Healthier Lifestyle

A lot of men around the world are worried about not being able to satisfy their partners in bed, which is why a lot of them research about preventing erectile dysfunction. A lot of men really feel crippled or embarrassed when they find themselves in a difficult position of not being able to cater to the needs of their partners in bed.

Many men really believe that the test of their masculinity also depends on how they perform in bed. When problems with erections arise, many cannot help but feel sorry for themselves and question if they would still be able to perform well.

According to research, it is normal for a man to encounter some problems regarding his erection from time to time. There are actually a lot of factors that could lead to these problems. Too much stress could somehow affect a man’s erection as well as other factors.

But then, experts emphasize that though there are times when erectile dysfunction is normal, there are times when the problem arises out of pathological causes. It is important to know what the reasons behind the incidents are, so that proper management could be done and men could have normal erections once again.

But what is erectile dysfunction in the first place? Erectile dysfunction is a condition that is also known as impotence, or the inability to sustain an erection. Though this is more common in men ages 65 and up, there are also those who are younger who are already experiencing signs and symptoms of erectile dysfunction. As mentioned above, a lot of men do not like experiencing this because they feel like they are not able to perform that well. With this in mind, they know that they cannot satisfy their partners, and in turn, not satisfy themselves as well.

A lot of men have been doing their best to look for remedies that will help to give them better and longer-lasting erections. A long-lasting erection is needed in order to have a satisfactory sexual relationship with others. Though impotence is more common among aged men, erectile dysfunction could still occur at any age. There are different factors that could lead to this condition, and many could be attributed to normal events. If this, however, repeats a lot of times, then it could be a sign that the help of a doctor is already needed. Doctors will help those who experience this to know the reason behind it.

As mentioned earlier, there are many factors that could lead to the development of erectile dysfunction. In order for physicians to correctly treat it, they have to know what the cause is. Here are the probable causes of erectile dysfunction:

Aging

Men who are aging tend to be more prone to a lot of diseases, such as diabetes, cardiovascular diseases, and many more. All of these diseases tend to compromise the circulation of blood to the penis, which then affects how men get erections.

Smoking

It is known that smoking is generally bad for the health because not only does it affect the respiratory system, but it also affects other body systems and processes. For those who already have atherosclerosis, smoking aggravates this condition, which then greatly affects a man’s erection.

Diabetes

This is basically the most common cause of erectile dysfunction. Since the body’s insulin cannot cope with the amount of sugar in the blood anymore, the blood becomes sluggish and viscous, making it difficult to circulate in the body. Approximately around 50% of men who have diabetes find that they also suffer from erectile dysfunction.

Nerve conditions

Multiple sclerosis and other diseases that cause nerve problems are also known to cause erectile dysfunction. Since the nerves cannot pass impulses that well anymore, the male genitals also cannot get that stimulated.

Using various drugs

There are around 200 drugs that are commonly prescribed by doctors that cause erectile dysfunction among men. These medications are usually used to treat conditions like high blood pressure, depression, and many more. The long-term use of illegal drugs and alcohol could also lead to erectile dysfunction.

Pelvic trauma or surgery

There are certain surgeries or incidents that could traumatize the structures in the pelvic area, which could lead to the destruction of nerves. When the nerves are compromised, men may not be able to get erections.

Hormonal imbalance

According to the studies, less than 5% of men suffering from erectile dysfunction suffer from hormonal imbalances. These imbalances cause a man not to get erections at times.

All of these are the probable causes that could lead to the development of erectile dysfunction. Doctors have to know the real cause behind the development of the condition so that proper treatment could be given right away.

Upon knowing what the causes are, men would then go looking for ways of preventing erectile dysfunction. There are many ways to prevent it, both natural and surgical. A lot of men would prefer to go for the non-invasive procedures (or the natural methods) because they do not have to fear anything (use of invasive instruments and the like). A lot of people try to log on the internet to look for various products that they could use to help prevent the onset of erectile dysfunction. There are also those who ask the help from their doctors regarding these incidents so that the correct treatment could be given right away.

There are various natural methods to help prevent erectile dysfunction among the men. To prevent feeling sorry for themselves, they have to do all that they can to stop the phenomenon from recurring. There are supplements already available in the market that have been proven to help with this problem. Here are some of the popular remedies that men try in order to prevent erectile dysfunction:

1) Lose weight.

Having a healthy weight not only is a good thing for the heart, but it is also good for the erection, as many experts say. When men are obese, their blood tends to have a difficulty in circulating. Keeping the weight at a healthy level will ensure that the genitals get enough blood supply to maintain good erections.

2) For diabetics: monitor the blood sugar closely.

It is known that when there is too much blood glucose in the blood, the blood becomes viscous and cannot circulate that well. This will then compromise the blood circulation to the penis. Blood is needed to make the penis become enlarged when performing sexual relations. When the blood sugar is kept at a normal level, the blood flows a lot faster to the other parts of the body.

3) Stop smoking.

Smokers who have erectile dysfunction are encouraged by the physicians to stop smoking, not only to regain their erections, but for overall health as well.

4) Drugs that help with prolonging erections

Sildenafil, or otherwise known as Viagra, is one of the most popular medications that are given to those suffering from erectile dysfunction. Studies have shown that sildenafil actually helps to boost the levels of a certain amino acid in the blood that helps with erections.

5) Reduce stress levels.

This is common for majority of the men. Many men suffer from erectile dysfunction because they take on a lot of stress from their work, their home, and other places. It is important to know some techniques that will help a man to release stress from time to time. It also helps to avoid the things that make the stress levels shoot up.

6) Surgery

There are times when there are structures in the pelvic area that have blockages (such as blood vessels) that prevent the blood from flowing well into the penis and other structures. Surgery may be needed to fix the problem.

7) Vacuum devices

These devices have been specially made for the penis, to make sure that the blood flows to the penis fully. These are different from devices meant to enhance the size of the penis. These vacuum devices are meant to “suck” the blood into the penis, to make it engorged, thus sustaining an erection.

8) Penile prostheses

There are now men who go ahead and get prostheses for their penises, as a way of making sure that they get erections when they need to have one. The devices are implanted in to the penis and could be manually adjusted by the user, depending on how he sees it fit.

