Bahasa Melayu : Mati pucuk / Malayalam : not_available / Telugu : అంగస్తంభన (Aṅgastambhana) / Français : dysfonction érectile
Erectile Dysfunction Treatment
• Erectile dysfunction is also known as impotence
• It's usually temporary and doesn't require medical intervention
• If the condition is permanent, it can affect a man's self esteem and sexual relationship
Symptoms to look for:
• Difficulty in maintaining an erection for satisfactory sexual activity
• Old age
• Addiction to nicotine
• Consuming alcohol
• Drug abuse
• Can be a side effect of medical conditions like:
o High cholesterol
o Heart diseases
o Other psychiatric diseases
Natural home remedy using carrots, egg and honey:
1. Take ½ a bowl of chopped carrots
2. Add 1 half boiled egg
3. Add 2 tbsp of honey
4. Mix well
5. Have once everyday
6. Do this for 1 month
Natural home remedy using drumstick flowers:
1. Boil a handful of drumstick flowers in 1 glass of milk
2. Drink it when lukewarm
3. Sip it every day for 1-2 months
This is a good tonic to overcome sexual debility
Natural home remedy using ginger and honey:
1. Crush ginger to a paste
2. Take 2 tsp of this ginger paste
3. Add 2 tsp of honey
4. Mix well
5. Have this 3 times a day
• Erectile dysfunction should not be linked with:
o Lack of sexual desire
o Premature ejaculation
• Communicate your needs with your partner
Erectile Dysfunction Treatment & Natural Herbal Remedies
Erectile dysfunction or malfunction involves the improper functioning of male reproductive organ as a result of which the male organ or penis is unable to secure erection during the performance of sexual act. Erection which is enabled by a spurt of blood flow into the penis is the combined interplay of hormonal and neurological stimulations. Owing to hormonal insufficiency, deficiency of potassium, diabetes, cardiac ailments and psychological factors; erectile dysfunction may occur. Erectile dysfunction leading to male impotency may well develop as side effect of drugs such as anti depressants.
Cure for erectile Dysfunction - Home Remedies & Natural Treatment
Often psychological in origin; the physiological condition of erectile dysfunction may be cured with medication after making a thorough diagnoses of the cause of its origin. But certain home based remedies may also help tide over the given situation, especially where it is triggered by factors of anxiety and tension.
■ Proper physical exercise followed by relaxation is necessary to ensure thorough circulation of blood. Both physical and mental fatigue should be got over with requisite relaxation techniques such as massaging and deep breathing so that long spells of stress and fatigue may be put to rest. Sleep in sufficient amount is also mandatory to make for soothing of the nervous system.
■ However exercising just before sexual performance should be avoided.
■ Amongst the natural herbs, roots and fruits; garlic being the storehouse of beneficial properties helps with its antioxidants in enhancing erection. Two to three cloves of garlic before consuming food proves to be an effective remedial option.
■ Similarly dried fruits with its positive sodium and potassium balance can help recuperate situations where the given dysfunction is the result of potassium deficiency. Dried dates in addition to that of pistachio, raisins and almonds may be snacked on to ensure the concerned remedy. They prove to be equally energizing.
■ Consumption of black currants boiled in milk or had along with a glass of milk adds to potency. Due to its invigorating content it proves to be a healthy option at bedtime.
■ Salads consisting of onions and raw carrots also add to stamina.
■ Regular intake of milk along with two table spoons of grated carrot is another healthy option.
■ Mixture of equal measures of powdered walnut and honey proves to be an effective decoction to tide over erectile problems. Taking the spoonful of the mixture thrice a day followed by a cup of milk proves to be an effectively natural means of treatment.
■ A diet rich in fiber content is also one of the mandatory requirements to counter problems related to erectile malfunction. Stress should be given to include food rich in Vitamin A and Zinc. Fiber by facilitating bowel movement and making for the release of toxins ensures a healthy circulation of blood –one of the requirements of erection.Flaxseed oil with its enriched content of zinc may be included as a cooking medium.
■ Onion soup or broth obtained after boiling cut onions in a medium sized pan filled with water is another effective option. However in cases of digestive and cardiovascular problems, the mentioned remedy is not appropriate.
