ED: Vascular Causes, Neurologic Causes

An erection requires a substantial increase in penile blood flow. If the cavernosal arteries (the arteries to the corpora cavernosa) are unable to increase the blood flow to the penis, vascular E.D. will occur.

If a person has generalized atherosclerosis (fatty deposits narrowing the caliber of their arteries) as evidenced by angina, heart attacks, strokes, and/or claudication (leg and buttock pain that occurs with exercise and is indicative of poor blood flow), there is a great likelihood of penile arterial involvement as well. Diabetes, for example, is well known to give rise to atherosclerosis. Radiation therapy to the pelvis can cause scarring and damage to the penile circulation, thus resulting in vascular E.D. Because cigarettes contain nicotine (which functions to constrict blood vessels), E.D. commonly occurs on the basis of chronic cigarette use.

In many men, the arterial supply to the penis is intact, but because of venous leakage (a condition in which the otherwise rigid corpora cavernosa soften prematurely due to loss of blood through the veins), an erection cannot be sustained for long. The blood flow simply drains away from the corpora, resulting in flaccidity of the penis and the inability to maintain an erection. This is the underlying cause in about 70% of patients who suffer from ED. It is due to the loss of corporal smooth muscle such that sufficient relaxation to achieve obstruction of venous outflow cannot occur. The blood in the sinusoids leaks back into the venous system draining the penis. It is similar to essential hypertension, which is due to the loss of smooth muscle within the arterial walls that leads to stiff vessels in which relaxation is impaired.

Normal erectile function requires an intact brain, spinal cord, and peripheral nerve supply to the corpora cavernosa. Any interruption of the nervous system may result in E.D. since it is the nerve impulse to the cavernosal arteries that is the trigger for increased penile blood flow.  Generic Viagra Mexico

Diabetes, besides causing damage to penile circulation, causes a penile neuropathy (nerve damage) that commonly results in E.D. Alcohol abuse similarly may give rise to a neuropathy accounting for E.D. In fact, any neurological disease process (including multiple sclerosis, Parkinson’s disease, spina bifida, etc.) may result in E.D. Injury or trauma to the brain, spinal cord, or pelvis may cause E.D. on a neurogenic basis. A pelvic fracture may injure the nerve supply to the corpora cavernosa. Radiation therapy, besides causing damage to penile circulation, can damage the cavernosal nerve supply. Radical pelvic surgery (most commonly for bladder, prostate, or rectal cancers) may require removal of the cavernosal nerve supply, resulting in E.D.

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CAUSES OF ERECTILE DYSFUNCTION Part 2

Obesity (external fat) is associated with internal obesity and fatty matter clogging up the arteries of the body (including the pudendal artery which supplies blood to the penis). Additionally, obesity can have a negative effect on our sex hormone balance (the balance of testosterone and estrogens), further contributing to sexual dysfunction. The fatty tissue present in obese abdomens contains abundant amounts of the enzyme aromatase—functioning to convert testosterone to estrogen—literally emasculating us! High blood pressure will cause the heart to have to work harder to get the blood flowing through the increased resistance of the arteries. Blood pressure lowering medications will treat this, but as a result of the decreased pressure, there will be less blood flow through the pudendal arteries. Thus blood pressure medications, although very helpful to prevent the negative affects of hypertension—heart attacks, strokes, etc.—will contribute to sexual dysfunction. High cholesterol will cause fatty plaque buildup in our arteries, compromising blood flow and contributing to sexual dysfunction. Tobacco constricts blood vessels and impairs blood flow through our arteries. Stress causes a surge of adrenaline release from the adrenal glands. The effect of adrenaline is to constrict blood vessels and decrease sexual function. Thus is the physiologic explanation for the all-too-common occurrence of performance anxiety. Interestingly, men with priapism (a prolonged and painful erection) are often treated with penile injections of an adrenaline-like chemical to bring down the erection.

