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The case where a man experiences a prolonged and painful erection that lasts for maybe a few hours to a few days is called priapism. This is a condition that is not related to any sexual activity or thought. What happens is that blood flows into the penis, but does not drain as normal. With little room to circulate, the blood becomes stagnant, acidic and loses oxygen where red blood cells become stiff.
Priapism can occur to anyone; even to new born babies. Priapism was named after the Greek god of fertility, Priapus where he was always projected well endowed and perpetually erect in statues and pictures.
Priapism usually occurs with an obvious cause of either some medications or certain medical conditions. There are two types of medications that cause priapism; increasing the recommended number of penile injections to treat some types of impotence or anti-depressants. The medical conditions that start priapism are those that cause the blood to thicken or where red blood cells lose flexibility and mobility like in sickle-cell anemia and leukemia. Even any trauma to the genital area or spinal cord may lead to priapism. Carbon monoxide poisoning, bites of black widow spiders and illicit drug use of marijuana and cocaine usually leads to priapism too.
There are basically two types of priapism; low-flow and high-flow priapism. With low flow priapism, blood gets trapped in erection chambers of men who are otherwise healthy. It also affects men with leukemia, sickle-cell disease and malaria. High flow priapism is a rare condition and is less painful. A ruptured artery from any injury to the penis or perineum may cause this condition as blood in the penis is prevented from circulating as normal.
It is always better to seek treatment for priapism; as soon as possible. This is because if left untreated, the erection can go on for four to six hours where the penis may get scarred if not treated early. This in turn leads to impotence. The treatment for priapism usually involves the draining of the penis by placing a needle in the side of the penis. Sometimes medications that act on blood vessels are injected to shrink blood vessels; which in turn decreases the blood flow to the penis. Those having sickle-cell anemia and priapism are usually treated with blood transfusion.
When meeting the doctor, it is important that you inform him or her of the length of time since having the erection and how long your usual erections last. You should be honest in disclosing legal and illegal medications that have been taken as marijuana and cocaine are linked with priapism. With this information, and a physical examination to determine the cause of priapism, the doctor can advise the necessary medication to treat priapism.
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Definition of Erectile dysfunction
Erectile dysfunction (ED) is the inability of a man to achieve or maintain an erection sufficient for his sexual needs or the needs of his partner. Erectile dysfunction is sometimes called as “impotence”.
The term "erectile dysfunction" can mean the inability to achieve erection, an inconsistent ability to do so, or the ability to achieve only brief erections.
Ayurveda defines Erectile dysfunction or ED as follows.
Sankalpapravano nityam priyaam vashyaamapi sthreeyam ||
na yaathi lingashaithilyaath kadaachidyaathi vaa yadi |
Shwaasaarthaha swinnagaatrshcha moghasankalpacheshtitaha ||
mlaanashishnashcha nirbeejaha syodetat klaibyalaxanam |
This means even though a man has a strong desire to perform sexual act with a cooperative partner, he can not perform sexual act because of looseness (absence of erection) of his phallus (penis). Even if he performs sexual act with his determined efforts he does not get erection and gets afflicted with tiredness, perspiration and frustration to perform sex.
Physiology of erection
The two chambers of penis (corpora cavernosa,) which run throught the organ are filled with spongy tissue. The corpora cavernosa are surrounded by a membrane, called the tunica albuginea. The spongy tissue contains smooth muscles, fibrous tissues, spaces, veins, and arteries. The urethra, which is the channel for urine and semen runs along underside of the corpora cavernosa.
Due to sensory or mental stimulation, or both, the erection begins. Due to impulses from brain and local nerves the muscles of corpora cavernosa relax and allow blood to flow in and fill the spaces of spongy tissue.
The flow of blood creates pressure in the corpora cavernosa, making the penis expand. The tunica albuginea helps trap the blood in the chambers, thereby sustaining erection. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection recedes.
In ayurveda physiology of erection and ejaculation is described as follows
Vrishunow basthimedram cha naabhyuuru vankshnow gudam|
Apaanasthaanamantrasthaha shukra mootra shakrunti cha||
The “apaanavayu” one of the five types of vayu is located in the testicles, urinary bladder, phallus, umbilicus, thighs, groin, anus and colon. Its functions are ejaculation of semen, voiding of urine and stools.
Shushruta explains the process of erection and ejaculation as When a man has desire (iccha) to have sex, his response to touch increases (Vayu located in skin causes flow of signals from skin to brain, thus causing sensation of touch). This causes arousal or “harsha”. Arousal or Harsha intensifies actions of vayu and at this moment highly active vayu liberates the teja or heat of pitta. Thus tejas and vayu increase body temperature, heart beat and blood flow causing erection.