There are other various ways that the men could try in order to prevent the onset of erectile dysfunction. To make sure that they have healthy erections all the time, they may have to do a lot of lifestyle changes – for the better. For those who do not know how to start, they may try asking their physicians for help. There are a lot of men who have finally found the light when it comes to their sexual performance. Many have done all that they can to ensure that they whatever they are doing for preventing erectile dysfunction is effective.

• At the first sign of a sexual problem, consult your doctor for the proper course of treatment for the sexual problem.
• You might want to consider stopping alcohol intake or at least, limiting its consumption.
• Quit smoking.
• Avoid stress, anxiety as well as depression; seek medical help if necessary.
• Maintain open and constant communication with a partner, discussing sexual problems and how to avoid them.

1. CONSULT YOUR DOCTOR

Seeing a doctor at the onset of a sexual problem or sexual dysfunction prevents the sexual problem from worsening and avoids further complications from arising. Your doctor can identify the cause of the sexual problem and can prescribe any of the following treatments:

Prescribing of medications like Levitra, Cialis or Viagra. These drugs have been clinically proven to increase the blood flow to the penis, thereby improving sexual function.

Hormone treatment – in men that have low levels of testosterone, testosterone therapy is prescribed to elevate the testosterone levels and restore sexual performance

To help you understand what your doctor will prescribe to treat your condition, here are some possible questions you may wish to ask him or her:

• What do you think caused the sexual problem?
• Can it get treated?
• What are the treatments available?
• How long is the treatment going to last?
• Will the treatment affect my routine daily work?
• Would a lifestyle change help in treating the problem?
• Will tablets be taken orally?
• Are there any side effects to the medications?

It is important to be truthful with your doctor to get the most information from him or her.

2. ALCOHOL CONSUMPTION CESSATION

It has been proven and clinically shown that symptoms of male sexual problems are increased due to alcohol consumption. There are three leading sexual functions that are affected by over consuming of alcohol, they are:

1. Erectile dysfunction
2. Reduced libido
3. Impaired orgasm ability

3. QUIT SMOKING

Quitting from smoking is not only beneficial to the general well-being of an individual; it has been shown that smoking can lead to infertility problems and erectile dysfunction (impotence) problems. Dr John Spangler said (from the American Society of Hypertension) that men who smoke are 26 times in danger of suffering from impotence. According to him, there are chronic and acute erectile physiology effects caused by smoking. Smoking inhibits the full erection capabilities of humans.

4. AVOID STRESS, ANXIETY AND DEPRESSION

Stress, anxiety and depression are all psychological causes that lead to sexual problems. They may be job or work related or can be caused by trauma suffered from childhood or from a previous sexual partner. Managing these psychological causes prevent the onset of sexual problems. Psychological therapy may be necessary in treating extreme cases of sexual problems of this nature

5. COMMUNICATION WITH PARTNER

Sexual behaviour is influenced to a great extent by having an open communication with a sexual partner. Sexual concerns and needs can be readily addressed with communication. Barriers towards a healthy sex life are eliminated and thus preventing sexual problems from arising. Generally, communication on male sexual problems resolves these issues:

• Physical health and psychological state.
• Exploration of factors in relationship aimed to treat the sexual problem successfully.
• Learning of the causes and open discussion addressing the sexual needs of each partner.
• Physical health and psychological state.
• Exploration of factors in relationship aimed to treat the sexual problem successfully.
• Learning of the causes and open discussion addressing the sexual needs of each partner.

6. BE AWARE OF THE SYMPTOMS OF MALE SEXUAL PROBLEMS

There are a number of symptoms of male sexual problems and some of them are:

• Loss of and lacking in sexual fantasies, desire and interest in sexual coitus
• Lack of ability to maintain and have an erection
• Lack of ability to attain an orgasm, despite stimulation and arousal
• Lack of control in ejaculating and reaching orgasm
• Inability to attain orgasm
• Ejaculation with blood on the semen

It is important to see your doctor at the first sign of any of these symptoms to treat the problem early. There are of course various sexual problems and their symptoms may vary.

SEXUAL PROBLEMS THAT AFFLICT MEN:

Sexual dysfunction categories

1. Sexual desire disorders
2. Arousal disorders
3. Pain disorders
4. Orgasm disorders
5. Ejaculation Disorders

A. DISORDERS AFFECTING SEXUAL DESIRES

In this category can be classified the HSDD or the hypoactive sexual disorder disease also known as disorder of the sexual aversion type. This sexual problem is characterized by the lack of sexual fantasies and no desire for sexual contact. There are three sub classifications to this condition:

1. Generalized HSDD- With this, the man has no desire to be sexually stimulated either by his lonesome or with a partner.

2. Situational/Acquired HSDD- With this, the man has had previous interest in sex with a present partner and has lost interest to have sex with his present partner, but has the interest to be stimulated sexually by other women other than his present partner.

3. Acquired HSDD- With this, the man has had interest in sex with present partner, but is lacking in interest for sexual coitus.

B. DISORDERS AFFECTING AROUSAL

In this classification, the male sexual disorder called erectile dysfunction is part of. This condition is characterized by the failure to achieve an erection or the inability to maintain an erection. Impotence is likewise characterized by the absence of sexual pleasure and excitement during the sexual act. This inability to maintain an erection is due to the decrease of blood flowing to the penis. Here are some of the factors which are considered causes of erectile dysfunction:

• Arsenic poising coming from drinking water laden with arsenic
• Drug side effects
• Diabetes
• Prostatectomy surgery
• Cardiovascular disease
• Hypogonadism-hormonal deficiency

Impotentia coeundi is another type of erectile dysfunction that is characterized by the inability of the penis to penetrate the female vagina during the sexual act.

Erectile dysfunction may be physical or psychologically caused; a person with a psychological erectile dysfunction can be cured depending on the strength of his belief and conviction to get cured. An individual with a physical erectile dysfunction may have had damage to their prostate as a result of colo-rectal surgery. The colo-rectal surgery may have caused damage to the Nervi erigentes, which is partly responsible for the normal flow of blood to the penis.

C. PAIN DISORDERS

Phimosis falls under this classification. It is a condition where the foreskin of penis fails to retract. This retraction failure causes pain during sexual activity. This is sometimes caused by an infection called balinitis or any diseases caused to the genitals.

