Erectile Dysfunction
(ED) or impotence is the inability to achieve and maintain a full
erection during sexual arousal. It affects an estimated 10-20 million
men, including 25% of men older than 50.
Please note that it is extremely important to obtain an accurate
diagnosis before trying to find a cure. Many diseases and conditions
share common symptoms: if you treat yourself for the wrong illness or
a specific symptom of a complex disease, you may delay legitimate
treatment of a serious underlying problem. In other words, the
greatest danger in self-treatment may be self-diagnosis. If you do not
know what you really have, you can not treat it!
Knowing how difficult it is to weed out misinformation and piece
together countless facts in order to see the "big picture", we now
provide simple, inexpensive online access to The Analyst™. Used by
doctors and patients alike, The Analyst™ is a computerized diagnostic
tool that sits on a vast accumulation of knowledge and research. By
combining thousands of connections between signs, symptoms, risk
factors, conditions and treatments, The Analyst™ will help to build an
accurate picture of your current health status, the risks you are
running and courses of action (including appropriate lab testing) that
should be considered. Full information is available here.
The cause of ED can be primarily organic, psychogenic in nature, or a
mixture of the two. In 85% of cases affecting men aged 50 and older,
organic factors such as vascular disease and atherosclerosis of the
penile artery are the cause.
Physical factors include:
Systemic diseases (diabetes mellitus, syphilis, alcoholism - abstain
for 30 days to see if there is improvement, drug dependency,
hypopituitarism, and hypothyroidism, and adrenal insufficiency) Local
disorders - prostate enlargement (BPH), congenital abnormalities and
inflammatory diseases of the genitalia, prostatitis; vascular
disturbances such as aortic aneurysm and atherosclerosis (for example
Leriche's syndrome) Neurogenic disorders - multiple sclerosis, spinal
cord lesions, pituitary microadenoma with hyperprolactinemia, and
cardiovascular accident; drugs such as hypertensives, sedatives,
Proscar (finasteride), tranquilizers, and amphetamines.
Surgical procedures such as sympathectomy, prostatectomy and
castration produce varying effects. Impotence is usually not induced
by transurethral prostatectomy, whereas it almost always occurs after
perineal prostatectomy.
Impotence is not inevitable with aging, even into the 70s or 80s.
While the amount and force of the ejaculate and thus sexual tension
and the need to ejaculate are decreased, the capacity for erection
often is retained.
Contributing causes include a lack of exercise, smoking, excess
alcohol consumption, obesity and increased total cholesterol or
reduced HDL levels.
Psychological causes
These can include abnormal fears of the vagina, sexual guilt, fear of
intimacy, or depression. ED may be situational (involving place, time
or a particular partner), some perceived competitive defeat, or damage
to self-esteem. Counseling may be required to resolve these issues.
Psychological factors are strongly implicated if the patient has
situational impotence, night or morning erections, or can achieve a
firm erection by stimulation.
Viagra may help men who have been left impotent by
prostate disease, diabetes or atherosclerosis, but some doctors are
still prescribing it with caution, if at all. First, correct any
lifestyle problems: reduce alcohol consumption, get sufficient
exercise, watch what you eat, stop smoking, optimize your health, and
improve your circulation with ginkgo, if needed. Don't use it with any
form of heart disease. If you decide to try Viagra, discuss it with
your spouse first and then work with your doctor to find the lowest
effective dose. A 50mg tablet may be too little or too much.
Men get erections when sexual thoughts, originating in the brain,
initiate a flow of nerve signals, some of which are
parasympathetic, down the spinal cord to the arteries and smooth
muscle in the penis. The arteries that supply the penis then dilate,
and the muscles that control the two rods of sponge - like tissue
filling the core of the penis - the corpora cavernosa and the corpus
spongiosum - relax. As they relax, they allow the increased flow of
blood through the penile arteries to fill the spongy space with blood.
The increasing pressure in the penis compresses the veins that drain
blood from the penis, preventing outflow. The more blood that fills
the penis, the larger and harder the erection will be, because as long
as blood is flowing through the arteries, the out flow remains
severely restricted. The penis returns to a flaccid state when the
penile arteries constrict, relaxing pressure on the veins and allowing
the blood to drain out.
