In a normal person, it is essential that with a normal hormonal balance, the blood supply to the penis, both the arteries and the veins must function normally. Without going into details about the vascular supply or the nerve distribution to the penis, this can be seen in the following picture which basically tries and explains the stages of erection and flaccidity of the penis, although we shall discuss these in some more detail later. The mechanisms of erection and flaccidity are shown in the upper and lower inserts, respectively.
See related patient information handout on erectile dysfunction, written by the author of this article. Erectile dysfunction is defined as the persistent inability to attain or maintain penile erection sufficient for sexual intercourse. You can have poor blood circulation for several reasons, with the most common being atherosclerosis, or “hardening of the arteries”, and peripheral artery disease (PAD). It can also be a result of other health problems like diabetes, heart disease, obesity or blood clots. By knowing the symptoms of poor circulation, you can target the root cause and get it treated timely. Mild cases of swelling in your feet can be due to sitting or standing in one position for long periods of time, high salt intake, malnutrition, obesity, aging, a sedentary lifestyle, premenstrual syndrome (PMS) and pregnancy. However, if you suffer from edema or swelling in your feet for quite some time, it may be because of poor blood circulation. Due to a lack of blood flow, the kidneys become unable to carry out the process of keeping fluid in the blood vessels where it belongs. This causes the fluid to leech out and settle into surrounding tissues, which leads to swelling. Feeling numb in certain body parts, especially in the extremities (hands and feet) can also be a sign of poor blood circulation. You can also have numbness due to constant pressure on your hands or feet, exposure to cold, temporary nerve compression, a sedentary lifestyle and a nutritional deficiency of vitamin B12 or magnesium. It can also be a symptom of carpal tunnel syndrome, diabetes, multiple sclerosis and an underactive thyroid. Due to poor circulation, blood is not able to travel easily to the furthest parts of your body, such as your fingers and toes. Other common causes of cold hands and feet are an underactive thyroid, Raynaud’s syndrome and peripheral neuropathy. Along with fatigue and tiredness, some people may even suffer from breathlessness, lack of stamina and sore muscles.
Other causes of fatigue include excessive alcohol use, excessive intake of caffeine, inactivity, poor sleep, unhealthy eating habits, anxiety, depression, grief and stress. With a weakened immune system, you may get sick more often and cuts, wounds and grazes may take longer to heal. To improve blood circulation and boost your immunity, include exercise in your daily routine. Varicose veins that appear in the legs can be a symptom as well as cause of poor circulation. Varicose veins tend to appear on the lower legs and cause pain, itchiness, restlessness, burning sensations and heaviness in the legs. Other common factors contributing to varicose veins are heredity, obesity, constipation, hormonal changes in the body, use of birth control pills and even occupations that require a lot of standing.
If you have varicose veins, it is essential to wear compression stockings to enhance proper blood flow. Hair loss without any known reason is a clear sign that blood is not getting distributed properly around your body.
Other factors behind hair loss include aging, stress, excessive smoking, nutritional deficiencies, hormonal imbalance, genetic factors, scalp infections, thyroid disorder, iron-deficiency anemia and chronic illnesses.
In men, poor blood circulation leading to reduce blood flow in the reproductive organs may also cause contribute to erectile dysfunction. If your skin or lips turn blue, it clearly indicates low blood oxygen levels or poor circulation.
Sudden discoloration of the skin in babies can also be the first sign of congenital heart disease, so it’s important to seek medical advice immediately.
Your heart is responsible for pumping blood around your body, but to function properly the heart also needs adequate blood flow. However, chest pain can also be a symptom of a muscle spasm, heartburn, acidity, an upper respiratory infection, a stomach ulcer, and indigestion.
If you have chest pain, consult your doctor right away to prevent a potentially life-threatening medical problem. Add a few drops of rosemary essential oil to ? cup of warm olive oil and use it to massage your body, especially the extremities. Try constrast hydrotherapy (alternate hot and cold treatment) to promote proper circulation.
Add nuts, seeds, cayenne pepper or black pepper, garlic, onion and ginger in your diet to stimulate your circulatory system. MagimoMagimo is a multi purpose free magazine WordPress theme with lots of features such as Featured Slider, Google web font, advertisement option and many more.
