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

Zinc and erectile dysfunction

Zinc is a naturally occurring metallic element. Certain types of vegetable, meats and seafood are rich in zinc.

Erectile dysfunction is a man's inability to achieve a penetrable erection. It is one of the most common sexual problems faced by men of all ages. Zinc helps the body to produce testosterone and thus the levels of zinc in a person's body may affect erectile dysfunction.

A host of factors ranging from nutritional deficiency to clinical depression can lead to the condition. In recent years, deficiency of zinc has been found to be the cause of ed. Apart from producing testosterone, zinc is used for metabolism purposes, DNA and protein production and cell division.

Most studies related to male infertility show a clear concise relationship between zinc and ed. During a study some young men were given a diet which included very little amounts of zinc and thus they developed a zinc deficiency. When testosterone levels were measured after 20 weeks of low-zinc diet it was found that the level of the hormone had drastically reduced. The study also found that in elderly men, with an increase in the uptake of zinc, testosterone levels nearly doubled.

Research on animals established the fact that relationship rats who were given 5 milligrams of zinc supplement a day, were found to be sexually active to a greater extent. It concluded that zinc had an impact in the arousal and maintaining of an erection in men.

Zinc deficiency can also reduce the sense of smell in person. A sense of smell is vital to libido, especially more in young men. Thus, it can cause a person to lose the ability to detect certain chemicals that stimulate arousal.

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Related Tip: Knowing Erectile Dysfunction. PART 2: Management and Treatment

Zinc and Erectile Dysfunction - How is it related?

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

With age it becomes difficult for many men to achieve an erection and maintain it. This is known as Erectile Dysfunction. This is not necessarily related to a lowered libido. In many cases, a man may desire sex but not be able to have an erection rigid enough for intercourse. Men with a history of obesity, hypertension, diabetes and smoking are at a higher risk of suffering from erectile dysfunction as they get older. However, this condition can be treated. 

Ayurvedic Medicine for Erectile Dysfunction:

Gold Bhasma: Gold Bhasma also known as Swarna Bhasma is prepared from pure gold. Nowadays, the use of technology has mitigated many tedious steps, which one had to undergo during ancient time to prepare it. It is highly effective and is used for the treatment of infertility, sexual weakness, tuberculosis, cancer, asthma and many other fatal diseases.

Silver Bhasma: Silver Bhasma is also know as Rajat Bhasma or Raupya Bhasma is a calcified Ayurvedic medicine used not just for treating erectile dysfunction, but also for a number of diseases such as, jaundice, frequent urination, enlargment of spleen, etc.
Both Gold Silver Bhasma are mixed with other Ayurvedic medicines for effective treatment of erectile dysfunction.

Other Treatments for Erectile Dysfunction:
Erectile dysfunction can be treated in a number of ways. Some of these are:

Viagra: Viagra is usually the first form of treatment for erectile dysfunction. Viagra is a type of drug also known as phosphodiesterase-5 inhibitors. These drugs increase the blood flow into the penis and thus enable an erection. Levitra and cialis are other forms of phosphodiesterase-5 inhibitors. However, Viagra is a temporary treatment and has a side effect that it is a habbit forming drug.
Penile Injection: If a man cannot take oral medication, a penile injection is the best form of treatment. Here, medication is directed into the side of the penis. This dilates the arteries and allows blood to flow in. thus it instantly initiates an erection.

Intraurethral Suppositories: This involves placing a soluble medicated pellet into the urethra. This increases the blood flow into the penis and will create an erection in 10-15 minutes. This form of medication is rarely used.

Vacuum Pump: A vacuum pump is another common form of treatment for this condition. It consists of a plastic cylinder that is placed over the penis and a pump that removes the air within the cylinder thus forcing blood to flow into the penis. An elastic ring is then slid onto the base of the penis to hold the erection. The ring must be removed after a maximum of 30 minutes.
Surgical Implants: There are two types of surgical implants that can be beneficial to men who have not benefitted from medication. The first is an inflatable pump that can manually pump fluid into cylinders within the penis. The second is a malleable prosthesis.

Lifestyle Changes: Obesity, hypertension, high blood pressure, excessive alcohol, smoking and a sedentary lifestyle can also be the reason a man cannot hold an erection. Addressing these factors by making conscious lifestyle changes can improve a man's ability to initiate and maintain an erection. These changes include a healthy diet, regular exercise, lowered consumption of alcohol and losing excessive weight. Living a healthy lifestyle is the only way to lower the risk of suffering from erectile dysfunction in the later years.

