Erectile Disfunction

NEW YORK (Reuters Health) - Nearly one third of people who suffer severe injuries are likely to have sexual problems a year later, according to findings recently presented at the meeting of the American College of Surgeons.

“Previous studies have shown that men and women who sustain pelvic fractures and spinal cord injuries are at risk for sexual dysfunction. However, no studies have looked at the broad population of patients who sustained other injuries,” Dr. Mathew D. Sorensen, from the University of Washington, Seattle, told Reuters Health.

His team theorized that just sustaining a severe injury might bring on sexual problems. “This might be due to physical or emotional limitations, since patients who sustain severe injuries have persistent issues even one year after their injury.”

To investigate, Sorensen and his colleagues collected data on more than 10,000 patients treated at 69 hospitals across the US, who were surveyed about sexual dysfunction a year after sustaining moderate to severe trauma. Sixty-eight percent of the subjects were male.

Overall, 3087 patients reported some degree of sexual dysfunction. This translates to a rate of about 30 percent, which is roughly twice that reported in studies of healthy individuals.

Sexual difficulties occurred with comparable frequency in men and women. Moreover, 21 percent of men and 23 percent of women described their dysfunction as severe or complete.

“Sexual function is a major determinant of quality of life for both men and women,” Sorensen emphasized. “We recommend that patients having sexual dysfunction issues discuss this with their physicians.

His group also recommends that primary care doctors and trauma surgeons “should be asking patients about their sexual function when they are seen in follow-up after a major injury.”

Retarded ejaculation - also known as delayed ejaculation - can be defined as repeated inability to reach orgasm despite prolonged and normal sexual contact.

The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), puts this disorder among the sexual dysfunctions, along with rapid ejaculation.

A man affected by retarded ejaculation is unable to attain orgasm following a normal level of sexual excitement. The man in question may regularly experience delays in orgasm, or may be unable to attain orgasm altogether.

Although we talk of orgasm and ejaculation as though they were identical, they are separate processes which almost always occur simultaneously.

What we know as orgasm is a peak emotional and physical sensation, whereas ejaculation is simply an unconscious reflex which occurs when we are aroused enough to stimulate an unconscious reflex mediated in the lower part of the spinal cord. Some men have been able to recognize the individual elements of the two processes, enabling them to experience multiple orgasms without the occurrence of ejaculation. After you have enjoyed your ejaculation, a period of time called the refractory period is required before you can have another orgasm.

The sensation of orgasm differs between individuals, and individual orgasms may differ in the same person. All orgasms share certain characteristics including rhythmic body and pelvic contractions, increased heart rate, muscle tension and the sudden release of tension.

Our sexual response cycle is under the control of the sympathetic and the parasympathetic nervous systems. The sympathetic nervous system causes action whereas the parasympathetic system causes recovery and relaxation. In order for a penis to become erect, its smooth muscle fibres are relaxed and allow blood to flow into the penis. This process is mediated by an intricate system of humoral, neurological and circulatory events controlled by the parasympathetic nervous system. Orgasm and the associated ejaculation, and the consequent relaxation and release of sexual arousal are mostly controlled by the sympathetic nervous system.

Emission is a parasympathetic activity, but orgasm and ejaculation are predominantly under the control of the sympathetic nervous system. We know that orgasm has more to do with the brain than with the body. The fact that orgasm occurs during sleep is supportive of this concept. In any event, this may be blocked by various abnormalities.

If retarded ejaculation only occurs under a particular set of circumstances, for example with only one sexual partner, it is known as “situational” rather than “generalized” retarded ejaculation.

The cause of retarded ejaculation may be physical, but is more often psychological. The physical causes include hormonal problems such as hypogonadism, hyperthyroidism, hypothyroidism, and excessive production of the hormone prolactin. Other physical causes include some drugs, including drugs to treat high blood pressure, and antidepressants.

The most common causes of retarded ejaculation are psychological. Some likely candidates include depression, anxiety, and fear of getting the partner pregnant. Other possible factors include a past history of traumatic sexual encounters such as sexual abuse, rape or incest, having been brought up in an atmosphere of strict sexual taboos in the family.

A diagnosis of retarded ejaculation depends on the following factors being noticeable: a repeated delay in reaching orgasm, even with a level of normal sexual excitement that should be enough to allow a man to reach orgasm. Most men who have delayed ejaculation also complain of a low sexual self-esteem. Although this particular sexual problem usually occurs during partner sex, it can happen during masturbation as well! If it occurs during masturbation, it’s more likely to be about the man’s body than any feelings associated with his partner. Male orgasmic disorder may be part of a complex of sexual malfunctioning that can range across erectile dysfunction, ejaculation problems such as premature ejaculation or retrograde ejaculation, and low sexual desire.