Peyronie’s disease is pain in the penis due to high blood pressure and arterial hardening. Injury to the penis like bending forcefully while the penis is erect can cause this disease. Diabetes and Injecting drugs unto the penis for treating impotence have also been pointed as other causes of this sexual problem.

D. ORGASM DISORDERS

In this classification can be found the sexual problem called anorgasmia. This sexual dysfunction is characterized by an individual’s inability to attain orgasm, despite adequate sexual stimulation.

Male orgasm disorders may be caused by any of the following:

• Hypogonadism- a condition where the testes does not produce sufficient testosterone
• Disorders of the thyroid gland such as hyperthyroidism or increase thyroid hormone production or hypothyroidism or decreased thyroid hormone production.
• Nervous system diseases like strokes, diabetes, multiple sclerosis, and spinal cord injuries
• Alcohol and substance abuse
• Cushing’s syndrome

E. EJACULATION DISORDERS

Ejaculation disorders are the most widely known male sexual problems, they are:

1. Premature ejaculation
2. Retrograde ejaculation
3. Delayed ejaculation
4. Inhibited ejaculation

1. Premature ejaculation is a male sexual problem where a man ejaculates ahead of his partner during coitus. This condition is also known as early ejaculation or rapid ejaculation, or simply, ejaculation occurring immediately after penetration.

Researchers have given this condition the definition of ‘an ejaculation that occurs in two minutes or less after penetration.’ The following are the factors (psychological) that contributes to the development of this sexual problem:

• Temporary depression
• History of sexual repression
• Stress due to financial worries
• Unrealistic expectation on performance during coitus
• Lack of confidence
• Lack or absence of communication between sexual partners, due to unresolved conflicts, feelings of hurt and pain.
• Extreme arousal

A doctor diagnosing this problem will consider the following conditions to rule out a premature ejaculation case:

• Age
• overall sexual activity and experience
• recent sexual activity
• and novelty of the sexual partner

2. Retrograde ejaculation is a sexual problem where a man achieves orgasm, but fails to produce any semen or visible ejaculation. The absent and non-visible semen is ejaculated into the urinary bladder.

The causes of this sexual problem are as follows:

• Bladder nerve problems causing the flow of ejaculation to go backward.
• after prostate or bladder neck operations
• Diabetes with complications of nerve damage (diabetic neuropathy).
• Medications administered in treating mood disorders

In some male cases there had been claims that a voluntary retrograde ejaculation can be achieved as a contraceptive means. In this instance the semen is discharged together with the urine. A simple urinalysis test is enough to determine this problem as there is visible abnormal sperm levels in the urine.

3. Delayed ejaculation or Retarded Ejaculation (RE) is a condition where it takes a very long time for ejaculation to occur. According to the WHO (World Health Organization), delayed ejaculation is the persistent difficulty, absence or delay in reaching orgasm, despite enough sexual stimulation. This causes anxiety, distress as well as absence of sexual confidence to the person afflicted with the condition.

4. Inhibited ejaculation is characterized by a slow occurring ejaculation or a full distended penis and achieving orgasmic state with no ejaculation visible.

Sexual impotence, erectile dysfunction, or ED, is defined as the disability to develop or maintain erection therefore failure to penetrate the vagina during intercourse. It has different causes that are generally physiological and health related or psychological reasons rooted to the emotional state of the patient. Statistical data shows that this is experienced by 10% of the male population. And as the age bracket goes higher, the statistics of cases for this physical disorder goes up.

The patient either undergoes disorders in having the desire to perform intercourse, failure to be aroused by the partner, delay or no orgasm at all, and experiencing pain during contact. Thankfully, with the fast-paced advancement in the different branches of science and technology, men have various choices to address this problem. New impotence treatments are continuous subject of medical researches and new hopes are given to the masculine population. The goal of which is to develop treatments that are not painful, has less side effects, and take effect more quickly.

One of this is the introduction of new erectile dysfunction drugs to market that could be taken by patients with the prescription of his physician. The list includes drugs having Alprostadil, Apomorphine, phoshodiesterase inhibitors, and Melanocortin activators as its main active ingredients.

Prostaglandin pharmaceutically known as Alprostadil is a vasodilator that comes with the brand name Caverject, Caverject Impulse, Edex, Muse. Medicines under this group increase blood flow by widening the blood vessels as the muscles relax. When there is increased blood flow in the penis, erection is achieved. One of the classical methods of introducing Alprostadil to the male organ is through injection. Known example is the practice of injecting Caverject at the Corpus Cavernosum, which is the side of the penis. Although the method is painless and erection takes place 5 to 10 minutes after the injection, administration of the drug is not advisable for men with hypertension, those with penis deformities, patients with penile implants, or those who are restricted by their physician to undergo sexual activity.

This drug is also found out to cause penile fibrosis also called Peyronie’s disease. Symptoms observed on male organs with penile fibrosis include inflammation, presence of scars, lumps, bent penis, or even painful erections. Also, injection of the drug reportedly causes prolonged erection or priapism that only a small dosage is advised. In this more advanced generation, Topiglan is developed to take away the burden of taking the drug by injection. It is used as topical cream rubbed at the tip of the male’s organ that stimulates the penis just the same.

Although the application of Topiglan is not all successful to hundred percent of tested patient and some claims its ineffectiveness, there are still some studies saying that the majority of those men that underwent the test achieved erection sufficient to perform intercourse. At present, the use of the drug is not yet approved by the Food and Drugs Administration (FDA).Past researches and development for the said drug originated at MacroChem Corporation.

Added to the list of new erectile dysfunction drugs to market has the active ingredient Apomorphine. This chemical, a derivative of Aporphine, targets the brain’s dopamine receptor in the hypothalamus. The stimulation of this part of the brain serves as the new impotence treatment as it enhances sexual response. As the dopamine receptor is induced, signals are transmitted to the sacral parasympathetic nucleus from the spinal cord followed by the stimulation of the sacral nerves supplying the penis. Erection is caused by the flow of blood as the penis muscles relax and the arteries dilate.

The drug is marketed with the trade names Ixense — and more currently as Uprima — by Abbott pharmaceutical company. Uprima is administered sublingually about 20 minutes before sexual activity; it enters the body through the tissues under the tongue. Sublingual administration of drugs is more direct therefore the threat of being degraded before reaching the blood stream is avoided resulting to a faster effect. However, the drug is to be taken with precautions because of observed side effects such as headache, dizziness, nausea, vomiting, or even fainting. Uprima is widely available in European markets. Currently, Apomorphine drugs are clinically utilized for the treatment of Parkinson’s disease.

