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

Sexual problems might mean you have a broken heart, literally. The most common sexual problem in men is erectile dysfunction (ED). Erectile dysfunction affects >30% of men between 40 and 70 years of age. There are several different causes of ED, including depression, low testosterone, neurological problems, and some medications, such as beta blocker but the most common cause is a problem with the blood vessels called atherosclerosis.
Erectile dysfunction is frequently a sign of atherosclerosis, that can be the first clue to heart disease in men. It usually comes 3 to 5 years before a heart attack, so after ED is diagnosed, there is time to treat atherosclerosis and prevent a heart attack.
Sexual Activity and Cardiovascular Disease
Decreased sexual activity and function are common in patients with CVD and are often interrelated to anxiety and depression. In fact research has proved that there is a strong link between erectile dysfunction and heart disease. Studies have shown that if a man has ED, he has a greater risk of having heart disease. For instance, in one study, 57% of men who had bypass surgery and 64% of men hospitalized for a heart attack had had ED.
Several having ED can predict that a man will probably have heart disease symptoms within five years. In fact, having ED is as much a risk factor for heart disease as a history of smoking or a family history of coronary artery disease.
The Stockholm Heart Epidemiology Programme (SHEEP) study of post-MI patients (50% women) found that those who were sedentary had a higher risk of MI with sexual activity (relative risk 4.4) than did those who were physically active (relative risk 0.7).
How is the Heart and ED Related?
Deposition of cholesterol in the arteries causing atherosclerosis is taken as the most important reason for ED as the plaque formation reduces the blood flow in the penis, thereby affecting the erection process. However the latest studies show that ED is also due to the dysfunction of the inner lining of the blood vessels (endothelium) and smooth muscle. This causes inadequate blood supply to the heart and the penis which also aids in arthrosclerosis. Hence ED and heart disease are found to be inter related.
What to do?
If you are suffering from ED or heart disease , it is best to discuss your concerns with a specialist - for the heart a cardiologist and for the ED a urologist.

How Erectile Dysfunction and Cardiac Problems are Related

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 number of factors, such as physical ailments, stress, anxiety and even relationship problems can cause sexual problems. Relationship concerns where intimacy and the culmination of the various phases of sexual activity from stimulation to excitement and peak, cannot be possible in a satisfactory manner. So what are the routine sexual problems recognised and treated as per ayurveda? read on to know more.

1. Erectile dysfunction: this condition is also known as impotence and it usually occurs when male patients cannot muster up and retain an erection for long enough to enjoy sexual intercourse. This problem can be fixed with various herbs and condiments including sanda oil massage on the testicles and nearby areas in order to increase the blood flow. Also, one can have ginger, honey, drumsticks, milk and other such ingredients for better achievement and retention of an erection for a prolonged period of time during sexual intercourse.

Sanda oil is not available in its pure form and simple branding of this name is not useful. Sanda is a wild reptile, which was boiled in ancient times and fats taken out to make sanda oil. This is not possible now a days. Instead various'tilas' (penis massage oils) prepared by valuable herbs and vegetable oils such as sesame oil should be used. Tila using mall (purified arsenic) and egg are also effective. Preparation and use should be as per instructions in classic ayurveda. Tila is selected as per history, present condition and duration of specific problem

Otc or advertisement products are general products, which do not benefit all. Post application directions are also important otherwise there may be adverse effect of tila application

2. Premature ejaculation: premature ejaculation is a condition when the male patient may face ejaculation as soon as the intercourse begins, or upon insertion. This happens in an unplanned way and is a sudden occurrence that usually puts a damper on the sexual mood and activity. In ayurveda, there are various herbs including ashwagandha and a variety of oil massages that can help in treating this problem.

3. Sexual weakness: sexual weakness is a condition when the female or male patient may not have the energy to go through with sexual intercourse and may even complain of pain during intercourse. This problem is especially common among women, and may be caused due to fatigue, stress or even low pelvic strength following childbirth or miscarriage. The best way to treat this issue is with the help of proper counselling and therapy that will help in introducing yogic poses that can strengthen the pelvic area so as to have better sexual strength.