All these activities are under the control of NO molecules. The nerves
that serve the spongy tissue and the penile arteries are rich in NO,
so when you become sexually aroused, the NO rich nerves quickly
convert L-arginine to NO. These NO molecules diffuse to nearby
arteries and smooth muscle, causing them to dilate and relax. Erection
is reversed by contraction of the arteries involved, and that in turn
occurs with stimulation by other nerves (sympathetic), either with
ejaculation, anxiety or other causes of inhibition.
NO can be activated by a number of common substances released from the
nerves. Especially important is the neurotransmitter acetylcholine.
Laboratory analysis of 22 sexual enhancement products available in the
United States found nine (41%) were properly labeled, contained the
claimed ingredients, and were not spiked with the prescription drug
Viagra. [Consumer Labs Report]
Reference:
"Gingko biloba Extract in the Therapy of Erectile Dysfunction," M.
Sohn and R. Sikora, Journal of Sex Education Therapy,
Vol. 17, 1991, pp.53-61.
Risk factors for Erectile Dysfunction (ED, Impotence):
Autoimmune Diabetes Type I Overall, diabetes is the single most common
condition linked with erectile dysfunction and it is estimated that
nearly half of men with diabetes have some degree of erectile
dysfunction.
Diet
Dehydration
Environment / Toxicity
Cigarette Smoke Damage Men with high blood pressure who smoke are 26
times more likely to be impotent than non-smokers. Even former smokers
with high blood pressure (hypertension) are 11 times more likely to be
impotent than non smokers. [Study conducted by Dr. John Spangler, MD
at Wake Forest University Baptist Medical Center]
Hormones
Hypopituitarism / Empty Sella Syndrome
Low Adrenal Function / Adrenal Insufficiency
Organ Health
Diabetes Type II / Risk Overall, diabetes is the single most common
condition linked with erectile dysfunction and it
is estimated that nearly half of men with diabetes have some degree of
erectile dysfunction.
Uro-Genital
Andropause/Male Menopause Impotence or erectile dysfunction is one of
the most common symptoms of andropause.
Erectile Dysfunction (ED, Impotence) suggests the following may be
present: Autoimmune Diabetes Type I Overall, diabetes is the single
most common condition linked with erectile dysfunction and it is
estimated that nearly half of men with diabetes have some degree of
erectile dysfunction.
Recommendations for Erectile Dysfunction (ED, Impotence):
Amino Acid / Protein Arginine L-Arginine is the primary source of
nitrous oxide (NO) - an odorless gas made of
nitrogen and oxygen that relaxes muscles and increases blood flow to
organs including the heart and penis. By facilitating blood flow
through the erectile tissue of the penis, NO produced from L-arginine
can give men erections that are bigger, harder and more frequent.
In a group of 15 men with erectile dysfunction given 2,800mg of
arginine per day for two weeks, six were helped, though none improved
while taking placebo. Although little is known about how effective
arginine will be for men with erectile dysfunction or which subset of
these men would be helped, available research looks promising and
suggests that at least some men are likely to benefit. [Int J Impot
Res 6: pp.33-6, 1994]
The dose can range from 1 to 3gm with meals, or up to 15gm about 45
minutes before sexual activity. Arginine is not recommended if you
have diabetes, arthritis, cancer, shingles, herpes I (fever blisters,
cold sores) or herpes II.
Botanical
Herbal Combinations BetterMAN™ is a clinically tested Chinese herbal
supplement that improves sexual performance and prostate health. In
scientific studies, after only 3 bottles of BetterMAN™ over 70% of
American men experienced increased ability to attain and sustain an
erection, delay ejaculation and desire sex as well as a dramatic
decrease in nighttime urinary frequency and urgency. BetterMAN™ is not
a short acting stimulant, but an all-natural long term solution with
no side-effects. []The Journal of Urology, Nov. 2000]
Will BetterMAN™ help men who have had prostate surgery? The results
for users vary, depending upon the degree of damage to local nerves
caused by the surgery. Ask your doctor for advice. In many cases, it
takes longer than 3 bottles for BetterMAN™ to work for these users.
