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Definition of Erectile dysfunction Erectile dysfunction (ED) is the inability of a man to achieve or maintain an erection sufficient for his sexual needs or the needs of his partner. Erectile dysfunction is sometimes called as “impotence”. The term "erectile dysfunction" can mean the inability to achieve erection, an inconsistent ability to do so, or the ability to achieve only brief erections. Ayurveda defines Erectile dysfunction or ED as follows. Sankalpapravano nityam priyaam vashyaamapi sthreeyam || na yaathi lingashaithilyaath kadaachidyaathi vaa yadi | Shwaasaarthaha swinnagaatrshcha moghasankalpacheshtitaha || mlaanashishnashcha nirbeejaha syodetat klaibyalaxanam | This means even though a man has a strong desire to perform sexual act with a cooperative partner, he can not perform sexual act because of looseness (absence of erection) of his phallus (penis). Even if he performs sexual act with his determined efforts he does not get erection and gets afflicted with tiredness, perspiration and frustration to perform sex. Physiology of erection The two chambers of penis (corpora cavernosa,) which run throught the organ are filled with spongy tissue. 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 semen runs along underside of the corpora cavernosa. Due to sensory or mental stimulation, or both, the erection begins. Due to impulses from brain and local nerves the muscles of corpora cavernosa relax and allow blood to flow in and fill the spaces of spongy tissue. The flow of blood creates pressure in the corpora cavernosa, making the penis expand. The tunica albuginea helps trap the blood in the chambers, thereby sustaining erection. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection recedes. In ayurveda physiology of erection and ejaculation is described as follows Vrishunow basthimedram cha naabhyuuru vankshnow gudam| Apaanasthaanamantrasthaha shukra mootra shakrunti cha|| The “apaanavayu” one of the five types of vayu is located in the testicles, urinary bladder, phallus, umbilicus, thighs, groin, anus and colon. Its functions are ejaculation of semen, voiding of urine and stools. Shushruta explains the process of erection and ejaculation as When a man has desire (iccha) to have sex, his response to touch increases (Vayu located in skin causes flow of signals from skin to brain, thus causing sensation of touch). This causes arousal or “harsha”. Arousal or Harsha intensifies actions of vayu and at this moment highly active vayu liberates the teja or heat of pitta. Thus tejas and vayu increase body temperature, heart beat and blood flow causing erection. Causes of ED Erection requires a sequence of events. Erectile dysfunction can occur when any of the events is disturbed. Nerve impulses in the brain, spinal column, around the penis and response in muscles, fibrous tissues, veins, and arteries in and around the corpora cavernosa constitute this sequence of events. Injury to any of these parts which are part of this sequence (nerves, arteries, smooth muscles, fibrous tissue) can cause ED. Lowered level of testosterone hormone: The primary male hormone is testosterone. After age 40, a man's testosterone level gradually declines. About 5% of men that doctors see for erectile dysfunction have low testosterone levels. In many of these cases, low testosterone causes lower sexual interest, not erectile dysfunction. The whole male body responds to testosterone. Even sushruta has illustrated about this response of body to the element “Shukra” . He has said "yatha payasi sarpistu goodashchekshow raso yatha shareereshu tatha shukram nrinaam vidyaadhbishagwara." This means the shukra (the element which helps in reproduction) is present all over the body. This can be explained with the following examples: 1. The ghee is present in milk in an invisible form. This is extracted from milk using many processes. 2. The sugar is present all over the sugarcane. It is extracted by subjecting the sugarcane to number of processes. Same way shukra is present all over the body. But the cream of shukra (semen) comes out of the body only during the process of ejaculation. But this process of ejaculation needs a joyful union of mind and body. Decrease in production of “Shukra” causes erectile dysfunction. Over exertion - physically and mentally: Working for long hours in office, mental stress at office and home, short temperedness ,insufficient sleep cause erectile dysfunction. These causes are explained in ayurveda as "shoka chintaa, bhaya, traasaat .... " which means that erectile dysfunction or Impotence occurs due to grief, fear, anxiety and terror. Strained relationship with sexual partner: Erectile dysfunction also