Erectile dysfunctions (ED) are defined as the persistent inability to attain or maintain penile erection sufficient for sexual intercourse. The 1992 National Institutes of Health Consensus Development Conference recommends use of the term “erectile dysfunctions” rather than “impotence” because it more accurately defines the problem and has fewer disparaging connotations. An estimated 10 to 20 million American men have some degree of erectile dysfunctions.
Increased understanding of the male erectile process and the development of several agents to improve erectile function have generated great public interest among men and their sexual partners. These advances are expanding the treatment options available to primary care physicians in the management of erectile dysfunctions.
Define the causes of erectile dysfunction?
Male Reproductive System
Causes The penis contains two cylindrical, sponge-like structures that run along its length, parallel to the tube that carries semen and urine (urethra). When a man becomes sexually aroused, nerve impulses cause the blood flow to the cylinders to increase about seven times the normal amount. This sudden influx of blood expands the sponge-like structures and produces an erection by straightening and stiffening the penis. Continued sexual arousal or excitation maintains the higher rate of blood flow, keeping the erection firm. After ejaculation, or when the sexual excitation passes, the excess blood drains out of the spongy tissue, and the penis returns to its non-erect size and shape.
Specific steps take place to produce and sustain an erection
Nervous system response
Blood vessel response
In fact, erectile dysfunction may be one of the first signs of an underlying medical problem. The physical and nonphysical causes of erectile dysfunction commonly interact. For instance, a minor physical problem that slows sexual response may cause anxiety about attaining an erection. Then the anxiety can worsen your erectile dysfunction.
How can erectile dysfunction be detected?
There are certain symptoms that can help us to judge that weather a person is suffering from erectile dysfunction or not
Shortening of penis length and girth
How can erectile dysfunction be diagnosed?
Physical examination – This is the most primary diagnostic method that is also the preference. In this few methods are judged like the sensitivity of the penis to the sexual arousal or examining the factor that may be caused by any injury to penis or erectile tissue.
Are there any prevention erectile dysfunction?
What diet is recommended for person suffering from erectile dysfunction?
Is there any treatment for erectile dysfunction?
Yes, as per herbal treatment two types of treatments are undertaken. One is psychotherapy and other is the medication. Depending upon the cause of erectile dysfunction, the treatment path of the patient is planned and then it is applied on the patient.
Treatment for Erectile dysfunction by Dr. & Hakeem Tariq Mehmood Taseer
Premature ejaculation (PE) refers to the persistent or recurrent discharge of semen with minimal sexual stimulation before, on, or shortly after penetration, before the person wishes it, and earlier than he expects it. In making the diagnosis of PE, the clinician must take into account factors that affect the length of time that the man feels sexually excited. These factors include the age of the patient and his partner, the newness of the sexual partner, and the location and recent frequency of sexual activity.Premature ejaculation is the most common sexual problem facing men today. The condition is most often described as being an inability to delay ejaculation to a point when it is mutually desirable for both partners.
Experts are still trying to determine exactly what causes premature ejaculation. While it was once thought to be only psychological, we now know premature ejaculation is more complicated and involves a complex interaction of both psychological and biological factors.
Other factors that can play a role in causing premature ejaculation include:
Rarely, premature ejaculation is caused by:
Although both biological and psychological factors likely play a role in most cases of premature ejaculation, experts think a primarily biological cause is more likely if it has been a lifelong problem (primary premature ejaculation).
What are the effects of premature ejaculation?
The negative effects of premature ejaculation will vary depending on the individual, but an un-fulfilling sex life can put a tremendous burden on a relationship with your partner.
A good sex life is very important!
A satisfying and equally gratifying sexual relationship is important for any healthy, sexually active couple. Premature ejaculation can greatly impact relationships on both a physical and an emotional level, leading to dissatisfaction, disappointment and other problems. These adverse effects of premature ejaculation can be temporary, or they may lead to painful, long-term problems.
What are the Symptoms of premature ejaculation?
