Erectile dysfunction indicates the inability to achieve and maintain an erection by a man.
Most men can suffer from erection problems despite having a normal sexual desire.
Erectile dysfunction (also known as sexual impotence) has different levels of severity .
Some men are unable to achieve an erection (total disability) while others may have it, but the penis is not hard enough for penetration (partial erection).
In some cases the person can penetrate, but after a short time the penis becomes soft.
- 1 Physiology of erection and physiopathology of erectile dysfunction
- 2 Causes of Erectile Dysfunction
- 3 Psychological factors
- 4 Responsibility is not always man’s responsibility!
- 5 Diagnosis of Erectile Dysfunction
- 6 I’m having erection problems with just my girlfriend, what can I do?
- 7 Medications for Erectile Dysfunction
- 8 Other treatments
- 9 Natural Methods for Erectile Dysfunction and Lifestyle Changes
- 10 Diet and diet for erectile dysfunction
- 11 How to create the right atmosphere
- 12 Aphrodisiac herbs
Physiology of erection and physiopathology of erectile dysfunction
Erectile dysfunction is caused by a disorder of the blood flow of the corpora cavernosa (two long cylinder structures like the penis).
In the case of sexual arousal, the brain sends and receives chemical signals that cause the release of nitric oxide .
- Relaxes the muscles of the penis,
- It allows the arrival of a large amount of blood through the corpora cavernosa that causes an erection.
But erection is lost when phosphodiesterase type 5 (another chemical):
- It neutralizes the effect of nitric oxide,
- It causes the flaccid penis.
In the penis, there are the smooth muscles of the corpora cavernosa and arteries that may be responsible for erectile dysfunction.
When the penis is flaccid, the muscles of the arteries are contracted, hence:
- They reduce the size of the artery (it becomes narrower),
- Reduce blood flow to the organ.
Sexual stimulation causes the relaxation of these muscles, thus allowing the arrival of an important blood flow.
Source : Physiology of Penile Erection and Pathophysiology of Erectile Dysfunction – Robert C. Dean, MDa and Tom F. Lue, Mdb – Urol Clin North Am. 2005 Nov; 32 (4): 379-v.
Causes of Erectile Dysfunction
- Diabetes mellitus
- Kidney disease
- Multiple sclerosis
- Lack of physical activity
- Varicocele (dilatation of the veins of the cord that supports the testicles)
- High or low pressure
- Major Depression
- Atherosclerosis (plaques composed primarily of cholesterol that clog arteries)
- High prolactin
- Treatment of prostate cancer , bladder cancer and benign prostatic hyperplasia (BPH)
- Some medications (usually beta-blockers that work for high blood pressure and antidepressants)
Erectile dysfunction does not indicate that the man is aging .
When a man ages, testosterone levels gradually decrease.
Usually this drop starts at age 30.
Therefore, most men with erection problems may assume that this condition is a sign of aging.
However, impotence is caused especially by heart disease such as atherosclerosis and not by lack of testosterone.
Some people lose the ability to get an erection:
- When suffering from a chronic and serious illness,
- After you have taken a drug or after drinking alcohol.
The role of the brain is instrumental in triggering a series of events that cause an erection.
Occasional erectile dysfunction is often a mental problem.
Young men often have the problem of erectile dysfunction due to:
Nerves of the first or second time can cause erection problems in men.
Anxiety can arise from the fear of causing a pregnancy and its consequences.
It may be strange to understand, but some men lose their erection after putting on a condom.
Not only that, but lack of communication or problems in intercourse can contribute to temporary juvenile impotence.
It is important to note that a man may have erection problems with his girlfriend, while with another woman (for example, the lover) reaches a full and long erection.
This depends on the woman’s energy, the physical characteristics (very thin or very fat) and the female sexual load.
The prostitutes have a way of doing very fast, causing the lack of sexual desire in some men.
Erectile dysfunction is not always linked to low libido.
It would be wrong to think that erectile problems are related to the reduction of sexual desire .
Although low libido and erection problems are both sexual disorders, they are not always linked.
The degree of erectile dysfunction may vary from person to person, may be temporary or a complete inability to maintain an erection and sexual intercourse.
