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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 vigrx pills compare penis enlagement pills penis elargement traction device penis elargement pills penis elargement before and after picture herbal penis elargement penile enlargment surgery photo pennis enlargement forum

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Testosterones Under Control Testosterones are the male hormones the make you a male and keep your sex drive as you would like it to be. Reduced testosterones might be able to give you sleepless nights by reducing your sex drive and may by unsatisfied wife or girl friend The male hormones are responsible for the male characteristics that you display since onset of puberty. The hoarse voice, the beard and the pubic hair are all the characteristics that you get are due to presence of testosterones. If the testosterones get reduced, you might get a low sex drive, a feminine voice and other feminine characteristics. These characteristics are not liked by men and sometimes ostracism of men can happen. Symptoms of Low Testosterone You might be having low testosterone if you have the following symptoms 1. You are having reduced body hair 2. You show breast enlargement 3. You show violent moods and change your moods very frequently 4. You have a low sex drive and you are unable to achieve penetration while having intercourse 5. You are over the age of 55, you are depressed and lethargic 6. Your work performance has reduced although you cannot find any other reason for it. Testosterone is the chemical that keeps the males in the pink of sexual health. All the males have a tendency of having low testosterone count after the age of 40 or 45. Low testosterone cont is often known as lame menopause. The conditions can be treated by testosterone replacement theory or TRT. How to Increase Testosterone Levels Testosterone cannot be increased by natural means beyond a certain levels. The testosterone levels in body can be increased by regular exercising and keeping the body trim and fit. In case you exercise regularly, the hypothalamus and the pituitary glands become active and secret sufficient amount of testosterone you keep the male in you intact. These glands once activated remain active for long time and change your attitude for life. In the old age, when all your body functions decrease, how can the testosterone remain the same even in the receding years? Testosterone levels decrease during the advancing years and this is reflected in the loss of agility and quickness of the steps. The treatment for the reduced testosterone is the testosterone replacement therapy. The additional testosterone required by the body in advancing ages is supplied by the body is not enough for maintaining body functions The testosterone can be had in form of oral tablets, injections, creams, and gels. While the injections and the oral tablets have their own disadvantages, the creams and gels are not free from the disadvantages and side effects. Essentially, you have to choose between the discomfort from the side effects and good effects that you get from increased testosterone In the final analysis, you might even tolerate the effects of reduced testosterone levels rather than tolerate the side effects of the testosterone supplements. Take your pick between the two but with advice from doctor and not independently. free penis enhancement technique penile enlargement pills free penile enlargment tip penile enlargment pump penile enlargement pump pennis enlargement surgery picture free penis enhancement tip cheap penile enlargment buy vigrx

ED is divided into organic (having to do with a bodily organ or organ system) and psychogenic (mental) impotence, but most men with organic causes have a mental or psychological component as well. Physical causes An erection works by allowing blood into the spongy tissues of the penis but stopping it from flowing back out again.. Anything affecting the arteries, veins or nerves that supply the penis will influence the ability to have an erection. These can include: Medicines such as anti-depressants and drugs for high-blood pressure (such as ACE inhibitors and beta-blockers); Alcohol, smoking, and taking illegal drugs; Conditions that affect the nerves or blood supply, such as multiple sclerosis or a stroke; Diabetes, which can sometimes cause a problem with the nervous system; Blood vessel conditions such as blocked arteries (for example, caused by high cholesterol levels); Hormonal conditions, such as not having enough testosterone in your body, or having too much of another hormone called prolactin; Conditions affecting the erectile tissue of the penis, such as prostate cancer; Serious long-term conditions such as kidney or liver failure. As you get older, you’re more likely to have another condition that causes erection problems, such as heart disease or diabetes. But that doesn’t mean you shouldn’t seek treatment for your erection problems, as well as the underlying condition. Psychological causes Some of the most common psychological causes of erectile dysfunction include: Stress or anxiety, Depression, and Relationship or sexual identity issues. Sometimes an occasional erection problem caused by a minor everyday problem such as a few too many drinks, or a particularly hard day at work, can begin a cycle of worrying. This can turn into a psychological cause of further erectile difficulties. Treatment Treatment depends on the cause. Testosterone supplements may be used for cases with hormonal deficiency. However, usually the cause is lack of adequate penile blood supply as a result of age-dependent damage of inner walls of blood vessels. Previously, medical substances (e.g. apomorphine) were directly injected into the erectile tissue of penile shaft to treat impotence. In some cases refractory to the medical treatment, a penile implant (penile prosthesis) could be advised. After the discovery of orally active agents that increase the efficacy of NO, which dilates the blood vessels of corpora cavernosa, more conservative methods started to be used. The prescription PDE5 inhibitors sildenafil (Viagra®), vardenafil (Levitra®) and tadalafil (Cialis®) are prescription drugs which are taken orally. They work by blocking the action of PDE5, which causes cGMP to degrade. cGMP causes the smooth muscle of the arteries in the penis to relax, allowing the corpus cavernosum to fill with blood. penis elargement herb penile enlargment pic before and after prosolution penis enlagement pills vimax natural penis enlargement homemade penis enlargement penis enlargment secret penis enlarement procedure best penis elargement surgery buy vigrx

