ERECTILE DYSFUNCTION (Impotence) | Cause, Diagnosis, Diet & HOMEOPATHY

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                Erectile dysfunction (ED) is the inability to get or keep an erection firm enough for sexual intercourse. It is also called Impotence.
A penile erection is the hydraulic effect of blood entering and being retained in sponge-like bodies within the penis. It is not necessarily a normal part of aging. The process is often initiated as a result of sexual arousal, when signals are transmitted from the brain to nerves in the penis. Erectile dysfunction is indicated when an erection is difficult to produce.
Disorders such as erectile dysfunction (ED) and female sexual dysfunction are becoming increasingly more important as a result of the aging population and newer therapies.

unsatisfied sex


What Causes ED?

We can classify the causative factors as given below.


Vascular causes               
Vascular diseases account for nearly half of all cases of ED in men older than 50 years. Vascular diseases include atherosclerosis, peripheral vascular disease, myocardial infarction, and arterial hypertension.
·         Atherosclerosis
·         Peripheral vascular disease
·         Myocardial infarction
·         Arterial hypertension
·         Vascular injury from radiation therapy
·         Vascular injury from prostate cancer treatment
·         Blood vessel and nerve trauma (eg, due to long-distance bicycle riding)
·         Medications for treatment of vascular disease
Systemic diseases          
·         Diabetes mellitus
·         Scleroderma
·         Renal failure
·         Liver cirrhosis
·         Idiopathic hemochromatosis
·         Cancer and cancer treatment
·         Dyslipidemia
·         Hypertension
Neurologic causes          
·         Epilepsy
·         Stroke
·         Multiple sclerosis
·         Guillain-BarrĂ© syndrome
·         Alzheimer disease
·         Trauma
Endocrine conditions    
·         Hyperthyroidism
·         Hypothyroidism
·         Hypogonadism
·         Diabetes
Respiratory disease       
·         Chronic obstructive pulmonary disease
·         Sleep apnea
Psychiatric conditions  
·         Depression
·         Widower syndrome
·         Performance anxiety
·         Posttraumatic stress disorder
Penile conditions           
·         Peyronie disease
·         Epispadias
·         Priapism
Nutritional states           
·         Malnutrition
·         Zinc deficiency
Hematologic diseases  
·         Sickle cell anemia
·         Leukemias
Medications     
·         Antihypertensives
·         Antidepressants
·         Antipsychotics
·         Antiulcer agents (eg, cimetidine)
·         5-Alpha reductase inhibitors (eg, finasteride, dutasteride)
·         Cholesterol-lowering agents
Surgical procedures       
·         Brain and spinal cord procedures
·         Retroperitoneal or pelvic lymph node dissection
·         Aortoiliac or aortofemoral bypass
·         Abdominal perineal resection
·         Proctocolectomy
·         Transurethral resection of the prostate
·         Radical prostatectomy
·         Cryosurgery of the prostate
·         Cystectomy
Lifestyle habits
·         Smocking
·         Alcohol conception
·         Lack of exercise
ED has a high prevalence in men over than 50 years. The incidence increase with aging and its ethiology appears to be multifactorial. The anamnesis and detailed physical evaluation ought to be performed in order to detect the main etiological factors. The best approach to obtain better results is to identify the main etiology. A multidisciplinary evaluation should be recommended for all patients.

( Read ; Benign Prostatic Hyperplasia | Cause ,symptoms , Lab tests & Diet )


How ED is diagnosed?

                There is no specific test to diagnose ED. Routine blood examination is done to exclude infections.
History:-  Sexual functioning in a male is goes through these phases- arousal (libido), erection, orgasm, ejaculation, and a refractory period. The history taking is aimed to find out in which stage the patient is suffering from.
                In history taking, the doctor will be asking you about the past medications, surgery and any emotional disturbances you might have gone through.

Physical examination:- After history taking the patient is examined physically to find out the systemic causes.  If penis is not sensitive to physical touch, a problem in the nervous system may be the cause.
If there is abnormal secondary sexual characters like unusual hair growth and well developed breast , the cause may be from hormone disturbance.

Psychological examination: - interview and a questionnaire with the subject will help to rule out the psychological cause. Both the partners are interviewed in this.
Other tests: - Monitoring erections that occur during sleep-nocturnal erections-can help rule out certain psychological causes of ED. A normal healthy individual has involuntary erection during sleep. If it is absent the cause is physical.

How to treat ED?

The treatment starts after finding out the cause. Simple lifestyle rearrangement and modification will show wonders in your sexual life. The patient should quit smoking and alcohol conception and should engage in some physical activities for better results.
                Phosphodiesterase-5 inhibitors (PDE-5) like sildenafil citrate (Viagra®),vardenafil HCl (Levitra®), tadalafil (Cialis®) are the commonly used drugs to treat ED.  These drugs work by relaxing the muscle cells in the penis allowing for better blood flow and production of a rigid erection.
The most common side effects are headache, stuffy nose, flushing and muscle aches. In rare cases, sildenafil can cause temporary blue-green shading of vision.

