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Understanding Erectile Dysfunction (ED)

Understanding Erectile Dysfunction (ED)

Although men are reluctant to seek help for erection problems, these are much more common in the population than people think – and many cases are eminently treatable. One of the first research studies that drew attention to the prevalence of Erectile Dysfunction – or Impotence as it was called in those days – was the 1994 Massachusetts Male Aging Study (MMAS).

Based on their study sample of 1290 American men, the researchers found that up to 40% of men in their forties admitted to having erection difficulties – and this figure rose to around 70% of men in their seventies. Today, thanks to the marketing of effective drugs like Viagra, Cialis and Levitra by multinational pharmaceutical companies, Erectile Dysfunction (also known as ED) is very much in the news.

More and more men who feel they are suffering from this condition are now consulting their doctors about it. In the 21st century, ED is no longer a symptom that men (and their partners) suffer in silence.

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What exactly is meant by Erectile Dysfunction?

The best definition of Erectile Dysfunction is the persistent inability to attain and/or maintain erection adequate to permit satisfactory sexual intercourse. Basically, erection takes place because when a man undergoes sexual stimulation, chemicals are released by the body which cause the arteries supplying blood to the penis to dilate (enlarge) and so increase blood flow to the penis.

This results in the spongy tissues in the penis (called the Corpora Cavernosa) becoming engorged and turgid – and so the penis enlarges and becomes erect. In simple terms, erection is caused by an increase of blood flowing into the penis – so anything that reduces blood flow to the organ will result in inadequate erections.

What causes it?

This is why men with diseases associated with narrowed arteries – such as coronary artery disease, high blood pressure, high cholesterol and diabetes – are more at risk of suffering from ED. Says Dr Geoffrey Hackett, a specialist in sexual medicine from Birmingham in England, in an article in the British Medical Journal.

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“Erectile dysfunction is the manifestation of vascular disease in the smaller arteries and gives a two to three year early warning of myocardial infarction”.

In other words, a man who has ED is already having narrowing of his arteries, and if this is not detected and treated correctly, he is at risk of suffering angina or a heart attack in a couple of years.

What can be done about it?

The important principles of managing the condition are:

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  • If a man feels he is having Erectile Dysfunction, he should see his doctor and have an examination plus blood tests to check whether this is an early symptom of cardiovascular disease.
  • Once narrowing of the blood vessels is excluded (or treatment for vascular disease commenced) then medications to correct the erection difficulty can be prescribed.

Fortunately, ED is easily treated. Most men who suffer ED due to narrowed arteries will benefit from using one of a group of drugs known as Phosphodiesterase-5, or PDE5 inhibitors in short. The best-known being:

  • Viagra (Sildenafil) : Available on the market since 1998
  • Cialis (Tadalafil) : Available on the market since 2003
  • Levitra (Vardenafil) : Available on the market since 2003

In the less common situation where PDE5 inhibitors are ineffective in re-establishing efficacious erections, other techniques such as injections, vacuum pumps, surgical implants or a stem cell therapy may be utilized.

The take home message

Erectile Dysfunction is common, in most instances it’s treatable – and could be an early warning sign of developing coronary heart disease.

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Also, living a healthier life, full of exercise and following a healthy diet, has been found to have a huge role in the prevention as well as in the treatment of erectile dysfunction.

Featured photo credit: shutterstock via thumb7.shutterstock.com

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Last Updated on July 5, 2019

5 Reasons Why You Should Always Be Yourself

5 Reasons Why You Should Always Be Yourself

When it comes to being yourself, there can be a lot of pressure from the outside world as it tries to influence who you are. Living in a society that is constantly developing, it’s important for you to always be yourself from the inside out. When you deeply know yourself and the boundaries that you have set, you are more likely to experience a fulfilling and rewarding life. Without knowing yourself and establishing those boundaries, you can easily be pushed around and end up on a dirt path.

“Enter through the narrow gate. For wide is the gate and broad is the road that leads to destruction, and many enter through it. But small is the gate and narrow the road that leads to life, and only a few find it” – Matthew 7:13-14

You have the option of taking the path that is broad or taking the path that is narrow. You can either conform to what life wants you to be, or have the courage to remain true to yourself throughout the years. It’s definitely a challenge to have a strong sense of self when we are constantly getting distracted and being influenced by the media and society’s way of life. But if you want to reach your fullest potential in life, it all starts with being yourself.

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Why should you always be yourself?

Because you will:

  1. Live in alignment with your values and beliefs. Being yourself is all about knowing what you believe in and the values that you live by. When you are not yourself, you will take on the values and beliefs of others. This is when you start conforming to other people’s expectations and way of thinking. When you know your values and why you do what you do, you will live according to your own values and beliefs.
  2. Establish your own identity. When you are able to have a solid foundation of being you, you are establishing your own sense of identity. No matter what happens in your life, you will always know who you are. There will be times where you may feel lost or distracted, but if you have your own identity you’ll be able to get back on the right path. Without establishing your own identity, you may easily conform and lose yourself.
  3. Build courage. It takes a great amount of courage when you decide to take the path that goes against the crowd. The reason why the majority of people take the broad path is because it’s easy. It’s easy to just follow the crowd. It’s more of a challenge when you stay true to yourself and establish your own identity. This challenge of always being yourself takes courage and inner strength. No matter what comes your way, you’ll know how to handle it.
  4. Establish boundaries. When you are always yourself, you know what your limits are and the boundaries that you have set for yourself. When people cross your boundaries, you will know. But if you don’t establish boundaries, people may very well walk all over you and take advantage of you. If you are always yourself and you establish boundaries, you are more likely to be aware when people start taking advantage of you. Create and establish your boundaries.
  5. Find focus and direction. When you are always yourself, you are more likely to have focus and direction in your life. Imagine someone who is constantly conforming to other people’s expectations. Do you think this person has focus and direction? I don’t think so. When you stay true to who you are, you are more likely to know the goals you want to accomplish and how to go about accomplishing them. You are able to stay focused and know which direction to take in order for you to accomplish your goals.

No matter what you experience in life, the only person that will always remain constant is you.

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Featured photo credit: María Victoria Heredia Reyes via unsplash.com

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