Treatment for Male Impotence

Sexual Function and Dysfunction in Men

2009-11-29T14:09:00.001-08:00

Holistic health simply means 'whole' body
health to treat a certain problem. By using
researched treatments, you can be healthier
and treat impotence all at once.
1. Did you know that 80-90% of the time, male
dysfunctions are caused by a physical problem?
In other words, you have about a 90% chance
of curing yourself with exercise, breathing
techniques, dieting, or even a different nutrition
program. One simple tip is to try to exercise
daily. I recommend trying to workout for more
than 25 minutes to allow your 'runner's high' to
kick in. Walking is always a great start!
2. Impotence is often caused by a high fat diet
that blocks the flow of circulation. You should
start watching the high fat and high cholesterol
foods you consume. Start looking at the labels
and avoid all fast foods and processed foods.
Eating raw, simple foods is always the best
choice.
3. Small habits! Healthier people always rise
early (like 6 AM). You should also try to relax
or meditate at least once a day for about 20
minutes. As a spiritual person, I use this time for
prayer. Also remember to eat more in the
morning and less at nights (bigger breakfast
and smaller dinner).
4. Flush your system! We have discovered that
flushing your body is probably one of the best
things you can do for it! You can do this by
drinking plenty of water each day (10 glasses a
day) and also eating 5-7 fruits or vegetables.
Eating water soluble fiber (fruits and veggies)
will naturally flush your body and could open
up some arteries that are restricted.
5. Found in meat, dairy products and fish, L-
Arginine is an amino acid. The body uses
arginine to create nitic oxide, a substance used
to relax the blood vessels. This may have a
positive effect on symptoms of your erectile
dysfunction

verrassende voordelen van geslacht

2009-11-24T20:53:00.000-08:00

Recently an article has been published in WebMD describing the health benefits to boost your immune system or maintaining a healthy weight. This is surprising for many people, says Joy Davidson, PhD, a New York psychologist and sex therapist. "Of course, sex is everywhere in the media," she says. "But the idea that we are vital, sexual creatures is still looked at in some cases with disgust or in other cases a bit of embarrassment. So to really take a look at how our sexuality adds to our life and enhances our life and our health, both physical and psychological, is eye-opening for many people."

Among the benefits of healthy loving in a relationship:

1. Sex Relieves Stress

2. Sex Boosts Immunity

3. Sex Burns Calories

4. Sex Improves Cardiovascular Health

5. Sex Boosts Self-Esteem

6. Sex Improves Intimacy

7. Sex Reduces Pain

8. Sex Reduces Prostate Cancer Risk

9. Sex Strengthens Pelvic Floor Muscles

10. Sex Helps You Sleep Better

Dysfunction Treatment

2009-10-10T02:43:00.000-07:00

Underlying organic disorders require appropriate treatment. Drugs that are temporally related to onset of ED should be stopped or switched. Depression may require treatment. For all patients, reassurance and education (including of the patient's partner whenever possible) are important. For further therapy, noninvasive methods (mechanical devices and drugs) are tried first. All drugs and devices should be tried ≥ 5 times before being considered ineffective.

Mechanical devices: Men who can develop but not sustain an erection may use a constriction ring. As soon as erection occurs, a metal or elastic ring or a leather band with snaps (sold by prescription in pharmacies or OTC in sex paraphernalia stores as a “cock ring”) is placed around the base of the penis, preventing venous outflow.

If the man cannot develop an erection, a vacuum device can draw blood into the penis, after which the band or ring is placed at the base of the penis to retain the erection. Bruising of the penis, coldness of the tip of the penis, and lack of spontaneity are some drawbacks to this modality.

A constriction ring and vacuum devices might also be useful adjuncts for patients who do not respond satisfactorily to drug therapy. Drugs:

The primary drugs for ED are oral phosphodiesterase inhibitors, oral apomorphine APOKYN and intracavernosal or intraurethral prostaglandins. Almost all patients prefer oral drug therapy to other methods for treating ED."

Dysfunction Diagnosis

2009-10-10T02:41:00.000-07:00

Evaluation should include history of drug and alcohol use, smoking, diabetes, hypertension, and atherosclerosis; and symptoms of vascular, hormonal, neurologic, and psychologic disorders. It is vital to screen for depression, which may not always be apparent.

The Beck Depression Scale or, in older men, the Yesavage Geriatric Depression Scale is easy to administer and may be useful. Satisfaction with sexual relationships should also be explored. Partner sexual dysfunction (eg, atrophic vaginitis, depression) must be considered and evaluated.

