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 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 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

Type 2 diabetes and erectile dysfunction may appear as different ailments but they do have a connection. Reports suggest men suffering from type 2 diabetes are likely to experience erectile dysfunction. Moreover, diabetic people suffer from erectile dysfunction 10 to 15 years earlier than others.
Reason: 
The reason behind the connection between the two ailments is quite complex. The whole scenario involves deterioration in nerves, muscle functioning and blood vessels. For successful penetration of penis, body requires healthy functioning of blood vessels, nerves, hormones and sexual desire. Type-2 diabetes hamper the proper functioning of these blood vessels and nerves, thus posing a potential threat to a successful sexual intercourse. Diabetes becomes a big obstacle in obtaining a firm erection. Also, non-regulated flow of blood through these blood vessels adds up to the problem.

Factors contributing to erectile dysfunction due to diabetes
Complexities due to type-2 diabetes increases exponentially when aided with following risk factors-
1) obesity
2) unbalanced diet
3) non-regulated blood supply
4) excessive smoking and drinking
5) excessive stress and hypertension
6) lack of physical activity
7) blood pressure
8) side effects of medication taken to cure ed

Remedies: 
Given below are few suggestions which, if followed, can bring your sex life back on track.
1) consult doctor- it is better to open up about your sexual concerns and consult a doctor. Hesitating in doing so will only increase your problem. Proper knowledge regarding all your existing ailments will allow him to diagnose properly and help you to regulate your blood sugar level. You may further consult a sexologist for specialized treatment for erectile dysfunction. Through prescribed medicines and some therapies, this issue can be dealt smoothly.
2) practice a healthy lifestyle- stay fit. Reduce your extra weight. Include exercise and meditation in your daily routine. This will help a lot in improving your emotional health. In many cases psychological pressure also contribute in causing impotence. So, try to perform some stress relieving exercises to curb down this psychological factor.
3) avoid drinking and smoking. Smoking diminishes the quantity of required nitric oxide which in turn lowers down the blood flow to penis. This increases chances of erectile dysfunction to a greater extent. Excessive drinking destroys your blood vessels, thereby posing a serious threat to your sex life.
4) take a proper diet- a balanced diet pays a major role in checking and controlling the blood sugar level. This step will definitely decrease the harm done to your blood vessels and nerves.
5) get enough sleep and keep yourself astray from the harmful effects of fatigue.
6) talk with your partner- it is necessary that you discuss freely regarding your sexual problems with your partner. This will help you in gaining confidence, release stress and perform better.
Follow the above suggestions and choose a healthy lifestyle for a safe and pleasing sex life.

Type 2 Diabetes and Erectile Dysfunction

Almost 60% men are suffering from erectile dysfunction (ED), and these troubles are getting prominent day by day due to unhealthy lifestyle. Now, you will find various options for treating erectile dysfunction, and you got to get a fair idea about them. Not all medicines are suitable for you, and this is the reason doctors conduct a clinical examination before prescribing medicines.

Best drug options for treating erectile dysfunction

1. Topical administration: Macrochem and Nexmed are the two most popular options, and they are available in a gel form. This gel can be applied with ease over your weak or curved penis so that unwanted erections can be prevented. In this case, needles are not inserted, and thus you will face no adverse reactions. But proper medications are also required along with these medicated gels.

2. Penile injections: Brindley and Virag are the two popular penile injections that can be easily injected so that you can get rid of erectile dysfunction. These injections are to be injected only under proper medical supervision otherwise you might face dreadful consequences. Alprostadil, phentolamine and papaverine deserve a special mention, and they are the safest options as per medical experts. Trial dosage can be easily administered, and on the other hand, combination medications need to be tried out for getting beneficial results.

3. Intraurethral agents: There are many medical programs where these agents have been referred by experts. Though these agents are treated as alternative options, but you can still try them out in order to get some positive effects. In fact, the recovery process can be accelerated to a great extent by means of using these kinds of agents. You can get smoother and highly satisfactory penetration experienced with the use of these agents along with other prescribed medications for erectile dysfunction.

4. Oral agents: though there are innumerable oral agents that can treat Ed trouble, but you have to choose quite carefully with the help of an experienced doctor. Some popular options in this regard are Cialis, Levitra, Staxyn, Stendra, Viagra and others. Only prescribed dosage needs to be taken, and thus you should take only those medicines that are only being prescribed by your doctor.

Do not choose medications as per your preference and never collect ED medicines over-the-counter. Before prescribing any ED medicine, doctor usually conducts a thorough examination in order to know the actual health condition of the patients and this clinical examination is important for referring the right ED medicines.

Most Common Drugs that Successfully Treat Erectile Dysfunction

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

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