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      Erectile Dysfunction

      Its incidence increases drastically from about 6% in the age group 20-29 years, to 50-70% in the age group 40-79 years
      Overview.

      is the inability to get or keep an erection firm enough to have sexual intercourse. It’s sometimes referred to as impotence, although this term is now used less often.

      Having erection trouble from time to time isn’t necessarily a cause for concern. If an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease.

      If you’re concerned about, talk to your doctor — even if you’re embarrassed. Sometimes, treating an underlying condition is enough to reverse. In other cases, medications or other direct treatments might be needed.

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      Symptoms.

      Symptoms might include persistent:

      • Trouble getting an erection
      • Trouble keeping an erection
      • Reduced sexual desire

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      When to see a doctor.

      A family doctor is a good place to start when you have erectile problems. See your doctor if:

      • You have concerns about your erections or you’re experiencing other sexual problems such as premature or delayed ejaculation
      • You have diabetes, heart disease or another known health condition that might be linked to.
      • You have other symptoms also

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      Causes.

      Normal erectile function can be affected by problems with any of the following systems:

      • Blood flow
      • Nerve supply
      • Hormones

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      Physical Causes

      In many cases, ED is caused by something physical. Common causes include:

      • Heart disease
      • Clogged blood vessels (atherosclerosis)
      • High cholesterol
      • High blood pressure
      • Diabetes
      • Obesity
      • Metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol
      • Parkinson’s disease
      • Multiple sclerosis
      • Certain prescription medications
      • Tobacco use
      • Peyronie’s disease — development of scar tissue inside the penis
      • Alcoholism and other forms of substance abuse
      • Sleep disorders
      • Treatments for prostate cancer or enlarged prostate
      • Surgeries or injuries that affect the pelvic area or spinal cord
      • Low testosterone

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      Psychological Causes

      The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement. A number of things can interfere with sexual feelings and cause or worsen. These include:

      • Depression, anxiety or other mental health conditions
      • Stress
      • Relationship problems due to stress, poor communication or other concerns

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      Risk Factors.
      As you get older, erections might take longer to develop and might not be as firm. You might need more direct touch to your penis to get and keep an erection.

      Various risk factors can contribute to the problem, including:

      • Medical conditions, particularly diabetes or heart conditions
      • Tobacco use, which restricts blood flow to veins and arteries, can — over time — cause chronic health conditions that lead.
      • Being overweight, especially if you’re obese
      • Certain medical treatments, such as prostate surgery or radiation treatment for cancer
      • Injuries, particularly if they damage the nerves or arteries that control erections
      • Medications, including antidepressants, antihistamines and medications to treat high blood pressure, pain or prostate conditions
      • Psychological conditions, such as stress, anxiety or depression
      • Drug and alcohol use, especially if you’re a long-term drug user or heavy drinker

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      Diagnosis.
      For many people, a physical exam and answering questions (medical history) are all that’s needed for a doctor to diagnose and recommend a treatment. If you have chronic health conditions or your doctor suspects that an underlying condition might be involved, you might need further tests or a consultation with a specialist.

      Tests for underlying conditions might include:

      • Physical exam. This might include careful examination of your penis and testicles and checking your nerves for sensation.
      • Blood tests. A sample of your blood might be sent to a lab to check for signs of heart disease, diabetes, low testosterone levels and other health conditions.
      • Urine tests (urinalysis)., Like blood tests, urine tests are used to look for signs of diabetes and other underlying health conditions.
      • Ultrasound. This test is usually performed by a specialist in an office. It involves using a wandlike device (transducer) held over the blood vessels that supply the penis. It creates a video image to let your doctor see if you have blood flow problems.
        This test is sometimes done in combination with an injection of medications into the penis to stimulate blood flow and produce an erection.
      • Psychological exam. Your doctor might ask questions to screen for depression and other possible psychological causes.