occurs when there is a disliking towards sexual partner. Ayurveda describes this as "naarinaamarasamjnatwaat..." means disliking for women. Diseases that cause Erectile dysfunction: Neurological disorders, hypothyroidism, Parkinson's disease, anemia, depression, arthritis, endocrine disorders,diabetes, diseases related to cardiovascular system also become reasons for erectile dysfunction.. According to ayurveda the diseases which cause erectile dysfunction are "Hritpaandurogatamakakaamalashrama..." - Heart diseases, anemia, asthma, liver disorders, tiredness. Apart from these the imbalance in tridoshas also cause impotence or erectile dysfunction. Consumption of medicines, drugs and tobacco: Using antidepressants, tranquilizers and antihypertensive medicines for a long time, addiction to tobacco especially smoking, excessive consumption of alcohol, addiction to cocaine, heroin and marijuana cause erectile dysfunction. In ayurveda texts these causes have been said in brief as "rukshamannapaanam tathoushadham" - "dry food, drinks and medicines" cause impotence or erectile dysfunction. Trauma to pelvic region: accidental injury to pelvic region and surgeries for the conditions of prostate, bladder, colon, or rectal area may lead to erectile dysfunction. These causes are mentioned as abhighata (trauma), shastradantanakhakshataha (injury from weapons, teeth and nail.) in ayurveda. Other reasons: Obesity, prolonged bicycle riding, past history of sexual abuse and old age also cause Erectile dysfunction. Ayurveda describes the cause of impotence or erectile dysfunction due to old age as follows. "diminution of - tissue elements, strength, energy, span of life, inability to take nourishing food, physical and mental fatigue lead to impotence." Remedies for ED ED is treatable at any age. The total treatment in for impotence is called as “Vajikarana therapy” in ayurveda. As this therapy increases the strength of a man to perform sexual act, like a horse, it is called 'Vaajikarana'. ('Vaaji'=Horse.) Vaajikarana therapy leads to • Happiness. • Good strength. • Potency to produce healthy offspring. • Increased span of erection. Eligibility for vajikarana therapy. 1. The vajikarana therapy should be administered to persons who are between 18 to 70 years of age. 2. These therapies should be administered only to a self controlled person. If this therapy is administered to a person who does not have self control, he becomes nuisance to society through his illegitimate sex acts. Psychotherapy Decreasing anxiety associated with intercourse, with psychologically based treatment helps to cure ED. 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. Same treatment is illustrated in ayurveda. It has been said “A woman who understands a man and is liked by him, along with erotic environment act as best aphrodisiac.“ Drug Therapy Numerous herbal preparations are mentioned in Ayurveda to treat ED or impotence. It has been said that people who have strong sexual urge, who want to enjoy sex regularly have to consume these preparations regularly to replenish the energy, vigor, stamina and strength. These preparations also supply the nutrients which are necessary for production of semen. Ayurveda tips to overcome ED 1. Consuming herbal preparations to rejuvenate the reproductive organs. 2. Massaging the body with a herbal oil which gives a relief from physical exertion and also acts as aphrodisiac. 3. Practicing Yoga and Meditation to overcome mental exertion and to cope up with stress. 4. Sleep at least for 8 hours a day. 5. Avoiding the consumption of alcohol, tobacco, heroin etc. 6. Exercise regularly. 7. Avoid hot, spicy and bitter foods. 8. Favor sweets, milk products, nuts and urad dal. 9. Add little ghee in your diet. 10. Give a gap of four days between two consecutive intercourses enlargement manhattan pennis surgeon best penis enargement surgery top rated penis enhancement pills safe pennis enlargement penile enlargement secret plus review vigrx male penis enargement pnis enlargement surgeries vigrx penis enlargement pills