Online Pharmacy India E.D. may be divided into organic (physical) causes and psychological causes. Clues to organic causes are the presence of a disease process or the use of a medication that is known to give rise to E.D., gradually deteriorating erections, or the loss of early morning and nocturnal erections. Clues to psychogenic causes are the presence of a psychological process (such as depression, stress, anxiety, breakup of a relationship, death of a loved one, etc.), sudden onset of erectile difficulty, intact early morning and nocturnal erections, and the ability to obtain an erection with masturbation although not with intercourse.

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CAUSES OF ERECTILE DYSFUNCTION Part 1

Aging is one of the major risk factors for erectile dysfunction. Men in their 40’s have approximately a 40% chance of having some form of ED and this prevalence increases by about 10% in each succeeding decade. Generally speaking, diminished blood flow, most commonly on the basis of an accumulation of fatty plaque deposits within the walls of blood vessels, is often associated with the aging process. As we age, physiological and lifestyle factors combine to increase this plaque build-up, causing a significant narrowing of many of the body’s blood vessels. The resultant diminution in blood flow to our organs negatively affects the functioning of all of our systems, since every cell in our body is dependent upon the vascular system for delivery of vital oxygen and nutrients and removal of metabolic waste products. Pelvic atherosclerosis, the accumulation of fatty deposits within the walls of the blood vessels that bring blood to the penis, will diminish blood flow and incite sexual dysfunction. Ironically, too, any loss of sexual function can lead to further progression of the problem: unfortunately, deficiency in genital blood flow, which may initiate sexual dysfunction, produces a state of poor oxygen levels (hypoxia) in the genital tissues. This, in turn, induces tissue scarring (fibrosis), which further compounds sexual dysfunction.

Many adults in the USA are beset with Civilization Syndrome, a cluster of health issues that have arisen as a direct result of our poor dietary choices and sedentary lifestyle. Civilization Syndrome can lead to obesity, high blood pressure, elevated cholesterol, and can result in such health problems as erectile dysfunction, diabetes, heart attack, stroke, cancer, and premature death. The diabetic situation in our nation—often referred to as “diabesity”— has become widely prevalent and it probably comes as no surprise that diabetes is one of the leading causes of sexual dysfunction in the United States.

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THE MALE SEXUAL RESPONSE

There are four phases of the male sexual response including excitement, plateau, orgasm, and resolution.

In the excitement phase, penile erection occurs as a result of an arousing sexual situation. Accompanying erection is thickening of the scrotal skin and elevation of the testicles. In the plateau phase, there is increasing engorgement of the corpora and the glans, increasing size and elevation of the testicles, and a preejaculatory secretion that may occur at the tip of the penis as a result of discharge from the bulbo-urethral gland.

Orgasm actually consists of three phases: emission, in which seminal fluid and sperm from the epididymis, vas deferens, seminal vesicles and prostate is deposited into the urethra; ejaculation, which is the forcible expulsion of semen from the urethral opening, resulting from contractions of the peri-urethral and pelvic floor muscles combined with relaxation of the external sphincter and urogenital diaphragm; and orgasm, which is defined as the intense emotional excitement and climax that accompanies ejaculation, with considerable subjective variation.

Finally, in the resolution phase, there is loss of erection, the testicles decrease in size and drop down to the bottom position of the scrotum, and the scrotal skin regains its laxity.

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ANATOMY AND FUNCTION OF THE PENIS Part 2

The penis has a dual role as a urinary organ allowing directed urination that permits men to stand to urinate, and a sexual and reproductive organ that, when erect, allows the rigid penis the ability to penetrate the vagina and function as a conduit for release of semen into the vagina. No other organ in the body demonstrates such great versatility in terms of the physical changes between its “inactive” versus “active” states.

The penis consists of three cylinders: the solitary corpus spongiosa contains the urethra (the channel that conducts urine from the bladder); the other paired cylinders are called the corpora cavernosa (erectile bodies), that are anchored internally to the pubic bone and extend into the glans (head of the penis).

These corpora cavernosa communicate with each other and are enclosed in a sheath called the tunica albuginea. The corpora contain sinusoids (spongy tissue) that are endowed with a very rich blood supply. The sinusoids receive blood flow via the cavernosal arteries which are branches of the pudendal arteries. When the corpora become engorged with blood, an erection results.

