Erectile Dysfunction

Erectile Dysfunction

Erectile Dysfunction Impotence

Erectile dysfunction


Erectile Dysfunction is common in men over 50 years of age.
The Penis is made up of 3 main areas or chambers. 2 large chambers on the top. The technical term for this is the Corpora Cavernosa There is a smaller chamber on the bottom called the Corpus Spongiosum.
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    About Panalt Super 300 Tablet When we get an erection, the penis fills these three chambers with blood. Somearial this ability is lost and we experience erectile dysfunction, or impotence, where an erect erection is not possible.
    Chao Jimengnan Super Powerful man Tablets herbal Penis erection size is limited in both length and width, by the amount in which the Corpora Cavernosa can fill with blood and the erection is dependent on the amount of pressure blood exerts withing the penis itself. It is impossible for your penis to get an erection, if there is no blood pressure flowing into the penis itself.
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    Erectile dysfunction, or ED, can be the inability to achieve an erection, an inconsistent ability to do so, or a tendency to sustain only brief periods of erections.
    Erectile Dysfunction Glossary In older men, ED usually has a physical cause, such as disease, or side effects of drugs. Any disorder that causes injury to the nerves or impairs blood flow in the penis has the potential to cause ED. Incidence increases with age: About 5 percent of 40-year-old men and between 15 and 25 percent of 65-year-old men experience ED.

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    ED is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for ED.
    Herbal Formulation for Panalt Erectile dysfunction, somearial called "impotence," is the repeated inability to get or keep an erection firm enough for sexual intercourse. The word "impotence" may also be used to describe other problems that interfere with sexual intercourse and reproduction, such as lack of sexual desire and problems with ejaculation or orgasm. Using the term erectile dysfunction makes it clear that those other problems are not involved.
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    Erectile dysfunction generally effects males over 50 years of age, however medical conditions can affect younger men. When you do the excercise each time this stretches the cells more and greater amounts of blood flow into the penis, reducing the incidence of erectile dysfunction.
    Panalt Super 300 Tablets stops impotence and Erectile Dysfunction These excercises results in greater quantities of blood which expands the erectile tissue resulting in a larger, stronger and firmer penis erection. The Penis is like any other part of the body which can be exercised and developed like muscles.
    Impotence Male Erectile Dysfunction Exercising the Corpora Cavernosa will allow the Penis to retain more blood as it develops greater erection ability.


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    How does an erection occur?

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    The penis contains two chambers called the corpora cavernosa, which run the length of the penmis. 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.

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    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.

    Arteries and veins penetrate the long, filled cavities running the length of the penis — the corpora cavernosa and the corpus spongiosum. Erection occurs when relaxed muscles allow the corpora cavernosa to fill with excess blood fed by the arteries, while drainage of blood through the veins is blocked.


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    What causes erectile dysfunction (ED)?

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    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.

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    Damage to nerves, arteries, smooth muscles, and fibrous tissues, often as a result of disease, is the most common cause of ED. Diseases—such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurologic disease—account for about 70 percent of ED cases. Between 35 and 50 percent of men with diabetes experience ED.

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    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.

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    In addition, many common medicines—blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, can produce ED as a side effect.


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    How is ED diagnosed?


    Medical and sexual histories help define the degree and nature of ED. A medical history can disclose diseases that lead to ED, while a simple recounting of sexual activity might distinguish among problems with sexual desire, erection, ejaculation, or orgasm.

    Physical Examination

    A physical examination can give clues to systemic problems. For example, if the penis is not sensitive to touching, a problem in the nervous system may be the cause. Abnormal secondary sex characteristics, such as hair pattern or breast enlargement, can point to hormonal problems, which would mean that the endocrine system is involved. The examiner might discover a circulatory problem by observing decreased pulses in the wrist or ankles. And unusual characteristics of the penis itself could suggest the source of the problem—for example, a penis that bends or curves when erect could be the result of Peyronie's disease.

    Laboratory Tests

    Several laboratory tests can help diagnose ED. Tests for systemic diseases include blood counts, urinalysis, lipid profile, and measurements of creatinine and liver enzymes. Measuring the amount of free testosterone in the blood can yield information about problems with the endocrine system and is indicated especially in patients with decreased sexual desire.

    How is ED treated?

    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.

    Psychotherapy and behavior modifications in selected patients are considered next if indicated, followed by oral or locally injected drugs, vacuum devices, and surgically implanted devices. In rare cases, surgery involving veins or arteries may be considered.

    Psychotherapy

    Experts often treat psychologically based ED using techniques that decrease the anxiety associated with intercourse. The patient's partner can help with the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety when ED from physical causes is being treated.

    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.

    Drug Therapy

    Viagra, Levitra, and Cialis all belong to a class of drugs called phosphodiesterase (PDE) inhibitors. Taken an hour before sexual activity, these drugs work by enhancing the effects of nitric oxide, a chemical that relaxes smooth muscles in the penis during sexual stimulation and allows increased blood flow.
    Drugs for treating ED can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. In March 1998, the Food and Drug Administration (FDA) approved Viagra, the first pill to treat ED. Since that time, vardenafil hydrochloride (Levitra) and tadalafil (Cialis) have also been approved. Additional oral medicines are being tested for safety and effectiveness.