Other drugs used in treating impotence are Sildenafil introduced in 1996 under the most common trade names Viagra and Revatio; Tadalafil approved in 2003 with the trade name Cialis, and Vardenafil legalized in commonly called Levitra or Staxyn. More current studies focus on the development of Avanafil an enzyme inhibitor. This drug, produced by Vivus Inc., functions as phosphodiesterase inhibitors that specifically target the phosphodiesterase type 5 enzymes (PDE5) found in the different tissues of the human body.

This drug inhibits the degradative action of phosphodiesterase type 5 on cyclic guanosine monophosphate (cGMP) found in the cells of the smooth muscles lining the blood vessels that supplies the corpus cavernosum of the penis. The corpus cavernosum is a sponge-like region in the male sex organ that contains most blood during erection. By inhibiting the PDE5 enzymes, there will be greater concentration of cGMP therefore an increase relaxation of the smooth muscles to allow better blood circulation necessary for penile erection.

A plus on the usage of Avanafil is that it can be taken twice a day when the patient desires to perform sexual activity more than once. The bad news however is the results of some clinical trials showing that patients administered with Avanafil tablets experience abnormal low blood pressure or hypotension, flushing or developing visible red marks on some areas of the skin, headache which is the most common, nasal congestion and heartburn. The effects vary depending on the dosage of the drug administered.

Another hope lies in the development of Melanocortin activators that target the central nervous system. Melanocortins are peptide hormones that activate the Melanocortins receptors. Studies using preclinical species show that erectile and sexual functions are influenced because of its effects in the periphery and in the central nervous system. The drug is formerly known as PT-141 and still in need of further investigations after claims of adverse side effects such as high blood pressure, skin tanning, and spontaneous erection.

New impotence treatment is not limited to intake of drugs or the use of topical creams. Scientific innovations could make gene therapy a possible way of treating erectile dysfunction. Gene therapy procedures deliver the needed genes into a person’s cells and tissues for the correction of defective or abnormal genes and reproduction of beneficial proteins. In case of erectile dysfunction, the treatment aims to work on proteins that are not functioning properly in the penile tissue. If successful, the alteration will make the organ capable of sending signals to the blood vessels that will in turn result to better blood circulation.

Erectile dysfunction is a classical disorder among men. Factors vary from patient to patient and individuals treat the subject in different perspectives. Medical reasons could be heart problems, kidney disease, diabetes, and injuries that damaged the nerves that have control over erections. A person’s lifestyle such as heavy drinking of alcohol and abuse of other drugs, using tobacco that eventually lead to chronic health disorders is also responsible for some cases of erectile dysfunction.

On the other hand, about 10 to 20 percent of cases are found out to be psychologically related. Some are traced back to traumas experienced by the patient in his childhood. Being burdened by too much stress, anxiety, and depression are also contributing factors. The person usually develops low self-esteem and indifference as a result of these emotional burdens. In order to identify the roots of the disorder, several tests are done such as physical examination, laboratory tests, psychosocial exams, and investigation on the patients’ history.

To address a person’s problem of impotence, it should not be confined in the bedroom alone. Seeking professional help and opening up to one’s partner helps a lot and makes the quest lighter. Recent researches, although faced with many technological and medical challenges are giving hopes to the society. The studies conducted on new impotence treatments and the goals of different companies to introduce new erectile dysfunction drugs to market are promising. With these, erectile dysfunction will not be a taboo to the society anymore and patients could be able to address the problem without fear. Knowing the facts puts the bedroom worries away.

It is said that a man is impotent if he cannot conceive or if he is having difficulties getting an erection. There are men who can have an erection but are unable to maintain it. Some become erect although not rigid, while some do not have an erection at all. There are men who only experience this predicament when having sex with someone new or with someone they have been with in a long time.

Causes of Erectile Dysfunction

In the US alone, an estimated 20 million men are afflicted with erectile dysfunction and that it can happen to nearly half of all men from 40 to 70 years old. Psychological factors and medical conditions can lead or contribute to erectile dysfunction. In older men, it was found that more or less 60% of all cases were due to physical causes.

Diabetes, atherosclerosis, chronic alcoholism, kidney disease, multiple sclerosis, neurologic disease and vascular diseases are the common diseases that can cause impotence. As per the National Institutes of Health (NIH), approximately 70% of the cases are because of the previously mentioned health conditions. Hormonal imbalance, accidents, car crashes, skiing wipe-outs, are the leading causes of ED in younger men. Atherosclerosis, a condition where the arteries are contracted, impedes the blood flow to the penis. It is the leading cause of impotence in men 60 years and up. If there is any damage to the connective tissue, the corpora cavernosa cannot fully expand which will result in ED.

Neurological conditions, multiple sclerosis, Parkinson’s disease and Peyronie’s disease can also cause impotence. Men with diabetes are high risk to diabetic neuropathy and atherosclerosis which make them susceptible to impotence. It was found that 35% to 50% of them experience erectile dysfunction. Some blood pressure medications, antianxiety drugs, tranquilizers, antidepressants, antiulcer drugs, antihistamines, antifungals, antipsychotics, smoking, drugs and substance abuse can affect erectile function. Lastly, psychological problems, which include stress, guilt, or anxiety, and low levels of testosterone can result in erectile dysfunction.

Erectile Dysfunction has many causes and different stages. No matter what the case is, nearly all men have erection problems at some point. Men should not despair though. Erectile dysfunction can improve with impotence drugs, therapy or surgery if necessary. Natural remedies for erectile dysfunction are also available for those who want a holistic approach. There is no reason to be ashamed or go through it in silence. Today, there are many ways to treat erectile dysfunction which will be explained in the subsequent section.

Impotence drugs, Therapy and other Treatment

The inability to have and sustain an erection is not something to be concerned about except when it becomes a constant problem. Erectile dysfunction can be treated using behaviour modification technique, impotence drugs, psychotherapy, blood vessel surgery, vacuum devices, and surgically implanted devices.