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      Treatment.
      THE GOOD NEWS IS THAT THERE ARE MANY TREATMENTS FOR ED, AND MOST MEN WILL FIND A SOLUTION THAT WORKS FOR THEM. TREATMENTS INCLUDE:
      Drug treatments:

      A- Homeopathic Medicines

      • Agnus Castus :This remedy is indicated when arises from mental depression & exhaustion of nervous energy. Such exhausted nervous energy can occur from prolong stress, tension & worries. Patient feels his genitals are cold to touch & relaxed & his sexual desire is gone..
      • Caladium : This remedy is for patients with chronic habit of tobacco. This remedy cures aroused from bad effects of tobacco. Patient feels erections when half asleep & when he attempts for intercourse suddenly he loses his erections. Patient has mental excitement but penis is in loose and relaxed condition.
      • Selenium : This remedy is often indicated in elderly men, especially for prostatitis and sexual atony. Patient is generally very weak and often gets easily exhausted from slightest mental or physical exhaustion. Many a times patient has a history of some chronic disease in recent past like arthritis, diabetes etc. This remedy cures dribbling of semen in sleep.
      • Lycopodium : This remedy is useful for patient who has long term history of digestive disorders like chronic indigestion, acidity, constipation etc. Chronic digestive disorders increase the body heat and this remedy reduces down the heat in body. Patient has long term history of masturbation. Such a patient has premature looks like early age hair fall and wrinkles on face.
      • Avena Sativa : This remedy is useful for patients who works on high post like managers, CEO’s, lawyers etc. who have intense mental work rather than physical work. They have responsibilities and pressure of targeted deadlines. Such overuse of brain leads to decrease in sexual desire and also decreased ability to perform sexual act.
      • Nuphar Luteum : This remedy is often indicated in today’s youth generation. It cures aroused due to junk food, over eating, overuse of alcohol & tobacco, & also improper sleeping pattern. Such a patient has a history of chronic masturbation. This remedy has wonderful powers to cure night fall.

      Drug treatments:

      B- Ayurvedic Medicines :

      • Shilajit :This medicine is known to us since ages & our ancient physician were useing it for vigor, stamina and to increase male libido. Now it is scientifically proved that this medicine can be used for low libido, premature ejaculation, erectile dysfunction and many sexually related disorders. This medicine is mainly used in old age individuals, patients suffering from diabetes, hypertension and also for people who had excessive masturbation.
      • Ashwagandha : This is the best medicine for person who needs both physical and mental energy. Person is tired both at physical and at mental sphere. This wonderful herb is also useful in digestive disorders such as constipation, indigestion and acidity.At the mind level person is stressed has poor concentration and very week Memory.
      • Tribulus Terrestris : Wonderful remedy for sexual complaints at all age groups. It increases desire for sex and also improves erection. It affects positively on sperm quality, quantity and its motility. It is one of the best medicine for infertility in men. Cures Azospermia. Helps a lot to reduce the prostate enlargement in elderly patients. Being rich in antioxidents it also has anti-aging effects.
      • Shatavari : Predominantly helpful for female patients. Irregular menses. Severe pain before, during and after menses. Loss of sexual desire in female patients. Extreme pain in breast before menses also indicate use of Shatavri in female patients. Shatavari increases the physical stamina in female patients and helps them against physical weakness.

      Drug treatments:

      B- Ayurvedic Medicines :

      • Shilajit :This medicine is known to us since ages & our ancient physician were useing it for vigor, stamina and to increase male libido. Now it is scientifically proved that this medicine can be used for low libido, premature ejaculation, erectile dysfunction and many sexually related disorders. This medicine is mainly used in old age individuals, patients suffering from diabetes, hypertension and also for people who had excessive masturbation.
      • Ashwagandha : This is the best medicine for person who needs both physical and mental energy. Person is tired both at physical and at mental sphere. This wonderful herb is also useful in digestive disorders such as constipation, indigestion and acidity.At the mind level person is stressed has poor concentration and very week Memory.
      • Tribulus Terrestris : Wonderful remedy for sexual complaints at all age groups. It increases desire for sex and also improves erection. It affects positively on sperm quality, quantity and its motility. It is one of the best medicine for infertility in men. Cures Azospermia. Helps a lot to reduce the prostate enlargement in elderly patients. Being rich in antioxidents it also has anti-aging effects.
      • Shatavari : Predominantly helpful for female patients. Irregular menses. Severe pain before, during and after menses. Loss of sexual desire in female patients. Extreme pain in breast before menses also indicate use of Shatavri in female patients. Shatavari increases the physical stamina in female patients and helps them against physical weakness.

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