Introduction

There is an increasing number of ASTHENIA (An abnormal loss of strength) syndrome patients in daily practice. Stimulants, tonics, energizers hormones, mood elevators and sleeping pills etc. lead to hangover, drowsiness and false sense of well being and habit formation. Erectile dysfunction, formerly called impotence, is more common in men older than 65, it can occur at any age. An occasional episode of erectile dysfunction happens to most men and is normal. As men age's, it's also normal to experience changes in erectile function. Erections may take longer to develop, may not be as rigid or may require more direct stimulation to be achieved. Men may also notice that orgasms are less intense, the volume of ejaculate is reduced and recovery time increases between erections.


How does an erection occur?

The penis contains two chambers called the corpora cavernosa, which run the length of the organ (see figure 1). A spongy tissue fills the chambers. 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 ejaculate, runs along the underside of the corpora cavernosa and is surrounded by the corpus spongiosum.

Erection begins with sensory or mental stimulation, or both. Impulses from the brain and local nerves cause the muscles of the corpora cavernosa to relax, allowing blood to flow in and fill the spaces. The blood creates pressure in the corpora cavernosa, making the penis expand. The tunica albuginea helps trap the blood in the corpora cavernosa, thereby sustaining erection. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection is reversed.

What causes erectile dysfunction (ED)?
Since an erection requires a precise sequence of events, ED can occur when any of the events is disrupted. The sequence includes nerve impulses in the brain, spinal column, and area around the penis, and response in muscles, fibrous tissues, veins, and arteries in and near the corpora cavernosa.

Lifestyle choices that contribute to heart disease and vascular problems also raise the risk of erectile dysfunction. Smoking, being overweight, and avoiding exercise are possible causes of ED.

Also, surgery (especially radical prostate and bladder surgery for cancer) can injure nerves and arteries near the penis, causing ED. Injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to ED by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa.

In addition, many common medicines—blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (an ulcer drug)—can produce ED as a side effect

Experts believe that psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause 10 to 20 percent of ED cases. Men with a physical cause for ED frequently experience the same sort of psychological reactions (stress, anxiety, guilt, depression). Other possible causes are smoking, which affects blood flow in veins and arteries, and hormonal abnormalities, such as not enough testosterone.

Nervous weakness.
Psychological tension, confusion or fears.
Venereal diseases.
Hypertension
Diabetic
Blood leakage inside the blood vessels of the penis.
Lack of sex hormones
Multiple sclerosis
Alcoholism and other forms of drug abuse
Certain prescription medications

How is ED treated?
Most physicians suggest that treatments proceed from least to most invasive. For some men, making a few healthy lifestyle changes may solve the problem. Quitting smoking, losing excess weight, and increasing physical activity may help some men regain sexual function.

Cutting back on any drugs with harmful side effects is considered next. For example, drugs for high blood pressure work in different ways. If you think a particular drug is causing problems with erection, tell your doctor and ask whether you can try a different class of blood pressure medicine.

When to seek medical advice

Occasional inability to obtain a full erection
Inability to maintain an erection throughout intercourse
Complete inability to achieve an erection
It's normal to experience erectile dysfunction on occasion. But if erectile dysfunction lasts longer than two months or is a recurring problem, see our doctor for a physical examination

tips to overcome ED

Erectile dysfunction which is a very common complaint can be generally rectified by following few simple steps. Here goes the list of simple but effective tips to rectify erectile dysfunction.

Avoid consumption of alcohol. If you are addicted to alcohol restrict the intake. Alcohol acts on central nervous system and causes erectile dysfunction.
Keep away from smoking. Men who smoke suffer from erectile dysfunction than men who do not. It is evident from researches. Smoking causes formation of plaques in arteries (atherosclerosis) which obstruct the blood flow.
Avoid working for long hours. Take a break from regular routine at week ends and spend time with your partner.
Practice Yoga and meditation regularly to keep away anxiety, depression and stress. Meditation and Yoga are best stress busters.
Do not have the fear of not getting hard erections or do not doubt your ability to satisfy your partner. It will lead to psychological ED.
Happy and comfortable atmosphere at home is very essential to stimulate sexual desire and keep sexually healthy.
Exercise regularly and daily. Brisk walk for 45 minutes is the best exercise which keeps the cardiovascular system healthy. Researches have shown that the incidences of erectile dysfunction are less in men who regularly exercise.
Weight reduction helps to increase testosterone level and increases sexual energy and stamina. Weight reduction helps to keep hypertension and diabetes in control. Diabetes causes erectile dysfunction and anti hypertensive medications may cause erectile dysfunction.
Marijuana, heroin, cocaine etc cause erectile dysfunction. Withdrawing from addiction to the above mentioned substances really helps in increasing erections and sexual stamina.
Reduce the frequency of masturbation. Masturbating twice in a week is ideal. .
Massage whole body with herbal oil at least once in a week. This increases sexual energy and stamina. Body massage (abhyanga) is mentioned as the best aphrodisiac in Ayurveda.
Sleep at least for 8 hours a day. Body gets energized with good sleep.
Do not control natural urges. Empty your bladder before going to bed with your partner.
Take all steps to prevent indigestion and constipation. Indigestion and constipation vitiate doshas and cause diseases. Hard erections will not occur when body is not healthy.
Avoid hot, spicy and bitter foods which imbalance vata . According to Ayurveda imbalanced vata causes erectile dysfunction.
Give a gap of four days between two consecutive intercourses.
Regularly consume Vajikarana Preparations. Vajikarana preparations always keep men sexually healthy.
Give a gap of four days between two consecutive intercourses.

Medicine for ED

Our medicine offers positive advantages in management of Asthenia - stress & strain. Total package of Herbal Medicines, which improves libido, vim, vigour, vitality, nourishes heart, brain keeps sexual strength intact; long lasting, for all ages, especially effective to patients of diabetes, HBP, Heart problems and stress. It will not only strengthen your penis and PC muscle giving you a healthy strong prostate, but will also enable you to have ROCK HARD, throbbing erections that will last long, even after you've climaxed. Minimum 4-12 weeks treatment changes personality of a fatigued individual to fresh- alert-energetic human being with zest and confidence.

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