What are the possible causes of erectile dysfunction zoloft,huntsville man living off grid,ignou b.ed degree certificate form wa - PDF 2016

April 7, 2015 By Bruce Atherton Leave a Comment Erectile dysfunction, or impotence, affects approximately 5% of 40-year old men as well as 15% to 25% of 65-year old men (National Institutes of Health) on a long-term basis. Emphasis must be made, however, that the occasional inability to get and keep an erection affects majority of adult males but this is usually not a cause for concern. Adult males should be concerned when their inability to get and keep an erection becomes persistent, which means over 50% of the time. Understanding the physical and psychological causes of erectile dysfunction requires a basic understanding of penile erection. Keep in mind that sexual arousal and, thus, penile erection is complex process involving the body and its hormones, muscles and blood vessels as well as the brain and its emotions and feelings. Erection issues occur when there is a problem with any of these factors with many cases involving both the physical and psychological aspects. If something intervenes with any or all of these conditions, a full penile erection will not be achieved, much less maintained. You may also experience erection issues caused by insufficient blood flow to your penis as a result of hypertension, diabetes, or heart disease. In many cases, the physical causes feed on the psychological causes, thus, worsening the erection issues. With that being said, here are the common physical and psychological causes of erectile dysfunction.
In most cases of erectile dysfunction, the main culprits are injuries and illnesses that interfere with the above mentioned conditions for erection. The following physical causes for impotence should be diagnosed by a qualified doctor especially as effective treatment of the underlying illness should be done first.
Many of these physical causes will require more attention than erectile dysfunction because of their life-threatening nature.
The brain – or mind, if you will – has a crucial role as the trigger of the series of physical events leading to an erection, starting with the stimulus for sexual excitement.
But when the brain encounters things that interfere with its ability to trigger said events, then the desired full erection will likely not happen. Indeed, any mental health condition can interfere with the erection process, not to mention that the medications used for its treatment can also interfere with it. The stress and anxiety brought by personal and professional problems can also worsen the erection issues, too. If you suspect erectile dysfunction, you should not hesitate in discussing the issue with your doctor despite its apparently embarrassing nature. You should also look into taking male enhancement supplements, such as ProSolution Plus as it is the best, and performing male enhancement exercises (you can find out why these exercises work here), such as jelqing, stretching and Kegels as natural treatments. Read These As Well:Q & A About EDAre Erectile Dysfunction Injections Safe?Is There A Cure For ED Exists? Pomegranate Extract – Its Numerous Health And Male Enhancement Benefits7 Common Myths About Male Sexuality That We Still BelieveDamiana: Getting A Safe And Natural Sexual Boost (Plus A Lot More!)6 Tips For Having A Functioning, Healthy PenisWhats The Average Size Around The Globe? If I create a link to a product in a review, sometimes I may get paid a commission if a visitor to my site purchases the product. This site sets cookies on your computer to help improve performance and provide a more engaging user experience. In the last 2 decades the number of people seeking medical advice for ED has almost tripled, as treatments such as vacuum devices and injectable drugs became more widely available and discussing erectile function became accepted. In older men, ED usually has a physical cause, such as disease, injury, or side effects of drugs.
The penis contains two chambers called the corpora cavernosa, which run the length of the organ (see figure 1). Since an erection requires a precise sequence of events, ED can occur when any of the events is disrupted.
Damage to nerves, arteries, smooth muscles, and fibrous tissues, often as a result of disease, is the most common cause of ED. Lifestyle choices that contribute to heart disease and vascular problems also raise the risk of erectile dysfunction. Also, surgery (especially radical prostate and bladder surgery for cancer) can injure nerves and arteries near the penis, causing ED. Experts believe that psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause 10 to 20 percent of ED cases. Other possible causes are smoking, which affects blood flow in veins and arteries, and hormonal abnormalities, such as not enough testosterone.
Using certain prescription or illegal drugs can suggest a chemical cause, since drug effects account for 25 percent of ED cases.