■ Medicinal herbs by the names of 'Gynko' and 'Aswagandha' are effective in adding to stamina and potency. They can either be taken in forms of tincture or as tonics.
■ Ladies fingers play effective role in adding to masculine vigor and facilitating erection. Apart from having it as vegetable; it can be taken in the form of powdered herb.
■ An immensely beneficial herb by the name of 'goat weed' serves to add to stamina and proper erection by making way for nitric oxide based reaction, which in turn adds to the flow of blood in the penile tissues.
■ Another herbal tonic by the name of 'L Arginine' can be similarly effective.
■ A diet rich in carbohydrate, smoking and unlimited consumption of alcoholic beverages enhance the problems of erectile dysfunction. Hence they should be avoided.
■ Often anxiety giving way to psychological pressures results in erectile dysfunction. It is imperative that you share the internally harbored feelings of anxiety and stress before venturing into sexual act.
Certain meditational or 'yogic' postures also help to counter the problem related to 'ED'. Besides leading a stress free and a healthy sexual life; one needs to ascertain the underlying reason leading to erectile dysfunction. But the above mentioned natural ways can be tried along with simultaneous medical and psychological counseling which also plays an effective role in correcting this dysfunction.
Classification and external resources
ICD-10 F52.2, N48.4
ICD-9 302.72, 607.84
Erectile dysfunction (ED) or impotence is sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual performance.
A penile erection is the hydraulic effect of blood entering and being retained in sponge-like bodies within the penis. The process is often initiated as a result of sexual arousal, when signals are transmitted from the brain to nerves in the penis. The most important organic causes are cardiovascular disease and diabetes, neurological problems (for example, trauma from prostatectomy surgery), hormonal insufficiencies (hypogonadism) and drug side effects.
Psychological impotence is where erection or penetration fails due to thoughts or feelings (psychological reasons) rather than physical impossibility; this is somewhat less frequent but often can be helped. Notably in psychological impotence, there is a strong response to placebo treatment. Erectile dysfunction can have severe psychological consequences as it can be tied to relationship difficulties and masculine self-image generally.
Besides treating the underlying causes such as potassium deficiency or arsenic contamination of drinking water, the first line treatment of erectile dysfunction consists of a trial of PDE5 inhibitor drugs (the first of which was sildenafil or Viagra). In some cases, treatment can involve prostaglandin tablets in the urethra, injections into the penis, a penile prosthesis, a penis pump or vascular reconstructive surgery.
The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina. It is now mostly replaced by more precise terms.[vague] The study of erectile dysfunction within medicine is covered by andrology, a sub-field within urology.
Erectile dysfunction is common; it is suggested that approximately 40% of males suffer from erectile dysfunction or impotence, at least occasionally.
Signs and symptoms
Erectile dysfunction is characterized by the regular or repeated inability to obtain or maintain an erection. It is analyzed in several ways :
-Obtaining full erections at some times, such as when asleep (when the mind and psychological issues, if any, are less present), tends to suggest that the physical structures are functionally working.
-Other factors leading to erectile dysfunction are diabetes mellitus (causing neuropathy).
-Drugs (anti-depressants (SSRIs) and nicotine are most common)
-Cavernosal disorders (Peyronie's disease)
-Psychological causes: performance anxiety, stress, mental disorders, psychological problems, negative feelings.[not in citation given]
-Aging. It is four times higher in men in their 60s than in men in their 40s.
-Diseases such as diabetes and multiple sclerosis (MS). While these two causes have not been proven they’re likely suspects as they cause issues with both the blood flow and nervous systems.
-At least one paper has suggested that arsenic poisoning from contaminated well water may be a cause in some regions, perhaps by alteration of voltage gated potassium channels.
-Lifestyle: smoking is a key cause of erectile dysfunction. Smoking causes impotence because it promotes arterial narrowing.
Surgical intervention for a number of conditions may remove anatomical structures necessary to erection, damage nerves, or impair blood supply. Erectile dysfunction is a common complication of treatments for prostate cancer, including prostatectomy and destruction of the prostate by external beam radiation, although the prostate gland itself is not necessary to achieve erection.
