Erectile Dysfunction 

Erectile Dysfunction

#Plumbing 
 

Terms you should be aware of for this discussion:
 

ED – Erectile Dysfunction 
cGMP – Cyclic Guanosine Monophosphate 
EDRF – Endothelium Derived Relaxing Factor 
HSDD – Hyper Sexual Desire Disorder 

 “Erectile dysfunction (ED) is the persistent inability to achieve (1) and maintain (2) an erection sufficient for satisfactory sexual performance (penetration). It can affect men of all ages but is more common in older men. It will affect 300 million men worldwide by 2025.” 

Erectile dysfunction is one of the earliest signs of peripheral artery disease. The function of the arteries, the function of the veins and the function of your nerves are thus essential. There are some inevitable changes that comes with age. One of those are the refractory period between two erections.  
 

Erectile Dysfunction, for some men, can be the bane of their existence. Suffering from ED is no small thing, and it can be incredibly frustrating for a lot of men. That’s why we talk about all the possible treatment options for Erectile Dysfunction. A strong association exists between a man’s ability to have and maintain an erection and his image of himself. Partly this is due to the common assumption that the man should take the initiative in sexual intercourse.  
 

52% of men over 50 will experience some sort of ED. Over half of men with diabetes will develop ED. If you are on a SSRI (for stress and depression), it will most likely negatively impact on your erectile function. 

Let us first look at how erections work i.e. the cascade of effects. In both sexes, sexual arousal or excitement is market by increased blood flow to the genital and pelvic areas. When arousal occurs, the body releases nitric oxide – cgmp or cyclic guanosine monophosphate is activated – allows for (smooth) muscles in the penis to relax which in turn allows for blood to enter / flow into the penis (specifically to the Corpora Cavernosa). Erectile tissue with numerous vascular spaces then become engorged with blood. Simultaneously, the veins in the penis gets blocked off: ta-da an erect penis. 

Flacid to Erect 

Nitric oxide is one of the most important molecules involved in erectile dysfunction, and it decreases as you age. I believe the most likely cause of erectile dysfunction has to do with a deficiency of nitric oxide. Nitric oxide increases the oxygen release in your blood and regulates cortisol.  Nitric oxide is also involved in your sleep cycles. A sleeping problem increases your risk of erectile dysfunction. Nitric oxide increases insulin sensitivity, which could explain why diabetes increases your risk of erectile dysfunction. 

Many drugs such as tranquillizers, antihistamines, beta-blockers (prescribed for high blood pressure) and so on can impair or prevent erections. 

Keep in mind that statin drugs can also increase your risk of low testosterone and erectile dysfunction. 

How to increase nitric oxide naturally: 
1. Do nasal breathing 
2. Do regular exercise 
3. Consume more foods high in nitrates 
4. Avoid sugar, alcohol, and stress 
5. Improve your sleep 
 

Treating the underlying issue(s), is the most important part of this process. If you can have an erection during masturbation or on awakening, the problem is probably stress-related or may be caused by an emotional problem. 

Common Causes: 

Physical Causes: 
Cardiovascular diseases 
Diabetes 
High blood pressure 
Obesity 
Hormonal imbalances 

Psychological Causes: 
Stress and anxiety 
Depression 
Relationship problems 
Lifestyle Factors: 
Smoking 
Excessive alcohol consumption 
Lack of physical activity 

Symptoms: 
Difficulty getting an erection 
Difficulty maintaining an erection 
Reduced sexual desire 

Treatment Options: 
Lifestyle changes (diet, exercise) 
Counseling or therapy for psychological factors 
Medications (like Viagra or Cialis) 
Vacuum erection devices 
In some cases, surgical options 
 

This increased blood flow is usually the result of sexual arousal causing the brain to send signals to the nerves in the penis. In the case of ED this process does not occur or occurs weakly or sporadically. Thus an erection may not be achieved or only sometimes achieved. Often it does not last and is not strong. Your sex life will improve by leaps and bounds when you use Virekta / Genologix products. Increased sex desire, harder longer-lasting erections, as well as noticeably improved stimulation and arousal, will take your sexual enjoyment and performance to a higher level. 

