A man is considered to be impotent or have erectile dysfunction if he regularly
finds it difficult getting or keeping a firm enough erection to be able to have
sex, or if it interferes with other sexual activity.
Most men have occasionally
experienced some difficulty with their penis becoming hard or staying firm.
However, erectile dysfunction (ED) is only considered a concern if satisfactory
sexual performance has been impossible on a number of occasions for some time.
Since the discovery
that the drug sildenafil, or Viagra, affected penile erections, most people
have become aware that ED is a treatable medical condition.
Men who have a problem
with their sexual performance may be reluctant to talk with their doctor,
seeing it can be an embarrassing issue.
However, ED is now well
understood, and there are various treatments available.
Fast facts on erectile dysfunction:
·
Erectile dysfunction (ED)
is defined as persistent difficulty achieving and maintaining an erection
sufficient to have sex.
·
Causes are usually medical
but can also be psychological.
·
Organic causes are usually
the result of an underlying medical condition affecting the blood vessels or
nerves supplying the penis.
·
Numerous prescription
drugs, recreational drugs, alcohol, and smoking, can all cause ED.
Causes
Normal erectile function can be affected by problems with any of the
following systems:
·
blood flow
·
nerve supply
·
hormones
Physical causes
It is always worth consulting a physician about persistent erection
problems, as it could be caused by a serious medical condition.
Whether the cause is simple or serious, a proper diagnosis can help to
address any underlying medical issues and help resolve sexual difficulties.
The following list summarizes many of the most common physical or
organic causes of ED:
·
Heart disease and
narrowing of blood vessels
·
Diabetes
·
High Blood Pressure
·
Obesity and metabolic syndrome
·
Parkinson's disease
·
multiple
sclerosis
·
Hormonal disorders
including thyroid conditions and testosterone deficiency
·
Structural or anatomical disorder of
the penis, such as Peyronie disease
·
Smoking, alcoholism, and substance abuse, including cocaine use
·
Treatments for prostate disease
·
Surgical complications
·
Injuries in the pelvic area or spinal
cord
·
Radiation
Therapy to the pelvic region
Atherosclerosis is a common cause of blood flow problems. Atherosclerosis
causes a narrowing or clogging of arteries in the penis, preventing the
necessary blood flow to the penis to produce an erection.
Numerous prescription medications can also cause ED, including those
below. Anyone taking prescription medications should consult their doctor
before stopping or changing their medications:
·
Drugs to control high blood pressure
·
Heart medications such as digoxin
·
Some diuretics
·
Drugs that act on the central nervous system,
including some sleeping pills and amphetamines
·
Anxiety treatments
·
Antidepressants,
including monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake
inhibitors (SSRIs), and tricyclic antidepressants
·
Opioid painkillers
·
Some cancer drugs, including chemotherapeutic
agents
·
Prostate treatment drugs
·
Anticholinergics
·
Hormone drugs
·
The peptic ulcer medication
cimetidine
Physical
causes account for 90 percent of ED cases, with psychological causes much
less common.
Psychological causes
In rare
cases, a man may always have had ED and may never have achieved an erection.
This is called primary ED, and the cause is almost always psychological if
there is no obvious anatomical deformity or physiological issue.
Such
psychological factors can include:
·
Guilt
·
Fear of intimacy
·
Depression
·
Severe anxiety
Most
cases of ED are 'secondary.' This means that erectile function has been normal,
but becomes problematic. Causes of a new and persistent problem are usually
physical.
Less
commonly, psychological factors cause or contribute to ED, with factors ranging
from treatable mental health illnesses to everyday emotional states that most people experience
at some time.
It is important to note that there can be overlap between medical and
psychosocial causes. For instance, if a man is obese, blood flow changes can
affect his ability to maintain an erection, which is a physical cause. However,
he may also have low self-esteem, which can impact erectile function and is a
psychosocial cause.
Does riding a bicycle cause ED?
Questions remain about the effects on men's health of riding a bicycle.
Some research has raised concerns that men who regularly cycle for long
hours could have a higher risk of ED, in addition to other men's health issues
such as infertility and prostate cancer.
The
most recent study to investigate
this found that there was no link between riding a bike and ED, but it did find
an association between longer hours of cycling and the risk of prostate cancer.
Treatment
The good news is that there are many treatments for ED, and most men
will find a solution that works for them. Treatments include:
Drug treatments
Men can take a group of drugs called PDE-5 (phosphodiesterase-5)
inhibitors.
Most of these pills are taken 30 to 60 minutes before sex - the best
known being the blue-colored pill sildenafil (Viagra). Other options are:
·
vardenafil (Levitra)
·
tadalafil (taken as a once-daily pill
called Cialis)
·
avanafil (Stendra)
PDE-5 inhibitors are only available on prescription. A doctor will check
for heart conditions and ask about other medications being taken before
prescribing.
Side-effects associated with PDE-5 inhibitors include:
·
Flushing
·
Visual abnormalities
·
Hearing Loss
·
Indigestion
·
Headache
Less commonly used drug options include prostaglandin E1, which is
applied locally by either injecting it into the penis or inserting it down the
opening of the urethra.
