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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%. bottle vimax pill penile enlargement photo natural penis enlargement pill homemade penis enhancement free penile enlargement exercise penis enlarement product medical pennis enlargement penis enlargement operation penis enlargment excersizes
Sex is a biological process, which is provided by the nature to those species that reproduce sexually. Penis in male and vagina in female are the external sexual organs without which love making is not possible. Proper erection of penis and continuity of erection during the intercourse is essential for enjoying sex by both partners which is the mechanical aspect of the love making. Thus, sex completely can be defined as a bio-mechanical process. No species enjoys sex as frequently as human beings do. Generally, under social customs, human beings establish sexual relations with the partner to whom they love; however, exceptions also exist. Love provides you a fertile ground for love making but without fulfilling mechanical requirements it is not possible to make love. Nature has provided a man capability to erect penis when he prepares for sexual intercourse. Generally, there is no need for any external stimulation for bringing penis in erect position. This kind of non-stimulated erection is very common in early young age because responses of sex hormones are quick in that phase of life. However, a mature man may need some foreplay to bring penis in erect position. Foreplay is essential for enjoying sex with high intensity. Tricks of foreplay defers according to matrix of the society. A woman has several erogenous spots over her body; kissing and titillation on those spots can ignite her for sex. In some societies, fingering and licking in vagina are very common; licking can generate irresistible urge for penetrative sex. On other hand, women generally use her hand to erect penis and an experienced woman knows how to erect penis using her mouth and tongue. There can be a stage in life when penis doesn’t erect even after all intense foreplay. Non-erection of penis makes a man impotent. In medical terminology, non-erection of penis is known as erectile dysfunction (ED). ED generally occurs in mature age when man loses his libido but it also can occur in early young age. ED is very embarrassing for a man as a woman doesn’t want come in contact with such a man who cannot satisfy her. Though ED can occur because of psychological reasons, but in more than 90% cases its cause is physical degeneration. Levitra can help all those men who are suffering from ED. Levitra pills contain Vardenafil as its active constituent, which stimulates production of GMP. Secretion of GMP takes place to fill the blood in the capillaries of penis. This stimulation and proper flow of blood provides the penis hard and firm erection. Erection of penis provided by Levitra may stay for about 4 hours because Levitra inhibits the working of phosphodiesterase-5 (PDE-5). This is the chemical secretion, which brings back penis in relaxed position and responsible for early fall of penis. The beneficial drug Levitra may have some mild side-effects like nausea, dizziness, painful erection and chest pain. These side effects are short lived and generally disappear with continuous use of Levitra for few days. This is an oral prescription medication, which should not be used without doctor’s prescription. 4 hours long erection enables a man to quench sexual thirst of a woman many times in a single sexual encounter. Probably she desperately has been waiting for such a satisfaction for a long time. elargement manhattan penis medical penis enlargement free penis enlarement buy vig rx vimax penis enlargement excercises penis enhancement photo penis enlargment technique penis enlargement pill product penis enlargment excersizes
A testosterone deficiency (TD), also known as male hypogonadism, refers to the lack of testosterone, a male hormone responsible for sexual ability, male characteristics and normal brain function. Testosterone is essential for the development of male sex and reproductive organs such as penis, testicles, scrotum, prostate and seminal vesicles. Low level of this hormone causes a myriad of syndromes and problems in men?s lives. The production of testosterone declines naturally with age. The condition is often observed in middle-aged men. Testosterone deficiency may also result from disease or damage to hypothalamus, pituitary gland or testicles. Depending on age, insufficient testosterone production can lead to diminished libido, underdeveloped genitalia, erectile dysfunction, muscle weakness and osteoporosis, loss of body hair, and depression and other mood disorders. Testosterone deficiency can be congenital or it may build up later. Depending on the body organ where the problem first occurs, TD is classified into three different types, namely, primary testosterone deficiency (testicles), secondary testosterone deficiency (pituitary gland) and tertiary testosterone deficiency (hypothalamus). While primary testosterone deficiency results in low testosterone and normal or high gonadotropin, secondary and tertiary types account for low testosterone and low gonadotropin levels. The common congenital causes of TD are Klinefelter's syndrome (presence of an extra X chromosome), cryptorchidism and congenital hormonal disorders. Acquired causes of TD include infections (e.g., meningitis, mumps, or syphilis), radiation treatments, glandular malformation, testicular trauma, chemotherapy, isolated LH deficiency (e.g., fertile eunuch syndrome), and tumors on the testicles, pituitary gland or hypothalamus. Common diagnoses for testosterone deficiency include serum and blood testing, which is undertaken to determine the availability of testosterone and levels of leutenizing and gonadotropin-releasing hormones in the body. Other tests include injecting GnRH or clomiphene citrate (an estrogen), and rarely, testicular biopsy that detects malfunctions in sperm production. Testosterone deficiency treatments involve hormone replacement therapies including testosterone injections, gel, patches and capsules. The selection of treatments is determined by age and extent of deficiency. There are also some risks associated with testosterone replacement. They include acne, mild fluid retention, breast enlargement, increased chance for sleep apnea and stimulation of prostate tissue.