Retarded ejaculation is found in all races and ethnic groups. It may develop around puberty or it may start later in life.

If male orgasmic disorder is caused by a physical condition, the cure is usually easy; for example, stopping excessive drinking or using different drugs. But in most cases, psychotherapy will be advisable. Since most men are too embarrassed to seek professional advice, the availability of self-help programs on the internet is a blessing. Treatment usually requires the partner’s assistance for both the psychological and the physical aspects of the treatment. Behavioural programs can allow a man to recover the ability to ejaculate normally quite easily and quickly.

Hi in this review I will explain xomax, what it is, what it does and what some of the ingredients do in it.

Firstly, xomax is a dietary supplement of all natural ingredients that enhance males. Basically it makes your hot dog bigger and in the process increases your self esteem, arouses your lover more and so on.The ingredients are extracts from herbs that have stood the test of time when it comes to male enhancement. All the different male enhancing herbs come together in xomax for all the results.

Here’s a low down on some of the xomax ingredients:

yohimbine: Yohimbine is an aphrodisaic and has been proven to be effective in the treatment of male impotence in human studies. It is also used to treat erectile dysfunction and even increases sex drive.

tribulus terrestris: tribulus terrestris has been used for years as a booster for the purpose of increasing sex drive. It became popular for this use in the 1970’s and it has been shown to slightly increase hormone levels. Tribulus terrestris increases testosterone by increasing gonadotropin-releasing hormone with gonadotropic adaptogen compound containing Tribulus terrestris which in turn stimulates the production of LH and follicle-stimulating hormone . Testosterone, besides its role in muscle-building and raising fertility and libido, is known to have a positive effect on bone marrow activity (for red blood cell production) and the immune system.

epimedium: Epimedium has aphrodisiac qualities. According to legend, this property was discovered by a Chinese goat herder who noticed sexual activity in his flock after they ate the weed. Another herb that has been used for years which also has very similar effects to viagra.

Research has shown that it does depend on the individual how big the results. some individuals will see bigger results compared to others. however research does show that it does enhance your manhood no matter who you are.

LONDON (Reuters) - A Chinese herbal remedy called horny goat weed is a promising alternative to Viagra for impotent men, Italian researchers said on Monday.

The herb has long held a reputation as a natural aphrodisiac. The lab experiments, which did not look at whether the plant actually increases desire, could lead to new drugs to help men get erections, said Mario Dell’Agli, a researcher at the University of Milan, who led the study.

“This could be the natural Viagra,” he said in a telephone interview. “The novelty is that we have synthesised a new molecule that one day may be able to replace Viagra.”

Erectile dysfunction is a common condition worldwide, and drugs like Pfizer Inc’s Viagra or sildenafil, Eli Lilly and Co’s Cialis or tadalafil, and Bayer AG’s Levitra or vardenafil, work by increasing blood flow to the genitals.

But the medicines, which inhibit an enzyme called phosphodiesterase type 5 that restricts blood flow around the body, including to the penis, can have side effects ranging from headaches, upset stomach and visual problems including blindness.

The Italian team looked for alternatives by studying a number of plants reputed to boost sexual performance.

After homing in on horny goat weed, the researchers modified a compound in the plant called icariin and found it blocked the erection-inhibiting enzyme as well as Viagra did.

Because the compound targets the enzyme more precisely, it may have fewer side effects than Viagra, Dell’Agli said.

Further tests in animals and humans are needed but the extract from the herb represents a potential new erectile dysfunction treatment with fewer side effects, Dell’Agli said.

“The compound icariin is present in the horny goat weed in large amounts and its activity against (the enzyme) is lower compared to Viagra,” he said. “But the new molecule we synthesized from icariin is as good as Viagra against (the enzyme).”

NEW YORK (Reuters Health) - Men with type 2 diabetes know the basics about the disease and its main complications - heart disease, blindness, kidney failure - but they seem to know very little about the issues that affect their quality of life, like depression and sexual dysfunction, according to results of a survey released today by the American Diabetes Association.

The survey also shows that men are “really uncomfortable talking about these issues with their physician” — yet are hungry for more information, Dr. Richard M. Bergenstal, Vice President, Medicine & Science at the American Diabetes Association noted in a telephone interview with Reuters Health.