This product is manufactured in the U.S. and contains Radix ginseng,
Rhizoma dioscoreae, Radix paeoniae alba, Herba epimedii, Cornu cervi
pantotrichum, Radix astragali, Poria cocos, Radix morindae officinalis,
Fructus corni, Cortex eucommiae, Radix angelicae sinensis, Fructus
lycii, Radix Rehmanniae, Rhizoma chuanxiong, Fructus schisandrae,
Acanthopanax senticosus, Cynomorium songaricum rupr, and Cortex
cinnamomi.
Gingko Biloba Studies show that taking Gingko biloba herbal extract at
240mg daily (usually a 24% extract) can produce improvement in 6
months or fewer, even if previous medications have failed. In a study
of 20 patients who had received this conventional therapy, 100%
regained the ability to have a spontaneous and sustained erection
within 6 months of supplementation. Blood flow into the penis improved
within 3 months. [Journal of Sex Education Therapy, Vol. 17, 1991,
pp.53-61]
Catuaba (Erythroxylum catuaba) Catuaba has a long history in herbal
medicine as an aphrodisiac. According to Dr. Michael van Straten,
noted British herbalist and naturopath, Catuaba is beneficial to men
and women as an aphrodisiac, but "it is in the area of male impotence
that the most striking results have been reported" and "there is no
evidence of side effects, even after long-term use."
Marapuama (Ptychopetalum olacoides) Marapuama, also called potency
wood, has a history of use for reviving libido, potency, and tonifying
the nervous system. In a study conducted in Paris, France, of 262 male
patients experiencing lack of sexual desire and the inability to
attain or maintain an erection, 51% of patients with erectile
dysfunctions felt that marapuama was beneficial.
Grape Seed Extract (Pycnogenol) Three months of using pycnogenol at
120mg per day improved erectile function and reduced total and LDL
cholesterol levels in a double-blind, placebo-controlled study of 21
men with erectile dysfunction. [ Nutr Res 2003;23(9): pp.1189-98]
Ginseng, Korean - Chinese / Asian (Panax ginseng) Two months of
treatment with Korean red ginseng (900mg 3 times daily) improved
erectile function scores in a well-designed study of 45 men with
erectile dysfunction. [J Urol 2002;168(5): pp.2070-3]
A double-blind trial in Korea found that 1,800mg per day of Asian
ginseng extract for three months helped improve libido
and the ability to maintain an erection in men with erectile
dysfunction. [Int J Impotence Res 1995;7: pp.181-6]
Pygeum (Pygeum africanum) An extract of pygeum has shown an ability to
improve the capacity to achieve an erection in patients with BPH or
prostatitis.
Yohimbe (Pausinystalia yohimbe) Yohimbe dilates blood vessels, making
this herb useful for treating ED. Although
yohimbine (the primary active constituent in yohimbe) has been shown
in several double-blind studies to help treat men with ED, negative
studies have also been reported. Somewhat surprisingly, in those it
helps, yohimbe appears to help regardless of the cause of ED. A
tincture of yohimbe bark is often used in the amount of 5-10 drops tid.
There are also standardized yohimbe products available for the
treatment of ED. A typical daily amount of yohimbine is 15-30mg.
With the possibility of serious side-effects such as anxiety, panic
attacks, hallucinations, elevated blood pressure and heart rate and
dizziness, yohimbe bark has been classified by the FDA as an unsafe
herb. Due to the lack of effectiveness and the potential negative
side-effects of Yohimbine, the FDA no longer recommends this once
prescription drug extract to treat impotence.
Tribulus (Tribulus terrestris) In patients with primary and secondary
hypogonadism, 78% reported restored and enhanced libido and 22%
reported improved erections with the use of Tribulus.
Lab Tests/Rule-Outs
Test for Hormones Testosterone is the major hormone produced by men,
but does not directly affect a man's erectile ability as much as it
does libido or sexual desire. Men with low testosterone, however, have
shown improvement in ED with hormone replacement. A clinical trial of
testosterone for all types of erectile dysfunction is not recommended.