Repeated studies have proven without a doubt a connection between high blood pressure and erectile dysfunction in men. To understand how high blood pressure and ED are connected, we first have to understand the basic physiology of the human penis and the erection process. When a man begins to feel aroused, the smooth muscles in the chambers relax and relief pressure from the arteries, which deliver blood into the empty spaces of the penis. It’s just like blowing a bubble, as long as more air (blood) flows in than settles out, the bubble (penis) will expand and stay hard. Once excitement ends, ejaculation is reached or for unforeseen events the smooth muscles in the penis contract again, pressing on the arteries so less blood flows in than out. 3) flexibility and relaxation of the smooth muscles so pressure from the arteries can fill the spaces. The reason high blood pressure is considered one of the main health hazards of the human race is that it puts extreme tension on the arteries delivering blood around the body. Every artery in the body is designed to expand and contract thousands of times throughout the day as more or less blood delivery is needed.
At this point I think you’ve drawn the conclusion of how this causes lack of blood flow through the arteries in the penis.
One of the first and most obvious symptoms of any kind of stress is tension in the muscles. When stressed, especially when experiencing long-term stress that causes high blood pressure, the nervous system is all over the place. Low testosterone levels can also cause obesity, reduce muscle mass, create depression symptoms and many chronic diseases such as high blood pressure, high cholesterol, type 2 diabetes and more. Finally, our lifestyle choices that cause high blood pressure, such as smoking, lack of exercise and poor diet also contribute to both erectile dysfunction and high blood pressure. Throughout the years I’ve received comments from hundreds of men who suffered both high blood pressure and erectile dysfunction. However, the most effective method I’ve come across for erectile dysfunction is the Erectile Mastery Program that includes simple exercises that help quickly and permanently heal erectile dysfunction in the privacy of your home.
But first, I’d really appreciate it if you click the Facebook button below and share this articles with your friends. These BP tablets or pills always do have extreme side effects.The major one is that they sap off the energy from the body and creates tiredness and create tummy distension which is very uncomfortable. Importantly, the nerve supply to the penis, in this case, the autonomic nerves should be intact and functioning normally. During erection, relaxation of the trabecular smooth muscle and vasodilatation of the arterioles results in a severalfold increase in blood flow, which expands the sinusoidal spaces to lengthen and enlarge the penis. The majority of cases have an organic etiology, most commonly vascular disease that decreases blood flow into the penis.
The corpora cavernosa are composed of a mesh-work of interconnected cavernosal spaces lined by vascular endothelium. Normal erectile function requires a complex set of dynamic neural and vascular interactions. Most causes of erectile dysfunction were once considered to be psychogenic, but current evidence suggests that up to 80 percent of cases have an organic cause.1 Organic causes are subdivided into vasculogenic, neurogenic and hormonal etiologies.
Aging is an independent risk factor, and although the incidence of erectile dysfunction increases steadily with age, it is not an inevitable consequence of aging.


Information from references 7 and 8.Excessive and long-term use of a number of substances may also cause erectile dysfunction.
In all instances, medical conditions having an impact on erectile function should be corrected or their progression controlled. If left untreated, it can cause serious damage to your brain, heart, liver, kidneys and limbs. Smoking, excess drinking, pregnancy and eating disorders can also make you more vulnerable to this condition.
It is important to consult a doctor when experiencing symptoms of circulation problems, as it can lead to a heart attack, a stroke and even death. When blood flow is interrupted, the body cannot maintain its normal temperature, resulting in cold hands and feet. Rubbing the affected area is a natural response to encourage blood to flow more quickly to those areas.
If you have cold extremities without any known reason, consult your doctor to find out the exact cause. However, a constant feeling of fatigue and tiredness may also indicate inadequate blood supply to different body parts. Due to poor circulation, the vitamins and minerals that your body needs to fight off infection are not distributed timely and in adequate amounts. As little as 20 minutes of walking five days a week can improve blood flow throughout your body.
Due to improper blood flow, pressure builds and causes the veins located just under the skin’s surface to become swollen, twisted and very visible.
