Introduction:
Erectile dysfunction (ED), the inability to get or keep an erection, is a common problem. Most men experience difficulty with this at some time in their life, but for some men, the problem is ongoing, causing problems with self-esteem and their relationships. Because ED may be a difficult topic for men to talk about, there are many misconceptions surrounding the condition. Keep reading to learn Ten Hard Facts every Man and Woman – Young and Old, should know…
#2 FACT; ED AFFECTS MORE THAN 30 MILLION IN AMERICA ALONE. ITS A HUGE WORLDWIDE PROBLEM AND GETTING BIGGER..
#3 FACT; PORN MAKES IT WORSE
How can porn cause poor sexual performance?
Rather than this form of ED stemming from anxiety and therefore being a psychological problem, the cause appears to be physiological, as most men report a similar recovery pattern.
The reason ED occurs is due to porn desensitising the user’s response to the neuro-chemical dopamine. This chemical is what creates our sense of motivation and wanting – essentially it is what lies behind all addictions and drives the search for rewards. However, addiction researchers have now determined that the more dopamine hits a brain receives, the lower its ability to respond to the signals becomes. Therefore, as with many addictions, a more intense experience is required to achieve the same hit.
While erotica has been around in some form for centuries, it’s the arrival of the internet that’s made it possible for people to achieve the constant stream of dopamine hits required for an addiction to develop. It’s only when men attempt to have normal sex and find erections impossible, that the problem comes to light.
You can read more about the problems, perils and pitfalls of internet porn here.
#4 FACT; ED – ITS WAY HARDER FOR WOMAN THAN MEN THINK..
ED problems don’t just affect men – they can also have a real impact on a partner and a relationship as well. Unfortunately, experts say a lack of education about the causes of ED are frequently behind a woman’s self-blame, as well as her increasing anxiety, and sometimes, even feelings of hurt and anger when the problem occurs.
If you suddenly start trotting out all your old Victoria’s Secret underwear … it’s not going to help the ED one bit
“Most women usually start with a line of questioning that often has some anxiety or hurt to it. She may suspect her partner is having an affair, or that he just doesn’t find her desirable anymore, so she begins to hint around at these possibilities,” says Sallie Foley, MSW, a professor at the graduate school of social work at the University of Michigan and co-author of Sex Matters For Women.
Often, says Foley, a man suffering with ED will interpret her questions — and her hurtful attitude — as an attack on him, so he pulls back.
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“She then experiences this pulling back as a confirmation that she has done something wrong, and so she retreats even further,” says Foley. As she does, increasing levels of anxiety or depression can set in, along with suspicions about what’s going on with him, as well as a continued belief that there is something wrong with her.
The one thing a woman should never do is withdraw because that is a formula for relationship disaster,” says Andrew McCullough, MD, director of sexual health and male infertility at NYU Medical Center in New York City. McCullough. “When one partner pulls away, he says, the other withdraws as well, and this kind of dance goes on where you stop touching each other, then you stop talking, and before you know it you are not communicating at all.”
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So what should a woman do when her man just can’t perform?
Experts seem to agree that most important is to remember it’s not your problem and you’re not the cause.
“Don’t feel rejected and don’t personalise it. It’s not about you,” says Foley. “Trying harder isn’t the answer either.”
“If you suddenly start trotting out all your old Victoria’s Secret underwear — or buy some sexy new clothes — well, that’s only going to put more pressure on him, and it’s not going to help the ED one bit,” says Foley.
The best approach, experts say, is do acknowledge the problem exists and open the lines of communication about it.
“The best thing to do is to discuss things outside of the bedroom — not right after it happens, but days or even weeks later,” says sex expert Jennifer Downey, MD, a psychiatrist at New York State Psychiatric Institute and a professor at Columbia University. During this talk, Downey says make certain that your man is aware of the health problems that can be the cause of his ED, and gently suggest he talk to his doctor.
Indeed, Downey believes the more matter of fact a woman can be in approaching this conversation, the more likely she is to get through to her man.
“You have to treat this the way you would any other non-life threatening issues in your relationship, and just calmly discuss it,” says Downey.
McCullough adds, “If you put it in the context of a physical problem and not a sexual one, most men will be less likely to ‘shut down’ or shut you out.” While some men would rather go the treatment route alone, others might welcome the support of their partner, so be certain to make the offer to go with him, and then let your man decide.
Understanding Is Whats Needed
#5 FACT; ED IS OFTEN A SIGN OF A SERIOUS UNDERLYING HEALTH PROBLEM
The most serious ones are Diabetes, Heart Disease and High Blood Pressure. Blood may not be flowing to the penis today, but a few years from now, it might not be flowing to the heart! A 2018 study found that men with erectile dysfunction were twice as likely to have a heart attack or stroke over the next four years.
