Peyronie's disease is a problem predominantly found in 3-9% of adult men, especially after 40 years of age. In the disease, a scar tissue is formed in the outer layer of the penis called tunica albuginea. Scar tissue is a just plaque inside the penis.

Peyronie's disease causes the penis to bend sideways or upwards and can make sex become difficult due to deformity and erection may be a painful process. It is usually associated with erectile dysfunctions, severe anxiety and reduced testosterone levels. It is worth noting that there are treatments for peyronie's disease, however, the pain often goes away on its own, generally, in 6-18 months of onset, but the deformity stays.

Here is everything you need to know about this disease:

Causes
It is not known exactly what causes peyronie's disease, however, there are some factors, which make it more likely than others. Here are those factors:

1. Trauma: this is the most common factor which causes peyronie's disease. It is believed that when someone suffers from tiny bleeding of the penis, which is very common in patients of diabetes, the plaque starts to build up. The injury or trauma, which causes the bleeding may go unnoticed as well.
2. Genes: genes are also a possible cause of peyronie's disease.

Symptoms
The symptoms of peyronie's disease vary, such as:
1. Pain on erection: there is usually pain in erection during the initial phase.
2. Bent penis: when the penis becomes hard before sex, it may bend downwards or sideways by more than 15 degree, so the vaginal entry becomes impossible or is painful for the partner.
3. Scars: tissue may form on other parts of the body, as well including the hand and feet. In fact, it has been said that men who have scarring in the hand, which affect the fingers are more likely to contract the disease as well.
One may see extensive scarring in hands in a disease called dupuytren's contracture. 

Treatment
1. Wait &amp; watch: it is worth noting the acute phase with pain is treated by wait and watch, controlling contributory factors like diabetes, low testosterone and psychogenic factors. Antioxidants are useful. Large number of cases are relieved of the pain in 1 to 1.5 years.
2. Intralesional injection: if the bend is significant enough to interfere in sexual functioning, it can be treated by injecting medicines in the plaque. The medicine, xiaflex is currently not available in india and other medicines given are not very effective.
3. Surgery: this is a last option when peyronie's disease has not gone on it's own and medicines are not helping either. The two most common procedures performed are removing the plaque and putting a tissue graft in its place and also removing the tissue opposite the plaque to counter the bending effect. The results are fairly good.

Going for a penile implant is the last option, which is a permanent solution and is commonly done in india. And, the success rate for penile implant is also very high.

Peyronie's Disease: About Bent Penis

Impact of Weight Loss on Erectile Dysfunction

When a man fails to develop or maintain an erection, he is said to be suffering from 'Erectile dysfunction'. Intake of certain drugs, neurogenic disorders, aging, surgery, smoking, obesity, diseases like diabetes and kidney failure are among the primary causes of this condition.

What impact does excessive body weight have on erection?

Obesity is one of the most important causes of erectile dysfunction. It obstructs proper flow of blood to the penis. Also, research associates obesity with reduced levels of testosterone and lesser sex drive, in turn, causing problems related to erection. Therefore, reducing weight becomes very important in order to improve this condition.

How are weight loss and erectile dysfunction related?

Studies show that within a span of two months, losing 5-10% of the body weight helps a man to improve erectile function. Weight loss not only improves the health of the man significantly but also an improvement in the sex life is observed as a result of this. Men with this condition usually depend on pills like Viagra or Cialis to get erections. But once they start losing weight by doing proper physical exercises and maintain a proper diet, they do not feel the need to rely on them anymore.

Also, most researchers share the view that weight loss achieved through lifestyle modifications helps in relieving you from erectile dysfunction in addition to enhancing your mental health and self-confidence. These lifestyle alterations generally include consumption of a healthier diet and increasing the amount of physical activity performed during the day and show better results than drugs and surgery used for losing weight.

If you would like to consult with me privately, please click on 'Consult'.

Can Erectile Dysfunction be Treated through Weight Loss?

Erectile dysfunction is a disorder where the person affected is unable to maintain or achieve an erection during sexual intercourse. As diabetes is a disorder that affects blood supply to organs, so the ability to achieve or maintain erections are impaired, as erections are dependent on proper blood supply to the penis. Fortunately, there are treatments for these symptoms and they are:

1. Injection therapy and oral medications

Some medications are directly injected to the penis in order to facilitate erection, while certain other oral drugs are administered to treat symptoms of erectile dysfunction which have a higher success rate in treating people who are diabetic than those who are not.