Behavior modification is an option if emotional issues account for the cause of impotence. Whereas, therapy, non-medical and impotence drugs are used to restore sexual health if the cause of ED point to medical conditions.

Viagra or Sildenafil, also distributed as Revatio is primarily used as a treatment for pulmonary arterial hypertension as well as boost exercise capability in athletes. It is wrong to take this pill everyday under the assumption that daily use will cure ED. Viagra should only be taken once daily without food. It is advisable not to use Viagra with nitrates. Nitrates are widely-used for cardiovascular problems and chest pain. Take Viagra an hour to 4 hours before having sex. The pill works about an hour after and erection will happen when stimulated. Men with heart problems and low blood pressure should be thoroughly checked by a physician before using this drug.

Often sold as Adcirca, Cialis is used for pulmonary hypertension. It can be consumed with or without food. Like Viagra it should only be taken once a day and not to be used with nitrates either. The advantage of this over its competition is that it can be taken as early as 36 hours before sexual activity. Unlike its counterparts, Cialis can be taken up to 36 hours prior to anticipated sexual activity. There should be an interval of 24 hours in between doses.

Another impotence drug available is Levitra, with the generic name Vardenafil. Like its counterparts Viagra and Cialis, Levitra should not be used with nitrate-based drugs. Levitra can be taken 30 minutes before having sex and without any food.

These impotence drugs should be taken with caution as it could cause complications and negative side effects. For instance, they are not to be taken along with nitrate-based medicines as there is a risk of blood pressure dropping dangerously. Usual side effects include headaches, diarrhea, flushing and stuffy nose. Moreover, the labels of these drugs are being modified to include the acute optic nerve disorder, nonarteritic ischemic optic neuropathy as rare side effect.

Above are three of the frequently used impotence drugs. All of them act by relaxing muscles in the penis and improving the blood flow. Viagra has been around the longest and Cialis holds the record for having 48 hours of potency. These drugs are safe and identical in overall performance. Typical to all impotence drugs, anyone should get immediate medical help if the erection lasts more than 4 hours. Other remedies for erectile dysfunction include medical procedures and therapy. Impotence drugs can be taken orally, injected to the penis, or inserted to the male urethra and should only be used as prescribed by a doctor.

Natural Remedies for Erectile Dysfunction

Aside from impotence drugs, some men prefer to use natural remedies in treating erectile dysfunction. Alternative remedies for this serious condition include dietary supplements, acupuncture and herbal solutions. The use of herbs for treating bodily ailments and conditions began hundreds of years ago. Chinese alternative medicine has probably the widest and longest experience in the use of herbal medicine. However, there are also records of other races using natural medicine since ancient times. Today, the effectiveness of these herbs is proven through modern medical studies and from testimonies of countless people who claim to have been cured of certain ailments after using them.

Many types of herbs are used as natural remedies for erectile dysfunction. One of the herbs that is believed to be effective in enhancing sexual performance and endurance is Coryanthe yohimbe. It is also used in treating impotence brought about by old age and stress.

Ginkgo biloba has been used since early times for medical reasons. These days, it is among the top-selling herbs in the US. Ginkgo is used in treatment of various conditions including erectile dysfunction. The herb is widely used however, because of numerous reports of bleeding with its use, gingko should be taken with caution by patients with blood clotting disorders.

Asian ginseng is used as natural remedies for erectile dysfunction and other conditions. Aside from boosting sex drive, ginseng can also improve male fertility.

Maca root is a legendary natural enhancer passed on by the Incas. Proving only that the popularity and efficiency of maca root can be traced more than 500 years ago. It is known to enhance strength, libido and fertility.

Damiana is known as an aphrodisiac and for boosting sexual strength. Its leaves are used for sexual stimulation, improved strength and impotence.

For many years, Tongkat Ali has been used by Malaysian men to improve sexual desire, strength, sex drive and to cure erectile dysfunction by increasing testosterone. Other herbs used for natural treatment of erectile dysfunction include true unicorn root, Tribulus terrestris, saw palmetto, Muira Palma and Fo-Ti.

The primary advantage of natural remedies for erectile dysfunction versus impotence drugs would be that they do not have negative effects. The optimum benefit of these herbs can be achieved if they are used systematically for long a time. However, their effectiveness can also be seen immediately when used as a sexual stimulant. The kind of herb to use depends on several factors including discovering the cause of erection problems. For example, one major cause of impotence is the impediment of the flow of blood to the penis, which results to weak and short-lived erections. For this, the best herb to use is the Horny Goat Weed, a time-tested herb used in increasing libido and improving erectile function.

Whether you choose impotence drugs or natural remedies for erectile dysfunction, remember to combine it with a healthy diet for it to be more effective. Some changes to lifestyle might also be in order such as avoiding smoking, excessive alcohol, and high cholesterol. But before you start using any of these natural remedies for erectile dysfunction, it is recommended that you talk to your physician first to avoid any health complications.

Erection, Dysfunction and Causes of Erectile Dysfunction

What is erectile dysfunction and what causes it? Erectile dysfunction is the inability of a man to achieve erection. Some men, however, achieve erection but cannot sustain it for as long as he normally could. It is caused by a number of reasons. For erection to be possible, there are certain conditions that must be fulfilled, including proper nerve function, blood circulation and brain stimuli. If one of these conditions isn’t met, then erection could either be unlikely to be achieved or sustained. Both of these situations are not things that a man would want. There are many things that might cause ED, including diabetes, high blood pressure, anxiety, weak veins, injuries, and other medical conditions, which could be acute or chronic in nature.

How many men suffer from erectile dysfunction?

Contrary to popular belief, even younger men could suffer from ED. While it is generally associated with older men, ED is not something that is natural for a man as he ages. It could be prevented, and not all elder men suffer from the condition. More than 30 million men suffer from ED, but only half of them would only go to a doctor to have their diagnosed and treated. Younger men aren’t safe from erectile dysfunction either, and studies have shown that the number of younger men diagnosed with ED for several different reasons have been increasing through the years. And because of the staggeringly high number of men affected by ED, there is now the question of what treatment should be used to fight and prevent it.

