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Erectile dysfunction (ED), also called "impotence", is one of the most common health problems affecting men. Erectile dysfunction can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. Causes Erectile dysfunction has many underlying physical and psychological causes. Most men with physical causes usually have an associated psychological component. Underlying conditions of erectile dysfunction include the following: Physical health conditions Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. This occurs in conditions including multiple sclerosis, spinal cord injury and Parkinson's disease. The nerves involved in sexual arousal can also be damaged in surgery to the pelvic area, such as removal of the prostate. Vascular diseases account for nearly half of all cases of erectile dysfunction in men older than 50 years. These include atherosclerosis, veno-occlusive disease, peripheral vascular disease, arterial hypertension, history of heart attacks, blood vessel trauma, high cholesterol levels. Systemic diseases associated with erectile dysfunction: Diabetes mellitus is a major cause of erection problems (about 60% of men with diabetes experience erectile dysfunction), scleroderma, kidney failure, liver cirrhosis, hemachromatosis, dyslipidemia, hypertension. Neurologic diseases. Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. Diseases that affect the nervous system and are commonly associated with erectile dysfunction include: multiple sclerosis, spinal cord and brain injuries, parkinson's disease, alzheimer's disease, epilepsy, Guillain-Barre syndrome. Respiratory disease associated with erectile dysfunction include: chronic obstructive pulmonary disease, sleep apnea Conditions of the penis: Peyronie's disease (a rare inflammatory condition that causes scarring of erectile tissue), epispadias, priapism, Infections. Traumatic Causes. Trauma or injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to erectile dysfunction by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. Bicycle riding for long periods has also been implicated as a cause of erectile dysfunction. Some types of prostate or bladder surgery. Surgery of the colon, prostate, bladder, or rectum may damage the nerves and blood vessels involved in erection. Medications. A great variety of prescription medication are known to cause or contribute to erectile dysfunction: blood pressure medication (especially beta-blockers) heart medication antihistamines antidepressants tranquilizers antipsychotics anticonvulsants appetite suppressants anti-ulcer medications sleeping pills Psychological conditions. Experts believe that psychological factors cause 10 to 20 % of erectile dysfunction cases. Anxiety and guilt are the most common psychological causes of erectile dysfunction. Depression, worry, stress, low self-esteem, and fear of sexual failure all contribute to loss of libido and erectile dysfunction. Substance abuse. Alcoholism. Drinking too much alcohol interferes with the production of the male hormone testosterone, which can reduce libido. Smoking is considered an important risk factor for erectile dysfunction because it is associated with poor blood circulation and its impact on cavernosal function. Hormone Disorders account for fewer than 5% of cases of erectile dysfunction. An imbalance in hormones, such as testosterone, prolactin, or thyroid, can cause erectile dysfunction. Age. Erection problems tend to become more common with age, but it can affect men at any age and at any time in their lives. Physical causes are more common in older men, while psychological causes are more common in younger men. Treatment options Erectile dysfunction is treatable at any age. In around 95% of the cases, a suitable treatment can be found. There are three oral medications approved for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All three medications belong to a class of drugs called phosphodiesterase (PDE) inhibitors. They block the enzyme phosphodiesterase-5 (PDE-5) and this helps maintain the levels of cyclic guanosine monophosphate (GMP), a chemical produced in the penis during sexual arousal. Balanced levels of GMP causes the smooth muscles of the penis to relax and increases blood flow. This allows a natural sequence to occur - an erection in response to sexual stimulation. These medications don't automatically produce an erection. Instead they allow an erection to occur after physical and psychological stimulation. Viagra, Levitra, and Cialis vary in dosage, duration of effectiveness and possible side effects. All three drugs are generally well tolerated. They are a good choice for men at any age and in any ethnic group who are in good health and who do not have conditions that preclude taking it (such as the use of nitrates or alpha-blockers). The success rates of all three drugs vary between 70% and 90%. pnis enlargement herb permanent pnis enlargement penis enlargment excercises male penile enlargement cheap penis enargement penis enargement procedure pennis enlargement review penis enlargment pill magna rx do penis elargement pills work

The prostate is a gland in the male reproductive system. It is located just below the bladder and wraps around the urethra. The prostate gland measures 3-4 cm long and 3-5 cm in width. On average, the prostate gland weighs 20 grams. The prostate consists of approximately 30% muscular tissue while the remaining is glandular tissue. Seminal vesicles are attached to the prostate and produce material that mixes with prostatic fluid to form semen. The tubes from the testicles carry sperm to the prostate, which mixes with the seminal fluid and is ejaculated during orgasm. The prostate may increase in size as age progresses. This condition is called benign prostatic hyperplasia (BPH). More than 40% of men have an enlarged prostate by the age of 70. Enlargement of the prostate causes it to press against the urethra and weaken the flow of urine. An increase in size may indicate the condition of benign prostatic hyperplasia or a urologic condition. It need not necessarily indicate the growth of cancer cells. Benign prostatic hyperplasia does not increase the risk of prostate cancer but indicates the possibility of occurrence. Three common diseases of the prostate are benign prostatic hyperplasia (BPH), prostates and prostate cancer. Each condition affects the prostate differently. The male sex hormone, testosterone, plays an important part in the normal growth and function of the prostate gland. The testicles produce testosterone and is a concern for those diagnosed with hormone-dependent prostate cancer. As long as testosterone is produced, prostate cancer is very likely to grow and spread throughout the body. The prostate has various concentric zones, known as the anterior fibromuscular stroma, peripheral zone, central zone and transition zone. A doctor is able to examine the peripheral zone by inserting a finger in the rectum. Benign prostatic hyperplasia develops in the transition zone and grows in size. The anterior fibromuscular stroma is the anchoring point of the urethra sphincter. It does not contain any glands and hence cancer or enlargement does not usually develop there. It is essential to contact a urologist in case one experiences the symptoms to ensure early preventive care. mp4 vimax penile enlargment fact cheapest penile enlargment pills top penis enlargement pills penis enhancement secret penis enlagement system vimax penis enlargement without pills free pnis enlargement exercise do penis elargement pills work

