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Erectile dysfunction (ED) is also called impotence. Before discussing about erectile dysfunction, I would like to discuss about structure of penis and how erection normally occurs.
Structure of penis
Penis has two columns of tissue running along the sides called corpus cavernosum and another column of sponge-like tissue running along the front of penis called corpus spongiosum. These tissues get filled up with blood during erection.
How do you get an erection?
An erection begins with both sensory and mental stimulation. During sexual arousal, nerve messages begin to stimulate the penis. Impulses from the brain and local nerves cause the muscles of the corpora cavernosa to relax, allowing blood to flow in and fill the open spaces, thus expanding penis. The veins running through the outer sheath of the penis then compress which stops the blood from leaving the penis and making it erect. It is now known that nitric oxide triggers an erection and maintains it by relaxing muscles that allow blood to fill the penis.
Erection is reversed when muscles in the penis contract, stopping the inflow of blood and opening outflow channels. As blood starts flowing out of penis, it gets flaccid.
What is erectile dysfunction?
When a man is unable to get an erection or keep an erection that allows sexual activity with penetration, he is said to have erectile dysfunction. It is not a disease by itself but a symptom of other problems including psychological, physical or a combination of both.
Erectile dysfunction is a very common problem and increases with age. An Australian study found that at least one in five men over the age of 40 years has erectile problems and about one in ten men are completely unable to have erections.
What are the causes of erectile dysfunction?
There are many causes of erectile dysfunction and more than one cause may coexist. However, psychological problems including performance anxiety, marital and relationship problems, depression, financial stresses, and other psychiatric problems are common causes of erectile dysfunction. Many medical conditions associated with erectile dysfunction include diabetes, high blood pressure, obesity, cigarette smoking, sleep apnoea, high cholesterols, thyroid diseases, drug and alcohol abuse, spiral cord injuries, multiple sclerosis, certain prescribed medications, testosterone deficiency and others.
What is the treatment for erectile dysfunction?
There may be more than one cause and treatment often involves a multidisciplinary approach. It is very important to see a medical practitioner or other health professionals for advice and treatment.
Sex therapy and counselling may be needed for psychological issues whereas conditions like obesity, drug and alcohol abuse, smoking, and high cholesterols need lifestyle modifications.
Diabetes, high blood pressure and other medical conditions need medical treatment.
Some specific treatments for erectile dysfunction include:
Medications: Commonly used pills are sildenafil (viagra), tadalafil (cialis) and vardenafil (levitra). You need a prescription for these medications from your doctor.
Injections: If pills do not help, the patient may try using an injection called alprostadil (caverject), which can cause an erection within 10 minutes of injection into the penis. The erection can last from 30 minutes to two hours. The doctor or specialist will first show the patient how to administer the injection, then, if the patient is happy, he can try this at home. Besides the sting of a needle, it is not painful.
Vacuum pumps: Vacuum pumps are devices that fit over the penis and draw blood into the penis to make it erect. The patient can have erection for as long as he likes. However, these devices do not suit everybody.
Implants: Implants are used only as a last resort when other treatments have failed or are unsuitable. Semi-rigid rods are inserted into the penis to make it sufficiently hard to enable sexual intercourse. The disadvantage with implants is that the penis will be partly erect all the time.
Please remember
Erectile dysfunction is not a disease of old men only but can affect men of all ages. There are both psychological and physical factors causing it and it is very important to seek help from a health professional early. At the same time, it is important to remember that modifying lifestyle like exercising regularly, maintaining a healthy body weight, and stopping smoking can help prevent and to some extent treat erectile dysfunction.
Problems With Sex - Delayed Ejaculation.
Ejaculation is the squirting out of semen during sex. There are three main ejaculation problems which are quite common. These being: Premature Ejaculation, Delayed ejaculation and Retrograde ejaculation. The one which 30% of men experience at some time in their life is premature ejaculation or PE. This is when you ejaculate too quickly during sexual intercourse. Delayed ejaculation affects around 5% of men. This is when you want to ejaculate during sex but fail to climax. Retrograde ejaculation is a rarer condition. This is when you experience the feeling of an orgasm, but there is little or no semen. This article focuses on Delayed ejaculation. You should always seek professional medical advice before taking any medications or using new techniques.
Delayed ejaculation is when you have a normal erection, but can't reach a climax and ejaculate, even though you want to. Some medications and certain health conditions can contribute to this problem. However, in most cases the causes tend to be psychological. If you can maintain an erection and are receiving satisfactory stimulation, you want to ejaculate but are unable to do so, then delayed ejaculation could be your problem. If you reach a climax during masturbation, but not during sexual intercourse, then this could be caused by feelings of anxiety, or guilt.
Other psychological causes could be: Sexual trauma - a traumatic sexual experience at an early age, being caught out having sex, or, more seriously, sexual abuse. Strict upbringing - Being raised in a
strict family, where sex is regarded as sinful or only appropriate after marriage. Relationship problems, Overtired, stress and depression. Try having your partner keep some clothing on, perhaps her bra or skimpy top for instance. Then slowly remove this item just when you are at the point of wanting to ejaculate.
Physical factors contributing to delayed ejaculation can include: Diabetes, surgery to the bladder, prostrate gland, increasing age, multiple sclerosis, and spinal injury. Additional causes known to cause this problem include: antidepressants, recreational drugs and alcohol. The first step to overcome this problem is to talk to your doctor. Physical causes can usually be treated by your doctor. If medication is causing your problem he may be able to suggest an alternative. Psychological causes will need therapy and counselling using several techniques to try and overcome your problem. If you are trying to have a baby, artificial insemination (IVF) can be considered
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Erectile dysfunction (ED) is also called impotence. Before discussing about erectile dysfunction, I would like to discuss about structure of penis and how erection normally occurs.
