostate enlargement, long term diabetes and multiple sclerosis.
7. Cancer and it is treatment
Nearly 10% to 90% of cancer patients experience impotence problems following your diagnosis and the management of their condition. The prevalence rate varies with regards to the location and type of cancer and also the use of treatment modalities. Particularly, patients that are suffering from testicular and cancer of prostate are prone to struggling with ED.
Can be your ED associated with psychological causes?
About 20% of ED cases may be attributed to psychological factors. The psychological issue might actually be a second response to a fitness concern. In some instances, ED may be traced to childhood abuse and sexual trauma experienced when young. However, the most frequent psychological reasons for impotence problems include:
Stress: It can be job related, because of marital or relationship problems or some other factor.
Anxiety: Several episodes of ED can create intense performance anxiety which will subsequently lead to a higher occurrence rate.
Depression: Because depression has physical and psychological ramifications, you can get ED even just in men that are comfy in sexual situations. Also, drugs used to treat the condition can lead to ED.
Low self-confidence: Male impotence may be caused because of a feeling of guilt over being unable to satisfy ones partner and from confidence issues.
Decrease of interest: Indifference could also cause ED also it can originate from relationship problems, medication or age.
The way to know 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-arginine erectile dysfunction treatment: 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!