Causes of ED
Erection requires a sequence of events. Erectile dysfunction can occur when any of the events is disturbed. Nerve impulses in the brain, spinal column, around the penis and response in muscles, fibrous tissues, veins, and arteries in and around the corpora cavernosa constitute this sequence of events. Injury to any of these parts which are part of this sequence (nerves, arteries, smooth muscles, fibrous tissue) can cause ED.
Lowered level of testosterone hormone: The primary male hormone is testosterone. After age 40, a man's testosterone level gradually declines. About 5% of men that doctors see for erectile dysfunction have low testosterone levels. In many of these cases, low testosterone causes lower sexual interest, not erectile dysfunction.
The whole male body responds to testosterone.
Even sushruta has illustrated about this response of body to the element “Shukra” . He has said "yatha payasi sarpistu goodashchekshow raso yatha shareereshu tatha shukram nrinaam vidyaadhbishagwara." This means the shukra (the element which helps in reproduction) is present all over the body.
This can be explained with the following examples:
1. The ghee is present in milk in an invisible form. This is extracted from milk using many processes.
2. The sugar is present all over the sugarcane. It is extracted by subjecting the sugarcane to number of processes.
Same way shukra is present all over the body. But the cream of shukra (semen) comes out of the body only during the process of ejaculation. But this process of ejaculation needs a joyful union of mind and body.
Decrease in production of “Shukra” causes erectile dysfunction.
Over exertion - physically and mentally: Working for long hours in office, mental stress at office and home, short temperedness ,insufficient sleep cause erectile dysfunction.
These causes are explained in ayurveda as "shoka chintaa, bhaya, traasaat .... " which means that erectile dysfunction or Impotence occurs due to grief, fear, anxiety and terror.
Strained relationship with sexual partner: Erectile dysfunction also occurs when there is a disliking towards sexual partner.
Ayurveda describes this as "naarinaamarasamjnatwaat..." means disliking for women.
Diseases that cause Erectile dysfunction: Neurological disorders, hypothyroidism, Parkinson's disease, anemia, depression, arthritis, endocrine disorders,diabetes, diseases related to cardiovascular system also become reasons for erectile dysfunction..
According to ayurveda the diseases which cause erectile dysfunction are "Hritpaandurogatamakakaamalashrama..." - Heart diseases, anemia, asthma, liver disorders, tiredness. Apart from these the imbalance in tridoshas also cause impotence or erectile dysfunction.
Consumption of medicines, drugs and tobacco: Using antidepressants, tranquilizers and antihypertensive medicines for a long time, addiction to tobacco especially smoking, excessive consumption of alcohol, addiction to cocaine, heroin and marijuana cause erectile dysfunction.
In ayurveda texts these causes have been said in brief as "rukshamannapaanam tathoushadham" - "dry food, drinks and medicines" cause impotence or erectile dysfunction.
Trauma to pelvic region: accidental injury to pelvic region and surgeries for the conditions of prostate, bladder, colon, or rectal area may lead to erectile dysfunction.
These causes are mentioned as abhighata (trauma), shastradantanakhakshataha (injury from weapons, teeth and nail.) in ayurveda.
Other reasons: Obesity, prolonged bicycle riding, past history of sexual abuse and old age also cause Erectile dysfunction.
Ayurveda describes the cause of impotence or erectile dysfunction due to old age as follows. "diminution of - tissue elements, strength, energy, span of life, inability to take nourishing food, physical and mental fatigue lead to impotence."
Remedies for ED
ED is treatable at any age. The total treatment in for impotence is called as “Vajikarana therapy” in ayurveda. As this therapy increases the strength of a man to perform sexual act, like a horse, it is called 'Vaajikarana'. ('Vaaji'=Horse.)
Vaajikarana therapy leads to
• Happiness.
• Good strength. • Potency to produce healthy offspring.
• Increased span of erection.
Eligibility for vajikarana therapy.
1. The vajikarana therapy should be administered to persons who are between 18 to 70 years of age.
2. These therapies should be administered only to a self controlled person. If this therapy is administered to a person who does not have self control, he becomes nuisance to society through his illegitimate sex acts.
Psychotherapy
Decreasing anxiety associated with intercourse, with psychologically based treatment helps to cure ED. The patient's partner can help with the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety when ED from physical causes is being treated.
Same treatment is illustrated in ayurveda. It has been said “A woman who understands a man and is liked by him, along with erotic environment act as best aphrodisiac.“
Drug Therapy
Numerous herbal preparations are mentioned in Ayurveda to treat ED or impotence. It has been said that people who have strong sexual urge, who want to enjoy sex regularly have to consume these preparations regularly to replenish the energy, vigor, stamina and strength. These preparations also supply the nutrients which are necessary for production of semen.