She is an evergreen who feels at home way up high on the African continent, any place 3,000 feet or higher. She first gained the respect of European travelers when they learned from African tribes that she cured “old man's disease.” And, she can help stop hair loss. Her formal name is Pygeum Africanum, a member of the Rosaceae family. Her bark has been used in Europe since the early 1960's for men who have BPH, Benign Prostate Hyperplasia, or enlargement. Oh, yes, let us mention that she is pedigreed, at up to 150 feet tall. Many double-blind studies have proven her effectiveness in the treatment of BPH. But she hasn't been tested yet for her effectiveness in correcting Hair Loss. It looks like the scientific community has been a little slow to pick up on the possibility of her likely effectiveness in stopping hair loss. Alternative medical practitioners are now procuring her bark extract and adding it to their purely natural treatments for hair loss in men. They are getting good results. How can it possibly be that every natural herbal drug that is effective in the treatment of BPH will be equally effective in treating Hair Loss? Well, it might not possibly be. But it might. And the reason this ingredient might work to stop hair loss is strictly a chemical performance on the part of the African Plum Tree. She is complicated, no surprise. And her mechanism can inhibit DHT, dehydrotestosterone, which is a cause for Male Pattern Hair Loss. Although her pattern of effectiveness is “unclear,” it is also real. Here is how she works: the active constituents, or ingredients in her bark extract include a fairly powerful measure of Phytosterols. These inhibit the production of prostoglandins that cause BPH, the prostate ailment. But wait, there's a connection coming up. She reduces Prolactin levels and reduces the accumulation of Cholesterol in the prostate, the very cholesterol that increases binding sites for DHT. Could that be DHT anywhere it decides to form and wreak havoc? Yes, it could be. It happens this way with other treatments for the enlarged prostate, “the old man's disease” the African tribes spoke of. Laboratory drugs and some natural ingredients grown from Mother Earth have reduced cholesterol and dismantled the binding sites for DHT, which are, in some cases, the hair follicles and roots. This is the case in many examples of Male Pattern Hair Loss. When you order this natural drug to treat your hair loss, consider it an experiment that could work to your advantage. The brightest thing you could do is search for an innovative hair loss complex that has Pygeum Africanum coupled with some other herbal ingredients for greater effectiveness. pennis enlargement pump top penis enlarement pills pnis enlargement testimonials herbal penile enlargement free exercise tip for penis enlargment cheapest penile enlargement pills do penis enlargement pills really work penis enlarement procedure vigrx penis enlargement pills

For a few men the arrival of middle age brings with it increasing urinary difficulty caused by an enlargement of the prostate gland. Instances of urinary difficulty increase with age so that by the time that most men reach retirement there's a better than 50/50 change they'll be experiencing difficulties and, if they're lucky enough to reach the age of 80, then they'll almost certainly run into difficulty as prostate problems affect about 90% of the male population by this age. While enlargement of the prostate is extremely common it is also a benign condition that is confined to the prostate gland and for many men it will develop very slowly over a period of years. There are a variety of symptoms, almost all associated with problems in passing water, and these can range from the quite mild which are really not too bothersome and which you can certainly live with as just another sign of the ageing process, to more severe symptoms which are sufficiently annoying to warrant treatment. In addition to the common problem of an enlarged prostate, which will affect almost all men at some point, a significant number of men will also develop prostate cancer which, while it starts life in the prostate gland, can eventually spread throughout the body and is an extremely dangerous condition and the second most common form of cancer death in the United States today. An enlarged prostate and prostate cancer are two quite separate conditions and, despite what you may have heard, an enlarged prostate does not cause prostate cancer. The two conditions can however exist side-by-side and one problem with prostate cancer is that the symptoms of an enlarged prostate can mask the presence of a growing cancer. The first step therefore is to call in and see your doctor as soon as you start to experience any sort of problems passing water and get him to establish the root of the problem. If you consult your doctor at the first sign of trouble and he diagnoses prostate cancer then it is very likely to be at early stage of development and confined to the prostate gland, in which case your doctor will almost certainly suggest prostate surgery. In this particular case, unless there is a very good reason why you should not have surgery (such as the presence of other medical conditions that you place you at risk from surgery) then the answer to whether or not you should have prostate surgery is invariably going to be "yes". There can be no