Erectile Dysfunction which is also called as impotence causes in inability to achieve or maintain erection for a longer time to perform sexual intercourse. There are lots of reasons for Erectile Dysfunction.
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Erectile dysfunction (ED), formerly known as impotence, is the inability to achieve or maintain an erection long enough to engage in sexual intercourse.
Under normal circumstances, when a man is sexually stimulated, his brain sends a message down the spinal cord and into the nerves of the penis. The nerve endings in the penis release chemical messengers, called neurotransmitters, that signal the arteries that supply blood to the corpora cavernosa (the two spongy rods of tissue that span the length of the penis) to relax and fill with blood. As they expand, the corpora cavernosa close off other veins that would normally drain blood from the penis. As the penis becomes engorged with blood, it enlarges and stiffens, causing an erection. Problems with blood vessels, nerves, or tissues of the penis can interfere with an erection.
It is estimated that up to 30 million men frequently suffer from ED and that it strikes up to half of all men between the ages of 40 and 70. Doctors used to think that most cases of ED were psychological in origin, but they now recognize that, at least in older men, physical causes may play a primary role in 60% or more of all cases. In men over the age of 60, the leading cause is atherosclerosis, or narrowing of the arteries, which can restrict the flow of blood to the penis. Injury or disease of the connective tissue, such as Peyronie's disease, may prevent the corpora cavernosa from completely expanding. Damage to the nerves of the penis from certain types of surgery or neurological conditions, such as Parkinson's disease or multiple sclerosis, may also cause ED. Men with diabetes are especially at risk for erectile dysfunction because of their high risk of both atherosclerosis and a nerve disease called diabetic neuropathy.
Some drugs, including certain types of blood pressure medications, antihistamines, tranquilizers (especially before intercourse), and antidepressants known as selective serotonin reuptake inhibitors (SSRIs, including Prozac and Paxil) can interfere with erections. Smoking, excessive alcohol consumption and illicit drug use may also contribute. In some cases, low levels of the male hormone testosterone may contribute to erectile failure. Finally, psychological factors, such as stress, guilt, or anxiety, may also play a role, even when the ED is primarily due to organic causes.
The list of causes of Erectile dysfunction are listed below:
Erection problems usually produce a significant psychological and emotional reaction in most men. This is often described as a pattern of anxiety and stress that can further interfere with normal sexual function. This "performance anxiety" needs to be recognized and addressed by your doctor. For some men, erectile dysfunction develops with age or may be related to depression or another psychological cause, such as widower syndrome. Certain feelings can interfere with normal sexual function, including feeling nervous about or self-conscious about sex; feeling stressed either at home or at work; or feeling troubled in your current relationship. In these cases, psychological counseling with you and your sexual partner may be successful. One episode of failure, regardless of cause, may propagate further psychological distress leading to further erectile failure.
In determining a physical (or organic) cause, your doctor will first rule out certain conditions, such as high blood pressure, high cholesterol, heart and vascular disease, low male hormonelevel, prostate cancer, and diabetes, which are associated with erectile dysfunction. In addition to these conditions, certain systemic and respiratory diseases are known to result in erectile dysfunction:
Often, one can restore sexual health by treating a condition such as high blood pressure with diet and/or exercise or by controlling diabetes or other chronic diseases. Nutritional states, including malnutrition and zinc deficiency, may be associated with erectile dysfunction and can also be treated with diet. Almost any disease can affect erectile function by altering the nervous, vascular, or hormonal systems. Various diseases may produce changes in the smooth muscle tissue of the penis or influence mood and behavior.
Diseases that affect the nervous system and are commonly associated with erectile dysfunction include:
Vascular disease includes atherosclerosis (fatty deposits on the walls of the arteries, also called hardening of the arteries), a history of heart attacks, peripheral vascular disease (problems with blood circulation), and high blood pressure.
Prolonged tobacco use (smoking) is considered an important risk factor for erectile dysfunction because it is associated with poor circulation and its impact on cavernosal function.
Blood diseases, such as sickle cell anemia and leukemias, are also associated with erectile dysfunction.
