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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 March 13, 2019

How to Get out of a Rut: 12 Useful Ways to Get Unstuck

How to Get out of a Rut: 12 Useful Ways to Get Unstuck

Have you gotten into a rut before? Or are you in a rut right now?

You know you’re in a rut when you run out of ideas and inspiration. I personally see a rut as a productivity vacuum. It might very well be a reason why you aren’t getting results. Even as you spend more time on your work, you can’t seem to get anything constructive done. While I’m normally productive, I get into occasional ruts (especially when I’ve been working back-to-back without rest). During those times, I can spend an entire day in front of the computer and get nothing done. It can be quite frustrating.

Over time, I have tried and found several methods that are helpful to pull me out of a rut. If you experience ruts too, whether as a working professional, a writer, a blogger, a student or other work, you will find these useful. Here are 12 of my personal tips to get out of ruts:

1. Work on the small tasks.

When you are in a rut, tackle it by starting small. Clear away your smaller tasks which have been piling up. Reply to your emails, organize your documents, declutter your work space, and reply to private messages.

Whenever I finish doing that, I generate a positive momentum which I bring forward to my work.

2. Take a break from your work desk.

Get yourself away from your desk and go take a walk. Go to the washroom, walk around the office, go out and get a snack.

Your mind is too bogged down and needs some airing. Sometimes I get new ideas right after I walk away from my computer.

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3. Upgrade yourself

Take the down time to upgrade yourself. Go to a seminar. Read up on new materials (#7). Pick up a new language. Or any of the 42 ways here to improve yourself.

The modern computer uses different typefaces because Steve Jobs dropped in on a calligraphy class back in college. How’s that for inspiration?

4. Talk to a friend.

Talk to someone and get your mind off work for a while.

Talk about anything, from casual chatting to a deep conversation about something you really care about. You will be surprised at how the short encounter can be rejuvenating in its own way.

5. Forget about trying to be perfect.

If you are in a rut, the last thing you want to do is step on your own toes with perfectionist tendencies.

Just start small. Do what you can, at your own pace. Let yourself make mistakes.

Soon, a little trickle of inspiration will come. And then it’ll build up with more trickles. Before you know it, you have a whole stream of ideas.

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6. Paint a vision to work towards.

If you are continuously getting in a rut with your work, maybe there’s no vision inspiring you to move forward.

Think about why you are doing this, and what you are doing it for. What is the end vision in mind?

Make it as vivid as possible. Make sure it’s a vision that inspires you and use that to trigger you to action.

7. Read a book (or blog).

The things we read are like food to our brain. If you are out of ideas, it’s time to feed your brain with great materials.

Here’s a list of 40 books you can start off with. Stock your browser with only the feeds of high quality blogs, such as Lifehack.org, DumbLittleMan, Seth Godin’s Blog, Tim Ferris’ Blog, Zen Habits or The Personal Excellence Blog.

Check out the best selling books; those are generally packed with great wisdom.

8. Have a quick nap.

If you are at home, take a quick nap for about 20-30 minutes. This clears up your mind and gives you a quick boost. Nothing quite like starting off on a fresh start after catching up on sleep.

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9. Remember why you are doing this.

Sometimes we lose sight of why we do what we do, and after a while we become jaded. A quick refresher on why you even started on this project will help.

What were you thinking when you thought of doing this? Retrace your thoughts back to that moment. Recall why you are doing this. Then reconnect with your muse.

10. Find some competition.

Nothing quite like healthy competition to spur us forward. If you are out of ideas, then check up on what people are doing in your space.

Colleagues at work, competitors in the industry, competitors’ products and websites, networking conventions.. you get the drill.

11. Go exercise.

Since you are not making headway at work, might as well spend the time shaping yourself up.

Sometimes we work so much that we neglect our health and fitness. Go jog, swim, cycle, whichever exercise you prefer.

As you improve your physical health, your mental health will improve, too. The different facets of ourselves are all interlinked.

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Here’re 15 Tips to Restart the Exercise Habit (and How to Keep It).

12. Take a good break.

Ruts are usually signs that you have been working too long and too hard. It’s time to get a break.

Beyond the quick tips above, arrange for a 1-day or 2-days of break from your work. Don’t check your (work) emails or do anything work-related. Relax and do your favorite activities. You will return to your work recharged and ready to start.

Contrary to popular belief, the world will not end from taking a break from your work. In fact, you will be much more ready to make an impact after proper rest. My best ideas and inspiration always hit me whenever I’m away from my work.

Take a look at this to learn the importance of rest: The Importance of Scheduling Downtime

More Resources About Getting out of a Rut

Featured photo credit: Joshua Earle via unsplash.com

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