In PE, ejaculation occurs earlier than the patient and/or the couple would like, thus preventing full satisfaction from intercourse, especially on the part of the sexual partner, who frequently fails to attain orgasm. PE is almost invariably accompanied by marked emotional upset and interpersonal difficulties that may add frustration to an already tense situation, which makes the loss of sexual fulfillment even worse. It is also important to differentiate male orgasm from ejaculation. Some men are able to distinguish between the two events and enjoy the pleasurable sensations associated with orgasm apart from the emission of semen, which usually ends the moment of orgasm. In these cases, the partner is capable of achieving orgasm and sexual satisfaction.
What can be done to prevent premature ejaculation?
There are a variety of pills, desensitizing creams, penis rings and other strange gadgets on the market designed to help control premature ejaculation. Some of these products are totally worthless in my opinion, while others can be very helpful.
Let’s take a closer look at each type of product and discuss the pros and cons:
Treatment for Premature ejaculation by Dr. & Hakeem Tariq Mehmood Taseer
Infertility is defined as a couple’s inability to become pregnant after one year of regular, unprotected sex. Male infertility means the male is unable to impregnate the female because of male factors.
|Approximately 15% of couples attempting their first pregnancy meet with failure. Most authorities define these patients as primarily infertile if they have been unable to achieve a pregnancy after one year of unprotected intercourse. Conception normally is achieved within twelve months in 80-85% of couples who use no contraceptive measures, and persons presenting after this time should therefore be regarded as possibly infertile and should be evaluated. Data available over the past twenty years reveal that in approximately 30% of cases pathology is found in the man alone, and in another 20% both the man and woman are abnormal. Therefore, the male factor is at least partly responsible in about 50% of infertile couples.
The most common causes of male infertility include
Symptoms of Male Infertility
Male infertility occurs when the man’s partner does not conceive after one year of attempting to become pregnant. Other signs and symptoms depend on the underlying cause of the man’s infertility.irritability. Patient may also feel drowsiness. A rapid, deep breathing, known as “kussmaul breathing” may also be noted. There may be smell of acetone in the patient’s breath (a sign of ketoacidosis), a severely dangerous condition.
Fluctuations in blood glucose levels can lead to altered vision. In them prolonged high blood glucose causes changes in the shape of the lens in the eye, leading to blurred vision. So regular visit to ophalmologist is necessary. All unexplained quick changes in eyesight should force as fasting blood glucose test. There are nowadays quick inexpensive and can be safely performed.
Some untreated diabetes patients also complain of Nausea and vomiting.
|The Male Reproductive System
Although women have the chance to get pregnant only once a month (when they ovulate), men seem to have the ability to fertilize an egg at any time. However, the production of sperm is not a simple one. In fact, it takes about 74 days for sperm to be produced and readied for ejaculation. It is important to understand just how the male reproductive system works in order to fully appreciate just how difficult it is for a child to be conceived.
Composed of the same material that ovaries are formed from, a man’s testicles originally develop in his abdomen. About two months before his birth, though, the two testes descend from the abdomen into the scrotum, which acts as a support sac to the testicles. The main function of testicles is two-fold: they are responsible for producing sperm as well as the hormone testosterone. The testicles are made up of seminiferous tubules (hundreds of tiny tubes), Leydig cells (which is where testosterone is produced), and Sertoli cells (which are responsible for nurturing immature sperm cells).
Because the testicles need to remain about 1°C cooler than normal body temperature, the scrotum helps to regulate the temperature of the testes. When exposed to cold air, the scrotum contracts to keep the testes warm but hangs lower when it is hot outside.
Found at the top of the testes, the epididymus is a set of tightly coiled tubes. How tightly coiled? Well, if you stretched it out, the epididymus would reach 20 feet long. The epididymus acts as a temporary storing place for sperm as they continue to mature. It is within these tubes that sperm gain the ability to move.
Vas deferensThis long tube extends from the epididymus in the testicle, up, over the bladder and finally ending at the seminal vesicles. The vas deferens acts as both a passageway for the sperm as they exit the body and as another storing place as the sperm wait to be ejaculated.