Physical and Emotional Causes of ED
- Diabetes
- High blood pressure
- Heart or Thyroid conditions
- Atherosclerosis (artery walls plaque)
- Obesity
- Nervous system issues
- Low testosterone levels
- Nerve damage from prostate surgery
- Smoking (Nicotine), Alcohol, or Cocaine use
- Spinal cord injury
- Cancer treatments near the pelvis
#6 FACT; VIAGRA PDE5 TYPE ‘BLUE PILLS’ ARE A GAME CHANGER FOR SOME – BUT SIMPLY UNSUITABLE FOR MANY..
More than two decades ago, Pfizer changed the game for many men with the erectile dysfunction remedy Viagra – the “Blue Pill.”Drugs like Viagra ( sildenafil) work by helping the muscles in the penis relax. That lets in more blood and results in a natural erection in response to being sexually stimulated (just popping the pill alone won’t do it). But sildenafil has to be taken an hour before sex and only works for the next four hours, which some users don’t like because it means you have to set the timer intercourse accordingly.
Another popular drug is Tadalafil—sold as Cialis—which doesn’t have those same time limitations. Its sometimes called the ‘weekend pill ‘because it works for 36 hours. If you take it Friday afternoon, it’s still working Friday and Saturday night. For even more flexibility, a lower-dose version can be taken daily. The four main P5 ” Blue Pill” varieties and generic versions on the market now are:
- Sildenafil (Viagra)
- Vardenafil (Levitra, Staxyn)
- Tadalafil (Adcirca, Cialis)
- Avanafil (Stendra)
But there can be serious problems with taking these drugs if the condition that caused the ED in the first place is linked to the circulatory system – eg High Blood Pressure, atherosclerosis and Ischemic heart disease. In theses cases it may worsen the condition or interact with your cardiac drugs. Talk to your doctor in such conditions before taking any form of PDE5 Pill.
Nitrates / Alpha – Blockers / Recreational ” Poppers” and PDE5 Pills Can Be A Lethal Mix
For men taking nitrate drugs or alpha-blockers, Blue Pill type drugs could potentially cause death. When Viagra or any other ED medication is used in combination with a nitrate, it can trigger a more severe drop in blood pressure levels. This could potentially result in loss of consciousness or worse, full-on cardiac arrest.
Commonly used nitrates that can interact with Viagra include nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, erythrityl tetranitrate, pentaerythritol tetranitrate, sodium nitroprusside and amyl nitrate. These medications are primarily used to treat systemic hypertension. ( High Blood Pressure)
Many of these medications are sold under specific brand names, rather than under their generic names. Make sure you read the packaging of your medication to check if it contains any active ingredients that could interact with Viagra.
Other cardiovascular medications, such as riociguat, alpha-blockers and other medications used to treat hypertension also have the same potential to interact with Viagra with dangerous consequences.
Recreational drugs containing nitrates, such as amyl nitrate and butyl nitrate “poppers,” can also interact – potentially fatally – with Viagra, Cialis and Levitra. These drugs are not safe to use with ED medication and should not be taken before.
Unfortunately some of the very serious causes of ED, actually limit the ability to use the “BLUE PILL” type wonder drugs…
The commonly reported -less dangerous- potential side effects of phosphodiesterase-5 inhibitors include headache, flushing, runny nose, stomach pain, back pain, indigestion, vision changes, and dizziness.
#7 FACT; DIABETES SERIOUSLY REDUCES THE EFFECTIVENESS OF ED PILLS TOO…
Diabetes Seriously Reduces PDE5 Drugs Effectiveness
The use of these drugs (Viagra, Cialis, Levitra and Stendra) in patients with Diabetes is far less effective than in other men. Around 70% less effective. The fact is that for these drugs to work, the presence of sexual desire is necessary, and in people suffering from Obesity or Type 2 Diabetes, it can be severely reduced. Therefore, for them, Blue Pills are not enough on their own: combination therapy with male sex hormones (androgens) is required. In this case, the probability of erection recovery reaches 80%.
#8 FACT; THERE ARE ALTERNATIVES TO “BLUE PILLS”
For some patients, pills may not work. Dr. Honig , from Yale School of Medicine, stresses that if pills don’t bring satisfaction, patients should seek out further options.
“Too often patients go to a primary physician who may stop at the pills, but they should find a urologist, particularly one who specializes in sexual matters to recommend further options, ” he said.
For people with diabetes or those who cant take PDE5 Pills, Dr. Honig’s first choice is an injection in the side of the penis.Seventy percent of people with diabetes who do not respond to pills will respond to this injectable.