Monitoring erections that occur during sleep (nocturnal penile tumescence) can help rule out certain psychological causes of ED. A psychosocial examination, using an interview and a questionnaire, reveals psychological factors. Psychotherapy and behavior modifications in selected patients are considered next if indicated, followed by oral or locally injected drugs, vacuum devices, and surgically implanted devices. Experts often treat psychologically based ED using techniques that decrease the anxiety associated with intercourse.
Drugs for treating ED can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis.
Viagra, Levitra, and Cialis all belong to a class of drugs called phosphodiesterase (PDE) inhibitors.
While oral medicines improve the response to sexual stimulation, they do not trigger an automatic erection as injections do. Oral testosterone can reduce ED in some men with low levels of natural testosterone, but it is often ineffective and may cause liver damage.
Many men achieve stronger erections by injecting drugs into the penis, causing it to become engorged with blood.
Mechanical vacuum devices cause erection by creating a partial vacuum, which draws blood into the penis, engorging and expanding it.
One variation of the vacuum device involves a semirigid rubber sheath that is placed on the penis and remains there after erection is attained and during intercourse. Malleable implants usually consist of paired rods, which are inserted surgically into the corpora cavernosa. Inflatable implants consist of paired cylinders, which are surgically inserted inside the penis and can be expanded using pressurized fluid (see figure 3).
Surgery to repair arteries can reduce ED caused by obstructions that block the flow of blood. Surgery to veins that allow blood to leave the penis usually involves an opposite procedure—intentional blockage. Erectile dysfunction (ED) is the repeated inability to get or keep an erection firm enough for sexual intercourse. In addition to prescription medications, traditional treatments and lifestyle changes, alternative treatments provide some helpful and beneficial options for men with ED.



As the fastest growing consumer health information site a€” with 65 million monthly visitors a€” Healthlinea€™s mission is to be your most trusted ally in your pursuit of health and well-being. October 29, 2013 by New Beginning Mens Clinic Leave a Comment ED can be caused by many different factors.
When a woman with a sex problemWhen a woman with a sex problem sits down with a doctor or sex expert, they're up against centuries of sexist stereotypes—and a raging debate about how to undo those stereotypes. How to Handle Husband’s Erectile DysfunctionShould I avoid sex if I have prostatitis? Featured Blog PostWhen a woman with a sex problemWhen a woman with a sex problem sits down with a doctor or sex expert, they're up against centuries of sexist stereotypes—and a raging debate about how to undo those stereotypes. Problems with sexual functioning are common, affecting more than half of all couples at some time. Inhibited or hypoactive sexual desire: a disinterest in sexual contact or complete lack of sexual desire.
Retrograde ejaculation: the semen, rather than emerging from the end of the penis, moves backward into the bladder during orgasm. If your sexual problem only occurs under a particular set of circumstances, or only with certain sexual partners, then your condition is considered to be "situational" rather than "generalized" (occurring regardless of the circumstances or partner). Many of these sexual conditions will occur at some point during the course of a man's life. Because the sexual response is so complex, involving multiple factors, there are many causes of sexual dysfunction including physical and psychological causes. An erection involves the nervous and vascular systems (the network of arteries and veins) and appropriate levels of hormones, so problems with any of these systems can interfere with sexual functioning. Erectile dysfunction or impotency is sexual disorder in which the male sexual organ cannot maintain an erection during sexual intercourse.
Stress is not the only factor, conditions such a depression and anxiety also contribute in the inability of men to perform sexually. Many people are not aware of this fact, but watching too much of adult content can also cause erectile dysfunction. Studies have shown that sleeping disorders like sleep apnea may lead to erectile dysfunction.
Many religious sects incorporate ideas that sexual activities are a sin or intercourse is a shameful act. Proper exercise, meditation and healthy eating can help a lot to combat erectile dysfunction. Doctors must then be consulted regarding the possible causes for erectile dysfunction and, thus, the most effective treatment for each case.