    While oral medicines improve the response to sexual stimulation, they do not trigger an automatic erection as injections do. The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. The recommended dose for either Levitra or Cialis is 10 mg, and the physician may adjust this dose to 20 mg if 10 mg is insufficient. A lower dose of 5 mg is available for patients who take other medicines or have conditions that may decrease the body's ability to use the drug. Levitra is also available in a 2.5 mg dose.

    None of these PDE inhibitors should be used more than once a day. Men who take nitrate-based drugs such as nitroglycerin for heart problems should not use either drug because the combination can cause a sudden drop in blood pressure. Also, tell your doctor if you take any drugs called alpha-blockers, which are used to treat prostate enlargement or high blood pressure. Your doctor may need to adjust your ED prescription. Taking a PDE inhibitor and an alpha-blocker at the same time (within 4 hours) can cause a sudden drop in blood pressure.

    Many men achieve stronger erections by injecting drugs into the penis, causing it to become engorged with blood. Drugs such as papaverine hydrochloride, phentolamine, and alprostadil (marketed as Caverject) widen blood vessels. These drugs may create unwanted side effects, however, including persistent erection (known as priapism) and scarring. Nitroglycerin, a muscle relaxant, can somearial enhance erection when rubbed on the penis.

    A system for inserting a pellet of alprostadil into the urethra is marketed as Muse. The system uses a prefilled applicator to deliver the pellet about an inch deep into the urethra. An erection will begin within 8 to 10 minutes and may last 30 to 60 minutes. The most common side effects are aching in the penis, testicles, and area between the penis and rectum; warmth or burning sensation in the urethra; redness from increased blood flow to the penis; and minor urethral bleeding or spotting.

    Oral testosterone can reduce ED in some men with low levels of natural testosterone, but it is often ineffective and may cause liver damage. Patients also have claimed that other oral drugs—including yohimbine hydrochloride, dopamine and serotonin agonists, and trazodone—are effective, but the results of scientific studies to substantiate these claims have been inconsistent. Improvements observed following use of these drugs may be examples of the placebo effect, that is, a change that results simply from the patient's believing that an improvement will occur.

    Research on drugs for treating ED is expanding rapidly. Patients should ask their doctor about the latest advances.

    Vacuum Devices

    Mechanical vacuum devices cause erection by creating a partial vacuum, which draws blood into the penis, engorging and expanding it. The devices have three components: a plastic cylinder, into which the penis is placed; a pump, which draws air out of the cylinder; and an elastic band, which is placed around the base of the penis to maintain the erection after the cylinder is removed and during intercourse by preventing blood from flowing back into the body (see figure 2).

    Figure 2. A vacuum-constrictor device causes an erection by creating a partial vacuum around the penis, which draws blood into the corpora cavernosa. Pictured here are the necessary components: (a) a plastic cylinder, which covers the penis; (b) a pump, which draws air out of the cylinder; and (c) an elastic ring, which, when fitted over the base of the penis, traps the blood and sustains the erection after the cylinder is removed.

    One variation of the vacuum device involves a semirigid rubber sheath that is placed on the penis and remains there after erection is attained and during intercourse.
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    Pienes, pienus pill, The penis is made up of primarily two cylinders of sponge-like vascular tissue this section is called the corpus cavernosa. This fills with blood and a spongy liquid to create an erection, if this happens there is no Erectile dysfunction present.

    Blood which is pumped into the penis under pressure and maintained there by a series of valves which maintains the erection.
    A third chamber or cylinder is the urethra, This is a tube that carries the urine and the ejaculate fluid through the penis shaft.

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    The bulbous head of the penis is called the glans. Blood flows to the penis by two very small arteries which come from the aorta.
    These arteries are the same size as the arteries to your fingers.



    The erectile chambers made of tissue called the corpora cavernosa & corpus spongiosum in the penis which expands during sexual stimulation. Most Erectile dysfunction exercises are designed to increase the holding capacity of this tissue chamber, increasing higher amounts of blood to be maintained by the penis during stimulation, or sex, causing an increase in the overall penis size.

    Sexual stimulation can be visual, auditory, or imaginative to create this effect.
    During stimulation the arteries which supply the penis with blood dilate or expand and increased amounts of blood flow into the erectile tissue chambers.
    This blood is trapped because the vessels draining the penis become compressed. The penis stays erect until ejaculation takes place or until the male is no longer stimulated or interested.

    Corona

    The 'crown,' a ridge seperating where the head of the penis and the shaft join.

    Cowper's Glands


    The Cowper's glands secrete a small amount of pre-ejaculation fluid just prior to orgasm. This fluid is to neutralizes the acidity within the urethra itself as ph is crucial to sperms abilitty to survive.