When considering lab testing, a full panel of tests should be
considered such as DHEA, testosterone (total and free), DHT, sex
hormone binding globulin (SHBG), estradiol, luteinizing hormone (LH),
follicle-stimulating hormone (FSH), prolactin (best taken at 9am to
avoid diurnal variations), progesterone and a PSA test for prostate
cancer.
Testosterone replacement, preferably applied to the skin or by
injection, typically ranges from 25-100mg of natural
testosterone per day usually given in two divided doses.
DHEA has been reported to be low in some men with erectile
dysfunction. In one double-blind trial, 40 men with low DHEA levels
and ED were given 50mg of DHEA per day for six months. Significant
improvement in both erectile function and interest in sex occurred in
the men assigned to DHEA but not in those assigned to placebo. No
significant change occurred in testosterone levels or in factors that
could affect the prostate gland. [Urology 53: pp.590-5, 1999]
Oriental Medicine
Acupuncture The only placebo-controlled study of acupuncture found
that the placebo also produced a large improvement in sexual function
that was close to the effect of acupuncture. Controlled trials with
larger groups of men are necessary to better test the efficacy of
acupuncture therapy for men suffering from erectile dysfunction.
[Scand J Urol Nephrol 31:
pp.271-4, 1997]
Physical Medicine
Physical Supports The major cause of impotence is leakage through the
veins. This happens when the veins carrying blood out of the penis are
not shut completely, allowing blood to be drained out of the penis at
the same rate as it enters. This results in prevention or loss of
erection.
There are a variety of bands and rings on the market which help by
shutting off the veins externally with a tourniquet effect, hence
trapping sufficient blood in your penis to give you a natural, longer
and harder erection for successful sexual intercourse within a minute
of wearing it. This type of device will not work if there is
restricted blood flow to your penis or if you suffer from serious
health problems, such as diabetes, stroke or penile nerve damage.
Psychological
Hypnosis ED that cannot be linked to physical causes has been
successfully treated by hypnosis. In this trial, three
hypnosis sessions per week were used initially, later decreasing to
one per month during a six-month period. Three out of every four men
in the trial were helped. [Scand J Urol Nephrol 31: pp.271-4, 1997]
India Herbs has a seasoned group of Ayurvedic doctors specialized in
Vajikarana, one of the eight major specialties of Ayurveda (the
ancient science dealing with medicine). Vajikarana is "a process or
a drug, which make a man sexually as strong as a horse and able to
copulate for long and frequently with many wives and partners."
Vajikarana prescribes the therapeutic use of various aphrodisiacs
and tonic preparations for enhancing the reproductive capabilities
and vigor of men while strengthening the body and overall
well-being.
Western medicine relies on aggressive prescription drugs and surgery
to deal with many problems related to sexual dysfunction.
Unfortunately, these methods often result in unwanted and even
dangerous side effects. Non-medical methods of penis enhancement
through exercise using weights, straps, rings, and pumps have proven
destructive to muscle tissue. And natural pills provide fleeting,
inconsistent results.
Ayurveda, the science of life, prevention and longevity, is the
oldest and most holistic and comprehensive medical system available.
Its fundamentals can be found in Hindu scriptures called the Vedas -
the ancient Indian books of wisdom written over 5,000 years ago.
Ayurveda uses the inherent principles of nature to help maintain
health in a person by keeping the individual's body, mind and spirit
in perfect equilibrium with nature.
Natural Cures
India Herbs has a seasoned group of Ayurvedic doctors specialized in
Vajikarana, one of the eight major specialties of Ayurveda (the
ancient science dealing with medicine). Vajikarana is "a process or
a drug, which make a man sexually as strong as a horse and
able to copulate for long and frequently with many wives and
partners." Vajikarana prescribes the therapeutic use of various
aphrodisiacs and tonic preparations for enhancing the reproductive
capabilities and vigor of men while strengthening the body and
overall well-being.
Western medicine relies on aggressive prescription drugs and surgery
to deal with many problems related to sexual dysfunction.
Unfortunately, these methods often result in unwanted and even
dangerous side effects. Non-medical methods of penis enhancement
through exercise using weights, straps, rings, and pumps have proven
destructive to muscle tissue. And natural pills provide fleeting,
inconsistent results.