ED can also be associated with bicycling due to both neurological and vascular problems due to compression. The increase risk appears to be about 1.7 fold.
A recent study suggests an epidemiological association between chronic periodontitis (periodontal inflammation) and erectile dysfunction, similarly to the association between periodontitis and coronary heart diseases, and cerebrovascular diseases. In all the three conditions (erectile dysfunction, coronary heart disease and cerebrovascular diseases), despite the epidemiological association with periodontitis, no causative connection has yet been proven.
February 2011: Men who use non-steroidal anti-inflammatory drugs (NSAIDs) 3 times a day for more than 3 months are at a 22 percent increased risk of erectile dysfunction. A link between NSAID use and erectile dysfunction still existed for different age, race, ethnicity, smoker, diabetes, hypertension, high cholesterol, coronary diasease and other health problems. But due to benefit of NSAID, it's too early for men to avoid NSAIDs based solely on the research stated at Journal of Urology.
Penile erection is managed by two mechanisms: the reflex erection, which is achieved by directly touching the penile shaft, and the psychogenic erection, which is achieved by erotic or emotional stimuli. The former uses the peripheral nerves and the lower parts of the spinal cord, whereas the latter uses the limbic system of the brain. In both conditions, an intact neural system is required for a successful and complete erection. Stimulation of the penile shaft by the nervous system leads to the secretion of nitric oxide (NO), which causes the relaxation of smooth muscles of corpora cavernosa (the main erectile tissue of penis), and subsequently penile erection. Additionally, adequate levels of testosterone (produced by the testes) and an intact pituitary gland are required for the development of a healthy erectile system. As can be understood from the mechanisms of a normal erection, impotence may develop due to hormonal deficiency, disorders of the neural system, lack of adequate penile blood supply or psychological problems. Restriction of blood flow can arise from impaired endothelial function due to the usual causes associated with coronary artery disease, but can also be caused by prolonged exposure to bright light.
There are no formal tests to diagnose erectile dysfunction. Some blood tests are generally done to exclude underlying disease, such as hypogonadism and prolactinoma. Diabetes is considered a disorder, but is also a risk. Impotence is also related to generally poor physical health, poor dietary habits, obesity, and most specifically cardiovascular disease such as coronary artery disease and peripheral vascular disease.
A useful and simple way to distinguish between physiological and psychological impotence is to determine whether the patient ever has an erection. If never, the problem is likely to be physiological; if sometimes (however rarely), it could be physiological or psychological. The current diagnostic and statistical manual of mental diseases (DSM-IV) has included a listing for impotence.
Duplex ultrasound is used to evaluate blood flow, venous leak, signs of atherosclerosis, and scarring or calcification of erectile tissue. Injecting prostaglandin, a hormone-like stimulator produced in the body, induces erection. Ultrasound is then used to see vascular dilation and measure penile blood pressure.
Penile nerves function
Tests such as the bulbocavernosus reflex test are used to determine if there is sufficient nerve sensation in the penis. The physician squeezes the glans (head) of the penis, which immediately causes the anus to contract if nerve function is normal. A physician measures the latency between squeeze and contraction by observing the anal sphincter or by feeling it with a gloved finger inserted past the anus.
Nocturnal penile tumescence (NPT)
It is normal for a man to have five to six erections during sleep, especially during rapid eye movement (REM). Their absence may indicate a problem with nerve function or blood supply in the penis. There are two methods for measuring changes in penile rigidity and circumference during nocturnal erection: snap gauge and strain gauge. A significant proportion of men who have no sexual dysfunction nonetheless do not have regular nocturnal erections.
This test uses electromagnetic vibration to evaluate sensitivity and nerve function in the glans and shaft of the penis.
Dynamic infusion cavernosometry (DICC)
technique in which fluid is pumped into the penis at a known rate and pressure. It gives a measurement of the vascular pressure in the corpus cavernosum during an erection.
Cavernosography measurement of the vascular pressure in the corpus cavernosum. Saline is infused under pressure into the corpus cavernosum with a butterfly needle, and the flow rate needed to maintain an erection indicates the degree of venous leakage. The leaking veins responsible may be visualised by infusing a mixture of saline and x ray contrast medium and performing a cavernosogram.; Digital Subtraction Angiography: In DSA, the images are acquired digitally.