2. Regular exercise and a healthy diet

Exercising on a regular basis combined with a healthy diet can reduce the symptoms of both diabetes as well as erectile dysfunction.

3. Reviewing medications

Some medications used to treat blood pressure and depression can often cause erectile dysfunction. So, the medications should be reviewed by a doctor and, if necessary, should be changed.

4. Usage of vacuum constriction devices

These devices are used to create a pump in the penis which facilitate the ability to maintain an erection and engage in sexual intercourse. It is reported to work in 80% of the cases.

5. Penile implants

It is a surgical procedure where a penis implant is used to treat this disorder.

6. Intraurethral therapy

In this treatment, the medicine is placed in the urethra of the penis in the form of suppository by an applicator. These medicines improve blood flow and thus facilitate a normal erection.

How To Deal With Erectile Dysfunction If You Are A Diabetic?

A dysfunction or health problem which affects your physical relation with your partner is an issue that may occur at any period of the intercourse cycle. These issues affect both, men and women.

Sexual dysfunction in men can be a consequence of a physical or mental issues, including stress.

The problems men may encounter include:

    Erectile dysfunction (ED): ED can be a cause of medications, for example, diabetes or hypertension, or by anxiety about engaging in sexual relations. Dejection, weariness, and anxiety can add to it.
    Ejaculation issues: These include untimely (discharge that happens too soon during intercourse) and the powerlessness to discharge by any means. The causes include medicines, like antidepressants, nervousness about sex, a past filled with sexual injury and trauma, (for example, an accomplice being unfaithful), and guilt.
    Low libido: Mental issues like anxiety and tension about engaging in sexual relations can prompt a diminished or no sexual craving. Diminished hormone levels (especially if testosterone is low), physical ailments, and pharmaceutical symptoms can lessen the testosterone.

In many cases, sexual dysfunction in women might include:

    Vaginal dryness: This can lead to issues with excitement and craving, as sex can be painful when the vagina is not lubricated. Vaginal dryness can come about because of hormonal changes that happen during and after menopause or while breastfeeding, for instance. Mental issues, similar to tension about sex, can also cause vaginal dryness.
    Low drive: Absence of sexual yearning can be created by lower levels of the hormone estrogen. Exhaustion, misery, and tension prompts low charisma.
    Trouble achieving orgasm: Failure to have an orgasm can influence both men and women. Once more, some stimulant drugs can likewise bring about a solution for these issues.
    Pain during sex: Known as vulvodynia or vulvar vestibulitis, and even vaginismus, these conditions can bring about spasms that lead to pain during intercourse.

If you are encountering sexual health problems, raise your worries with your specialist. You can regularly redress your issue by:

     Getting the best possible treatment of any hidden therapeutic condition
    Speaking with your partner transparently about your sexual relationship
    Keeping away from liquor, smoking, and medication use
    Overseeing anxiety, uneasiness, and gloom
    If you think you are suffering from any other ailment, discuss with your specialist about therapy that can help you in such a case.
    Restorative treatment: This includes treatment of any physical issue that might add to a man's sexual problems.
    Drugs: Medications, for example, Cialis, Levitra, Staxyn, Stendra, or Viagra may enhance erectile capacity in men by improving the blood stream to the penis.
    Mental treatment: Therapy with a prepared advisor can help address sentiments of uneasiness, apprehension, or blame.
    Education about sex and sexual practices and reactions may also help.

Common Sexual Health Problems and Ways to Treat Them

Erectile dysfunction (ed) occurs when the man is unable to achieve or maintain his erection of penis to meet his or his partner's sexual satisfaction. 
The problem is often faced by newly married men. Fortunately with experience, most of them are able to overcome this problem. Again it is increasingly common with increased age. 

So, what are the causes. In some male, it is psychological, caused by anxiety, depression, stress, marital disharmony etc. Use of alcohol and smoking will aggravate the problem. Psychological causes can happen at any age but more common at younger age. But in some cases, it is associated with serious diseases, especially at old age. It has been seen that in apparently healthy male ed is the first sign of heart disease. So, if you have ed, make sure that i's not caused by your heart problem. Again diabetes is another important cause. Excessive weight gain will also cause hormonal imbalance and thus problems in erection. Some hormone may also cause ed like thyroid, prolactin and even testosterone (male sex hormone). If you have chronic diseases like liver or kidney disease, it may also lead to ed. Diseases of nerves and spines should also be kept in mind. Sometimes, infections or tumour in private parts (prostate, testis etc) will also add to ed. Other diseases of penis like abnormalities in blood vessels can also be responsible, especially in young guys. Apart from these, some surgeries in abdomen and some drugs (like drugs to lower blood pressure, antidepressants, hormonal drugs etc) will also cause ed.