For example, you may have erection issues as a result of hypertension that, in turn, increases your anxiety over your sexual performance – and the cycle goes on.
It is best to treat the underlying disease first and then addressing the issue of impotence since life comes before sex.
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More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for ED. Perhaps the most publicized advance was the introduction of the oral drug sildenafil citrate (Viagra) in March 1998. Any disorder that causes injury to the nerves or impairs blood flow in the penis has the potential to cause ED. Impulses from the brain and local nerves cause the muscles of the corpora cavernosa to relax, allowing blood to flow in and fill the spaces.
The sequence includes nerve impulses in the brain, spinal column, and area around the penis, and response in muscles, fibrous tissues, veins, and arteries in and near the corpora cavernosa.
Injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to ED by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. Men with a physical cause for ED frequently experience the same sort of psychological reactions (stress, anxiety, guilt, depression).
A medical history can disclose diseases that lead to ED, while a simple recounting of sexual activity might distinguish among problems with sexual desire, erection, ejaculation, or orgasm. For example, if the penis is not sensitive to touching, a problem in the nervous system may be the cause. Tests for systemic diseases include blood counts, urinalysis, lipid profile, and measurements of creatinine and liver enzymes. A man's sexual partner may also be interviewed to determine expectations and perceptions during sexual intercourse. The patient's partner can help with the techniques, which include gradual development of intimacy and stimulation.
In March 1998, the Food and Drug Administration (FDA) approved Viagra, the first pill to treat ED. Taken an hour before sexual activity, these drugs work by enhancing the effects of nitric oxide, a chemical that relaxes smooth muscles in the penis during sexual stimulation and allows increased blood flow. The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. Men who take nitrate-based drugs such as nitroglycerin for heart problems should not use either drug because the combination can cause a sudden drop in blood pressure. Drugs such as papaverine hydrochloride, phentolamine, and alprostadil (marketed as Caverject) widen blood vessels. The system uses a prefilled applicator to deliver the pellet about an inch deep into the urethra. A vacuum-constrictor device causes an erection by creating a partial vacuum around the penis, which draws blood into the corpora cavernosa. Possible problems with implants include mechanical breakdown and infection, although mechanical problems have diminished in recent years because of technological advances.
Tubes connect the cylinders to a fluid reservoir and a pump, which are also surgically implanted. With an inflatable implant, erection is produced by squeezing a small pump (a) implanted in a scrotum.
The best candidates for such surgery are young men with discrete blockage of an artery because of an injury to the crotch or fracture of the pelvis. Blocking off veins (ligation) can reduce the leakage of blood that diminishes the rigidity of the penis during erection. Both of which will support, guide, and inspire you toward the best possible health outcomes for you and your family. Although sexual dysfunction rarely threatens physical health, it can take a heavy psychological toll, bringing on depression, anxiety, and debilitating feelings of inadequacy.
In fact, some researchers only consider a diagnosis of sexual dysfunction if the problem occurs in 25% of all attempted sexual encounters.


Penile erection occurs when a male is sexually aroused, it happens when blood flows into the male organ which leads to erection. A survey conducted in this field showed that, about 5% of men above the age of 40 years and approximately 25% of men above 65 years of age suffered from erectile dysfunction. Frozen and packaged foods have become our staple diet which increases our risk of developing many diseases; one of them is erectile dysfunction. These may also be related to work like a police officer or a firefighter may develop depression or anxiety thereby they face problems getting an erection.
One of the studies in this area says that adult content is a lot different than the real thing and people who watch a lot of this content have considerable changes in their brain. Cardiovascular diseases such as high cholesterol and high blood pressure limit the flow of blood to the penile region thus causing erectile dysfunction. Researchers have found that about 15% of men who suffer from periodontitis (serious gum disease) are susceptible to erectile dysfunction.
Some studies show that people who excessively indulge in activities such as bicycling may face ED as the blood vessels near the pelvic region may get damaged because of an improper bicycle seat.