To bridge the information gap, the American Diabetes Association today announced the launch of a multifaceted nationwide campaign to spotlight the often overlooked physical, emotional and sexual health issues affecting the roughly 12 million American men with diabetes.

“Depression is twice as common in diabetes - 1 in 3 people will have it; erectile dysfunction — two to five times as common; sleep apnea — twice as common; low testosterone — twice as common,” Bergenstal noted. “All of these issues people don’t always put together with diabetes and they are so much more common in diabetes.”

The online survey involved 1,000 men with type 2 diabetes, age 40 to 60 years old, and 1,000 female spouses of men with the disease.

Many men indicated that type 2 diabetes puts a damper on their life, in general, and their sex life. More than one third admitted to having four or more symptoms associated with low testosterone such as depressed mood, erectile dysfunction and fatigue, but two thirds admitted to knowing little, if anything, about the condition. These men also reported a recent decline in their on-the-job performance.

Overall, only 30 percent of men surveyed claimed to know “a lot” about their disease and only 25 percent reported eating balanced and nutritious meals.

Key components of the American Diabetes Association men’s health campaign include a handbook called The Modern Man’s Guide to Living with Diabetes, an enhanced men’s health section on the association’s website (www.diabetes.org/menshealth) and public service announcements.

“Men can take small steps that can have a big impact on their ability to better manage their diabetes,” Bergenstal said. “Doing what they know, like staying active, sticking to a healthful diet, learning about increased risks for related conditions, and talking with a doctor if they are suffering from bothersome symptoms, is the key to managing diabetes today.”

Kegel exercices are also known as: pubococcygeus exercises, PC muscle exercise or more simpler kegels.

“Kegels” exercise to tone and strengthen your PC muscle

PC muscle or pubococcygeus muscle is one important muscle in your body!
This is one muscle which makes the floor of your pelvis (pelvic floor).And this floor supports very important organs (pelvic organs) including bladder ,uterus and more.

These exercises were originally developed by Dr.Arnold H.Kegel as a method of controlling incontinence in women associated with childbirth.

The shape of PC muscle is a hammock. And it is between your coccyx (tailbone) pubic bone.

How to locate this muscle ?

You use your PC muscle when u stop your urination during its mid-flow.
You are using your PC muscle when u make your penis bounces during an erection.
The best and simple way to locate this muscle is stop your urine flow next time you go toilet. Or maybe you can insert a finger inside your anus and grip or hold it firmly, your using your muscle to do these! Make sure about the muscle before you start the exercises.

The best thing :
The best thing about this exercise is you do not need a gym to do it.
You already have your PC muscle and you know it well! And you can do it at any place any time!

How to do it :
Now you know the muscle (make sure you are doing it on the right muscle )
flex and hold ( 10 seconds )and release .

How often I can do it ?
Do this 10–20 times in a row at least 3 times a day.

What are keegels good for :

- premature ejaculation
- urinary incontinence
- enhance Sexual enjoyment
- easier births
- help prevent pelvic prolapse

Searching for a treatment for erectile dysfunction? Opting for the safest remedy? Tired of experiencing side effects? You don’t need to look any further; the answers may just be in your very own kitchen!

Erectile dysfunction supplements are great alternatives as remedy for poor sexual performance. They are all-natural, thus without the risks of side effects. Furthermore, these supplements are beneficial for the body’s over-all functioning. Aside from the obvious health benefits, erectile dysfunction supplements may cost cheaper than medications.

Remember that the most common cause of erectile dysfunction is poor blood circulation, especially in the genitalia. Therefore it is important to keep your body nourished to help regulate blood flow.

Below is a list of recommended foods which can be taken as erectile dysfunction supplements:

1. Tropical fruits (bananas, kiwi, mangoes, papaya) When plaque and calcium build up in the arteries, it causes restriction in the blood flow. Chelation therapy is an alternative method used to dissolve blockages in the tiny capillaries of the male organ Eating tropical fruits gives your body a high level of chelating minerals and the enzyme bromelain which acts as it does in chelation therapy. It cleans up the blocked passages in the blood vessels, causing a more regulated blood flow in the body.

2. Garlic Garlic’s main effect as an effective erectile dysfunction supplement is its power to stimulate and invigorate hormonal and gastric secretions. When this happens, the whole body gets revitalized, especially in the process of blood circulation.