5 Best Treatment for Erectile Dysfunction - Effective Methods

Ayurvedic Treatments for Erectile Dysfunction

Erectile dysfunction in men is the condition that signifies the inability to achieve or maintain an erection. Also known as impotence, it creates a great problem for a man and his partner in terms of sexual function.

The cause of erectile dysfunction can be physical, medical, or psychological in nature. Sexual prowess and libido in men are affected by various systems of the body and the mind.

Some of the most commonly occurring causes are:

- Old age
- Stress and anxiety
- Addiction to nicotine and alcohol
- Narcotics abuse
- Physical injuries
- Nervous disorders
- Diabetes
- Obesity and high cholesterol
- Cardiac disease and heart complications

How does Ayurveda provide relief from this problem?

Treatment methods used for erectile dysfunction depend on the specific cause and nature of the condition. Ayurveda provides an effective remedy to the problem of impotence through long-established healing methods. Ayurvedic treatment makes use of traditional herbal medicine that cures the condition and prevents it from reoccurring.

In Ashtanga Ayurveda, sexual dysfunction is treated through medication composed of vajikarana herbs. 'Vaji' is the Sanskrit word for a horse, which is an age-old symbol of virility and sexual potency. These herbs have been conventionally used to cure conditions related to erectile dysfunction, premature ejaculation, lack of libido and male infertility.

A few herbs used in vajikarana therapy for treating erectile dysfunction are as follows:

- Shatavari (Asparagus racemosus)
- The 'panchaule' orchid (Dactylorhiza hatagirea)
- Safed Musli (Chlorophytum borivilianum)
- Kali Musli (Curculigo orchioides Gaertn.)

Scientific tests and studies have shown that these ayurvedic herbs are effective in providing a remedy for the problem of impotence in men. This form of therapy takes a holistic approach  treating and curing the symptoms of erectile dysfunction by eliminating the root cause of the problem. The greatest advantage of this treatment method is that there are no side effects. Relapses of the condition also do not occur.

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Ayurvedic Treatments for Erectile Dysfunction

There is a general misconception about impotence and erectile dysfunction being two separate conditions. In fact, impotence is just another term for erectile dysfunction. If you have a problem in achieving an erection more than 70% of the times when you want to have sex, you are suffering from erectile dysfunction.

Impotence is the same thing, but it also encompasses other concerns related to sexual health such as low libido and issues with ejaculation.

Causes of erectile dysfunction

Disruption of blood flow in the body or disruption in hormonal secretion and nerve supply to the body

Vascular and neurological causes

Occurrence of a disease known as atherosclerosis, which is caused due to smoking and diabetes. In this case, the arteries in the penis get narrowed and clogged.

Neuropathy, which occurs because of diabetes or diabetic neuropathy

Nerve damage because of a previous surgery around the pelvis area

High blood pressure or hypertension also result in damaged arteries throughout the vascular system. Blood flow gets impaired and proper erection is hampered.

Physical causes such as high cholesterol and obesity, Parkinson s disease and multiple cases of sclerosis

Smoking, excessive drinking and substance abuse

The reactions and side effects of certain medicines

Several psychological factors such as depression, excessive stress, tension, and performance anxiety, which reduce libido

Poor communication with the sexual partner

Intake of several medicines such as alpha adrenergic blockers, beta blockers, chemotherapy medications and central nervous system depressants

Treatment for erectile dysfunction

Different treatments may be used to treat erectile dysfunction. These include the following:

Medication: A group of drugs known as PDE-5 or phosphodiesterase type 5 inhibitors are used for the treatment of erectile dysfunction.

Vacuum devices: Vacuum erection devices help in providing an erection in men. A mechanical procedure is involved where the penis is made rigid using a vacuum pump sealed around it. This device draws blood and an erection becomes possible.

Surgical treatment: Penile implants can be used to treat erectile dysfunction. Mechanical implants are used, which help to keep the penis hard. A vascular surgery is another option, which incorporates the correction of blood vessels responsible for erectile dysfunction.

Natural treatment: There are a number of lifestyle changes that help a man naturally treat erectile dysfunction. Regular exercising, especially weight-bearing ones, not only aids in increasing blood flow, but also improves production of testosterone. Following a balanced diet with more intake of fruits and vegetables, limiting alcohol and avoiding smoking also generate positive results.

The term impotence and erectile dysfunction are quite related as they indicate the same conditions. However, today the term erectile dysfunction is more popular over the term impotence. In case you experience any of the symptoms of this condition, you should consult a doctor immediately.

Erectile Dysfunction - 12 Shocking Causes Behind it

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