When the scalp does not receive essential nutrients in the proper amounts, hair becomes thin, dry and starts falling out at a rapid speed.
This problem is characterized by consistent problems in achieving or sustaining an erection. Hence, it is suggested that men suffering from this problem should see their doctor to be evaluated for cardiovascular disease. The theme also had built in schema.org markup for article post and breadcrumbs, responsive layout suitable for mobile viewing and fully compatible with BuddyPress, BBPress and Woocommerce.
Anywhere from 50-65% of men over 40 with high blood pressure also suffer some level of ED, sometimes extreme. In these chambers you’ll find small arteries on the inner part and veins on the outer part surrounded by smooth muscle fiber and most importantly, empty spaces. When the penis begins filling up, the tissue surrounding the chambers presses on the veins draining the penis so less blood can now flow out.
We often focus too much on the arteries in the heart (that’s where the highest pressure is and heart attack happens) but every single artery in your body is overloaded at the moment. This is obviously necessary in the penis for the erectile process but every single artery needs to do that. There are several arteries that deliver blood into the lower part of the body (including the penis) and if they’re restricted, you’re going to be negatively affected. And the penis is simply not going to get direct the electronic messages to get an erection. It’s well recorded that men with high blood pressure have significantly less testosterone level on the average. Low testosterone is especially serious because the complications associated with it also lead to continued low testosterone and erectile dysfunction. Studies have shown that men with high cortisol (stress hormone) levels also had lower levels of testosterone. After using my high blood pressure program, not only did their blood pressure go down, their sexual function drastically improved – or even completely healed – as well.
Beacose my penis don’t get hard what I can do, so that I can have at list 2 or 3 times a Year some love with my love. These nerves are the ones most affected in diabetes and the vast majority of all erectile dysfunction seen in a male with diabetes is due to the nonfunctioning of these nerves. The expansion of the sinusoids compresses the subtunical venular plexus against the tunica albuginea.
Regardless of the primary cause, erectile dysfunction can have a negative impact on self-esteem, quality of life and interpersonal relationships.
An estimated 10 to 20 million American men have some degree of erectile dysfunction.1,2Increased understanding of the male erectile process and the development of several agents to improve erectile function have generated great public interest among men and their sexual partners. Penile erection can be elicited by at least two distinct mechanisms, central psychogenic and reflexogenic,3 which interact during normal sexual activity. Vasculogenic etiologies represent the largest group, with arterial or inflow disorders being the most common.
Several studies have indicated that patients and providers are reluctant to address sexual topics. It’s important to also consult your doctor to determine if additional treatment is needed for poor circulation. This increases the blood pressure (positive) in the penis even further and causes a full erection.
As arteries are bombarded by blood pressure that is chronically too high, they need to strengthen themselves so they won’t break. But with the amazing reaper function your body has, it immediately sends out road warriors to fill up the cracks. Just think if your body has to make the decision between delivering blood into the legs to be able to walk or the penis to be able to make love, the body’s decision will be to deliver blood to the most critical areas first (and I’m not talking about the conscious brain that no doubt would choose the penis).
It can be emotional or physical but in all cases it’s stress that causes your body to pump more blood and greater pressure than normally is needed.
And since erection only happens if the smooth muscles relax, stress is obviously going to be a great factor. This can also be caused by any kind of injury that restricts clear neurotransmitter signals, such as neck or back pain. Not only that, testing cortisol and testosterone throughout the 24 hours, they found as one went up and down, so did the other. I am exesizing every day, have atletic body but the pills are starting making me problem, geting easy tire. In addition, stretching of the tunica compresses the emissary veins, thus reducing the outflow of blood to a minimum.
The initial step in evaluation is a detailed medical and social history, including a review of medication use.
These advances are expanding the treatment options available to primary care physicians in the management of erectile dysfunction. 3 Blood flow is provided primarily by the cavernosal branches of the internal pudendal artery. Psychogenic erections are initiated centrally in response to auditory, visual, olfactory or imaginary stimuli. Consideration should be given to discontinuation of any medication suspected of contributing to the erectile problem or, if required, switching to an alternative medication less likely to interfere with erectile function. One of them is cholesterol that creates a temporary bandage to save the arteries from exploding. I don’t think a man exists that hasn’t experienced a lack of sexual performance when going through stressful events.