3. Fibrous foods Fried and fatty foods are to be avoided because they cause the arteries to get blocked. A diet rich in fiber are good erectile dysfunction supplements because it helps clean up the body from toxin buildup. Toxins blocking the blood vessels can cause erectile dysfunction. Eat as much fibers as you can, to allow healthy flow of blood throughout the body. To get the best of a healthy lifestyle, one must also include vitamin supplements in their daily intake. But one must be careful with his/her nutrient intake, especially if suffering from erectile dysfunction because without proper knowledge, it just might cause more harm than good. If you are suffering from ED and are cautious of the things you take in, here are some safe nutrients recommended for you to take as erectile dysfunction supplements:

1. Zinc Zinc is a mineral essential for the production of testosterone. Adolescent boys are encouraged to take as much zinc as they can get because it helps in their sexual growth and development. Similarly, older men should not neglect their intake of zinc as it helps in the production of their sperm count. Known as an aphrodisiac, scientists have reported that even the slightest deficiency in zinc can affect sexual performance. Apparently, zinc can be attributed to helping a person increase sexual desire.

2. B-complex Vitamins A person’s sexual urge comes as a response from the hypothalamic-pituitary-gonadal axis. A deficiency in this area can cause disorders and dysfunctions in one’s sexual activity. Effects range from lack of sexual desire, decreased amounts of hormones, low stamina, and erectile dysfunction. Taking B-complex vitamins will help improve sexual vigor.

- Pantothenic acid (B5)

- Pyridoxine (B6)

- Iodine

3. Calcium and Magnesium Calcium is also an important nutrient in sexual functioning. It keeps the link between the brain, hormonal glands, and their mechanical processes active. But taking calcium solely as an erectile dysfunction supplement is unadvisable because without the benefits of magnesium, it will only deposit in the soft tissues and cause blockages. Magnesium acts as a calcium channel blocker and counteracts the negative effects of calcium in sustaining an erection.

Looking for signs for erectile dysfunction is quite easy enough to find.

1. You can’t get an erection even if you are in an intimate or sexual situation.

2. You can’t get your penis hard and aroused when you’re masturbating.

3. If you cannot prolong your erection or maintain it hard enough to finish sexual intercourse.

Occasional erectile dysfunction is pretty much normal. It just turned serious when it keeps on happening. Premature ejaculation, low sex drive and/or infertility are different from erectile dysfunction. However some of these conditions and disorders may be related to it.

The diagnosis of erectile dysfunction can be determined through regular visits to your doctor. He/she can establish the correct analysis through a series of questions and physical evaluations. Once your doctor makes the diagnosis then you can also discuss with him/her the different types of erectile dysfunction treatment.

This erectile dysfunction treatment can either be psychological, oral, surgical or even herbal. Psychological treatment usually involves therapists to help you relieve your stress and anxiety and intimacy exercises to stimulate your sexual desire.

Oral erectile dysfunctional treatment includes drugs like sildenafil (known as Viagra), tadalafil (known as Cialis) and vardenafil (known as Levitra) which can be taken once a day and at least an hour before having sexual intercourse. When men get sexually excited, these drugs help the blood flow that can make the penis hard and strong. Another oral erectile dysfunctional treatment is to place drugs (apomorphine) under the tongue. You can do this at least 30 minutes before having sex and they increase chemical in the brain that sends messages to the penis.

One of erectile dysfunctional treatment known is the needle-injection therapy. A drug (alprostadil) will be injected at the side or base of the penis. Although the cost of this is quite more expensive than the oral methods the drug is much more effective to majority. In this method you don’t need to wait for an hour or minutes since the drug will take effect immediately. The combination of the drugs and the blood will make the penis swell.

Another way to treat ED is to undergo surgery. You can opt for surgery if you want an implant device to make your penis erect spontaneously. This is also the option if there are blocked veins in the penis that hinders its erection.

Even if there are a number of treatments for erectile dysfunction prevention is always a better option. There are simple ways that you can easily do to decrease your chances in acquiring ED. Choices like limiting your alcohol intake, quitting smoking and avoiding drugs. Exercising regularly also helps. Tackle a new sport and release your tension. Get enough sleep and seek help if you’re having anxiety attacks or depress. Keep your blood sugar low and your blood pressure normal. And regularly visit your doctor.

Be informed about erectile dysfunctional. If your friends have one avoid teasing him. If you have one don’t be ashamed and ask for help to cure it.