Most men prefer a pill, however, so these locally acting drugs tend to
be reserved for men who cannot take oral treatment.
drug or a dangerous product.
Vacuum devices
Vacuum erection devices are a mechanical way of producing an erection
for men who do not want or cannot use drug treatments, or find they are not
working.
The penis is made rigid by the use of a vacuum pump sealed around it
that draws up blood. This is prevented from then leaving the penis by the use
of an accompanying band.
The lack of spontaneity with the use of vacuum devices means that many
men find other treatments for ED preferable.
Surgical treatments
There are several surgical treatment options:
·
Penile implants: These are a final option reserved for men who have not had any
success with drug treatments and other non-invasive options.
·
Vascular surgery: Another surgical option for some men is vascular surgery, which
attempts to correct some blood vessel causes of ED.
Surgery is a last resort and will only be used in the most extreme
cases. Recovery time varies, but success rates are high.
Exercises
There are exercises a man can carry out to reduce the effects of ED.
The best way to treat erectile dysfunction without medication is by strengthening
the pelvic floor muscles with Kegel
exercises. These are often associated with women looking to strengthen their
pelvic area during pregnancy, but they can be effective for men looking to
regain full function of the penis.
Firstly, find the pelvic floor muscles. You can achieve this by stopping
mid-stream two or three times the next time you urinate. The muscles you can
feel working during this process are the pelvic floor muscles, and they will be
the focus of Kegel exercises.
One Kegel exercise consists of tightening and holding these muscles for
5 seconds and then releasing them. Try to do between 10 and 20 repetitions each
day. This may not be possible when you first start doing the exercises.
However, they should become easier over time.
You should be able to notice an improvement after 6 weeks.
Make sure you are breathing naturally throughout this process and avoid
pushing down as if you are forcing urination. Instead, bring the muscles
together in a squeezing motion.
Aerobic exercise, such a jog or even a brisk walk, can also help the
blood to circulate better and can help improve ED in men
who have circulation issues.
NATURAL WAYS TO OVERCOME IMPOTENCE:
1. Walk 2 Miles in Your Own Shoes
When it comes to
boosting sexual performance, many men will walk all over God’s green earth
looking for ways to maintain a good sex life. Luckily men, all you have to do
is walk — not run — 2 miles a day. This, along with other healthier
lifestyle interventions can help obese men reduce their risk of ED, or even
“reverse” current impotence, according to a 2005 study. This
comes of importance, since maintaining a trim waistline is a good defense for
ED, as men with a 42-inch waist are 50 percent more likely to have ED than
those with a 32-inch waist. Getting to a healthy weight and maintaining it is a
good strategy for preventing and treating ED.
2. Move Your Nether Regions
The phrase “use it
before you lose it” can be applied when it comes to helping men with ED regain
normal erectile function. Pelvic exercises, more commonly known as kegel
exercises, are used to promote urinary continence and sexual health. They help
to strengthen the bulbocavernosus muscle, which does three things: allows the
penis to engorge with blood during erection, it pumps during ejaculation, and
it helps empty the urethra after urination.
3. Get Needled
The art of acupuncture
has become the new treatment for everything from back pain, depression, and
even ED. Impotence could be more of a state of mind, and acupuncture may help.
Through this alternative therapy, fine needles are placed in various parts of
the body to relieve pain or stress. Although there are many mixed studies for
acupuncture and ED, many tend to confirm positive results
4. Take Some 'Herbal Viagra'
Ginseng, specifically
“red ginseng,” is known as the “herbal Viagra” that helps puts to rest men’s
bedroom woes. Red ginseng is when the root has been steamed and then dried. The
ginseng root is the part of the plant that is mostly used as a natural remedy
when in its supplement form. However, the plant must be grown for a minimum of
five years before it can be used. In a 2008 review, seven studies on red ginseng and ED, ranging in
dosages from 600 to 1,000 milligrams three times a day, were found to provide
evidence for the effectiveness of the herb in ED treatment.
5. Take This Amino Acid Found in Your Body
L-arginine, an amino
acid that is naturally present in the body and helps make nitric oxide,
supports a successful erection. Nitric oxide is responsible for making the
blood vessels relax, which helps sustain an erection for men. A 1999 study, observed the effects of six weeks of high-dose (5
grams/day) orally administered nitric oxide (NO) donor L-arginine on men with
organic ED. Thirty-one percent of those who took 5 grams/day of L-arginine
experienced significant improvements in sexual function. Burns told Medical Daily,
“l-arginine and deer antler velvet” have been the most popular go-to natural
treatments for men.
6. Drink Watermelon Juice
A cold slice of
watermelon can do more than just satisfy thirst and hunger during the warm
summer months; it can help with bedroom satisfaction. Citrulline, the amino
acid found in high concentrations of watermelon, is found to improve blood flow
to the penis. A 2011 study revealed men who suffered from mild to moderate ED
and took L-citrulline supplementation showed an improvement with their erectile
function and were very satisfied. Natural watermelon juice, or “nature’s
Viagra,” can also be easier on the stomach, since taking pills like Viagra can
cause nausea and diarrhea.
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