Ayurveda tips to overcome ED
1. Consuming herbal preparations to rejuvenate the reproductive organs.
2. Massaging the body with a herbal oil which gives a relief from physical exertion and also acts as aphrodisiac.
3. Practicing Yoga and Meditation to overcome mental exertion and to cope up with stress.
4. Sleep at least for 8 hours a day.
5. Avoiding the consumption of alcohol, tobacco, heroin etc.
6. Exercise regularly.
7. Avoid hot, spicy and bitter foods.
8. Favor sweets, milk products, nuts and urad dal.
9. Add little ghee in your diet.
10. Give a gap of four days between two consecutive intercourses
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Its celebration time for Indian males. After years of yearning, the famous blue pill is going to arrive in Indian soil to heal the sexual life of Indian male. Though several clones of Viagra produced by Zydus Cadila, Sun Pharma and Alchem have been available in the market by using sildenafil citrate formulations but the original Viagra was not available till now. The original little blue pill will be launched in India by the drug major Pfizer for treating erectile dysfunction (ED).
India has a huge market for sildenafil citrate tablets so Pfizer is going to earn huge profit by making the ED drug available in India. The drug manufacturer is keeping the original name, Viagra for Indian market due to its popularity. Till now, Viagra was imported and sold through the black-market route and the most popular local formulations cost around Rs 80 for a pack of four tablets.
The craze of Viagra is unfazed as it’s immensely beneficial for the men suffering from erectile dysfunction. A normal erection requires a precise sequence of events and usually ED can occur when any of the events is disrupted. The sequence includes nerve impulses in the brain, spinal column, and area around the penis, and response in muscles, fibrous tissues, veins, and arteries in and near the corpora cavernosa.
The damage to nerves, arteries, smooth muscles, and fibrous tissues are most often a result of an inherent disease. Disease such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurological disease—account for about 70 percent of ED cases. Apart from these, ED can occur due to some psychological reason as well. Infrequent occurrence of ED is very common in man of all age but its frequent occurrence can be a cause of concern.
But thanks to the availability of the ED drug Viagra, you can deal with your ED problem in an effortless manner. It can help u revive your sexual vitality by treating ED from the root. Make Viagra a part of life and say goodbye to ED.
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Keeping your penis healthy gets you far greater erection strength and stamina, as well as general sexual satisfaction. Simply put, a healthy penis provides you with a healthy sex life!
As men grow older, the levels of male hormone, testosterone, gradually decline starting at the age of 30 and continue to do so at a staggering rate of 10 percent per decade.
Since testosterone is a hormone that helps maintain sex drive, sperm production, pubic and body hair, muscle, and bone, the consequences slowly show as a man ages.
Most men who will basically experience one or all of these in varying degrees:
Hair loss
Bone loss
Sweating and flushing
Irritability
Fatigue
Loss of physical agility
Increased fat
Aches and pains
Sleeping problems
Depression
Decreased sexual drive and performance
Therefore, maintaining a healthy and vigorous penis is maybe one of the more important things all guys should be mindful of. Do your penis a favor by considering the following suggestions:
Eat a healthy, well-balanced diet. To ensure normal erectile function, you need to keep the continuous flow of blood to the penis by taking care of the arteries that supply it. Consume a high fiber diet, low in saturated fats and you can be sure to prevent or reduce the build up of fatty deposits that narrow and clog arteries. Stay away from animal fats, sugar, fried or junk foods.
Quit smoking. Smoking constricts blood vessels and leads to a build of plaque in the arteries that supply blood to the penis. This results in diminished erectile function, shrinkage of the penis, and impotence later in life.
Avoid liquor and dangerous drugs. Alcohol and narcotics puts you in great risk of impotence or erectile dysfunction.
Exercise. Exercising is good for your overall health. Try brisk walking, running, cycling, or swimming for at least 30 minutes a day, three times a week.
Take nutritional supplements. Certain vitamins and minerals are good for maintaining general penile health, such as Vitamin A, Vitamin B complex, Vitamin C, Vitamin E, Chromium, Zinc, and L-arginine. While certain herbs such as Ginkgo biloba, Ginseng, Damania, Sarsaparilla, Wild yam, Saw palmetto, Dong quai, Gotu kola, Hydrangea root, and Pygeum, are known to be particularly helpful for weak erections or impotence. Be sure to consult with your doctor first.
Stimulate your penis. Maintain healthy penis and prostate circulation by having regular erections and ejaculations. Natural penis exercises not only ensure good circulation but can also aid in penis enlargement, both in length and girth. This works best when coupled with the use of an enlargement device, penis enlargement pills, and semen volumizers. Such is the complete and break-through program offered by SizeGenetics.
Have a vigorous and healthy sex life for life. Start by making the necessary changes now.