Many doctors now prescribe testosterone supplements as ED treatment but the results are very limited since testosterone supplements don’t function the same way in the body as naturally produced testosterone. I feel quite fed up this kind of approach!!Since I have been on Ramipril,I have lost most of my muscle mass which I used to have plenty!! In the flaccid state, inflow through the constricted and tortuous helicine arteries is minimal, and there is free outflow via the subtunical venular plexus. Each branch divides into numerous terminal branches that open directly into the cavernous spaces. Reflexogenic erections result from stimulation of sensory receptors on the penis which, through spinal interactions, cause somatic and parasympathetic efferent actions.3On arousal, parasympathetic activity triggers a series of events starting with the release of nitric oxide and ending with increased levels of the intracellular mediator cyclic guanosine monophosphate (cGMP).
Regardless of the primary etiology, a psychologic component frequently coexists.5The severity of erectile dysfunction is often described as mild, moderate or complete, although these terms have not been precisely defined.
It is intended for general informational purposes only and does not address individual circumstances. If all is right, the arteries then begin healing and little by little the cholesterol is absorbed and no permanent damage, except for small scars, is done.


Increases in cGMP cause penile vascular and trabecular smooth muscle relaxation.3,4 Blood flow into the corpora cavernosa increases dramatically. First, provide information about conditions that are commonly associated with sexual dysfunction, then follow with a question about the individual's concerns.
It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health.
So now the arteries can’t deliver as much blood and are even more vulnerable because hard arteries crack more easily than flexible ones. When, however, high blood pressure is long lasting and chronic, the healing process of the arteries can’t keep up with the bandaging and cholesterol builds up… and up and up.
Laboratory tests are useful to screen for common etiologic factors and, when indicated, to identify hypogonadal syndromes. The rapid filling of the cavernosal spaces compresses venules resulting in decreased venous outflow, a process often referred to as the corporeal veno-occlusive mechanism.
The male sexual response cycle consists of four major phases: (1) desire, (2) arousal (erectile ability), (3) orgasm and (4) relaxation.
Before the initiation of testosterone therapy, the patient should be evaluated for the possibility of an occult prostate malignancy, which may be stimulated by supplemental testosterone.
Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. Appropriate evaluation of erectile dysfunction leads to accurate advice, management and referral of patients with erectile dysfunction.
This information may help assess the patient's sexual problems as well as identify high-risk behaviors and other concerns affecting the patient's overall health.Once a concern with the patient's sexual function is identified, the next step is to differentiate erectile dysfunction from other sexual problems, such as loss of libido or ejaculatory problems.
The physician should use appropriate vocabulary, avoiding slang or excessively technical terminology.
Patients with suspected vasculogenic or neurogenic causes can be considered for a trial of therapy in the primary care setting. Having the patient define the terms in his own words will help the physician and patient communicate more effectively.13 The International Index of Erectile Function (IIEF)14 is a valuable tool for defining the area of sexual dysfunction (Figure 4). Patients with a suspected psychogenic etiology should be considered for sexual counseling or psychiatric referral as well.Patients requesting a more comprehensive evaluation or those not responding to initial therapy should be referred for further evaluation and treatment. Poor LibidoThere are several forms of male sexual dysfunction, including poor libido and problems with ejaculation.
The IIEF is designed to be a self-administered measure of erectile dysfunction, but it also assesses a patient's function in other phases of sexual function. As such, it should be viewed as an adjunct to, rather than a detailed sexual history.Reprinted with permission from Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The percentage of complete ED increases from 5% to 15% as age increases from 40 to 70 years.
The international index of erectile dysfunction (IIEF): a multidimensional scale for assessment of erectile dysfunction. Also, ED may be more common in Hispanic men and in those with a history of diabetes, obesity, smoking, and hypertension. Because erectile dysfunction is frequently caused by medication, a review of the patient's drug therapy is essential and should include prescription and over-the-counter medications. Men who have diabetes are two to three times more likely to have erectile dysfunction than men who do not have diabetes.