There are a lot of causes for erectile dysfunction. The dysfunction could be caused by physical or emotional problems. The former is the most common cause but the latter do sometimes happen. Emotional problems could be caused by stress, anxiety, depression and fatigue. When you experience these things there is a high possibility that you will experience any erectile dysfunction. What makes emotional a lesser problem than physical is the easy treatment needed to bring back your virility. All you need is to undergo psychological treatment to find the root cause of your emotional problems. Addressing your problems is really the key to regain your lost erectile functions.

Emotional predicament like stress and fatigue are the easiest condition to cure. The solution to your problem only requires relaxation techniques. There is no need for you to take any medication because it could be fixed. All you need to do is give your body time to heal. Make sure to give yourself a nice rest. This is the simplest way to relieve yourself from the fatigue you are currently feeling. Recovering your energy is vital when you want to cure your erectile dysfunction. It makes your body relaxed because your brain does not experience any emotional problems. The brain is now able to perform its function normally, restoring the balance within your body.

Anxiety and depression on the other hand are two afflictions that take a longer time to cure. People who are experiencing this kind of emotional problems should consider getting the help of a psychiatrist. In this way the doctor would be able to trace the root cause of your predicament. Participating in psychological counseling is beneficial for you in order to find ways to cure your sickness. It may be a result of traumatic experience in the past or any occurrence that triggered your emotional distress. When you are undergoing the psychological therapy it is best that you have the support of your wife or partner. A good communication between the two of you will improve your relationship. Your partner will be your pillar of support. She will give you the motivation you need to pursue the treatment.

It is all about brain activity. You are experiencing emotional conflicts which affect the normal functions of your brain. The brain produces fewer hormones which is an essential key factor for your erection. Fewer stimulants can lead to erectile dysfunction. Your mind is too busy thinking about stress, fatigue and anxiety that other functions are left out. To cure the problem is really up to you. Psychological counseling is just a tool to uncover your unresolved emotional conflicts. It all depends on your willingness to resolve your emotional crisis. Knowing the causes of your problems would make it easier for you to face it head on. The balance can be restored when you finally able to overcome the condition you are in. You can expect that it would be difficult but not impossible to cure. Always remember to believe in yourself. Keep in mind that this problem may pass.

The normal physiology of achieving and maintaining an erection involves a complex interaction of physiological processes, which is what Maxoderm does for the user. Sexual arousal results in excitatory signals to the nervous system resulting in a release of nitric oxide in the corpus cavernosum (i.e., spongy erectile tissue of the penis) once again these are the results you can expect even after applying Maxoderm for the first time. Nitric oxide then diffuses into the smooth muscle cells lining the arteries of the corpus cavernosum, thereby relaxing vascular and trabecular smooth muscle cells.

The relaxation of the smooth muscles lining the penile arteries allows these arteries of the corpus cavernosum to become engorged with blood, compressing the veins that drain blood from the penis and, as a result, trapping blood within the corpus cavernosum to produce an erection. So that is the science in why Maxoderm works, and works so well.

The physiology of the male erectile tissue provides numerous points of interaction in which stimulation may be used to overcome a decline in erectile responsiveness. Maxoderm is aimed at taking advantage of enhancing stimulation regularly through the use of Targeted Topical Delivery and Targeted Ingredients to help produce quality erections. This is why and how Maxoderm works so very well compared to other products out there today such as, viagra, stretching devices, pills and pumps.

Also Maxoderm has targeted deviler. The benefits of targeted delivery has been recently identified as an emerging alternative to orally administered products mainly due to the current concerns of the side effects that may occur from taking prescription drugs. Thus, Maxoderm presents a preferable delivery method that enhances the desired effect directly to the intended site of action while limiting the exposure of the rest of the body to the ingredients.

Maxoderm is also recommended by Leading Physician, Michael. A. Savino, M.D. F.A.C.S., a leading urological surgeon in New York and recently named one of New York’s top 100 Minimally Invasive Surgeons! So pretty much, Maxoderm’s GOT THE RIGHT STUFF! Maxoderm’s unique formula contains clinically tested ingredients in relation to the tested dosages for their intended use. That’s why Maxoderm is unlike other non-prescription Male Enhancement products you’ve tried before! We challenge you to find another product that can say the same!!

So for best results - Get With the Program! Even though you WILL FEEL and see a difference with your very first application of Maxoderm, we have found that a large number of our customers experience continuously improved results when following our carefully outlined Usage Program - so try it out!