“Typically, it’s a combination of three drugs that open up the blood flow to the penis and make the smooth muscle trap blood within the penis much better,” said Honig. “This is the mainstay of treatment.”
If neither the pills or the injectable have the desired result, however, there are two other options, although Dr. Honig notes that they are “not as popular and don’t work as well.”
The second option is a vacuum erection device (VED).
The device, which can be purchased on line and used at home, is placed over the penis, then pumped up to create a vacuum around the penis. This draws blood into the penis, creating an erection. One study found that the dropout rate with the VED was quite high, with only 50% of couples finding the treatment satisfactory. 2
But for people who are ‘needle-phobic’ this may be a good option, said Dr. Honig, who notes the device costs between $200 and $500.
Hard Facts About ED
The third option is a prosthesis or penile implant:
a kind of hydraulic device surgically implanted in the penis. The prostheses consist of two rods that fit inside the penis, a pump that sits inside the scrotum next to the testicles, and a little reservoir that houses fluid that sits under the groin muscles. When a person wants to be intimate, they pump up the prostheses; afterward, they can use a button to reverse it.
Of all treatments for management of ED, prostheses have the highest satisfaction rates, with two large studies demonstrating greater than 95% satisfaction.3 But while this high rate of satisfaction is noteworthy, it must be taken into account that not all ED patients may be willing to undergo surgery to correct the problem, said Dr. Honig.
“Getting control of your Diabetes, Obesity or the Underlying Problem will help slow the progression of ED,” he said. “Over time, if you don’t take care of yourself, you may start with pills and then they won’t work, and then you’ll go to injections and they might no longer work.
#9 FACT; THERE ARE NATURAL WAYS OF BOOSTING YOUR LIBIDO THAT MAY HELP
7 Science Backed Aphrodisiac Foods That Boost Your Libido ( Healthline Magazine)
An aphrodisiac is defined as a food or drug that arouses sexual instinct, brings on desire or increases sexual pleasure or performance. Naturally, aphrodisiacs are a hot topic, as evidenced by the myriad of pharmaceutical drugs available and marketed specifically for their libido-boosting effects.
Some individuals prefer natural alternatives, as they are generally safer and tend to have fewer side effects.
- Maca. Maca is a sweet root vegetable with several health benefits. …
- Tribulus. Tribulus terrestris, also known as bindii, is an annual plant that grows in dry climates. …
- Ginkgo Biloba. …
- Red Ginseng. …
- Fenugreek. …
- Pistachio Nuts. …
- Saffron.
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Well-Known Aphrodisiac Foods That Are Not Backed by Strong Scientific Evidence
(Healthline Magazine)
Several other foods are touted to have aphrodisiac properties. However, their libido-boosting effects are often supported by very little scientific evidence.
Here are some of the most popular of these questionable foods:
- Chocolate: Compounds in cacao are often touted to have an aphrodisiac effect, particularly in women. However, studies provide little evidence to support this very popular belief.
- Oysters: While one study reports that they may have some libido-boosting effects in rats, no studies exist to support the libido-enhancing properties of oysters in humans.
- Chasteberry: Studies suggest that this fruit may influence hormone levels and reduce premenstrual syndrome (PMS) symptoms in women. However, there is no evidence that it offers any libido-boosting benefits.
- Honey: It has allegedly been used for centuries to bring romance into marriages. One variety called “mad honey” is even marketed as a sexual stimulant. Yet, no studies support this, and it may contain dangerous toxins.
- Epimedium: Also known as horny goat weed, it’s popular in traditional Chinese medicine for treating ailments like erectile dysfunction. Cell and animal studies provide some early support for this use, but human studies are needed.
- Hot chilies: According to popular belief, capsaicin, the compound that gives hot chilies their spiciness, stimulates nerve endings on the tongue, causing the release of sex drive-boosting chemicals. However, no studies support this belief.
- Alcohol: Alcohol may act as an aphrodisiac by helping both men and women relax and get in the mood. However, heavy drinking may actually reduce arousal and sexual function, so moderation is key
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#10 FACT; The better control you have of your underlying Health, Weight and Sugars, the better your chances of overcoming and treating ED
While medications can help – removing or reducing the underlying cause is the most effective way to combat ED for the long term. Some of the most effective natural treatment options include exercising regularly, eating a healthy diet, reducing or eliminating tobacco and alcohol intake, and losing weight.
All of these can have a positive impact on your general well being and the health of your heart. The importance of regular exercise should not be underestimated. In fact, a study out of Harvard showed that walking just 30 minutes a day reduced the risk of developing ED by more than 40 percent. Lowering your risk for heart disease, increasing blood flow throughout the body, and reducing fat buildup in your arteries can all help prevent ED from occurring or improve it if it already affects you.
Reducing the underlying Health Problem will always help the ED
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