Diet to prevent ED

·         Drinking water can help flush your system but also flush cholesterol that may clog penile arteries. You should drink 100 ounces per day.
·         Eat smaller meals (about the size of your fist). You should eat about 5-6 meals daily.
·         Eating vegetables is extremely important for the vitamins, minerals and especially the fiber. The fiber will help flush the body.
·         Keep your dairy products to a minimum because of the high levels of cholesterol.
·         Avoid caffeinated beverages that may cause higher levels of stress.
·         You should eat lean meat and seafood. Avoid red meats which can clog arteries.
·         Bran cereal is great in the morning for fiber.
·         Supplement foods with high levels of zinc. Zinc deficiency is common in ED sufferers. You can get plenty of zinc with whole grain cereals, chicken, turkey, brown rice, beans and low fat yogurt.
·         Eating fruits is important but should be lessened because of too much sugar. High levels of sugar is associated with male impotence.

Homeopathy for Erectile dysfunction

                Homeopathy has shown significant results in ED.  Homeopathy has a unique method of case taking.  A complete casetaking will need a detailed explanation of mental as well as physical generals of the individual. This casetaking itself will help the physician to find out the cause. There are many medicines which will deal with ED in homeopathy.

Argentum Nitricum:
Want of desire. Apprehensive impotency before coition. Penis shriveled. Coition painful, sensitive at orifice. Painful tension during erection. Testicle drawn high up. Psychological impotency.

Caladium Seguinum:- Sexual organs relaxed and swelledNocturnal emission without dream. Imperfect erection and premature ejaculation of semen. Excitement does not erect penis. Feeling of coldness in penis.

Conium Maculatum:
 Want of energy in coition. Erections imperfect, and of too short duration. Easy emission of semen, even without firm erections. Dejection, after coition. Sometimes emission at mere presence of women.

Agnus Castus:- The penis is small and flaccid, so relaxed that voluptuous fancies excite no erection. The testicles are cold, swollen, hard and painful. Impotence with gleets. Diminution of sexual power.

Phosphoricum Acidum:- Absence of sexual desire. Neurasthenia after sexual intercourse. Weakness of sexual organs with onanism and little sexual desire. Frequent and very debilitating pollutions. Onanism.

Lycopodium Clavatum:- Impotence of long standing. Weakness or total absence of erections. Penis small, cold, relaxed. Emission too speedy or too tardy during coition.Flow of prostatic fluid, without an erection. Abhorrence of coition.

Nux Vomica:- Excitement easy. Strong sexual desire with painful erection. Increased sexual desire with frequent erections and pollution in the morning. Pollution with flaccidity of penis fllowed by coldness and weakness in lower extremities. Involuntary seminal emission. Nightly emissions. Impotency due to masturbation and sexual excess.

Phosphorus:- Impotency after excessive excitement and onanism. Involuntary emission.Feeble and too speedy emission during coition.

Selenium:- Impotence with lascivious ideas. Discharge of semen, drop by drop, during sleep. Flow of prostatic fluid during evacuation and at other times. Thin and scentless semen. During coition, feeble erection, too prompt emission, and long-continued voluptuous thrill. Priapism.

Staphisagria:- Organs relaxed with backache and weakness of the lower extremities. Seminal emissions followed by great chagrin and mortification Dyspnoea develops after coition. Secretion of prostatic fluid during evacuation.

Damiana:- An excellent remedy for impotency. Give 5-10 drops a dose thrice daily.

Sulphur:- Too quick discharge of semen during coition. Erection fails when coition is attempted. Incomplete rection during coition. Impotence with mental depression, relaxed penis, with sexual desire and excitement. Testes relaxed and hanging down. Watery semen.

Calcarea Carbonica:- Weakness of the genital functions, and absence of sexual desire. Erections of too short continuance and emission of semen too slow.

Yohimbinum: It is a powerful stimulant of the genital function in males. Sexual neurasthenia, with impotence.

Arnica Montana:- Impotency due to fall or blow. Impotence from excess or abuse.

Sabal Serrulata:- Discharge of prostatic fluid. Pain in back much aggravates after coitus. Drawing pains in spermatic cords; shrunk testes
Kali Bromatum: -Impotency with melancholy, loss of memory; nervous prostration; epilepsy.

Sources:-
http://www.emedicinehealth.com/diagnosing_erectile_dysfunction
http://emedicine.medscape.com
http://www.urologyhealth.org/urology
www.similima .com
http://EzineArticles.com/3352942
http://kidney.niddk.nih.gov


6 comments :

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