    Ejaculatory Ducts
    The path through the seminal glands of the Penis which semen travels through during ejaculation.

    Epididymis
    The epididymis is a structure which lies on and around each testicle. It's function is in the transportation, storage and maturation of sperm cells originating from the testicle. When a man complains of scrotal pain, or acute or chronic, epididymitis is generally the reason.

    Foreskin
    A roll of pliable skin which covers the head of the penis in uncircumsized men.

    Frenulum
    A strip of skin on the underside of the penis which connects the shaft to the head.

    Glans
    The glans is the main head of the penis. The glans in uncircumcised men is usually covered by the prepuce (foreskin).
    The glans is covered with smooth soft skin and is highly sensitive, the same as is the corona, which the ridge of flesh that connects the glans to the shaft of the penis at the foreskin base interface.

    Prostate Gland
    The Prostate gland produces a fluid that makes up the semen.
    The prostate gland also squeezes the urethral duct to the bladder shut, preventing urine from mixing with the semen and disturbing the pH balance required by sperm as mentioned above.

    Scrotum
    The scrotum is a sack or pouch that hangs outside of the body cavity behind your penis. The scrotum importantly provides the correct temperature for the sperm to produce effectively.

    Seminal Vesicles
    The seminal vesicles produce semen which is a fluid that activates and protects the sperm after it has left the penis during ejaculation

    Smemga
    A substance with the texture of cram cheese that is secreted by small glands on each side of the frenulum in uncircumsized men.

    Testicles (Testes)
    Testes are a large number of tightly packed coiled tubes. This is where sperm is produced.
    Sperm production takes about two months, but it's produced on a continuous basis.

    A male produces several hundred million sperm cells each day.
    This sperm production process is called Spermatogenesis. The sperm that is not ejaculated is broken down and reabsorbed into the body.

    Testes also contain cells that secrete the male sex hormone testosterone. Spermatozoa are among the tiniest & most highly specialized cells in the human body.
    All the characteristics that a baby will inherit from it's father in fertilization are in the material found in each individual sperm head.

    The nucleus is covered by a specialized enzyme coating, which enable the sperm to break down the covering of the egg and permit penetration if contact occurs.
    Each sperm has a mid piece and an elongated tail with which it swims, beating the competition to get to fertilize the egg.

    Urethra
    The opening through the Penis which transports both urine and semen.

    Vas Deferens
    The vas deferens are small tubes which carry sperm to the prostate gland where it's activated by an enzyme prior to ejaculation.
    These tubules are cut and tied during a male vasectomy.


    Surgery

    Surgery usually has one of three goals:

    • to implant a device that can cause the penis to become erect
    • to reconstruct arteries to increase flow of blood to the penis
    • to block off veins that allow blood to leak from the penile tissues

    Implanted devices, known as prostheses, can restore erection in many men with ED. Possible problems with implants include mechanical breakdown and infection, although mechanical problems have diminished in recent years because of technological advances.

    Malleable implants usually consist of paired rods, which are inserted surgically into the corpora cavernosa. The user manually adjusts the position of the penis and, therefore, the rods. Adjustment does not affect the width or length of the penis.

    Inflatable implants consist of paired cylinders, which are surgically inserted inside the penis and can be expanded using pressurized fluid (see figure 3). Tubes connect the cylinders to a fluid reservoir and a pump, which are also surgically implanted. The patient inflates the cylinders by pressing on the small pump, located under the skin in the scrotum. Inflatable implants can expand the length and width of the penis somewhat. They also leave the penis in a more natural state when not inflated.

    Surgery to repair arteries can reduce ED caused by obstructions that block the flow of blood. The best candidates for such surgery are young men with discrete blockage of an artery because of an injury to the crotch or fracture of the pelvis. The procedure is almost never successful in older men with widespread blockage.

    Surgery to veins that allow blood to leave the penis usually involves an opposite procedure—intentional blockage. Blocking off veins (ligation) can reduce the leakage of blood that diminishes the rigidity of the penis during erection. However, experts have raised questions about the long-term effectiveness of this procedure, and it is rarely done.

    Hope Through Research

    Advances in suppositories, injectable medications, implants, and vacuum devices have expanded the options for men seeking treatment for ED. These advances have also helped increase the number of men seeking treatment. Gene therapy for ED is now being tested in several centers and may offer a long-lasting therapeutic approach for ED.

    The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) sponsors programs aimed at understanding the causes of erectile dysfunction and finding treatments to reverse its effects. NIDDK's Division of Kidney, Urologic, and Hematologic Diseases supported the researchers who developed Viagra and continue to support basic research into the mechanisms of erection and the diseases that impair normal function at the cellular and molecular levels, including diabetes and high blood pressure.

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    Q. How can i make my penis bigger.
    A. You can use Penis capsules, to increase your cock length and have Bigger dicks, because bigger is better. Cock thickness is dependent on the capacity of the corpora cavernosa chamber and the Ccorpus cavernosum.


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