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Impotence or Erectile Dysfunction, in medicine, condition in which a man is unable to attain an erect penis that is rigid enough for sexual penetration or sexual satisfaction. Impotence should not be confused with premature ejaculation, loss of libido, or absence of orgasm; in all of these cases, satisfactory erection may be obtained. Impotence is a common problem; in the United States between 10 and 15 million men suffer from severe erectile dysfunction. The incidence of this problem increases with age. Less than 1 percent of the male population under 30 years of age is affected, 3 percent under 45 years, 7 percent between 45 and 55 years, 25 percent at age 65, and up to 75 percent in men 80 years old. Impotence appears to be on the rise, but this may be due to increasing life span. Impotence is classified as either primary or secondary. Primary impotence is expressed early in adolescence as a fundamental inability to achieve erection; secondary impotence is more common and consists of an onset of erectile inability during adulthood, after a period of normal erectile ability. Normally, when a man becomes sexually aroused, his penis increases in size, becoming erect and rigid, enabling sexual penetration. An average penis is between 7 cm (about 3 in) and 10 cm (about 4 in) long; when it is erect it increases in length to between 13 cm (about 5 in) and 18 cm (about 7 in). An erection occurs when the penis fills with blood. An erect penis contains six or seven times the blood volume of a flaccid penis. During erection, the rate of blood flow into the penis is greater than the rate at which the blood drains out, which leads to an accumulation of blood within the corpus cavernosum (cavernous spaces) of the organ. The process of erection is controlled by the autonomic nervous system. pro solution pills review penile enlargment supplement cheap pennis enlargement pills penis elargement forum truth about penis enargement natural penis enlagement and lengthening truth about penis enhancement enlargment manhattan penile free natural penis elargement
It’s a milestone in your child’s life…learning how to use the potty. Many parents find both a joy and sorrow in this stage that is a rite of passage for their child from being a baby to being a big boy or girl. For parents trying to toilet train, it can test your patience. However, using the potty is complex for small children, so mom and dad shouldn’t panic if baby doesn’t potty train right away. The best way to approach potty training is to take it one step at a time and to be patient. The first step is to get both you and your toddler ready. Observe little one for the “about to go” signals such as squatting, retreating to a quiet area or verbalization. Other signals that show a parent a toddler is ready are: verbal communication of things like hunger, child understands simple sentences, doesn’t like being soiled, stays dry longer. One way you can help your baby from birth for this time is to change all dirty diapers quickly. This way, they never have a chance to be used to the soiled feeling. Once your sure your toddler is ready, prepare yourself by getting the proper equipment. This includes but is not limited to: potty training chair, training pants, training diapers, other potty training aids. You must also prepare to be patient…don’t expect miracles overnight. Once you’re both ready, start by teaching the essentials. First, teach them where to go. A good way to get your toddler involved is to let him or her pick their own potty chair. This ensures that they will be comfortable with potty training on the chair. Next, you want to make sure you’re teaching the correct vocabulary. It’s best to use words like “penis” and “vagina” to prevent confusion in later life. However, it’s okay to use words like “pee-pee” and “poo-poo” rather than “urination” and “defecation”. The main challenge consists of teaching them the connection between feeling the urge and going and after going, telling mommy or daddy. You could do this by waiting for them to show the telltale signs of eliminating and taking them straight to the potty training chair. TV’s “Dr. Phil” suggests illustrating with a doll that uses the bathroom. Having this visual aid can help a great deal. Once they begin to make progress, move them from diapers to training pants. Above all, be patient and relax. Some day you’ll look back on this time and miss it. pnis enlargement surgery pennis enlargement cream penis enlagement photo com enlargement pennis pennis pump penis enargement procedure best enlargement exercise pnis penis enlargment traction device penis enlarement review free natural penis elargement
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 truth about penis enlarement pills vimax natural penis enlargement technique penis enlarement before and after penis elargement result natural penis elargement exercise compare pnis enlargement pills free penile enlargment technique best enlargement exercise penis free natural penis elargement
Cialis is prescribed in cases of male erectile dysfunction. In other cases, many people have found that Cialis improves an already good sex life. They use Cialis as performance enhancer. That is fine as long as people are willing to acknowledge that they have a problem and they like the benefits that result. Cialis is not an aphrodisiac and it is not for everyone. To understand what is Cialis and how it works, I think that the following information are welcome. What is erectile dysfunction? Erectile dysfunction is the inability of the person to either initiate or sustain a penile erection for a sufficient period of time that is needed to attain a sexual gratification. The causes of it may be many for e.g. psychological, hormonal, arterial or muscular. What is erection? Erection is a process in which the penis becomes stiff and hard due to augmented blood flow. Erections may happen in response to physical or emotional stimulation, or sometimes an erection happens for no reason at all. Erection also enables sexual intercourse and some other sexual activities, though it is not essential for all of them. How the erection occurs? The penis contains two chambers called the corpora cavernosa, which run the length of the organ. When a man becomes aroused, the arteries leading into the penis open up so that pressurized blood can enter corpora cavernosa quickly. The blood creates pressure in the corpora cavernosa, making the penis expand and resulting the erection. What are the causes of erectile dysfunction? In most cases, physical causes of erectile dysfunction are very close related to blood flow circulation or nerve impulses to the penis. How Cialis works? As I said above, Cialis is not an aphrodisiac. It will not increase sexual drive. It only help people having disorders affecting the blood supply to the pelvis. Under sexual arousement Cialis' action relaxes muscles within the penis. This allows increased blood flow into the corpora cavernosa, very necessary to achieve and maintain a firm erection. Men with erectile dysfunction due to some arterial disorders will benefit the most. It doesn’t benefit those with hormonal problems or psychological problems except those with Diabetic neuropathy.