Though erectile dysfunction (ED) is not a life-threatening disease its impact on men can be more severe than any other physical ailments as men with ED cannot achieve or maintain erection of penis sufficient for satisfactory sexual intercourse. So the impact is more insidious than physical diseases because there is always a sense of guilt and embarrassment attached with ED patients as they fail repeatedly to satisfy the sexual needs of their partners. The most common cause of ED is damage to the tissues, nerves, arteries, muscles or fibrous tissue. Conditions such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis and cardiovascular disease account for around 70% of cases of ED. Apart from this, common medications for blood pressure, antihistamines, antidepressants, tranquilizers and appetite suppressants may bring ED as a side effect. According to health experts, psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause up to 20% of cases. Generally, ED seems part and parcel of the natural process of aging, but according to clinical studies, it is not an inevitable package for the older people alone, men of any age can face this problem at some point of their sexual life. Most men feel embarrassed to take medication for this ailment but several medicines are available now. Cialis is the most common oral medication for ED. It is available in both the branded and generic forms. Due to costlier nature of brand name drugs, people nowadays prefer buying Generic Cialis, which is chemically similar to branded Cialis and much cheaper than branded Cialis or any other anti-ED drugs like Viagra and Levitra. Cialis comes under the class of drug called Phosphodiesterase inhibitors and works by enhancing the effects of nitric oxide, a chemical that relaxes smooth muscles in the penis during sexual stimulation, and allows more blood flow into the penis for an easy erection. Generic Cialis should be taken with or without food at least 30-60 minutes before sexual intercourse. It remains in effect for as long as 36 hours and need a little sexual stimulation. A through medical check-up is necessary before taking Generic Cialis. It is not prescribed if a man has suffered a heart attack or stroke within the last six months, nor to the patients with low blood pressure, high blood pressure, unstable angina, severe liver impairment, or retinitis pigmentosa. Use of Generic Cialis can cause some side effects like headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose and in rare cases vision impairment. These side effects tend to be mild and usually do not require the treatment to be stopped, but if the intensity of side effects seems severe you need to visit a doctor as early as possible. So if you are being restrained from treating your condition due to the expensive nature of the branded anti-drugs give it a second thought. Because there is nothing currently available on the market today that last as long as generic Cialis and as flat out cheap without having to compromise with the quality. You can order cheap generic Cialis online. By doing so you can not only protect your privacy but the drug will also be delivered at your doorsteps confidentially. You can save a lot of money by buying generic Cialis online in bulk as online pharmacies offer competitive price for their customers and provide a great customer service. They also offer free prescription and worldwide shipping on all orders. pennis enlargement video best penis enargement surgery vig rx for men penis elargement before and after photo penis enlargement without pill enlagement forum free matter penis size pnis enlargement forum surgical penis enlagement do penis elargement pills work

Can love dolls really substitute a real lover? That is something that is up to the user of a realistic sex doll, but in reality, yes they can to an extent. The options are almost endless when it comes to choosing a life-size love doll that is right for you. There are many life-size love dolls that are on the market and will come in the likes of your favorite stars of the industry, such as Jesse Jane and Jenna Jameson. Love dolls are also made for the ladies. They make life-size love dolls such as John Holmes and many of the males in the sex industry, also accessible are realistic sex dolls that come in a different profession such as a construction worker. For the more alternative type of sex doll, transsexual sex dolls and even a doll that does not fit in to the slim and trim category. These great companions are as life like as they get, some are made with soft and very sturdy latex, and some are made from hygienic surgical grade Latex for the perfect feel and fit. CyberSkin and IsoFoam are also offered as an alternative to the latex ones. Life-size love dolls with mannequin heads provide a sturdy and sold night of fun and can be handled a bit coarser then the ones that do not have it. Life like love dolls are great for those lonely times when a love life has gone dry. Realistic sex dolls do everything that a real lover can do, minus the touching it can do to you. Some of the dolls will come with the sucking mouth feature that provides oral sex for the men and a vibrating, rotating tongue for the ladies. All realistic sex dolls provide a deep tight anus, be it male or female. Male dolls have a penis that is always hard and some will vibrate along with the testicles and may be removable. Women sex dolls have very firm breast and hard nipples that are very inviting to touch and play with alone with a deep tight vagina. Some of the body parts can be removable and used for a hand held masturbator for both men and woman and are easy washable. Love dolls can take a considerable amount of weight, if you care to sit on one and give it a try. Massage and love oils are always welcomed to be rubbed on the dolls, they are easy cleanable and help keep the friction to a minimal when playing with your love doll. Almost anything can be applied to a life-size love doll; you may want to check the package for the heat and weight restrictions as a precaution to yourself and the doll. Always take care of the doll by washing it after each use and storing it in a safe place. This will ensure that it will last a long time as a lover.