Examination is focused on the genitals and extragenital signs of hormonal, neurologic, and vascular disorders. Genitals are examined for anomalies, signs of hypogonadism, and fibrous bands or plaques (Peyronie's disease).

Poor rectal tone, perineal sensation, or abnormal anal wink or bulbocavernosus reflexes may indicate neurologic dysfunction. Diminished peripheral pulses suggest vascular dysfunction. A psychologic cause should be suspected in young healthy men with abrupt onset of ED, particularly if onset is associated with a specific emotional event or if the dysfunction occurs only in certain settings.

A history of ED with spontaneous improvement also suggests psychologic origin (psychogenic ED). Men with psychogenic ED usually have normal nocturnal erections and erections upon awakening, whereas men with organic ED often do not.

Laboratory assessment should always include measurement of testosterone level; if the level is low or low-normal, follicle-stimulating hormone (FSH) and luteinizing hormone (LH) should be measured (see Male Reproductive Endocrinology: Diagnosis of primary and secondary hypogonadism).

Evaluation for occult diabetes, dyslipidemias, hyperprolactinemia, thyroid disease, and Cushing's syndrome should be performed based on clinical suspicion. A penile pressure–brachial pressure index (systolic BP in the penis divided by systolic BP in the arm) < 0.6 indicates impaired blood flow to the penis, but this test is seldom performed in general clinical practice."

Drugs Can Cause Erectile Dysfunction

2009-10-10T02:39:00.000-07:00

Table 2

Commonly Used Drugs That Can Cause Erectile Dysfunction
Class	Drugs
Antihypertensives	Clonidine Some Trade Names CATAPRES Click for Drug Monograph , thiazides, probably loop diuretics, spironolactone Some Trade Names ALDACTONE Click for Drug Monograph , β-blockers
CNS drugs	Monoamine oxidase inhibitors, SSRIs, tricyclics, anxiolytics, alcohol, opioids, cocaine
Other	Anticholinergics, estrogens Some Trade Names PREMARIN Click for Drug Monograph , cimetidine Some Trade Names TAGAMET Click for Drug Monograph , anticancer drugs, amphetamines, anti androgens, GnRH analogs

Of men who have undergone transurethral resection of the prostate, 15 to 40% experience problems with erections because of disruption of the pudendal nerve. ED is more common after more extensive prostatic resection. Prolonged perineal pressure (as occurs during bicycle riding) can cause temporary ED.

Causes Male Dysfunction Reproductive Endocrinology

2009-10-10T02:33:00.000-07:00

Primary ED (ie, the man has never been able to attain or sustain erections) is rare and is almost always due to psychologic factors (guilt, fear of intimacy, depression, severe anxiety) or clinically obvious anatomic abnormalities. Most often, ED is secondary (ie, a man who previously could attain and sustain erections no longer can).

Over 80% of secondary ED cases have an organic etiology. However, in many men with organic disease, ED leads to secondary psychologic difficulties that compound the problem. Psychologic factors must be considered in every case. Psychologic causes may relate to performance anxiety, stress, or a mood disorder (particularly depression).
ED may be situational, involving a particular place, time, or partner. The major organic causes of ED are vascular and neurologic disorders, often stemming from atherosclerosis and diabetes. Complications of surgery, usually prostate surgery, are another common cause. Other causes include hormonal disorders, drugs, and structural disorders of the penis (eg, Peyronie's disease).

The most common vascular cause is atherosclerosis of penile arteries, often secondary to diabetes. Atherosclerosis and aging decrease the capacity for dilation of arterial blood vessels and smooth muscle relaxation, limiting the amount of blood that can enter the penis.

Inadequate impedance of venous outflow (venous leaks) may cause ED or, more commonly, failure to maintain tumescence as long as desired. Venous leaks make it difficult for blood to remain in the penis during erection, so erections occur but cannot be sustained.

Priapism, particularly as in sickle cell disease, may damage penile vasculature and lead to ED. Stroke, partial complex seizures, multiple sclerosis, peripheral and autonomic neuropathies, and spinal cord injuries are among the neurologic causes.

Diabetic neuropathy and surgical injury are particularly common causes. Any endocrinopathy associated with testosterone deficiency (hypogonadism) may decrease libido and cause ED. However, erectile function only rarely improves with normalization of serum testosterone levels."

Ejaculation and orgasm

2009-10-10T00:08:00.000-07:00

Ejaculation is controlled by the sympathetic nervous system. α-Adrenergic stimulation produces contractions of the epididymis, vas deferens, prostate, and muscles of the pelvic floor. In addition, the neck of the bladder closes, preventing retrograde ejaculation of semen into the bladder. SSRIs may delay or inhibit ejaculation.