The seemingly simple process of achieving an erection is actually a highly complex event requiring integrated functioning of the brain, nerves, blood vessels, and hormones.

When the penis is flaccid, there is only minimal arterial inflow, sufficient to maintain the basic nutritional demands of the penis. During this unerect state, the sinusoids are closed while the venules remain open. However, when the cavernosal nerve is stimulated by sexual activity, the smooth muscle of both the cavernosal arteries and the corporal bodies relaxes, allowing blood to fill the corpora. Furthermore, the swelling of the corpora obstructs the venous outflow to maintain the erection. The pudendal nerve provides the nerve supply to the ischiocavernosus and bulbocavernosus muscles that enhance penile rigidity, engorgement of the glans, and allow ejaculation and orgasm when these muscles contract rhythmically. So, for an erection to occur, 3 events need to happen—an increase in arterial flow to the corporal bodies, relaxation of smooth muscle, and a decrease in venous outflow.

 

What is actually happening on a chemical basis when one is involved in a sexually stimulating situation? The control center for erections is the brain, where sensations of sexual arousal are experienced. The brain sends signals to the cavernosal nerves, which are also stimulated by direct sensory contact, such as foreplay or the act of sexual intercourse itself. During such sexual stimulation, the cavernosal nerves release a neurotransmitter, nitric oxide, which causes an increase of a chemical messenger known as cGMP (cyclic guanosine monophosphate) within the smooth muscle of the corporal bodies. This causes relaxation of the smooth muscle and enlarges the sinusoids, providing the space for the increased blood flow, causing penile tumescence or turgidity (lengthening and widening of the penis). This engorgement with blood causes compression of the veins directly under the tunica albuginea, trapping the blood within the penis. After ejaculation, an enzyme called PDE (phosphodiesterase) is released—this degrades cGMP resulting in a return to the flaccid state by a reversal of the aforementioned mechanisms. Viagra, Cialis, and Levitra work by inhibiting PDE.

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ANATOMY AND FUNCTION OF THE PENIS Part 1

A few words on the embryology of our sex organs (the science of our anatomical development before we are born): You probably never realized that the male and female genitals are remarkably similar. In the first few weeks of existence as an embryo, the external genitals are the same— consisting of a genital tubercle (a midline swelling), urogenital folds (two vertically-oriented folds of tissue below the genital tubercle), and labioscrotal folds (two vertically-oriented folds outside the urogenital folds). In the presence of testosterone (the male sex hormone), the genital tubercle becomes the penile shaft and head; the urogenital folds fuse and become the urethra and part of the penile shaft; and the labio-scrotal folds fuse and become the scrotum. In the female embryo, the absence of testosterone causes the genital tubercle to become the clitoris, the urogenital folds to become the inner lips (labia minora), and the labio-scrotal folds to become the outer lips (labia majora). Essentially then, the penis and the clitoris are the same structure, as are the scrotum and outer labia.

On a functional level, sexuality is a very complex event dependent upon a number of body systems, including the endocrine system (which produces sex hormones); the central and peripheral nervous systems (which provide nerve control); and the vascular system (which conducts blood flow). While all of these systems must function in a normal, coordinated fashion, a healthy sexual response is, at its physical essence, largely about adequate blood flow to the genital and pelvic area. Increased blood flow to the genitals from sexual stimulation is what is responsible for the erect penis. In a male, blood flow to the penis is analogous to air pressure in a tire: if there is not enough air, thereby causing the tire to be improperly inflated, the tire works less optimally.

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Herbal Viagra: An Alternative Way To A Great Sexual Life

Impotence is a serious problem that occurs due to several reasons: age, psychological problems and health. The usual treatment is known to everyone, it’s Viagra. But today many men have doubts as to the safety of its usage. In many cases it has side effects and leads to problematic consequences.

Alternative Viagra is a natural way to get rid of men’s problems and get the same effect.