4. Infertility: this problem may be found in both men and women. Ashwagandha, vasant kusumakar ras, shilajit and labub kabir are some of the herbs and concoctions that can help in increasing virility and the chances of conception by creating better sperm quality and quantity, as well as more effective ovulation.

Most of the sexual problems in ayurveda are recognised as factors that arise from stress and anxiety. These are recognised as temporary issues that can be fixed with the help of a proper routine of eating, resting and exercising, as well as a healthy diet where the patient stays away from smoking, excessive drinking as well as drug abuse. Before taking any herbal medicines, one will have to consult the doctor and find out about side effects for patients suffering from chronic ailments like diabetes, cardiovascular diseases and others.

Solving Routine Sexual Problems Through Ayurveda

Erectile dysfunction refers to the situation when a man has difficulty in getting a firm erection or an erection, which is required to achieve sexual penetration. Several cases of erectile dysfunction can cause impotency in a man.

Causes
1. A problem in the blood flow, proper hormone secretion and nervous supply in the body may cause erectile dysfunction.
2. Erectile dysfunction also happens due to vascular causes along with neurological causes.
3. Arthrosclerosis is a disease which often leads to erectile dysfunction. This disease is commonly caused because of smoking and diabetes. The arteries to the penis become narrow and clogged and erectile dysfunction occurs.
4. Neuropathy caused due to diabetes, known as diabetic neuropathy, is a primary neurological cause of erectile dysfunction. Nerve damage on account of surgery around the pelvis area may also lead to erectile dysfunction.
5. High blood pressure or hypertension damages arteries all over the vascular system. Blood flow is impaired and proper erection is prohibited, which signifies erectile dysfunction.

Erectile dysfunction also happens due to physical causes such as:
1. High cholesterol and obesity
2. Parkinson's disease and multiple cases of sclerosis
3. Smoking, excessive alcohol consumption and substance abuse
4. Disorder in anatomy or structure of the penis
5. Surgical complications
6. Several prescribed medicines may also lead to erectile dysfunction because of reactions and side effects.

Erectile dysfunction may also result due to several psychological causes:
1. Depression makes a person uninterested in sex due to lower libido and may cause erectile dysfunction.
2. A large amount of stress, fear, tension or anxiety may also lead to erectile dysfunction.
3. Many men suffer from performance anxiety and feelings of sexual failure. This may result in erectile dysfunction.
4. Poor communication with a partner or pressure from partner regarding sex may also cause erectile dysfunction.

Homeopathic Remedies For Impotency (erectile dysfunction)
1. Agnus Castus: Homeopathic medicine Agnus Castus is used in cases where there is complete inability to attain penile erection during the sexual act. Homeopathic medicine Agnus Castus can be used in cases of erectile dysfunction and sexual weakness where the male has a mental aversion to indulge in sex, along with decreased physical strength.

2. Caladium: Homeopathic medicine Caladium is of great help for treatment of erectile dysfunction when the male is unable to have an erection despite having a sexual desire or urge.

3. Lycopodium: Homeopathic medicine Lycopodium is of great help for both young people and elderly people suffering from erectile dysfunction.

4. Tribulus Terrestris: The main indication for using Homeopathic medicine Tribulus Terrestris is the presence of urinary troubles along with erectile Dysfunction.

5. Nuphar Luteum: Homeopathic medicine Nuphar Luteum can be beneficial for all those males with erectile Dysfunction in whom the desire to indulge in sexual activity is totally absent. There is no sexual desire with relaxed genitalia.

Erectile dysfunction affects the self-esteem and confidence of a man as he is unable to have sex. Necessary measures should be taken to cure erectile dysfunction.

Homeopathic Treatment for Erectile Dysfunction - 5 Natural Remedies

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

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