Magnetic resonance angiography (MRA)
This is similar to magnetic resonance imaging. Magnetic resonance angiography uses magnetic fields and radio waves to provide detailed Photo of the blood vessels. Doctors may inject a "contrast agent" into the patient's bloodstream that causes vascular tissues to stand out against other tissues. The contrast agent provides for enhanced information regarding blood supply and vascular anomalies.
Treatment depends on the cause.
Exercise, particularly aerobic exercise is an effective treatment for erectile dysfunction.
When pharmacological methods fail, a purpose-designed external vacuum pump can be used to attain erection, with a separate compression ring fitted to the penis to maintain it. These pumps should be distinguished from other penis pumps (supplied without compression rings) which, rather than being used for temporary treatment of impotence, are claimed to increase penis length if used frequently, or vibrate as an aid to masturbation. More drastically, inflatable or rigid penile implants may be fitted surgically. Medications carry risk of priapism.
All these mechanical methods are based on simple principles of hydraulics and mechanics and are quite reliable, but have their disadvantages.
Phosphodiesterase type 5 inhibitors
The cyclic nucleotide phosphodiesterases constitute a group of enzymes that catalyze the hydrolysis of the cyclic nucleotides cyclic AMP and cyclic GMP. They exist in different molecular forms and are unevenly distributed throughout the body.
One of the forms of phosphodiesterase is termed PDE5. The prescription PDE5 inhibitors sildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis) are prescription drugs which are taken orally. They work by blocking the action of PDE5, which causes cGMP to degrade.
Alprostadil in combination with the permeation enhancer DDAIP has been approved in Canada under the brand name Vitaros as a topical cream first line treatment for erectile dysfunction.
Another treatment regimen is injection therapy. One of the following drugs is injected into the penis: papaverine, phentolamine, and prostaglandin E1.
Often, as a last resort if other treatments have failed, the most common procedure is prosthetic implants which involves the insertion of artificial rods into the penis.[unreliable source?]
The device helps draw blood into the penis by applying negative pressure. This type of device is sometimes referred to as penis pump and may be used just prior to sexual intercourse. Several types of FDA approved vacuum therapy devices are available with a doctor's prescription.
The FDA does not recommend alternative therapies (i.e. those that have not received FDA approval) to treat sexual dysfunction. Many products are advertised as "herbal viagra" or "natural" sexual enhancement products, but no clinical trials or scientific studies support the effectiveness of these products for the treatment of erectile dysfunction, and synthetic chemical compounds similar to sildenafil have been found as adulterants in many of these products. The United States Food and Drug Administration has warned consumers that any sexual enhancement product that claims to work as well as prescription products is likely to contain such a contaminant.
During the late 16th and 17th centuries in France, male impotence was considered a crime, as well as legal grounds for a divorce. The practice, which involved inspection of the complainants by court experts, was declared obscene in 1677.
Dr. John R. Brinkley initiated a boom in male impotence cures in the US in the 1920s and 1930s. His radio programs recommended expensive goat gland implants and "mercurochrome" injections as the path to restored male virility, including operations by surgeon Serge Voronoff.
Modern drug therapy for ED made a significant advance in 1983, when British physiologist Giles Brindley, Ph.D. dropped his trousers and demonstrated to a shocked Urodynamics Society audience his papaverine-induced erection. The drug Brindley injected into his penis was a non-specific vasodilator, an alpha-blocking agent, and the mechanism of action was clearly corporal smooth muscle relaxation. The effect that Brindley discovered established the fundamentals for the later development of specific, safe, orally effective drug therapies.
Gene therapy is being developed that would allow for weeks or months long effect, supporting erections. This gene therapy involves injection of a transfer gene, calcium-sensitive potassium channel (hMaxi-K), into the penis.
A study done at the Medical College of Georgia has found that venom from the Brazilian wandering spider contains a toxin, called Tx2-6, that causes erections. Scientists believe that combining this toxin with existing medication such as Viagra may lead to an effective treatment for erectile dysfunction.
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