SEXUAL HEALTH

WHAT IS ED?

Erectile dysfunction, or ED, is the medical term for impotence. This is when a man is unable to get and/or keep an erection that will allow satisfactory sexual intercourse. ED can be a physical problem. Normally, when a man is sexually excited, his penis fills with more blood than usual and it becomes erect or hard. When a man has ED, his penis does not fill with enough blood to get erect or hard. Or it may not stay erect long enough to complete sex.

Many men have this health problem. In fact, studies show that about half of all men between the ages of 40 and 70 have ED to some degree. Even if it happens once in a while, it’s still ED. Most men with ED have it just some of the time.

What causes ED?

Since an erection requires a precise sequence of events, ED can occur when any of the events is disrupted. The sequence includes nerve impulses in the brain, spinal column, and area around the penis, and response in muscles, fibrous tissues, veins, and arteries in and near the corpora cavernosa.

Damage to nerves, arteries, smooth muscles, and fibrous tissues, often as a result of disease, is the most common cause of ED. Diseases--such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurologic disease--account for about 70 percent of ED cases. Between 35 and 50 percent of men with diabetes experience ED.

Also, surgery (especially radical prostate surgery for cancer) can injure nerves and arteries near the penis, causing ED. Injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to ED by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa.

In addition, many common medicines--blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (an ulcer drug)--can produce ED as a side effect.

Experts believe that psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause 10 to 20 percent of ED cases. Men with a physical cause for ED frequently experience the same sort of psychological reactions (stress, anxiety, guilt, depression).

Other possible causes are smoking, which affects blood flow in veins and arteries, and hormonal abnormalities, such as not enough testosterone.

Supplements that can help ED:

Yohimbe Extract - At this high concentration, Yohimbe stimulates desire causing stronger, longer and more powerful erections via dramatic increases in penile blood flow.

Xanthoparmelia Scabrosa - Natural source of the core molecules in medications for impotence. Helps to sustain longer erections.

Cnidium Monnier - Natural source to further affect smooth muscle reaction and expand penile artery blood flow. This ingredient works via the nitric oxide pathway end CGMP.

Epimedium - Natural herb with documented aphrodisiac effects. Research shows testosterone like effects with stimulation of sensory nerves. Research shows that this compound may directly affect the neurotransmitters associated with sexual arousal and therefore potentiate a sexual effect.

Maca - Peruvian botanical with a long history as an aphrodisiac and physical energizer. Some research indicates that it has a regulating effect on hormones and increases libido.

Macuna Pruriens - A natural phytochemical sometimes called Velvet Bean, it has been used to improve mental clarity. Research shows a powerful androgenic effect.

Polypodium Vulgare - A natural botanical that contains the substance group ecdysteroids. Research indicates androgenic effects and support for erectile sexual activity.

Gaba - Natural compound that can increase the neurotransmitter dopamine. This compound naturally produces a healthy sense of ecstasy and well-being. This compound helps increase and release sensational orgasms.

L-Arginine - Activates the nitric oxide pathway and production of CGMP. Further enhances penile arterial blood flow leading to firmer, more rigid erections.

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