The Reasons Of Erective Dysfunctions
They can be different. Mostly these problems depend on man’s overall health that influences sexual abilities. To common reasons belong:

- Prostate surgeries;
– Diabetes;
– Side effects from drugs;
– Poor blood circulation;
– Cardiovascular problems;
– Multiple sclerosis;
– Spinal cord injuries;
– Alcohol;
– Hormonal imbalance.

When you diagnose this problem, herbal Viagra is a treatment you really need. This is a painless way to improve blood circulation and give a man more control over ejaculation. Fighting against impotence with alternative Viagra is an optimal way. This natural remedy is 100% effective and free from side effects.

The pills are used prior to sex and help to get firmer and stronger erection. Natural Viagra is a name for erective dysfunction drugs, which are advertised as products with sildenafil effect. It’s a Viagra’s natural version.

How Does Herbal Viagra Work?
Today many men are really interested in getting more information about herbal Viagra. They keep wondering whether it works. This is a herbal substance that helps men with the erective dysfunctions. There are many patients, who report a rather strong erection in 10 minutes after the intake of alternative Viagra.

By the way, when a man is taking this natural supplement for a long time, the remedy makes his penis thicker, bigger and much more powerful. Some patients say about the three inches increase, others speak about a 25% increase.

The thing is that active ingredients of herbal Viagra improve the level of testosterone. It leads to sex drive increase. Besides, alternative Viagra works as an anti-depressant and creates a rather strong libido.

This is why herbal Viagra is a natural treatment that is preferred by men of different age and social status. It’s comparatively cheap and leads to the same results without side effects. With its help men can stop worrying about their bed performance and satisfaction.

This is why herbal Viagra is a natural treatment that is preferred by men of different age and social status. It’s comparatively cheap and leads to the same results without side effects. With its help men can stop worrying about their bed performance and satisfaction.

Herbal Viagra is a natural remedy that makes couples happy and prolongs their sexual life.

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Viagra Is Not Challenging Read This

Viagra works well with all age group; if you dont believe it then you read this or can mingle your talk with some of your male married partners.

Life is just what you think about it so you should make sure to enjoy it with all aspects. Buy Viarga Online, Time is never the same when we wake up then sometimes it get really late. We as human always ignore problem or things which creates difficulties for us. Even if the solution is easy reason are many due to lack of regular timing, due to busy schedule and due to depression. In case youre physical incapabilitys are becoming headache for you and consistently taking away for all good time during sexual interaction in bed. Then check out benefits of pills known as Viagra. Viagra is well known drug in market in Asia and other countries.

Still there are lots of males, who are afraid of digesting some kind of pills even after knowing the benefit of the pills. There could be many of them who wish to seek answers to their all unsolved problems but unable to discuss the same somehow due to shyness in relationship. Sometime family background is also highly responsible for this all practice male member and female member need revolution in their life but due to unwanted stress, family discrepancies they are unable to hire good options in life.

Buy Viarga Online, Viagra is nice drug which can be taken easily and you need not tell the same to anyone. As this is just tablet kind which has to be consumed just likes any other pill. This is a body physical activator which acts swiftly without making any change in mood and body structure of body. You can take this tablet prior to 30 minute or an hour time during night time once you start feeling the mood. This medicine start functioning better after 1 hour of time and is activated last of 36 hours of time. So you can feel the energy for complete night but dont worry it doesnt have any effects during the day time or when your mind is relaxed.

That means this medicine will not start reacting with you bodily physical activities when you are close to your partner or doing sexual interaction not every time and everywhere. Buy Mexican Viarga Online, So this drug needs physical relaxation with your physical mood when you boost the same then only this comes under consideration.

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Male Impotence Treatment With Generic Viagra

Male Impotence Treatment With Generic Viagra

Viagra drug has earned lots of fame and name across the world for handling impotence problem of males. Male impotence is concerned using the scenario in which he doesn’t execute his sexual efficiency or turn out to be fail to get satisfy or satisfying his female partner. This discontentment related with sexual relationship becomes turn into broken relationship. This terrible situation of couples also affects their social, professional life because of distress and depression.