Ayurveda, the science of life, prevention and longevity, is the
oldest and most holistic and comprehensive medical system available.
Its fundamentals can be found in Hindu scriptures called the Vedas -
the ancient Indian books of wisdom written over 5,000 years ago.
Ayurveda uses the inherent principles of nature to help maintain
health in a person by keeping the individual's body, mind and spirit
in perfect equilibrium with nature.
India Herbs' Vajikarana scientists combine a proprietary herbal
formula based on centuries old wisdom with advice on diet, exercise,
mental training, and relaxation to help men reach their peak and
overcome sexual concerns through safe, natural means.
Results: The precise combination of ingredients in Kama Raja along
with a mind-body focus precisely addresses the sexual concerns of
men!
Where to
Buy Vajikarana
Vasectomies gone bad This is an
issue I can speak about personally, in 1976 I had a vasectomy done.
My dad had one and he said it was no big deal. In and out of the
office and back to work in just a few days. Well that is not the
case for many men who have this procedure. I am one of those men, I
got home and by the next day my left testicular was a big as a
large dill pickle. The Doctor had me come back in he took a sample
from it and said it was a a large build up of sperm in that
testicular and it would go away in a few days. Well that didn't
happen either, it last about two weeks and it was very painful.
Since than at time it get swollen for no reason at all. This has
happen several time in the last almost 30 years.
To read more about bad results with vasectomies
rear this report from
STACEY WARDE
Be Sure to Ask
Your Doctor
That what all the commercials you see on TV say well
be sure when you ask your doctor about a particular drug that you
also ask about what side effect. I find that sometime doctors when
ask will just prescribe what every you ask for. Well I ask mine about avodart because I suffered from frequent urination and an enlarged
prostate "BHP" Well what I forgot to ask and later found out the
hard way is this drug could be use for chemical castrations because
it will pretty much ruin your sex life. So I say to you look for
alternatives before using this drug.
OK. After what happen to me with Avodart I had to
try to reverse the effect. So, I try a product that I advertise on
this page called Vajikarana, although I advertised this product I
had never tried it myself so I thought I would give it a try. I saw
improvement almost immediately but still has some issue with low
seamen count. After about 3 weeks that started to improve also. Now,
after a Month and half It is getting almost back to normal. Your
result may differ but one thing is for sure I have had no adverse
side effects.
Where to
Buy Vajikarana
Andropause,
the Male Menopause:
Although most
people know that Menopause has generated a large population of women
who have excessive rates of bone fracture and CHD, men also suffer
from these conditions. The male menopause or Andropause, is due to
hypogonadism- low testosterone levels. Andropause, the word,
appeared in the literature in
1952 and is defined at the "natural cessation of the sexual function
in older men." Andropause also refers to sexual regression in men
over 40 due to dropping male hormone levels.
Endocrinologically, the difference between the hypogonadal man and
the post-menopausal hypogonadal woman is not very great. Neither has
adequate levels of androgens or estrogens and they both can be
expected to show similar tendencies; i.e., hypogonadal men also tend
to have frequent MI's and bone
fractures from osteoporosis. There is current evidence of a
protective effect of testosterone against both heart attacks and
bone fractures.
The loss of sexual drive is one of the first changes most people
notice with "aging". This decreased libido and failure to awaken
with erections is the foreboding of the "impotence experienced by
hypogonadal men". Women too experience a lessening of their desire
but usually this does not occur until their
testosterone levels drop below normal if they have their ovaries
removed.
Unfortunately, in men, impotence tends to be accompanied in most not
by frustrated sexual urges or complaints of frustration but rather
by "passivity" according to Dr. Conrad Swartz. More than half of the
healthy men over age 70 whom he surveyed showed morning serum
testosterone levels at or below 300 ng/dl, the customary threshold
of hypogonadism. (Ref.1). At this level men do not have erections in
their sleep nor in the early mornings. Passivity in men soon leads
to lack of interest in business, sex, sports or visual sexual
stimulation.
more
The Andropause Mystery 
Unraveling Truths About the Male
Menopause
by Robert S. Tan, Robert Ta
|
Where to purchase Transfer
Factor 