Herbal Treatment for ED

Is it possible for erectile dysfunction herbs to cure it completely? If so, what makes a natural treatment for ED effective? There are many herbs for erectile dysfunction, but they work somehow differently from one another, targeting different causes of erectile dysfunction, therefore making them effective in curing different types of the condition. Some might settle for pill products, some might go for other alternative treatments such as acupuncture, but many would want a natural treatment for it. What is more natural than using herbs for erectile dysfunction?

Safety and Reliability of Herbal Treatments for ED

Herbal treatments, though natural, are not 100% safe, 100% of the time. There are some men who could be allergic to certain herbs, and there are cases where it is risky for a man with a certain medical condition to take a certain herbal treatment for ED. The best way to make sure is to consult your doctor about your plan to use herbs to treat your condition. If the doctor sees fit, you would be given certain herbs to work with, and you should get back to the doctor to see if the treatment is working. In many cases, though, it is also important that you undergo lifestyle changes, especially those that have direct connection with erectile dysfunction. Using herbs and changing your lifestyle could be your best bet when treating the condition, but you might have to go with other treatments if your doctor says that it’s not safe for you to treat ED with herbal medicine.

So are erectile dysfunction herbs a natural treatment for ED? They could very well be. Thousands of men all over the world turn to herbal medicine for help, and many of them have been surprised to learn that they could actually work, sometimes even better than other, commercial and artificial products in the market of ED treatments. Do not think that going to a doctor would yield no good results. Because herbs work differently and target different causes of the condition, you need a doctor to learn what you really need to cure your ED. You might have an underlying disease that causes the dysfunction, and making sure about the cause would up your chances of getting the right herbal solution.

What Is Erectile Dysfunction?

First, let us define erectile dysfunction. Erectile dysfunction is one of the most common sexual disorders for men which lead to poor sex performance because of the inability to keep erection. The condition is also called Impotence which is more common in older men with ages between 40 and 70 years.

Erectile Dysfunction – Symptoms and Causes

How will you know if you have erectile dysfunction? Difficulty in getting and keeping an erection and poor sex performance are the common symptoms of the condition.

Now, what are the causes of erectile dysfunction? The causes of impotence can be psychological, emotional or physical. Some emotional or psychological aspects include stress, depression, anxiety and some feelings that affect sexual intercourse.

It can be stress from work or problems with the partner. We can also consider some feelings like fear and nervous because these are factors leading to poor sexual performance. Erectile dysfunction can also be caused by physical factors. Unhealthy lifestyles, too much use of drugs and alcohol, smoking are example of this. And according to some experts, erectile dysfunction is associated with other diseases like high blood pressure, heart diseases, hormonal problems and diabetes. Among these conditions, diabetes is said to be one of the major cause of erectile dysfunction for most of the men today.

Sexual and Urologic Problems of Diabetes

It has proven that diabetes is the cause of erectile dysfunction. In fact, studies show that men with diabetes are more prone to have erectile dysfunction – they are 3 times more likely to suffer from the condition compared to those without diabetes. Impotence happens because of the damaged blood vessels and nerve cells in the body. The damaged nerves will affect or stop the normal functions related to the sexual ability of a person.

Aside from erectile dysfunction, there are other related sexual and urologic problems of diabetes like retrograde ejaculation, urinary tract infection and bladder problems. Retrograde ejaculation happens during ejaculation where there is a problem with the semen. During ejaculation, semen should go out in the penis, but in retrograde ejaculation it enters the bladder and goes with the urine.

Another condition that occurs to men with diabetes is bladder problem. Bladder problems happen if the nerves that are connected with the bladder are damaged already. There are different types of bladder problems which are overactive bladder, urine retention and poor control of sphincter muscles. The common symptom of overactive bladder is frequent urination which is more than 8 times a day. The damage of nerves is the reason why the bladder feels full and that causes pressure, indicating that it is time to urinate. This condition is called urine retention which may cause damage to the kidney. Another type of bladder problem is the poor control of sphincter muscles. Sphincter muscle is the one responsible in holding the urine in the bladder. So if the muscle will be damaged, it will affect the person in releasing his urine.

Urinary tract infection is another urologic problem of diabetes. Urinary tract infection happens when the bacteria goes to the urinary track. The usual symptoms of the infection are nausea, high fever, urge to urinate, pain in the back, pain in the bladder during urination and fullness in the rectum.

Preventive Measures

Since we all know what erectile dysfunction is, as well as the symptoms, causes and other related diseases, a man should also be aware of the preventive measures he should exercise. As they say, prevention is still better than cure. Here are some ways to avoid diabetes and erectile dysfunction.

The first thing is to be careful with what you eat. Eating habits that are not good for the heart will also affect the penis and the ability to keep erection. Studies show that a man who has a healthy diet is not prone to erectile dysfunction. The healthy diet includes fruits and vegetables, fish, oil nuts and other heart friendly foods.

Do not abuse drugs and alcohol. As we all know drinking alcohol can damage the liver and it may also result to some other conditions. Male hormones are greatly affected by too much intake of alcohol which can lead to impotence. Drinking occasionally is advised but it would be better to stop drinking at all.

Regular exercise and maintaining healthy weight are also recommended. Exercises like running, walking, swimming and some sports like basketball, volleyball and badminton are helpful ways to prevent erectile dysfunction.

Being overweight may lead to some conditions like diabetes and we all know that diabetes will affect the nerve that’s connected to the penis. This will probably result to impotence so men should always maintain a healthy weight.

Smoking should be stopped. Like alcohol intake, smoking doesn’t have any good effects on our health. It can damage the flow of blood vessels to the penis.

Taking steroids is also a big no-no. Steroids are usually taken by athletes but too much use of steroids will affect the production of testosterone.

Avoid stress. As discussed earlier, stress is one of the common causes of erectile dysfunction. So do anything to be more relaxed and be more confident when having sex with the partner.

Protect your penis. A penis injury from sex is sometimes the cause of erectile dysfunction. To avoid any pain or injury during sex do it in the most comfortable way. If someway your penis was hurt, tell her and ask her to stop.

Treatment Options

For those who already have erectile dysfunction and diabetes, there’s nothing to worry about because there are different kinds of treatments.

Oral Medications

The most common type of treatments for men with erectile dysfunction is using oral medications. Viagra is the most common example of oral medication. But oral medication is not recommended sometimes because as we all know, diabetes is associated with heart diseases. The medicine for the heart may not go well with this oral medication. It is also important to consider other types of treatments or therapy and before taking any medication, it is advisable to talk to the doctor first.