In this recent time, Viagra is also available in its generic form named as kamagra which is not various from the original drug. There is difference in the price. This drug is more affordable as compare to Viagra drug or other impotence drug that is why it is nicely renowned drug across the globe for eliminating male impotence or erectile dysfunction. Each of the drugs is ready with exact same component which has excellent role in creating these drug valuable to deal with impotence issue. This drug executes its job as a PDE – 5inhibitor. In male physique PDE – five enzymes restricts them to have harder erection for lengthy lasting.

Function performed by Generic Viagra Online Canada or kamagra is very simple but palpable simply because of utilizing Sildenafil Citrate. This ingredient develops the quantity of blood flow inside the penis which turns penis into hardens and provide powerful and tougher erection for long lasting. It is also helpful for the strong and alive libido. Becoming an extraordinary drug it broadly improves male capabilities to ensure that the cure of male impotence can be done effortlessly. Kamagra’s new form has also produced an excellent image within the hearts of its millions of customers because of its fast and magnanimous solutions.

The aged males have attained sexual enhancement following using this impotence drug which seem like a fade in their lives. Jelly type of kamagra is very simple to use along with it is remarked as a greatest source for defeating penile failures to ensure that revitalized erotic occurrence can be felt by males. Kamagra jelly is more dependable than the other standard impotence drug as it acts as an extensive mood creator for having pleasurable sexual life. These reliable drugs like Viagra and kamagra make in a position to show love, feeling and emotions to their love ones. By using these drugs the emotional and bodily attempts are enhanced providing gratifying sexual life as both of them attempts are complementary and lack of one can’t permit for performing sexual performance.

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Herbal Viagra at a closer look – it can save relationship

Even though in some conservative countries, sex is a taboo, it is undeniable that it is a physiological need. In Maslow’s hierarchy of need, along with the basic needs such as food, clothing or shelter, sex is one of them. But the latter however, can be postponed and a person can fulfill other needs. For people who are sexually mature and they feel that they can handle sex well then they are free to exercise their right to do so. But problems arise when a person grows older or has erectile dysfunction. Scientist and other health experts have been addressing the need and that is why they made remedies for that and one of it is the herbal Viagra.

Viagra is a popular and controversial drug taken by men who has erectile dysfunction. To men, this can be an embarrassing problem because it is a big deal for their machismo. Men should however be aware that erectile dysfunction can happen to one in every 10 men so they are not alone in carrying this problem. Also, men should know that erectile dysfunction is not solely on psychological traumas but to prevalent conditions as well like diabetes, high blood pressure, kidney problems and even frequent smoking.

In some point, going to a sex therapy from somebody who is knowledgeable about sex can also be done. Although many men are hesitating to do this, they should remember that they have nothing to be ashamed of and these sex experts can help men to solve their erectile dysfunctions.

To address that problem, erectile dysfunction drugs can be taken like the normal Viagra pill, cessation of smoking, taking herbal Viagra and the like. Even increasing exercises or eating, proper relaxation and limiting alcohol intake and can be testosterone boost to help overcome erectile dysfunction. These can even be suggested by psychologist during a sex therapy.

Today, many have shifted from taking the normal Viagra pill into herbal Viagra for many reasons. Although both have the same effect, herbal Viagra has been used because people think and experts confirm that it is a much healthier choice and it gives better results when in intimacy towards their partners. Experts say that the side effects of the regular Viagra pill is eradicated leaving the main purpose of Viagra behind. Herbal Viagra gives strength and stamina to feed the appetite of their partners in matters of love-making or sex.

When men get their libido going, they can satisfy their women in bed and help increase sexual excitement. When taking herbal Viagra, it me makes the action more exciting and love-making is more fun. Men don’t have to worry about the erectile problem because it has been taken care of.

It is truly undeniable that sex is an important factor in every relationship. It can make or break relationships because men and women of today also tests bed chemistry. If it doesn’t work, then there is a tendency that either partner will look for somebody who can satisfy their needs. In that case, to keep the fire burning, taking herbal Viagra may keep the love alive.

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