These two pouch-like sacs are found behind the bladder. The seminal vesicles add an alkaline fluid that makes up 30% of the total semen volume. This secretion helps give the sperm energy, thereby giving their motility a boost.
This gland sits just below the bladder and contributes about 60% of the total semen volume. This alkaline secretion is similar to the fluid produced in the seminal vesicles and is necessary to the sperms’ survival by helping neutralize the naturally occurring acids in the urethra and the vagina.
Positioned just below the prostate, these are two small glands that produce about 5% of the alkaline secretions that make up semen.
These are two short ducts that connect the prostate gland to the urethra. The joining of the two vas deferens makes up the ejaculatory ducts.
Used as the final passageway for both semen and urine, this tube starts at the bladder, goes through the prostate and extends to the tip of the penis. When a man climaxes, the prostate closes off the bladder to prevent any urine from joining the semen.
The method of delivery for sperm, this organ is made up of veins, arteries and spongy tissue. When a man becomes sexually aroused, the arteries dilate allowing the tissue to become engorged with blood. This causes the penis to stiffen and become erect.
Gonadotropin Releasing Hormone (GnRH): Originating in the hypothalamus in the brain, GnRH is responsible for signaling the pituitary gland to start production of follicle stimulating hormone (FSH) and lutenizing hormone (LH).
FSH: This hormone is responsible for stimulating and maintaining sperm production.
Making It All Work
At birth, males have simple round cells contained within their seminiferous tubules. This is the most primitive form of sperm. During puberty, stimulation by testosterone and other hormones cause the cells to divide, thereby beginning the maturation process of sperm. The sperm cells will divide and mature until they begin to resemble tadpoles, with an oval head and long, thin tail. Contained within the sperm head is all of the genetic information that a man contributes to his child. The tail is used to propel the sperm along its journey.
Once the sperm has developed its head and tail, it is shuttled along to the epididymus. Here it will enjoy a three-week stay by the end of which it will have gained the ability to move. Next, the sperm move through the vas deferens to the seminal vesicles where they stay until they are ejaculated. All along this trip, the sperm will be provided with fructose, a type of sugar, to give it energy as it travels along.
During ejaculation, fluid from the prostate, seminal vesicles, and Cowper’s gland combine with the sperm to make semen. This will be expelled from the body during orgasm. For fertilization of the female egg to occur, it is necessary to ejaculate inside the vagina.
Anywhere from 250 million to 1 billion sperm are produced and ejaculated at one time in a healthy male. However, only about 200 of these will actually make it up through the vagina, cervix and uterus and into the correct fallopian tube. From this drastically reduced group, only one sperm will actually be able to fuse together with the egg to create a child. In total, it takes a few days for sperm to make the trip through the female reproductive system to the egg.
Sometimes called impotence, refers to a man’s consistent inability to get or maintain an erection sufficient to have satisfactory sex. It does not mean a lack of sexual interest or desire or the occasional difficulty achieving or maintaining an erection that affects all men at some time in their life.
Normally, an erection occurs when your imagination or one or more senses (vision, hearing, touch, smell, taste) are stimulated and you become aroused. Your central nervous system sends nerve impulses that increase blood flow to your penis. Four requirements for a normal erection are:
Erectile dysfunction can occur at any age but is more common in older men, who often have additional health problems or who may be taking medications that may interfere with normal erectile function. Treatment of erection problems in older men can be as effective as in younger men.
Doctors prefer to use the term erectile dysfunction instead of impotence. A man’s sexual function involves more than an erection, and the term impotence often carries negative implications. For ease of reading, this topic uses the term erection problems to refer to erectile dysfunction.
Erection problems can affect your sexual life and your relationship. Discussing the issue with your partner and exploring other forms of intimacy can help improve your relationship and the erection problem.
What causes erection problems?
The cause of erection problems may be physical (such as injury to nerves or loss of blood supply to the penis or psychological (such as anxiety or depression. Medications you are taking for other conditions, alcohol consumption, smoking, or illegal drug use also can cause erection problems.
What are the symptoms?
How are erection problems diagnosed?
