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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%. top penile enlargement pills penile enlargement picture free penile enlargment pills penis enlargment pic penis enlagement before and after penile enlargement surgeon penis enlargment operation free penis enlagement tip penis enlargment cream

Growing old is not all fun. We’re proned to rheumatism, gout, vision loss, hearing loss, and worst of all sexual dysfunction. Since now, doctors used to think that most cases of erectile dysfunction were psychological in origin. According to many studies conclusions, many of them recognize that, at least in older men, physical causes may play a primary role in 60% or more of all cases. For instance, the leading cause in men over the age of 60 is atherosclerosis, or narrowing of the arteries, which can restrict the flow of blood to the penis. Impotence may also be caused by damage to the nerves of the penis, as a result of certain types of surgery or neurological conditions such as Parkinson's disease or multiple sclerosis. Men with diabetes are especially at risk for impotence because of their high risk of both atherosclerosis and a nerve disease called diabetic neuropathy. More and more experts concluded now that all male sexual dysfunction problems rise from medical conditions like prostrate cancer, diabetes, kidney diseases, lower back pain or drug abuse, smoking and excessive alcohol. Though psychological factors like stress and depression can play a vital role in causing ED, chronic sexual dysfunction follows a physical cause. Men need to understand the importance of adopting healthier lifestyles, including losing weight and giving up cigarettes. Men who have resisted advice about smoking and weight loss may react differently when they learn that cigarettes and obesity can contribute to impotency. Men who must avoid sexual activity because of their cardiac status should not use any of drugs or other treatments for ED. It is estimated that more than 322 million men will suffer from male impotence by 2025. An improvement in men’s diet and lifestyle patterns can reduce the chances of ED in men. It is also found that men who recognize erectile dysfunction problems and seek treatments are willing to make tremendous lifestyle changes to get rid of the disorder. Oral drugs such as Viagra, Cialis and Levitra are popular pills which treat ED in men. Also vacuum devices, injections and micro vascular surgeries provide patients with effective treatments. com elargement penis penis pump vimax free natural penis enlargement penile enlargement drug penis enlargment cream do pennis enlargement pills really work best enlarement exercise penis penis enlargment secret penis enlargement information penis enlargment cream

After years of togetherness, does your sex life still pack a wallop? Can you and your partner still orchestrate a truly wonderful physical relationship? Or has the spark begun to flicker? Perhaps gone out altogether. Expand your horizons. Sex is not just the penis and vagina. There is a whole array of erogenous zones you may never have explored – from the mouth and the ears to the love button and the underside of the feet. Here are the ways and suggestions to re-ignite passions that can help you light a new fire even if all you see right now is the valiant flicker of dying embers! Foreplay It is the basic part of whole love making experience. Long and sensual foreplay will give you the experience of the best sexual encounters. It will definitely increase the pleasure for both the partner and makes you sexually satisfied. Foreplay gives the man proper erection while women need foreplay to become properly lubricated. When the requirement of both the partners fulfilled they can proceed after having aroused completely. Foreplay includes kissing, undressing, patting and much more according to your thoughts. Take a new look at sex Remember that sex is not always orgasm on demand; it is not even always intercourse. If you can get rid of this mind-set, you may well find that other kinds of passion play bring equally satisfying arousal. Try a sensuous massage. Clean up your act How can you expect the loving to be great when you get into bed with the same sweaty T-shirt you have been wearing all day; or with your breath reeking of onion; or underarm fuzz? Cleanliness is next to sexiness. When you are freshly showered and powdered/perfumed, you feel more sensual. So, get fresh. Give and receive Take turns in being the aggressive partner. If you have always been the one to indulge in all the foreplay, try giving your partner a chance to make some of the move. Not by saying, “Why don’t you…”. Instead, kiss or touch him/her. Then retreat – that gives your partner a chance to respond. Try being a passive partner now and again – you will realize what you have been missing. Tell you partner what you like You assume you know what your partner enjoys in bed – although you may never have asked him/her. You also assume your partner knows what you enjoy – although you have never told her/him. If you try talking about each other’s desires, you might find a few surprises in store. Finally take it easy Lovemaking should be leisurely, relaxed, not a goal-oriented performance. Sex is not a circus, and you are not a performing flea. If you analyze, decode and dissect each move and every response – such as whether she sighed yearningly enough, or whether his erection lasted long enough – you will forfeit all the enjoyment. Overall, if you follow the above tips, you will have a more pleasing and enjoying sex life. Find more information visit: Sex Tips penis enhancement picture enlagement manhattan penis bottle vimax pill cheap penile enlargment buy penis enlarement pills natural penis enhancement technique herbal natural pennis enlargement vimax penis enlargement surgery photo penis enlargment cream

Ocular migraines are a period of strange visual sensations that may, or may not be followed by a migraine headache. Who gets them? They are most common in people who already suffer from classic migraine. So what happens? An ocular migraine usually only happens in one eye. When it begins, you may just notice that something is off with your sight. You may see a tiny spot. Over a period of a few minutes, that spot may get bigger. You may start to lose your vision in patches. The expanded spot may start to shimmer or develop a colored or zig-zagged border. This pattern may get bigger until it is not only in the center of your vision – but in the outer part too. Usually over 15-30 minutes the distortion may travel out to the side of your vision as well and then simply disappear. You may, or may not go on to develop a migraine headache. Many people who suffer with this say that they only feel tired after the experience. What causes ocular migraine? No one’s quite sure – but it is believed to be caused by an unusual stimulation of the nerves at the back of the brain. In classical migraine, a spasm affects the surface of the brain. In ocular migraine, the blood supply to the eye or the supply to the vision area of the brain is affected. How often do they happen? In the same way as classic migraines, ocular ones seem to happen with no particular pattern. You may find that you have several in one week and then not suffer any more at all for months or even years. Do they have any warning, like a migraine aura? Some people find that they are extra-sensitive to light and/or sound and this is their signal that an ocular migraine could be on the way. So who do I go to see – a Doctor or an ophthalmologist? Many people often go and see their ophthalmologist as they are worried that they are losing their sight. People starting with ocular migraine should also see a neurologist so that other conditions which can give rise to the same sort of symptoms can be ruled out. These include a blood clot in the retinal artery, migraine with aura and stroke. What treatment can I get for them? Ocular migraines themselves don’t usually require treatment. They appear to be triggered by the same triggers common to migraine. Prevention is the best way of coping with them: Avoid known triggers Keep stress levels down Keep to a regular routine Make sure you get enough sleep If they are followed by a migraine headache, the usual migraine medications might be prescribed by your Doctor. Please note: Triptans, which are now commonly used for migraine treatment should not be used for people with ocular migraine. This is because they work by reducing the enlargement of blood vessels and therefore get rid of the pressure on nerves. This constricting effect could give rise to problems with the blood vessels of the retina and could even result in lost vision. Triptans include: Sumatriptan (Imitrex) Zolmitriptan (Zomig) Naratriptan (Amerge) There are other triptans too. If worried or in any doubt, please see your Doctor.