If you are greatly troubled by issues like low libido, erectile dysfunction, or any other sexual problems, Virekta / Genologix super-strength natural male and female sex heightening formulas, will help restore sexual desire, and lift your sex life out of the doldrums. Here are just some of the ways the potent Virekta / Genologix formulas can help you: A strong support for erectile dysfunction. A successful cure for impotence by promoting and maintaining a strong erection. 

There is also a powerful formula to counteract the issue of premature ejaculation. Help to combat the problem of low libido. Helps to rev up your sex drive by enhancing your mood and lowering stress levels. A specially formulated vaginal lubricant ups the sexual pleasure and experience for women. The 100% Virekta all natural herbal products is a tremendous, safe way to enhance your sexual experience. We constantly strive to improve the quality of our sex-enhancing products to be of the best service to our customers. 

What causes ED? 

Causes can be divided into physical and psychological categories. Common physical causes of ED are high blood pressure, diabetes and also low levels of the testosterone hormone. ED is sometimes caused by the side effects of other drugs such as anti-depressants. It can also be caused by unhealthy lifestyle factors such as smoking, excessive consumption of alcohol, bad diet and lack of exercise. 

In many cases the causes are not physical or medical but psychological. Stress, either at the workplace or in the home, has been found to be a major cause of ED. This can create a vicious cycle as failure to satisfy one’s partner creates further relationship stresses and also in many cases damage to the sufferer’s masculine self-image. 
 

IIEF Questionnaire 
The IIEF questionnaire refers to the International Index of Erectile Function, a widely used, validated tool for assessing erectile dysfunction (ED) and related aspects of male sexual function. It consists of 15 questions across five domains: Erectile Function Orgasmic Function Sexual Desire Intercourse Satisfaction 

IIEF-5 (Short Form) Questionnaire 
Instructions: Over the past 6 months, rate each of the following: 
How do you rate your confidence that you could get and keep an erection? 
1 = Very low | 2 = Low | 3 = Moderate | 4 = High | 5 = Very high 
 

When you had erections with sexual stimulation, how often were your erections hard enough for penetration? 
1 = Almost never/never | 2 = A few times | 3 = Sometimes | 4 = Most times | 5 = Almost always/always 
During sexual intercourse, how often were you able to maintain your erection after penetration? 
1 = Almost never/never | 2 = A few times | 3 = Sometimes | 4 = Most times | 5 = Almost always/always 
During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse? 
1 = Extremely difficult | 2 = Very difficult | 3 = Difficult | 4 = Slightly difficult | 5 = Not difficult 
When you attempted sexual intercourse, how often was it satisfactory for you? 
1 = Almost never/never | 2 = A few times | 3 = Sometimes | 4 = Most times | 5 = Almost always/always 

Scoring the IIEF-5: 
22–25: No ED 
17–21: Mild ED 
12–16: Mild to Moderate ED 
8–11: Moderate ED 
5–7: Severe ED 

Can erectile dysfunction be prevented or reversed?  

Absolutely. Increase your physical activity. Thirty minutes a day, or 150 minutes per week. Limit processed foods. Avoid excessive alcohol consumption. Quit smoking.  

The commonest causes of sexual dysfunction: 
Erectile Dysfunction 
A declining libido 
Anorgasmia (no orgasms) 
Painful sex 
Premature ejaculations 

Over 80% of women have some sexual dysfunction in the first year after they have given birth. Fatigue and the huge focus on your new baby play a role in sidetracking your sex life, but most of it is hormonal.  

It has been shown that a fatty meal slows the absorption of Sildenafil / Tadalafil or your libido booster of choice. We therefore recommend taking it on an empty stomach. 

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