A health professional can diagnose an erection problem using a medical and sexual history and a physical examination. Your health professional will want to know whether the erection problem occurs all the time or occasionally. The initial exam, laboratory tests, and possibly psychological tests can help determine whether the problem is physical, psychological, or a combination of the two.
Can I prevent erection problems?
To reduce your risk of developing an erection problem, avoid smoking, drinking too much alcohol, and using illegal drugs. Because erection difficulties are most often caused by a physical problem, maintaining good health through diet and exercise is very important. A relaxed approach to lovemaking and good communication with your partner can help prevent erection problems caused by psychological factors.
Treatment for Erection by Dr. & Hakeem Tariq Mehmood Taseer
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In the 18th and 19th century, if a patient had involuntary orgasms frequently or released more semen than is typical, then he was diagnosed with a disease called spermatorrhoea or seminal weakness. A variety of drugs and other treatments, including circumcision and castration, were advised to treat this “disease”, which was in reality completely harmless biologically. Some modern doctors, especially herb healers, continue to diagnose and advise treatments for cases of spermatorrhoea, but as noted above these treatments are neither validated by thorough experimentation nor even generally necessary.
What is the seminal emissions- spermatorrhoea?
Seminal Emissions – Spermatorrhoea: This affection is the greatest bugbear of young men. It is the source of immense revenue to self-styled “ specialists “ and others who advertise in the daily press their ability to cure the disease, and present a most appalling and gloomy picture of the present condition and future misery of individuals who suffer from seminal emissions. There are probably comparatively few young men who have not at some time been alarmed by reading the newspaper advertisements, pamphlets and handbills with which the country is flooded, offering relief in the name of pure philanthropy and humanity to the thousands of young men who must otherwise go down to a wretched and early grave. These pamphlets and circulars emanate generally from “ victims of self-abuse,” who have after long years of unsuccessful treatment at the hands of physicians discovered accidentally a sure cure for the affection, which they are willing to impart — for a consideration.
The business of these men would be destroyed, and much unhappiness, misery and despondency would be avoided by young men generally, if the actual facts with regard to seminal emissions were known to the public.
The fact is that seminal emissions occur naturally in men in good health who do not indulge in sexual intercourse. Within a certain limit it is perfectly natural and healthy for the fluid to escape without the usual provocation. The question then arises, what is the limit at which these emissions cease to be healthy and become injurious ? It would be a source of much satisfaction to the writer, as well as to other physicians, if there were some fixed law by which this question could be answered. But there is no such law ; indeed, when we consider the matter, it is evident that there can be no rule which shall apply to all individuals. It is impossible to state definitely just how much beefsteak a man should eat or can eat without injury; he can easily ascertain for himself by experiment. So it is with regard to the frequency of seminal emissions ; the interval which elapses between them varies extremely in individuals who remain nevertheless in equally good health. Some men suffer such an emission once in two weeks, while others have several in a week, and yet maintain perfect health.
What are the Causes of spermatorrhoea?
Spermatorrhoea is not usually a separate disease by itself, but is a symptom of several affections which may be located in the genital organs or may affect other parts of the body, especially the nervous system. In most cases it is simply a nervous disease, and is accompanied by numerous other symptoms which indicate feebleness of the nervous system. The subject of it is commonly of a nervous, excitable temperament; and as first pointed out by an eminent French physician; he has usually suffered in earlier life from some manifestation of weakness in the genital or urinary organs, such as inability to retain the urine. It has been noted that children afflicted in this way often suffer in later life from weakness of the genital organs.
Among the causes which predispose to this affection is constant indulgence of the imagination in licentious thoughts. This especially when combined with unsatisfied sexual excitement, in duces an irritability of the organs which finally results in the escape of the seminal fluid upon slight provocation.
Spermatorrhoea is most frequently induced by the habit of self-abuse. When this habit is stopped the individual usually suffers from involuntary emissions instead of those which he had formerly excited voluntarily.