Have you ever felt a little concern for tigers, deers, and elephants which have been daily killed by poachers on a massive scale throughout the world for their skin, tusks and for the preparation of a variety of pharmaceutical drugs? These animals are deliberately killed for a sole purpose, to make money. Monetary greed is the only reason that the mass slaughter of animals is still proceeding unabated in spite of the authorities in various countries adopting a wealth of measures to bring such occurrence to a close. But recently it has become apparent that the trading of products obtained from animal parts has declined drastically which has brought back smiles to the faces of animal lovers across the world. A study conducted by the journal “Environmental Conservation” found that since Viagra, the erectile dysfunction cure gained entry into the pharmaceutical market after its due approval by FDA on 1998, in Hong Kong the sale of products obtained from animals to treat male impotency was decreased by 50%. Most probably you are of the extensive use of animal products for the treatment of erectile dysfunction. Hunters throughout the world have massacred animals a lot for rhinoceros horns, eggs of sea turtles and tiger penises for the utterly mistaken belief that they can sufficiently cure erectile dysfunction in men. As the Pfizer manufactured erectile dysfunction medicine Viagra started to cure erectile dysfunction patients successfully across the globe, the people who had earlier bestowed their trust on animal products to get rid of erectile dysfunction, shifted to Viagra. The manufacture of Viagra involves only chemicals and no animal product is utilized. Hence, Viagra doesn’t harm the ecological environment otherwise caused by the destruction of the principal inhabitants of the wildlife. Viagra is the first FDA (Food and Drugs Administration) approved pill for the treatment of erectile dysfunction in men and it has been proved a successful form of cure for the same from the moment it gained entry into the anti-impotency drug market. Viagra protects you from erectile dysfunction and now its role has extended in the protection of the environment as well. It is certainly a matter to celebrate even though the thought of securing the wild life only through Viagra would seem completely impractical. Yet, for the decrease in the sales of erectile dysfunction medicines produced from animal hides and other animal parts, Viagra is certainly to be credited. Viagra is an erectile dysfunction drug that works on a particular patient when he is sexually stimulated. When an erectile dysfunction patient is sexually aroused, the administration of Viagra to his system increases blood flow to his penis rapidly and as such he becomes capable of triggering off erections necessary for sufficient physical intercourse. To speak frankly, Viagra also possesses certain side-effects like any other erectile dysfunction drug which can be easily avoided. These include headache, flushing, stuffy nose, upset stomach on the occurrence of which a physician must be immediately contacted. vimax penis enlargement secret penile enlargment secret penile enlargement product vimax top rated penis enlargement pills penis enlarement excercises pnis enlargement before and after photo penis enlargement surgery photo buy vigrx

Enlarged prostate symptoms rarely manifest before the age of 40. For some men, symptoms might not even occur at all. However, the condition called BPH or enlarged prostate affects almost 90 percent of men in their seventies and eighties, while more than 50 percent of men who reach their sixties experience symptoms. Benign Prostatic Hyperplasia (BPH) or Benign Prostatic Hypertrophy is a condition characterized by the enlargement of the prostate gland; a common occurrence since it is quite normal for men's prostates to enlarge as they age. The growth of the prostate has two main phases; the first is during puberty, when the size of the gland doubles; and the second is at around age 25, when the gland starts growing again. The second growth phase often results in BPH years later. Some of the more common enlarged prostate symptoms include weak stream of urine, difficulty in starting urination, dribbling and leaking of urine, a strong and sudden desire to urinate especially at night, a feeling of not emptying the bladder, and in some cases, blood in the urine. As a man's prostate enlarges, the layer of tissue surrounding it prevents the gland from expanding which causes the gland to press against the urethra. The bladder wall becomes thicker and irritable resulting in contraction which causes frequent urination. Eventually, the bladder becomes weaker and might not be able to empty itself which could result in urine being trapped in the bladder. The narrowing of the urethra and the inability of the bladder to fully empty itself cause many of the problems associated with enlarged prostate. The cause of enlarged prostate has yet to be fully understood. Since BPH occurs in older men and does not develop in those whose testes were removed during puberty, researchers believe that factors related to aging and the testes contribute to the development of the condition. Some studies have also theorized that BPH occurs because the amount of testosterone (male hormone) in the blood decreases as a man ages, leaving a higher proportion of estrogen (female hormone) which results in the increased activity of substances associated with cell growth. Majority of BPH symptoms stem from urethral obstruction and gradual loss of bladder function. The extent by which a man's prostate has grown does not always determine how severe the condition is. Some men with greatly enlarged prostate experience little problems and manifest few symptoms, while others whose prostates are less enlarged may have severe obstruction, more blockage and experience more discomfort or pain. Despite similarities between prostate cancer and enlarged prostate symptoms, having the latter does not mean that chances of getting the former are increased. Researchers have not found any direct connection between BPH and prostate cancer, but it is still highly imperative that men over the age of 40, whether they have or do not have enlarged prostates, undergo a rectal exam to screen for prostate cancer.