question that the best way to deal with cancer is to remove it altogether and, when it is confined to the prostate gland, the easiest and best way to do that is to have it surgically removed. If, however, your doctor diagnoses nothing more than an enlarged prostate the question of whether or not you should have surgery become a bit more complicated and you will need to discuss your options with your doctor. There are a range of treatments available for an enlarged prostate including drug therapy and non-surgical treatments, as well as several different surgical treatments and each has its own advantages, disadvantage and risks. The major difference in the case of an enlarged prostate is that the vast majority of treatments are not designed to cure the problem but are aimed at reducing symptoms so that it does not unduly interfere with your quality of life. The question of whether or not you should have prostate surgery is very much dependent upon the cause of your problems. If you have prostate cancer and prostate surgery is the recommended option then, unless there is a good reason for deciding otherwise, you should almost certainly accept your doctor's recommendation. If, however, prostate surgery is being considered for an enlarged prostate, then there will be a range of other options open to you and you will need to make a very personal decision, in consultation with your doctor, about whether or not prostate surgery is the choice you feel would be most appropriate. home penis enhancement plus review vigrx enlargment penis pill vimax penile enlargment technique plastic surgery penile enlargment safe penis enargement enlargment manhattan penis penile enlargment before and after vigrx penis enlargement pills

Efficient, strong, superb are the words that have been increasingly associated with Viagra ever since the approval of the drug by the Food And Drugs Administration of USA on March 27, 1998. As the first anti-impotency medicine to treat erectile dysfunction, Viagra became available in the market in plenty; people broke free from the shackles of hesitancy, came forward and made the use of Viagra to overcome the threat known as male erectile dysfunction. Erectile Dysfunction patients around the world bestowed their trust on the strength of Viagra and it also did not fail them. Their sexual yearnings and desires were considerably fulfilled at the cost of Viagra efficacy. As more and more people around the world started to administer Viagra to their system the sales of the drug also skyrocketed with 140 million Viagra tablets getting sold in the year 2000. Even after being sexually stimulated due to a whole array of causes like diabetes, kidney disease, prostate cancer, depression, guilt and similar others a person may not be able to trigger off erections required for satisfactory sexual intercourse. It happens due to the lack of strength in the penis caused by the poor flow of blood to the genital section. At such a crucial juncture, Viagra enters the scene of action and its quick action makes the penis instantly filled with blood which further ensures strong erections required for satisfactory physical intercourse. Amazingly, the strength that Viagra shows against the threat known as male erectile dysfunction has been surpassed by a new and more powerful, exemplary demonstration of Viagra power; i.e. the drug is found to be a chief source of energy for race horses. This new starting news became evident recently with the arrest of two veterinary doctors and a pharmacist in Italy on the charge of administering Viagra to race horses illegally. With the sole motive of profit-making the culprits fed Viagra to the horses, increased their strength and used them in horse races. When the police nabbed the guilty this aspect of Viagra power till then hidden came to light and along with this revelation, shock waves spread across the world and millions stood startled at this amazing erectile dysfunction drug Viagra. First Viagra made humans strong enough to deal with erectile dysfunction and now the drug has also infused demonic strength into animals. So thereafter, what else? Well, Pfizer has manufactured this medicine for the sole purpose of treating male erectile dysfunction but slowly and gradually different aspects of Viagra power has been revealed. So from now on when you feel lacking in sexual energy and strength don’t give in; just keep in mind that an inexhaustible source of energy in the form of Viagra is with you and you are fully protected against any form of onslaught that impotency is ready to unleash on you. It would definitely make you confident and once your confidence level is boosted up pop up the prescribed Viagra pills and get ready for a sexual roll.