Orgasm is the highly pleasurable sensation that occurs in the brain generally simultaneously with ejaculation. Anorgasmia may be a physical phenomenon due to decreased penile sensation (eg, from neuropathy) or a neuropsychologic phenomenon due to psychiatric disorders or psychoactive drugs.

Ejaculatory insufficiency is reduced or absent semen volume that may result from retrograde ejaculation (prostatic fluid flowing backward into the bladder) or interruption of sympathetic stimulation. Retrograde ejaculation is common in men with diabetes and can also be caused by surgery on the neck of the bladder or transurethral resection of the prostate. Sympathetic interruption, either from surgery or with drugs (eg, guanethidine, phentolamine, phenoxybenzamine, thioridazine MELLARIL, diminishes ejaculatory volume.

Libido Medicines for Treatment

2009-10-09T23:55:00.000-07:00

Libido is the conscious component of sexual function. Decreased libido manifests as a lack of sexual interest or a decrease in the frequency and intensity of sexual thoughts, either spontaneous or in response to erotic stimuli. Libido is sensitive to testosterone levels as well as to general nutrition, health, and drugs. Conditions particularly likely to decrease libido include hypogonadism (see Male Reproductive Endocrinology: Male Hypogonadism), uremia, and depression.

Drugs that sometimes decrease libido include weak androgen receptor antagonists, such as spironolactone Some Trade Names ALDACTONE or cimetidine Some Trade Names TAGAMET, and virtually all drugs that are active in the CNS, such as SSRIs, tricyclic antidepressants, and antipsychotics. Loss of libido due to SSRIs or tricyclic antidepressants sometimes is reversible with the addition of bupropion Some Trade Names WELLBUTRIN ZYBAN or trazodone Some Trade Names DESYREL.

Stimula for Men

2009-10-09T20:33:00.000-07:00

“Stimulating, sensual, and passionate” your lover may have all of these qualities, but is there still something missing? Stimula knows what it is and can make your intimate moments even more enchanting. Stimula For Men can strengthen a man’s will and extend his ability to participate in intimate encounters. Stimula For Women can increase a woman’s desire and intensify the sensual experience. Stimula for Men is designed to increase male sexual stamina and work as a highly effective lubricant. Stimula for Men is a water-based, water-soluble, odorless gel.

Medications for Impotence

2009-10-09T20:14:00.000-07:00

Woody Allen once said: "Sex is the most fun you can have without laughing." But if you're one of an estimated 150 million men worldwide who have impotence (or erectile dysfunction) you will know that sex is no laughing matter.

So it's important to understand that you're not alone and that help is readily available. Recent research indicates that less than 10% of men with impotence seek treatment.

Perhaps this is because, as Dr Sally Christopher, Medical Director at the Burnett Sexual Health Centre, says:

"There are so many myths attached to male sexuality and sexual performance, that men perceive their 'masculinity' may be at stake if they admit to experiencing impotence."

The good news is that while there is no "cure" for male impotence, there are a number of very effective treatments now widely available. Since Viagra, the original impotence pill, burst on to the market in 1998, over 16 million men worldwide have been treated successfully and have been able to resume an active sex life.

For deep discounts on Viagra, Cialis, Levitra and other ED medications, visit AmeriMedRx, a leading provider of medical consultations and prescription processing.

For those looking for a natural alternative, our experts have selected Zenerx, a safe, effective alternative to prescription ED medications.

Take a look at this breakthrough impotence formula and decide if it's right for you.

Whelan Method for Gender Selection

2009-09-26T03:10:00.001-07:00

This gender selection method is another all-natural method and is the opposite of the Shettles method. Elizabeth Whelan, Sc. D., developed this method.

This is a timed intercourse method for gender selection, which is similar to the Shettles method. This is a simple method to use, but many experts do not agree with this method or the Shettles method claiming there are flaws with both.

The idea behind gender selection with the Whelan Method is to have intercourse four to six days before your basal body temperature goes up if you desire a boy and two to three days before you ovulate for a girl.

The accuracy rate with gender selection with the Whelan Method is around 68 percent correct for boy babies and 57 percent correct for girl babies. Most experts believe this is too close to the 50/50 chance that most parents have without any type of gender selection being used to be a true method for gender selection. However, the Shettles Method is about the same in accuracy.

Trying different positions along with the times may in fact also raise the accuracy. However, of course there are no hard line facts to prove most of the all-natural methods. However, they are free, safe, and all you have to do is take your temperature and watch the dates on the calendar. You can purchase an ovulation kit that will aid with the accuracy of the time of your ovulation while still learning your basal body temperature and chances are improved again for gender selection.