Friday, June 5, 2009

Diabetes and Men's Sexual Health (by Vivian Brennan)

Erectile Dysfunction refers to an inability to achieve or maintain an erection hard enough for sexual intercourse. It falls under the blanket term impotence, which also covers other sexual problems such as lack of arousal and the inability to orgasm. Erectile dysfunction is not simply an occasional inability to perform sexually that occurs to every man; if you have erectile dysfunction, you will be unable to achieve or maintain an erection over 50% of the time.

Although erectile dysfunction often occurs with age, it is not a normal part of aging and can be treated. For men with diabetes, erectile dysfunction occurs an average of 10-15 years earlier than in other men.

Why does diabetes often lead to erectile dysfunction? Diabetes is linked with many nervous system disorders, and erectile dysfunction can be caused by nerve damage. Nervous system damage can cause erectile dysfunction because the nervous system tells your body when you are aroused. If you are emotionally aroused but your nervous system cannot send the message to your penis, then you will not get an erection. Diabetes can also cause blood vessel disorder. Vascular damage (damage to the blood vessels) alters the blood flow in the body. As an erection is caused when corpora cavernosa in the penis are filled with blood, vascular damage can affect erections. Erections are caused by the interplay of the nervous system and the vascular system, along with other factors.

People with diabetes are more apt to be depressed. Depression might be caused by poor blood sugar control and hormonal imbalance. Psychological factors can play a large role in erectile dysfunction.

How can you prevent erectile dysfunction if you have diabetes?

Control your blood sugar levels. This will help you prevent possible nerve damage or damage to your vascular system. These are two of the complications from diabetes that can lead to erectile dysfunction.

Talk to you doctor or health team. They will be particularly helpful for you if you are trying to maintain even blood sugar.

Quit smoking. Smoking damages your blood vessels by making them contract.

Don’t drink excessively. Excessive alcohol consumption can also damage your blood vessels.

Exercise. Having a steady exercise regimen will help keep your nervous system and vascular system healthy.

Eat well. Eating a well-balanced diet rich in fruits and vegetables has been proven to prevent complications in diabetes, and will help you control your blood sugar levels.

Calm yourself. If you are struggling with anxiety, depression, or other psychological issue that is inhibiting your sexual performance, see a professional. Often just the fear of erectile dysfunction is enough to hamper performance.


Treatments

If you are suffering from erectile dysfunction, consider seeing a urologist. A urologist specializes in sexual health and will be able to help you decide on the best treatment program. You might be prescribed medication, such as Viagra, that will help you achieve an erection. You might also consider using a vacuum pump to help blood enter the penis. To maintain the erection you place a ring at the base of the penis. You might consider having an implant or penile injections.

Before taking any medical action, try using the tips above to manage your erectile dysfunction. Diabetes does not necessarily have to lead to complications, which includes erectile dysfunction. You can lead a normal sexual life, even as you grow older. Knowing this information might help you find sexual energy you didn’t know you had!
Vivian Brennan is an expert on diabetes, and is currently an editor at The Guide to Diabetes. She believes in educating people about diabetes to help manage diabetes, prevent complications, and improve lifestyles.

Erectile Dysfunction (Impotence) - Facts and Treatments (by Vijaya Chauhan)

What is erectile dysfunction?

When a man can't get an erection to have sex or can't keep an erection long enough to finish having sex, it's called erectile dysfunction. Erectile dysfunction is also called impotence. Erectile dysfunction can occur at any age, but it is more common in men older than 65.

Is erectile dysfunction just a part of old age?

Erectile dysfunction doesn't have to be a part of getting older. It's true that as you get older, you may need more stimulation (such as stroking and touching) to get an erection. You might also need more time between erections. But older men should still be able to get an erection and enjoy sex.

What causes erectile dysfunction?

See the box to the right for some physical causes of erectile dysfunction. The following medical problems can also cause erectile dysfunction:
Diabetes (high blood sugar)
Hypertension (high blood pressure)
Atherosclerosis (hardening of the arteries)
If you can't keep your blood sugar or your blood pressure under control, you can get erectile dysfunction. It's important that you take your medicines for these problems just the way your doctor tells you.
Sometimes your hormones get out of balance and this causes erectile dysfunction. Your doctor will decide if you need blood tests to check your hormones.

Some medicines can cause erectile dysfunction. If this is true for you, your doctor may take you off that medicine or give you a different one.
Drinking too much alcohol, smoking too much and abusing drugs can also cause erectile dysfunction.

Problems in your relationship with your sexual partner can also cause erectile dysfunction. You might try therapy to see if improving your relationship helps your sex life. Therapy will probably be most effective if your sex partner is included. Couples can learn new ways to please one another and to show affection. This can reduce any of your anxiety about having erections.

How is erectile dysfunction treated?

There are many drugs available online like Generic Viagra,which is same in quality as Viagra and sold cheaper than it.

Visit http://www.genericpills4less.com/ which has given all the information about how Generic Viagra treats Erectile Dysfunction,how it is taken,how it works,how to store it,it's price.

Ayurveda Remedies for Erectile Dysfunction (by Dr. Savitha Suri)

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

Biography of Dr. Savitha Suri
Dr. Savitha Suri has done her graduation in Ayurvedic Medicine and Surgery (B.A.M.S) from Government college of Indian Medicine in 1988, Mysore University. Mysore, Karnataka, India. She is practicing Indian System of Medicines since 16 YRS and she has also contributed health related articles and articles about ayurveda in state level newspapers, magazines and, health related web sites. Dr. SavithaSuri is a regular health columnist to a regional newspaper.

Website http://www.ayurhelp.com/

Email mailto:doctor@ayurhelp.com