Blood sugar that is poorly regulated can cause damage the arteries that allow healthy blood flow to the penile region. Men above 40 should give more attention to lifestyle and change it wherever possible so that they can maintain proper erection during sexual intercourse.
Using the term erectile dysfunction makes it clear that those other problems are not involved. Abnormal secondary sex characteristics, such as hair pattern or breast enlargement, can point to hormonal problems, which would mean that the endocrine system is involved. Measuring the amount of free testosterone in the blood can yield information about problems with the endocrine system and is indicated especially in patients with decreased sexual desire.
If nocturnal erections do not occur, then ED is likely to have a physical rather than psychological cause. Quitting smoking, losing excess weight, and increasing physical activity may help some men regain sexual function. If you think a particular drug is causing problems with erection, tell your doctor and ask whether you can try a different class of blood pressure medicine.
Such techniques also can help relieve anxiety when ED from physical causes is being treated. Since that time, vardenafil hydrochloride (Levitra) and tadalafil (Cialis) have also been approved. The recommended dose for either Levitra or Cialis is 10 mg, and the physician may adjust this dose to 20 mg if 10 mg is insufficient.
Also, tell your doctor if you take any drugs called alpha-blockers, which are used to treat prostate enlargement or high blood pressure. Improvements observed following use of these drugs may be examples of the placebo effect, that is, a change that results simply from the patient's believing that an improvement will occur.
These drugs may create unwanted side effects, however, including persistent erection (known as priapism) and scarring. The patient inflates the cylinders by pressing on the small pump, located under the skin in the scrotum. The pump causes fluid to flow from a reservoir (b) residing in the lower pelvis to two cylinders (c) residing in the penis. However, experts have raised questions about the long-term effectiveness of this procedure, and it is rarely done. Many sexual problems are actually symptoms of other more serious heath disorders and should be evaluated by a health care provider. Sufferers of erectile dysfunction do not receive the proper blood flow to their penile region which leads to difficulty in maintaining the male organ erect.
Many studies have shown that older men face the issue wherein their arteries start to thicken after a certain age (usually 40 years).
Many packaged foods contain high content fats which may cause constriction of blood to the penile region. In essence what this means is, arousal may only happen when seeing such content during the sexual act. Periodontitis decreases nitric oxide in the body which helps in regulating the blood flow in the body and to the penile region. Consult your physician if you are having problems of sexual dysfunction, he will give you advice and tips on leading a healthy lifestyle. The tunica albuginea helps trap the blood in the corpora cavernosa, thereby sustaining erection.
The examiner might discover a circulatory problem by observing decreased pulses in the wrist or ankles. A lower dose of 5 mg is available for patients who take other medicines or have conditions that may decrease the body's ability to use the drug.
Studies have found out that about 46% of people with this disease experience reduction in arousal and around 69% of people have reduced libido.
The urethra, which is the channel for urine and ejaculate, runs along the underside of the corpora cavernosa and is surrounded by the corpus spongiosum. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection is reversed. And unusual characteristics of the penis itself could suggest the source of the problem—for example, a penis that bends or curves when erect could be the result of Peyronie's disease.
Scientists have not standardized such tests and have not determined when they should be applied for best results. Taking a PDE inhibitor and an alpha-blocker at the same time (within 4 hours) can cause a sudden drop in blood pressure. Inclusion of vegetables, fruits, nuts is a good way to eat healthy thereby performing excellently. This makes them always in a constant state of thinking and focusing on work thereby neglecting the time for sexual activities.
So when they want to indulge in sexual intercourse, they find it difficult to perform as they cannot maintain an erection.
Any condition that results in the breakdown of the sequence of events that causes an erection can lead to ED. Stress hormones such as adrenaline and cortisol narrow the arteries which help you get an erection. The most common diseases that cause ED are listed and include diabetes, kidney disease, neurological disease, vascular disease, and malignancies.



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