Structure of penis
Penis has two columns of tissue running along the sides called corpus cavernosum and another column of sponge-like tissue running along the front of penis called corpus spongiosum. These tissues get filled up with blood during erection.
How do you get an erection?
An erection begins with both sensory and mental stimulation. During sexual arousal, nerve messages begin to stimulate the penis. Impulses from the brain and local nerves cause the muscles of the corpora cavernosa to relax, allowing blood to flow in and fill the open spaces, thus expanding penis. The veins running through the outer sheath of the penis then compress which stops the blood from leaving the penis and making it erect. It is now known that nitric oxide triggers an erection and maintains it by relaxing muscles that allow blood to fill the penis.
Erection is reversed when muscles in the penis contract, stopping the inflow of blood and opening outflow channels. As blood starts flowing out of penis, it gets flaccid.
What is erectile dysfunction?
When a man is unable to get an erection or keep an erection that allows sexual activity with penetration, he is said to have erectile dysfunction. It is not a disease by itself but a symptom of other problems including psychological, physical or a combination of both.
Erectile dysfunction is a very common problem and increases with age. An Australian study found that at least one in five men over the age of 40 years has erectile problems and about one in ten men are completely unable to have erections.
What are the causes of erectile dysfunction?
There are many causes of erectile dysfunction and more than one cause may coexist. However, psychological problems including performance anxiety, marital and relationship problems, depression, financial stresses, and other psychiatric problems are common causes of erectile dysfunction. Many medical conditions associated with erectile dysfunction include diabetes, high blood pressure, obesity, cigarette smoking, sleep apnoea, high cholesterols, thyroid diseases, drug and alcohol abuse, spiral cord injuries, multiple sclerosis, certain prescribed medications, testosterone deficiency and others.
What is the treatment for erectile dysfunction?
There may be more than one cause and treatment often involves a multidisciplinary approach. It is very important to see a medical practitioner or other health professionals for advice and treatment.
Sex therapy and counselling may be needed for psychological issues whereas conditions like obesity, drug and alcohol abuse, smoking, and high cholesterols need lifestyle modifications.
Diabetes, high blood pressure and other medical conditions need medical treatment.
Some specific treatments for erectile dysfunction include:
Medications: Commonly used pills are sildenafil (viagra), tadalafil (cialis) and vardenafil (levitra). You need a prescription for these medications from your doctor.
Injections: If pills do not help, the patient may try using an injection called alprostadil (caverject), which can cause an erection within 10 minutes of injection into the penis. The erection can last from 30 minutes to two hours. The doctor or specialist will first show the patient how to administer the injection, then, if the patient is happy, he can try this at home. Besides the sting of a needle, it is not painful.
Vacuum pumps: Vacuum pumps are devices that fit over the penis and draw blood into the penis to make it erect. The patient can have erection for as long as he likes. However, these devices do not suit everybody.
Implants: Implants are used only as a last resort when other treatments have failed or are unsuitable. Semi-rigid rods are inserted into the penis to make it sufficiently hard to enable sexual intercourse. The disadvantage with implants is that the penis will be partly erect all the time.
Please remember
Erectile dysfunction is not a disease of old men only but can affect men of all ages. There are both psychological and physical factors causing it and it is very important to seek help from a health professional early. At the same time, it is important to remember that modifying lifestyle like exercising regularly, maintaining a healthy body weight, and stopping smoking can help prevent and to some extent treat erectile dysfunction.
Problems With Sex - Delayed Ejaculation.
Ejaculation is the squirting out of semen during sex. There are three main ejaculation problems which are quite common. These being: Premature Ejaculation, Delayed ejaculation and Retrograde ejaculation. The one which 30% of men experience at some time in their life is premature ejaculation or PE. This is when you ejaculate too quickly during sexual intercourse. Delayed ejaculation affects around 5% of men. This is when you want to ejaculate during sex but fail to climax. Retrograde ejaculation is a rarer condition. This is when you experience the feeling of an orgasm, but there is little or no semen. This article focuses on Delayed ejaculation. You should always seek professional medical advice before taking any medications or using new techniques.
Delayed ejaculation is when you have a normal erection, but can't reach a climax and ejaculate, even though you want to. Some medications and certain health conditions can contribute to this problem. However, in most cases the causes tend to be psychological. If you can maintain an erection and are receiving satisfactory stimulation, you want to ejaculate but are unable to do so, then delayed ejaculation could be your problem. If you reach a climax during masturbation, but not during sexual intercourse, then this could be caused by feelings of anxiety, or guilt.
Other psychological causes could be: Sexual trauma - a traumatic sexual experience at an early age, being caught out having sex, or, more seriously, sexual abuse. Strict upbringing - Being raised in a
strict family, where sex is regarded as sinful or only appropriate after marriage. Relationship problems, Overtired, stress and depression. Try having your partner keep some clothing on, perhaps her bra or skimpy top for instance. Then slowly remove this item just when you are at the point of wanting to ejaculate.
Physical factors contributing to delayed ejaculation can include: Diabetes, surgery to the bladder, prostrate gland, increasing age, multiple sclerosis, and spinal injury. Additional causes known to cause this problem include: antidepressants, recreational drugs and alcohol. The first step to overcome this problem is to talk to your doctor. Physical causes can usually be treated by your doctor. If medication is causing your problem he may be able to suggest an alternative. Psychological causes will need therapy and counselling using several techniques to try and overcome your problem. If you are trying to have a baby, artificial insemination (IVF) can be considered
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