Now, what you can do? if you want to suffer silently, you will land up in other problems like problem in sexual life, problem in family relationships, depression and even inability to make your partner pregnant. But do all men with ed have to go to doctor? initially, the men should try life style modifications like avoiding smoking and alcohol; avoiding stress and anxiety; making good understanding with partner and also reducing weight. The partner should also have sympathetic attitude to the husband who is having ed.

But if still the issue is not resolved you have to consult doctor. It's not a mater of hesitation or embarrassment, as you may think. Rather it is needed to ensure that you are healthy. So, your doctor will talk to you, will check you and try to find out if any cause is there or not (like heart disease, diabetes, hormones etc). He may order some basic tests to ensure that everything is alright. After that he will advise you the treatment. If the cause is found, treatment of the cause (like diabetes) may cure ed. Even if no cause is found, ed can be treated by various ways.

But should you try the drugs shown in television or newspaper? remember, drugs used in ed have important side effects and we advise drugs only when it is absolutely necessary. In most cases simple measures like stress reduction, exercise help. Sex counseling of both the partners helps a lot. And if still ed persists, we advise drugs. There are variety of drugs, all are having own advantages and disadvantages. Particularly sildenafil group of drugs can affect heart and retina. So, we always practice caution before prescribing such drugs. And when patients are advised such drugs we advise to inform us when he feels eye problems, chest pain, fainting or even painful persistent erection of penis (" priapism").

There are other drugs that can be applied directly over penis. Testosterone group of drugs are prescribed only in selective cases as they have serious side effects and even they can reduce the size of your testes. In some cases where drugs cannot be given or drugs fail, we advise penile implants or artiificial pump to maintain erection. Finally in very few cases, where blood vessels of penis is blocked, we can cure it by some operations. 

So, if you feel ed, don't get depressed. At the same time don't feel embarrassed to take medical help. Today's embarrassment may harm you in future. So, get cured and enjoy your personal life.

Erectile Dysfunction

A few physical conditions can render intense mental distress as well, and one such condition is Erectile Dysfunction in men. A majority of the men facing the problem feel uncomfortable disclosing the problem of erectile dysfunction. Affecting more than 30 million men worldwide, ED or erectile dysfunction continues to damage their sexual life. However, this condition is very much treatable and nothing at all to hide or embarrassed about.

How can you know that you have erectile dysfunction?
Erectile dysfunction refers to a man's failure of having a firm erection for having sexual intercourse. Problems with having an erection are nothing uncommon and are experienced by men half of the time. But when this male sexual problem becomes extremely frequent, then it is termed as erectile dysfunction.

The symptoms caused by erectile dysfunction can vary from one person to another. However, some of the common symptoms that can make one certain that he may be suffering from ED are reduced interest in intercourse or sex, facing difficulty in getting a firm erection and trouble in maintaining the erection for long during different sexual activities. Apart from these, some sexual disorders like delayed ejaculation or premature ejaculation and inability to achieve an orgasm, even after enough stimulation are some its symptoms too.

What causes Erectile Dysfunction?
When it comes to the causes of erectile dysfunction, there is a variety of them. For every different individual, the factors making him suffer from erectile dysfunction can be different. Some of the very common causes of erectile dysfunction are, suffering from hypertension, anxiety due to relationship problems, alcohol or drug use, excessive stress, cardiovascular disease, being overweight, any injury or damage due to cancer or any kind of surgery etc. It is not necessary that any one cause to be responsible behind ED, several factors can also cause erectile dysfunction.

Treatment options-
Depending on the underlying cause of erectile dysfunction, there are various treatment options available. From different oral medications to implants or surgeries, psychological counseling, various treatments are now available for treating erectile dysfunction. There are even different erection creating device and exercises that can put an end to erection dysfunction. There are also penile implants and alternative medications available. However, one must look for the guidance of a medical professional before opting for any of the treatment options. Because it is only a medical professional who can analyze the condition of ED, find out the exact cause behind it and suggest the best treatment that can help one in dealing with this condition.

Experiencing trouble in erection from time to time is nothing to be concerned about. However, when this condition turns into an ongoing one that happens every time one feels interested in intercourse or is sexually aroused, then the person should not hesitate anymore in seeking a consultation with a doctor.

Erectile Dysfunction- Causes, Symptoms and Treatment!

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