Alternative Treatment Options

Aside from oral medication, some alternative treatments can also be used as treatments for Erectile Dysfunction. These alternative treatments are Herbal Remedies, Nutritional Supplements and Acupuncture. For herbal remedies the best example are gingko biloba and asian ginseng. They say that these 2 herbs are proven to improve erection. There are also nutritional supplements like zinc, amino acid, Vitamins E and C. These supplements are proven as a great help for those with Impotence. Acupuncture is a method of medicine originated from China; this is a process of sticking needles into some points of the body. The process was able to help some person with impotence because it improves the balance of the body.

Vacuum Constriction Device

Another treatment that can be used is through a device called Vacuum Constriction Device. This device is used to keep an erection through the pump of the device. The pump can be put directly in to the penis to get an erection.

Penile Implant

A penile implant or penile prosthesis provides longer or maybe permanent solution to erectile dysfunction. The procedure is just being used if the condition can’t be resolve by natural treatments and some medications. This is a surgery wherein malleable rods will be implanted inside the penis. After the procedure, erection will not be a problem anymore and the penis will look the same as it is.

Vascular Reconstructive Surgery

Vascular Reconstructive Surgery is another procedure to help improve erectile dysfunction. The procedure is difficult and it cost too much. The purpose of the surgery is to improve the supply of the blood going to the penis. The result of this procedure is not really good throughout the years but the surgery is recommended for younger men with erection problems.

Traditional Treatment

The last procedure in our list has been used for generations and it’s originated from Western Africa. The name of the supplement is Yohimbine which came from the bark of Yohimbe tree. Although the supplement has been used for years, the effectiveness of yohimbine is not yet proven.

Possible Future Treatment Options

Some of the experts are trying to develop new products or medications for erectile dysfunction which they say that will be more effective. It is not impossible that this product can be used few years from now. So to give you an idea, the names of the products are Uprima, Melanocortin activators, Topiglan, Avanafil and Gene Therapy.

Erectile Dysfunction is not just a simple condition because it can be a sign of a more serious condition like diabetes. Better understanding of erectile dysfunction and regular consultation with the doctor are always the best thing to do. And always keep in mind that healthy lifestyle is the best way to prevent erectile dysfunction or diabetes. Sex life is part of our life and resolving erectile dysfunction problems will lead every man to better sex performance – and a happier life.

A far worse opinion would be that ladies may find this as a sign of weakness. So if you are looking for an erectile dysfunction treatment that will provide you rock hard and longer lasting erections, then look no further because the Instant Performer is here to give you a helping hand.

What Instant Performer promises to give is something that we men have been looking for. An erectile dysfunction treatment that will make us rock hard, give us longer lasting erections that works in a few seconds without dishing out any unwanted side effects.

Come to think of it, Instant Performer can be considered as the Holy Grail of erectile dysfunction treatments. Not only does Instant Performer helps with erectile dysfunction it also helps with premature ejaculation. How does it do all  this? Because even when you have already reached orgasm, your penis will still be rock solid and ready to perform.

A rock hard and a longer lasting erection will give us the confidence that we will be able to satisfy our women and leave them wanting more (which you can probably satiate thanks to erectile dysfunction treatments). Erectile dysfunction leads to embarrassment and a loss of confidence.

Women will be turned off when you cant get it hard no matter how aroused you are. The most shameful part is, word about your erectile dysfunction might get around and people who know you might look at you at a different light. Will you let your ego be crushed like that? Thats just unacceptable.

On top of this, we also know that it takes women longer to become aroused. Knowing this, premature ejaculation prevents you from keeping up with them. Try to picture this in your head: you are with your lady, you are doing the deed, you are about to come and suddenly the door opens. Frustrating right? Cut off in the middle of sexual intercourse. Thats how your woman feels when you ejaculate prematurely.

You are leaving her hanging out there, unsatisfied and discontented. Of course, theyre not just going to openly tell you about it. Some women will tell you that its okay. Some will tell you that its nothing to worry about. But is that really the case? Is it really alright? Is it really nothing to worry about? You dont like getting cut off during sex right? Well, neither do they.

The erectile dysfunction treatment Instant Performer will work wonders not only on your tool, but also in enhancing your relationship. As we all know, a healthy sexual relationship is key to a good partnership and happiness. Those questions mentioned above? Instant Performer puts an end to them and will make sure that your partner will not be able to wait until bed time.

Instant Performer will enable you to perform as long as your partner needs you to. The fact that women takes longer than us men to stimulate will no longer be an issue with Instant Performer giving you a lending hand. Instant Performer brings back your confidence to perform and heals your wounded ego.

Instant Performer is more than just an erectile dysfunction treatment, it is also a solution for a problem that has resulted in the development of intimacy issues between couples. That being said, Instant Performer is not just for your benefit but your partner as well.

Being considerate of her sexual needs is a sign that you truly love and care for them. Instant Performer is not just for horny, sex-driven men. Its also for considerate and sensitive lovers. Satisfying your woman in bed will not only impress her, but will also make her love you more.

Another plus for Instant Performer is that it is easy and safe to use. All you need to do in order to make your penis as hard as the rock of Gibraltar is to apply and rub it and in 40 seconds, you are ready for a wild and steamy night. It also can be applied discreetly if that is your preference since Instant Performer oil is conveniently packaged in a tube.

It is true that it is discomforting to admit that we are using an erectile dysfunction treatment but with our backs up against a wall, Instant Performer will make you feel grateful that you decided to use it.

The side effects obtained from using pills such as Viagra need not be feared or worried when using Instant Performer. Instant Performer is an erectile dysfunction treatment that contains only the most natural of ingredients. These ingredients all work together to get the desired effect. They increase blood flow to your penis, libido and sperm count.

They also improve your stamina, boost your sex drive, and combat impotence and premature ejaculation. Ingredients such as aloe vera allow for faster ingredient absorption through the skin which enables Instant Performer to make your penis rock hard in a matter of few seconds.

If you want to know how you can avail of this great erectile dysfunction treatment, then visit Instant Performers web site, https://www.instantperformer.com/index.php. This site will educate you further on the effects of Instant Performer, with all its natural ingredients explained in further detail. In this site, you will also find discount offers and package deals.