Among men with erectile dysfunction, those with diabetes may experience the problem as much as 10 to 15 years earlier than men without diabetes. Life stressors such as change in social status, divorce, death of spouse, loss of job, or family problems may have an effect on erectile function.
Other conditions that may cause ED include cardiovascular disease, atherosclerosis (hardening of the arteries), kidney disease, and multiple sclerosis.
Difficulty in erectile function affects the patient and his partner, so it is important to assess whether the erectile problem is troubling one partner more than the other, and if so, who and why.
Finally, the physician should determine the patient's and the partner's level of understanding of sexual anatomy and function, as well as what expectations each has with regard to treatment outcome.
Smoking, excessive drinking, and drug abuse may damage the blood vessels and reduce blood flow to the penis.
Men with erectile dysfunction and their partners often lack a full understanding of sexual processes or have unrealistic expectations regarding sexual performance and satisfaction.5PHYSICAL EXAMINATIONThe physical examination should assess the patient's overall health. Particular attention should be given to the cardiovascular, neurologic and genitourinary systems, as these systems are directly involved with erectile function. The cardiovascular examination should include assessment of vital signs (especially blood pressure and pulse) and signs of hypertensive or ischemic heart disease. In some cases, the nerve damage is permanent, and the patient will require treatment to achieve an erection.
Abdominal or femoral artery bruits and asymmetric or absent lower extremity pulses are indicative of vascular disease. Skin and hair pattern evidence of vascular insufficiency should be noted.The patient's demeanor, dress, speech and overall appearance should be noted for signs suggestive of anxiety or depressive disorders.
Men should talk with their doctor if they suspect a prescription or over-the-counter drug may be causing erectile problems.
The superficial anal reflex, indicative of normal somatic function of sacral cord levels S2–4, is assessed by touching the perianal skin and noting contraction of the external anal sphincter muscles.
Experts say stress, depression, poor self-esteem, and performance anxiety can short-circuit the process that leads to an erection.
It is performed by placing a finger in the rectum and noting contraction of the anal sphincter and bulbocavernosus muscle when the glans penis is squeezed. External anal sphincter tone can be assessed during this maneuver as well.The genital evaluation should assess for local abnormalities, such as hypospadias or phimosis, and evidence of hypogonadism.
This area between the anus and scrotum contains arteries and nerves vital to sexual arousal. The penis should be palpated to determine the presence of local abnormalities such as fibrous plaques of the fascial covering (Peyronie's disease).
The doctor will conduct a complete physical exam to uncover signs such as poor circulation or nerve trouble. The prostate gland should be assessed for size, consistency and symmetry.ADDITIONAL STUDIESIf not previously done, some basic studies should be considered to identify unrecognized systemic conditions that may predispose to erectile dysfunction. Measuring testosterone levels can determine whether there is a hormonal imbalance, which is often linked to decreased desire.
The specific testosterone assay to be obtained is debated.15,17 Testosterone is predominately protein-bound and is influenced by a variety of clinical conditions. One study suggests ED is a strong predictor of heart attack, stroke, and death from cardiovascular disease.
The researchers say all men diagnosed with ED should be evaluated for cardiovascular disease. An age-adjusted, first-morning, free testosterone level is probably the most accurate measure.17 If the initial testosterone level is low, follow-up studies should include luteinizing hormone and follicle-stimulating hormone levels to differentiate testicular from hypothalamic-pituitary dysfunction.
Giving up smoking, losing weight, and exercising more often can help by improving blood flow. These tests are not usually performed in the family physician's office and are not necessary before the initiation of therapy for most patients. Many of these tests are subject to significant variation in interpretations and are most appropriate for use in refractory cases. They're generally taken 30-60 minutes before sexual activity and should not be used more than once a day.
Cialis can be taken up to 36 hours before sexual activity and also comes in a lower, daily dose. Drugs approved for this purpose work by widening the blood vessels, causing the penis to become engorged with blood. Good candidates are typically younger men whose blockage stems from an injury to the crotch or pelvis.
When an erection is desired, the man uses a pump to fill the cylinders with pressurized fluid.
A therapist can teach the man and his partner techniques to reduce performance anxiety and improve intimacy.



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