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Problems of achieving a satisfactory erection are fairly common. If the problem does not originate from lack of lust and is great enough to make normal intercourse impossible, the condition is called erectile dysfunction (impotence). Erection problems are caused by combined physical and psychological factors.
THE ERECTION MECHANISM
The penis has three bodies containing a dense network of blood vessels along all its length. During erection blood is filled into the vessels of these bodies. The bodies then engorge, make the penis hard and rise it up. The filling of these bodies occur when the vessels leading blood to the penis relax and vessels draining the penis constrict their volume.
Before and during erection nerves lead impulses to the genitals. The nerve ends in this area then releases the substance nitrogen oxide. Nitrogen oxide will diffuse through the genital area and the penis and stimulate the reaction of the blood vessels in the penis.
PHYSICAL CAUSES OF ERECTION PROBLEMS
Erection problems can occur because of disorders in the nervous system sending impulses to the genital area, problems with the blood supply to the penis and anatomical problems in the penis or genital area. Specific causes can be:
- Accidents, stroke, surgery or tumours hurting brain areas or areas in the spinal cord responsible for erection impulses.
- Multiple sclerosis, a disease hurting the isolating sheets around the neural fibres in the brain and spinal cord, can give erection problems.
- Accidents or diseases hurting nerves from the spinal cord to the genital region.
- Atherosclerosis caused by age or an unhealthy lifestyle, giving narrowing and hardening of blood vessels to the genital region.
- Injury to the erectile bodies caused by inflammation, accidents or diseases.
- Congenital malformations in the penis or genital region, for example hypospadias and epispadias.
- Peyronie's disease, a common inflammatory disease causing abnormal bending or twisting of the penis, and sometimes also hinder the filling of blood into the erectile bodies, sometimes gives problems for the erections.
- Circumcision causing the penile skin to be too tight, or causing extensive inelastic scars.
- Side effects of medicines, such as medications taken for high blood pressure or depression.
- Zinc deficiency.
- Heart disease.
- Diabetes causing injury to the nerves and blood vessels to the penis.
- High blood pressure (hypertension).
- Liver or kidney disease.
- Alcohol or drug abuse impairing psychological and neural functions.
PSYCHOLOGICAL CAUSES OF ERECTION PROBLEMS
Psychological causes can interfere with the erection process by distracting a man from stimuli that normally would give him sexual arousal. Psychological issues account for about 40% of erection problems. Erection problems in men under age 50 are most likely to be caused by psychological factors. Psychological causes of erection problems include:
- Anxiety for not being able to perform sexually as well as the partner demands.
- Prolonged emotional upset, such as worrying, anxiety or anger due to a man's economical, professional or social situation.
- Relationship problems, for example when the woman has different preferences of sexual practice than the man.
- A man who loses sexual desire for his partner may develop erection problems.
- Recently widowed men can get erection problems.
- Some men have difficulty having sexual intercourse with their partner after she has given birth because he does not like the changes that the birth process has caused to the woman's body.
CAUSATIVE TREATMENT
When a specific organic and psychological condition causes problems for the erections, this problem should be treated with appropriate methods that will vary according to the actual disease.
If the cause is heart disease or atherosclerosis, lifestyle changes and training adapted to the medical situation can often improve the general health situation and improve the erectile abilities.
If the cause of the erection problems is a problematic penile shape, for example curved or twisted penis by Peyronie's disease, using a mechanical penis reaction device for some time may help.
On the marked you can also find herbal products to treat injured or diseased blood vessels in the genital area. These products typically contain herbal elements that experience has proven to stimulate tissue repair in blood vessels.
POSSIBLE FUNCTIONAL TREATMENT
It is not always possible to cure the condition causing erectile problems. Still the problems can be overcome by medication that stimulates the vessels leading blood to the penis to relax and the vessels draining the penis to constrict. These drugs typically achieve this task by stimulating the release of nitrogen oxide in the genital area or by mimicing nitrogen oxide.
Viagra and Cialis are the best known pharmacological treatment for erection problems. In spite of what people often think, these drugs do not increase the sexual drive. If the sexual excitement is there, Viagra can help to achieve erection, if the drive and excitement lack in the first place, Viagra will not help.
There are also herbal products on the market that stimulate the erection mechanism. Erection oils give an instant erection response, but the response only last 2-3 hours. Erection or potency pills take a longer time to give effect, but the effect lasts for many hours. The herbal product will often contain components that increase the sexual excitement in addition to improving the pure erection mechanism.
If it is not possible at all to achieve erection with any treatment, surgical implants can help to make the penis stiff and raised up enough to perform an intercourse. One type of implant is partly rigid bodies that make the penis permanently partially erected. Another type of implant is inflatable bodies that can make the penis fully erected when the need rises.
