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Male Impotence Causes
By Dr Prasad
Impotence or Erectile
Dysfunction is a consistent inability to either attain or sustain an
erection, which is sufficient for sexual intercourse. Impotence is
different from other problems that interfere with sexual intercourse,
for e.g. Lack of desire or difficulties with ejaculation or orgasm. It
roughly affects about 15-20 million Americans in the age group of
40-50. How do men get an Erection? The Penis contains two chambers,
made of spongy tissue, which run the length of the penis. This tissue
consists of smooth muscles, fibrous tissue, spaces, Veins and arteries.
These chambers (called corpora cavernosa) are surrounded by a membrane.
The Urethra, which is a common passage for urine and Semen, runs along
the underside of this chamber. When stimuli from the brain and other
local nerves causes the smooth muscles of the chambers to relax blood
flows in to flood the open spaces and gets trapped, creating a pressure
in the chambers hardening the penis. When these muscles contract, blood
trapped is allowed to low out, relaxing the penis.
To achieve and
sustain an Erection, all events described above
must happen in a sequence. If any of them is skipped, erection may not
occur or may not be sustained. The brain must generate nerve impulses
that are transmitted via spinal cord down to the penis. As a response
to these impulses muscles, fibrous tissues, veins and arteries in and
around the corpora cavernosa are filled with blood.
The most common
male impotence causes is damage to the fibrous tissues, veins, arteries
smooth muscles etc. Many diseases can cause this damage. Amongst these,
the most common are:
1. Atherosclerosis
2. Diabetes
3. Chronic smoking
or Tobacco
4. Alcoholism
5. Multiple
Sclerosis, an Auto Immune Disease
6. Kidney Ailments
7. Psychological
Disorders - Stress, Depression,
Performance Pressure
8. Long Term Use of
certain Drugs - Long term use
of certain antihistamines, anti depressants, drugs for treating high
blood pressure, antidepressants, tranquilizers, appetite suppressants,
antacids may result in impotence. Atherosclerosis or hardening of the
arteries and vascular diseases generally responsible for about 65 - 70%
of cases of impotence. Almost 35 - 50% of men suffering from diabetes
develop impotence.
A study in the recent
past found that the Erectile
Dysfunction to also be associated with bicycling. The number of hours
on a bike put pressure on the penis from the saddle of an upright
bicycle.
Injury to the spinal cord, bladder, prostate, pelvis or penis can cause
impotence by damage to the nerves, smooth muscle arteries and fibrous
tissues of the corpora cavernosa. Also the surgery in pelvic area can
damage nerves or blood vessels, results in impotence. About 30 - 35% of
the cases of impotence are because of psychological reasons. These
includes depression, anxiety, stress, guilt, fear of being caught, fear
of failure, lack of correct sex knowledge, myths and misconceptions
regarding sex. These factors are generally associated with more than
80% of the cases of Impotence.
A better and simple
way to isolate
between physiological and psychological impotence is to check if the
patient ever had an erection. If it is more then it is likely to be
psychological while less means physiological. Home Remedies and Dietary
Recommendations those are effective in Impotence: -
There are natural
Remedies for ED as well which can be recommended for a treatment
without much side-effect. L-arginine is an amino acid that is abundant
in meat, poultry, fish and dairy products. The body uses arginine to
make nitric oxide, which aids in relaxing the blood vessels. It should
however be taken only in moderation as high intake will be responsible
for increase in stomach acid and consequently ulcer. Ashwagandha or
"Indian Ginseng" is a tonic herb believed to be capable of
strengthening the body and more traditionally used to increase the
sexual capacity as an aphrodisiac. Damiana used traditionally in Mexico
as a male aphrodisiac. It has a mild effect. Siberian ginseng is
believed to be an aphrodisiac which affects the system of the body that
is in need of support.
It is considered one
of the superior remedies
for impotence. Traditionally Chinese practitioners used lyceum berries
and lotus seeds to help cure impotence while enhancing kidney and liver
energy. Saw Palmetto is used to treat Erectile Dysfunction, especially
when mixed with other herbs. It basically reduces the conversion of
testosterone into dihydrotestosterone. The bark from a Yohimbe tree
found in West Africa is a traditional aphrodisiac and also forms the
source of yohimbine, a prescription drug for Erectile Dysfunction. It
increases the libido as well as decreases the period between
ejaculations. This is not recommended because of the dosage range. Too
high a dose of this herb may be toxic and too low a dose may have no
effect. They should hence be taken with caution.
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