It must not, however, be supposed that every individual who has once indulged in this habit must suffer from incontinence of semen afterward. In many cases the habit is practiced to only a limited extent and is not followed, to any particular degree, by seminal emissions ; that is, these emissions do not occur with more frequency than is natural for individuals who have not practiced self-abuse.
There are several causes which may act in exciting seminal emissions in cases where no disease of the sexual organs exists. Sometimes an unusual formation of the organ is a source of constant irritation which provokes seminal emissions. One of the most frequent of these is an unnatural tightness of the foreskin, whereby the secretion formed beneath it cannot escape, and being retained irritates the inner surface. An unnatural narrowness of the urethral opening may also cause constant irritation and seminal losses.
Cases have been known in which spermatorrhoea has followed several ordinary derangements of the rectum ; thus piles, fissures, worms and skin eruptions in these parts have all been known to cause seminal losses, which disappeared when the original affection was removed. Habitual constipation may also cause the same effect by constant pressure pon the parts.
They cannot be accused of any injurious effect unless they are followed by headache, backache, sleeplessness, mental depression, and bodily lassitude. Even in these cases it is quite possible that other causes, such as excessive devotion to business or pleasure, are largely responsible for the symptoms just mentioned; in every case the patient should take a calm and reasonable view of the matter, and not jump to the conclusion that his health is being undermined by seminal emissions when there are actually other causes which are in themselves sufficient to account for his difficulties. It is a fact that seminal emissions may be a result as well as a cause of general debility ; and much effort is sometimes wasted in attempts to cure seminal emissions, which should be directed to improvement of the general health.
Most cases in which the patients believe themselves to be afflicted with seminal emissions by day, are really not cases of spermatorrhoea at all. Unless the discharge be accompanied by the usual symptoms, it is highly probable that the fluid which escapes is not the seminal fluid at all, but merely an increased secretion from the urethra and from the prostate gland. The question can be decided at once by submitting the fluid to microscopical examination ; until this is done the patient should remember that the probabilities are against the supposition that this fluid is the true seminal discharge. It should also be remembered that in certain conditions of the general system seminal emissions occur as a rule, and have no other significance than that of a symptom of the disease. It is not uncommon for patients who are recovering from exhausting diseases — such as the infectious fevers, smallpox, typhoid fever, etc.These may occur at short intervals for several weeks and yet disappear permanently when the patient finally recovers his health.
What are the Symptoms of spermatorrhoea?
Although the symptoms of true spermatorrhoea vary according to the general condition, disposition and age of the patient, yet the general course is somewhat as follows.Among the earlier symptoms which indicate that the pollutions are becoming more frequent than is compatible with perfect health, are pain in the small of the back, pain in the head, a sense of fatigue and inability for exertion, and a certain incapacity for mental effort. As the emissions increase in frequency, the patient observes a diminished capacity for sexual enjoyment; the general symptoms are made worse, and include dizziness, weakness of sight, trembling in the limbs, a sense of weight in the chest, palpitation of the heart, and signs of dyspepsia. After a time he begins to have emissions by day also, and he now usually becomes the prey of despondency.
His mental depression may be so great that his thoughts are con stantly directed to the one subject — a condition which aggravates the difficulty. His gait becomes unsteady ; he feels wandering pains in various parts of the body ; his rest is disturbed by frightful dreams ; he shuns society, because he imagines that others see and recognize the cause of his difficulty. In fact, his mental condition approaches finally a mild type of insanity. It must be said, however, that there but few, if any, cases in which insanity can be traced to excessive seminal losses. There are numerous instances in which an individual suffering from seminal emissions has become insane, and such cases are commonly ascribed to the seminal losses. A closer scrutiny of the case usually shows that the patient had a tendency to insanity, and that the seminal losses are to be regarded rather as one of the symptoms of the general nervous depression which resulted in insanity — as an effect, therefore, rather than as the cause of his mental derangement. Certain it is that those who have inherited a disposition to certain nervous diseases — epilepsy and insanity for instance—are far more frequently affected with seminal emissions than others.
Treatment for Spermatorrhoea by Dr. & Hakeem Tariq Mehmood Taseer
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