The diagnosis of the disease is made as follows:
Physical exam. The doctor tries to understand the possible causes of the problem during the physical examination, such as:
- The sensitivity of the penis to sexual stimuli,
- The determination of the possible lesions causing the dysfunction, etc.
The patient’s clinical history and behavior
Psychological examination: The patient’s psychological examination can:
- Reveal the cause of the problem,
- Help discover all possible solutions.
I’m having erection problems with just my girlfriend, what can I do?
I honestly think that if a man is in love he should not end the relationship for this reason, probably if create a tension in the bed that does not allow the two to stay calm.
You can try to create a sexual excitement:
- With different positions,
- With a massage,
- With a shower before sexual intercourse.
It is possible to have problems of erection in certain environments (for example, in the car), while at home the tranquility promotes the realization of the erection.
In addition, it is advisable to focus on the body parts of the woman or the fantasies that excite the most .
We recommend living the present without thinking about performance.
In the case of erectile dysfunction, one type of treatment consists of medicines known as phosphodiesterase inhibitors.
These drugs inhibit the function of the chemical (phosphodiesterase type 5) and allow nitric oxide to perform its task.
Phosphodiesterase inhibitors allow you to maintain an erection for a long period of time.
Some examples of these oral medications include:
However, be careful before taking these medicines.
It is best to discuss the benefits and side effects of medications with a doctor.
This is even more important for those who take other medications or who suffer from chronic diseases.
For these people, taking medicines without a prescription can cause serious complications.
The following treatments are useful for the treatment of erectile dysfunction:
Low intensity shock waves – among the new treatments, this treatment has excellent results: in 57% of cases the patient returns to sexual function without side effects.
The results of scientific experiments show that low-intensity shock waves cause cellular microtraumas.
The consequence is the release of angiogenic factors, ie, they favor the formation of new blood vessels in the treated tissue.
Source : Shockwave treatment of erectile dysfunction. – Gruenwald I1, Appel B, Kitrey ND, Vardi Y. – Ther Adv Urol. 2013 Apr; 5 (2): 95-9.
Intra-urethral therapy (Muse) consists of an injection directly into the urethra.
The drug used is alprostadil, is effective in all types of erectile dysfunction (neurological, vascular and psychological).
It works in 100% of cases, in addition, it requires a very low dosage (10-20 μg, at most 60 μg).
Alprostadil should be injected directly into the corpora cavernosa of the penis to have a more effective action and this is often a problem for the patient, also because some complain of pain in the area of the injection.
As a mechanism of action it explores the vasodilation given by prostaglandins.
The action begins about 5 to 20 minutes after the injection and remains for about 1 hour.
The recommended maximum frequency of administration should not exceed:
- One injection a day (at least 24 hours apart from one administration to another),
- Three a week.
Hormone replacement therapy (testosterone).
Some mechanical devices are available to achieve an erection. These include:
- Ring of constriction,
- Penis pump.
In some cases, a person may undergo surgery , such as:
- Vascular surgery,
- Arterial surgery,
- Semi-rigid penile prosthesis,
- Inflatable penile prosthesis, etc.
In cases where the problem is related to a psychological problem, more frequent in young people, the person and his partner can seek a psychotherapist .
Usually erectile problems are resolved with natural remedies and changing the diet.
- Change the mood and mood when we make love.
We can light the room with candles to spend a quiet night in a hut on the beach.
- Searching for new positions is a natural way to increase sexual pleasure or take a shower together before intercourse.
- Do not block communication with your partner. Often, the lack of this element becomes an item that aggravates erectile dysfunction.
- Avoid alcohol before intercourse.
- According to experts, masturbation is a great way to explore sexual functioning and performance.
It can be useful because it teaches you how to achieve pleasure.
It is advisable to try different diets depending on the symptoms you can understand the most appropriate.
There are several natural diets that can solve erectile dysfunction, for example, the blood group diet.
Based on this type of nutrition, there are some foods that are tolerated and others harmful, depending on the blood group they belong to.
Protein foods are the most important in nutrition because the body is made of proteins.