Along with Instant Performer, Erection Health may be included to your deal. Erection Health is a DVD instruction manual that teaches you exercise routines and techniques on how to make your erections last longer and become stronger.

So stop getting blown off because of erectile dysfunction. Stop leaving your woman hanging due to premature ejaculation. Instant Performer may be the erectile dysfunction treatment you have been looking for in order to restore your confidence and reinvigorate your sexual relationship.

People thought that if you could just get rid of the sources of stress in your life, then the problem would go away. However, recent studies have proven that erectile difficulties that happen more than 25% of the time are no longer normal, and are possibly caused by more pressing factors.

If you are suffering from erectile dysfunction, you already know how embarrassing it is when the time calls for love-making. The incapacity to make one’s penis hard is gut-wrenchingly frustrating and unnerving; most especially if you feel the desire to have sex but your penis just won’t cooperate. If you’re looking for ways of improving erectile dysfunction, then you are fortunate to have been born in a decade where something with great potential has been created.

All hail to Instant Performer, the greatest solution ever for improving erectile dysfunction!

Why is Instant Performer different? The number one distinguishing factor for this special erectile dysfunction treatment is that its a highly potent topical lotion smeared directly on the penile area. Topical lotions are safe and non invasive, which means that you can say bye-bye to dangerous pills with hazardous formulas and unheard of chemicals. You can also bid adieu to scary surgical procedures that are often very dangerous and risky.

Instant Performer is made only with the safest most potent ingredients known to man. If you’re looking for something that you can use and abuse any day, it’s Instant Performer. If you’re thinking that lotions take forever to deliver results, think again. Instant Performer works really fast in improving erectile dysfunction.

The lotion works in as fast as 40 seconds, which is even faster than the time it takes for you and your partner to completely undress yourselves! What’s more is that the results last for a staggering two hours! Just enough time to successfully get your rocks off!

Erectile dysfunction happens more frequently to those who are stressed out, fatigued, or had too much to drink. Those who have alcohol in their system are often not allowed to take erectile dysfunction pills, for alcohol can render the effects of the pill obsolete. Instant Performer, on the other hand, boosts your stamina and heightens your sex drive even when youre tired or too drunk for love making!

Instant Performer works so well in improving erectile dysfunction because of its highly potent ingredients that work transdermally. Transdermal simply means that the ingredients penetrate through your pores and get to the root of the problem so you get fantastic results every time.

Instant Performer contains a couple of the most potent albeit natural ingredients known to man. The special concoction contains L-Arganine, an ingredient known to increase blood flow in the penis by aiding in vasodilation, or the widening of the blood vessels in the penis.

It contains high levels of pomegranate as well, a popular fruit known to have benefits for those who are suffering from erectile dysfunction. Apart from these two popular ingredients, Instant Performer contains Ascorbic Acid, Panax Ginseng, Hawthorn Berry Extract, Gingko Biloba Leaf Extract, as well as other frighteningly efficient natural ingredients known to get to the source of your erectile dysfunction problem!

Instant Performer is by far, the most powerful and the most efficient product that you can use in improving erectile dysfunction. Experience rock-hard erections, bullish stamina and a libido unlike any other with the latest in erectile dysfunction treatment! Try Instant Performer today!

Although Viagra will give you an erection for a short period of time, MaleExtra is the perfect long term supplement which can help you retain a harder and longer erection more consistently. Also, using Viagra to acquire erections over a long period can be dangerous for your health (see side effects below).

Read this fantastic article!

Viagra vs. MaleExtra

Which is better at giving you a longer penis with harder and more impressive erections?

Viagra is no doubt one of the most popular pills available today. However despite being available primarily as a treatment for erectile dysfunction, it is also commonly used (illegally) as a recreational drug, as well as in a (ill advised) attempt to enlarge the penis.

WARNING: Due to the number of potential side effects of Viagra, it is highly advised that you DO NOT purchase Viagra without an authentic prescription from your doctor or medical physician.

In the last few years, people are beginning to realise that Viagra is a dangerous and a unsuitable drug to use when you are trying to improve erection size and strength. In addition, it is impossible to use it as a means to enlarge your penis.

Read this fantastic article!

Erectile dysfunction can be the cause of friction that a couple are experiencing in their relationship. The inability to engage in satisfying sexual intercourse can leave a void. What many men do not realize is that erectile dysfunction is a condition that can be reversed.

The Causes of Erectile Dysfunction

Erectile dysfunction can be caused by a variety of factors. Some of the most common causes of erectile dysfunction include psychological problems such as stress, anxiety, depression and guilt, as well as high blood pressure, diabetes, being overweight, kidney and liver disease, and lack of sleep, among many others.

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Psychological problems, such as stress, can leave a lasting effect on the male that they will be unable to create and hold an erection. Many new couples experience this when they come together for the first time. The man is so stressed on being perfect that it can lead to a failed sexual encounter. As a result, the penis never becomes fully erect or the erection last only moments. An encounter such as this one will not only ruin the night, but will leave the man feeling inadequate.

Exercise is a Must

In order to reduce the chances of have erectile dysfunction, a male should take the time to properly take care of their body. Regular exercise will help the flow of blood throughout the body, especially to the penis.

However, the male should also take time to perform several exercises on their penis. The first exercise, called kegel works out the muscle in the body that controls the ejaculation process. By strengthening this muscle, you can make your sexual experience longer and your ejaculations bigger and stronger.

The second exercise is used to enhance the presence of the penis. This is called jelqing and is accomplished my moving blood from the base of the penis to the head. This process will cause the tissues of the penis to expand, thereby allowing more blood into the penis when an erection occurs.

MaleExtra is a Must

To reduce stress when engaging in sexual intercourse, you should consider using MaleExtra. This unique product has already provided men with the confidence, size, girth and control they have been looking for. This pill contains 100% all-natural herbs that provide:

• stronger sex drive,
• longer erections,
• stronger erections,
• increased ejaculation, and
• overall improved blood flow to the penis.

By taking MaleExtra, you will notice that your confidence will increase when having sex and stress will not be an issue. You do not have to live with the stress and anxiety that you may not perform well in bed. Surprise your partner and yourself by taking MaleExtra and enjoy having sex once again!  Looking for Discount Male Extra™ ? Order Male Extra™ Here & Save $790!