An imbalance in your hormones, such as testosterone, prolactin, or thyroid, can cause erectile dysfunction. The following hormonal (or endocrine) conditions are commonly associated with erectile dysfunction:
Medications used to treat other medical disorders may cause erectile dysfunction. If you think erectile dysfunction is caused by a medication, talk with your doctor about drugs that might not cause this side effect. Common medications associated with erectile dysfunction are:
Surgery in the pelvic area may injure the nerves and the arteries near the penis, resulting in erectile dysfunction. Also, surgical procedures on the brain and the spinal cord may cause erectile dysfunction. Those procedures often associated with erectile dysfunction include:
Trauma or injury to the penis and/or the pelvic blood vessels and nerves is another potential factor in the development of erectile dysfunction. Peyronie's disease is a condition associated with erectile dysfunction. With this disease, scar tissue forms inside the penis, and the penis is usually bent or curved during an erection. Injuries to the penis may also result in scar tissue formation as well as penis curvature during an erection. Bicycle riding for long periods has also been implicated as a cause of erectile dysfunction. Some of the newer bicycle seats have been designed to soften pressure on the perineum (the soft area between the anus and the scrotum).
When diagnosing the underlying cause of erectile dysfunction, the doctor begins by asking the man a number of questions about when the problem began, whether it only happens with specific sex partners, and whether he ever wakes up with an erection. (Men whose dysfunction occurs only with certain partners or who wake up with erections are more likely to have a psychological cause for their ED.) Sometimes, the man's sex partner is also interviewed. In some cases, domestic discord may be a factor. The doctor also obtains a thorough medical history to find out about past pelvic surgery, diabetes, cardiovascular disease, kidney disease, and any medications the man may be taking. The physical examination should include a genital examination, hormone tests, and a glucose test for diabetes.
Erectile dysfunction which is a very common complaint can be generally rectified by following few simple steps. Here goes the list of simple but effective tips to rectify erectile dysfunction.
Erectile dysfunction (ED) is the inability of a man to achieve or maintain an erection sufficient for his sexual needs or the needs of his partner. Erectile dysfunction is sometimes called as "impotence".
The term "erectile dysfunction" can mean the inability to achieve erection, an inconsistent ability to do so, or the ability to achieve only brief erections.
Men with diabetes usually face erectile dysfunction. About 75% of diabetic men suffer from erectile dysfunction or impotence. The erectile dysfunction develops earlier in diabetic men than non diabetic men.
Erection requires a sequence of events. Erectile dysfunction can occur when any of the events is disturbed. Nerve impulses in the brain, spinal column, around the penis and response in muscles, fibrous tissues, veins and arteries in and around the corpora cavernosa constitute this sequence of events. Injury to any of these parts which are part of this sequence (nerves, arteries, smooth muscles, fibrous tissue) can cause ED.
In ayurveda physiology of erection and ejaculation is described as follows
Vrishunow basthimedram cha naabhyuuru vankshnow gudam|
Apaanasthaanamantrasthaha shukra mootra shakrunti cha||
The "apaanavayu" one of the five types of vayu is located in the testicles, urinary bladder, phallus, umbilicus, thighs, groin, anus and colon. Its functions are ejaculation of semen, voiding of urine and stools".
Shushruta explains the process of erection and ejaculation as "When a man has desire (iccha) to have sex, his response to touch increases (Vayu located in skin causes flow of signals from skin to brain, thus causing sensation of touch. Generally Vata controls the flow of signals in nervous system.). This causes arousal or "harsha". Arousal or Harsha intensifies actions of vayu and at this moment highly active vayu liberates the "teja"or heat of pitta. Thus tejas and vayu increase body temperature, heart beat and blood flow causing erection. "
Diabetes damages blood vessels and nerves (neuropathy) throughout body. When blood vessels and nerves which control erection, are damaged, they do not communicate properly and the blood flow to penis tissue is impaired. This causes erectile dysfunction
According to ayurvedic text "ashtanga sangraha", diabetes is caused due to vitiation of vata. pitta, kapha and rakta (blood). Vitiated doshas affect almost all tissues of body in diabetes. According to ayurveda the process of erection occurs due to involvement of vata, pitta and rakta . The process of erection will be normal when vata, pitta and rakta are in normal and balanced condition. Vitiated vata fails to cause normal flow of signals and arousal does not occur. Vitiated pitta and rakta fail to complete the process of blood flow to penis.