In general, everyone should exclude:
- Milk and dairy products,
- Spices (eg pepper and pepper).
The fruits can only be consumed in the morning and in small quantities, otherwise they can cause disturbances.
Legumes are recommended, but should be:
- Cooked long time.
Based on the blood type diet, meat and fish can help solve erectile dysfunction, in particular:
- Blue Fish.
The plants rarely cause disturbances, but the Solanaceae (tomatoes, peppers, chilies, goji berries, eggplant, potatoes) can be harmful.
The grains should be reduced or eliminated, especially those with gluten.
The food should be rotated as much as possible to avoid the development of intolerances.
The body tolerates harmful food in small amounts, but daily intake can cause symptoms and illness.
The hygienist is a natural medicine that can help solve erectile dysfunction, in this case the recommended diet is vegan with most raw foods.
There are some foods that can improve sexual health, including:
Avocado is excellent for the immune system, is rich in folic acid, vitamin B6 and potassium and helps in the production of male hormones.
Bananas are rich in nutrients needed for the reproduction of sex hormone, in fact contain lots of potassium and vitamin B6.
It also contains chelating minerals and the bromelain enzyme that increase male libido.
Mango enhances virility in men.
Peach contains many nutrients, so it is one of the natural aphrodisiacs for men.
Pineapple is rich in vitamin C which can be very useful in the treatment of impotence.
The pumpkin has all the essential nutrients for a healthy libido and contains many antioxidants.
Pumpkin seeds are rich in zinc.
Berries contain resveratrol, which is an antioxidant. Prevent premature aging, increase blood flow, are useful in preventing hypertension .
Tomato is a rich source of nutrients like vitamin c.
Beware of tomatoes and Goji berries that are part of the Solanaceae family and can cause health problems in some people.
The internal watermelon is very sweet and good, but it is the skin that contains many phytonutrients, including citrulline.
Citrulline is converted to arginine in the body that increases nitric oxide, relaxes blood vessels and has the same effect as Viagra; so it is good for treating erectile dysfunction and for prevention.
Champagne is a great way to create an atmosphere full of sensuality.
This ‘food’ contains a substance called phenylethylamine that improves mood.
It is the chemical produced in our brain when we fall in love.
Theobromine found in chocolate is an alkaloid that gives the bitter taste to chocolate and is a fantastic vasodilator (dilates the arteries).
It also has diuretic properties and stimulates the heart.
The higher the cocoa content of chocolate, the better the effect.
Dark chocolate is undoubtedly the most luxurious and delicious sin.
Chocolate contains tryptophan that gives chocolate the reputation of one of the best aphrodisiacs.
A single glass of red wine on the table helps you feel better because it is rich in anti-oxidants.
Attention because drunkenness eliminates inhibition but reduces sexual performance.
Basil is rich in flavonoids that have anti-inflammatory properties. It also contains beta-carotene, magnesium , potassium and vitamin c.
This herb was considered sacred and has many healing properties.
Damiana (Turnera diffusa) Damiana
is an aphrodisiac to make love.
It has a calming effect on the nervous system and sexual organs.
We recommend taking damiana tea one hour before sexual intercourse, thus producing a very satisfactory effect.
This herb also helps in the production of testosterone.
Ginkgo increases genital blood flow.
It significantly improves the production of dopamine, adrenaline and other neurotransmitters in the brain that are responsible for sexual arousal and desire .
Kava (or Yaqona)
The kava herb reduces the anxiety that often causes the reduction of libido. It works as an anesthetic, relaxes muscles and improves mood.
This scented herb soothes the nerves, gives a feeling of relaxation and is a natural aphrodisiac.
germ Wheat germ oil contains estrogen and vitamin E. Both strengthen the sex organs and are natural aphrodisiacs.
Beet was considered an aphrodisiac since ancient times because it has a high content of boron, a mineral that stimulates the production of sex hormones and strengthens the immune system.
The anti-clotting properties of garlic are responsible for increasing blood flow to the brain and sex organs through the action of an enzyme called nitric oxide synthase (NOS).
This substance is the main responsibility of the erection.
Ginseng reduces fatigue , stress and cures impotence.