Male Penis
Erection Problems:
Erectile Dysfunction
The male
sexual response can be divided into 3 phases: desire (libido), excitement
(arousal) and orgasm. Problems in any of those 3 phases can cause erection
problems. Erectile dysfunction (ED), or impotence, is the
inability to achieve an erection. Erection occurs when the blood flow to the
penis increases when a man becomes sexually aroused. Blood vessels going to
the penis dilate, and blood fills the penis causing it to become engorged.
This occurs via the secretion of a chemical called nitric oxide (NO). This
will typically last until arousal is diminished, or orgasm is achieved. Many
conditions can affect erection, especially conditions that can compromise
blood flow to the penis. These include physical conditions such as diabetes
and vascular disease. Psychological conditions may also have a bearing on
the initiation and maintenance of an erection.
Erectile dysfunction, also called impotence (lack
of power), is considered to be a typically male problem, because it is
generally expected that the penis should become sufficiently hard to enter
the vagina and remain there long enough to provide pleasure, orgasm, and
ejaculation.
Erectile dysfunction is more prevalent than it
may seem. It occurs to some degree in up to 40% of men 40 years old, and up
to 67% in those age 70. It is a significant area of research for the
pharmaceutical industry, with potential sales in the billions of dollars.
The first aids for ED were mechanical devices:
vacuum pumps that draw blood into the penis and implantable balloons or
rods. Viagra was the first prescription drug for ED, but it has significant
side effects, and should not be used in people with heart disease. It is
also exorbitantly expensive. Recently, more attention has been focused on
natural and herbal remedies, which seem to be effective yet have fewer side
effects.
Read the latest medical insights into the
likely link of erectile dysfunction with cardiovascular problems at
Erectile Dysfunction Cardiovascular Risk.
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"For many men, erection difficulties cut to the core of male identity,
so these problems can represent a significant loss," said Barry Reynolds,
Ph.D., a University of Southern California psychologist and sex therapist.
"Erection difficulties can be equally devastating for the partner not just
because of the loss of intercourse, but because of a loss of physical
intimacy and emotional closeness."
"Sexual
stimulation and erection begin in the brain where neuronal
testosterone-receptor sites are prompted to ignite a cascade of biochemical
events that involve testosterone-receptor sites in the nerves, blood
vessels, and muscles.
Free testosterone
promotes sexual desire and then facilitates performance, sensation and the
ultimate degree of fulfillment. Without adequate levels of free
testosterone, the quality of the male sex life is adversely affected.
Studies have found that men with
low testosterone
routinely suffer from a decreased sex drive, genital atrophy, and impotence.
Upon re-establishing youthful levels, subjects commonly report increased
feelings of vitality, a higher sex drive, better sexual performance and even
penile enlargement and increased genital sensitivity," explains
J.
Phillip Vogel, in Le
Magazine, May, 2003.
"The erect penis has always been a symbol of power, virility, and fertility.
Inability to obtain or maintain an erection, known clinically as erectile
dysfunction, is a major health problem. It can cause considerable distress,
unhappiness, and relationship problems. The search has therefore continued
from time immemorial to find an effective safe, and easy to administer
treatment for erectile problems. Although a number of these treatments
became available in the last two decades, they all had problems with
efficacy, safety, or ease of administration. Clinicians in this field often
are told at the end of an assessment interview, "I wish you have a magic
pill". An effective and safe oral treatment is, no doubt, the most
acceptable and easy to use option. Finding such a treatment has always been
the dream of many scientists, and many attempts have been made over the
years. These ranged from herbal remedies used by native healers, mostly in
Eastern countries, to the more sophisticated designer drugs, which are based
on a better understanding of the physiological mechanism of erection.,"
wrote W. R. Guirguis, Sexual Dysfunctions Clinic, St. Clement's Hospital,
Ipswich, England, in the article "Oral treatment of erectile dysfunction:
from herbal remedies to designer drugs," Journal of Sex Marital Therapy,
1998 Apr-Jun;24(2):69-73.
"Middle aged men tend to
notice the physical changes in their sexuality first and the psychological
changes, such as libido reduction, later on. The most common changes in
sexuality that occur in the forties and fifties are:
- failure to have an erection in circumstances that previously were
associated with erection
- less firmness of the penis during an erection
- occasional loss of erection during sexual activity
- delayed orgasm
- failure to achieve an orgasm
- reduced force of ejaculation
- reduced volume of ejaculation" ---Dr. Aubrey M. Hill, in his book
Viropause/Andropause:
The Male Menopause
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