Impotence or erectile dysfunction is characterized by repeated inability to achieve or maintain an erection of penis during sexual activity for at least three months. Since it is linked to self image, it can lower confidence. It can also create trouble in a relationship and therefore, can have serious psychological consequences. Nearly 75% of men with erectile dysfunction do not seek treatment due to social embarrassment. There are various causes associated with erectile dysfunction which contribute to erectile dysfunction:
- Addictive habits: Certain lifestyle habits such as smoking which cause addiction can become key risk factor of ED. This happens because smoking promotes narrowing of arteries which can interfere with the structure of penis.
- Psychological causes: When there is excessive performance anxiety or stress in men, ED can occur. Even mental disorders such as depression can be responsible for ED.
- Aging: Progressing age also leads to ED in men. ED is four times more common in men aged 60 years than those in their 40s.
- Heart disease: The process that is involved in causing a heart disease is also involved in causing erectile dysfunction. The inability to get and keep an erection firm enough in sexual activity can also be an early warning sign of current or future heart problems.
- Kidney Failure: In males suffering from chronic kidney disease (CKD), ED is a common condition. Approximately, 80% of males with CKD experience ED.
- Surgery: Surgical intervention in penis can remove some structures inside penis which are necessary for erection.
- Cancer treatment: ED is a common complication of treatments for prostate cancer including removal of prostate and destruction of prostate by external beam radiation.
- Prescribed Medications: Certain conventional medicines which are prescribed by doctors can lead to erectile dysfunction. These include beta blockers, hormone modulators, thiazides or diuretics, and many more.
- Neurogenic disorders: Disorders that affect nerves can be responsible for erectile dysfunction. These include diabetic neuropathy or nerve damaging disorder associated with diabetes mellitus, Parkinson’s disease or a long-term degenerative disorder of central nervous system, multiple sclerosis in which the insulating covers of nerve cells in the brain and spinal cord are damaged.
- Structural problem in penis: E.g. in Peyronei’s disease, fibrous plaques grow in soft tissues of penis which cause pain, abnormal curvature, and erectile dysfunction.
- Hyperprolactinemia: Presence of abnormally high level of prolactin in blood in men can lead to erectile dysfunction.
When a man expels semen within a few moments of beginning of sexual activity on experiencing orgasm and with minimal penile ejaculation, it is known as premature ejaculation. Usually, men with PE describe it as a feeling that they have less control over ejaculating. The main symptom of PE is that a man is unable to delay ejaculation for more than one minute. This leads to distress and frustration and as a result, men tend to avoid sexual intimacy which can take a toll on their personal relationships. It is found that one in five men can experience difficulty due to premature ejaculation. The cause of premature ejaculation is however unclear. Several theories have been suggested for the same. They include:
- Performance anxiety: Anxiety, fear, or persistent phobia may be aroused in an individual by the requirement to perform. This fear can lead to premature ejaculation.
- Stress: Emotional and physical stress can aggravate the condition of existing premature ejaculation.
- Structural Problems in Penis and Prostate: Inflammation and infection of prostate or urethra can lead to PE.
- Abnormal hormonal levels: Imbalance in hormonal levels and also, abnormal levels of brain chemicals can lead to PE.
- Inherited traits: Men with some kind of genetic abnormalities can experience PE. A genetic predisposition, elevated penile sensitivity can also aggravate existing PE.
- Problems in nerve conduction: When there are abnormalities in conduction of nerve impulses, it can lead to PE.
- Side effect of medicine: PE may also be caused as a side effect of some prescribed or over-the- counter medicine.
- Masturbation quickly during adolescence: Premature ejaculation is also common in men who had a habit of masturbating quickly during their adolescence to avoid being caught.
- Little sexual activity: There is another theory which says that men who have no or little sexual activity can suffer from premature ejaculation.
The idea of writing about erectile dysfunction and premature ejaculation in this newsletter is to reduce embarrassment related to these problems in men. The approach should be more towards seeking treatment for the same. Before these problems create trouble in personal relationships, they should be discussed with their respective partners with maturity. It is also important that emotional support is maintained from both sides to help in getting rid of these physical problems. A couple that deals together, stays together for long!
How to deal with ED and PE?
Fighting the embarrassment and seeking the way to resolve ED and PE is the first positive step towards their treatment.
- Work on your diet:
Include natural food substances that are rich in zinc and magnesium. According to research, zinc and magnesium contribute to men’s sexual health and can play an important role in premature ejaculation. Such foods include pumpkin seeds, yogurt, spinach, almonds, garlic, peas and many more. Folate in spinach boosts blood flow and also curbs the deficiency of folic acid which is also responsible for erectile dysfunction.
Men who eat more fruits and vegetables are less likely to experience PE and ED. Fruits can also help in prevention of prostate cancer which can be a reason for ED and PE, e.g., cancer-fighting compound is present in apple peel which can starve prostate cancer cells. Other fruits that help include grapes, avocados and berries.
- Include important exercises:
Plan an exercise routine and implicate it on daily basis. Strengthening your pelvic floor muscles can help you in resolving premature ejaculation. A study had found that pelvic floor exercises can help men in controlling their ejaculatory reflex. It can help in increasing the time it takes for men to achieve climax. Running, swimming, and other form of aerobic exercises prevent the problem of erectile dysfunction.
- Lifestyle changes:
Drinking less alcohol, quitting smoking, and losing weight can help in dealing with premature ejaculation.
- Watch your supplements:
Avoid anabolic steroids which are often abused by athletes and body builders. Anabolic steroids can shrink testicles and decrease their ability to make testosterone.
- Stay away from risky sexual activity:
Risky sexual activity can cause penile injuries that can lead to erectile dysfunction. If any injury occurs, consult a doctor as soon as possible.
- Reduce stress:
Stress taken on psychological level increases the level of hormone adrenaline which can further lead to contraction of blood vessels. This can cause and aggravate the condition of erectile dysfunction. Anything which reduces stress on emotional level can give your sex life a boost.
- Driving should be safe:
Men who constantly ride bike or bicycles put extra or excessive pressure on perineum i.e. the area between scrota and penis. Blood vessels and nerves that supply the penis can be adversely affected from excessive pressure in that area. Men should therefore make sure their bikes fit them properly. They should try to wear padded cycling pants while riding on a cycle and try to stand up frequently while pedalling.
- Take advantages of curcumin and herbs:
Pure Ayurvedic herbal products which contain curcumin blended with herbs like gokshur, Ashwagandha, Kesar can help in dealing with premature ejaculation and erectile dysfunction.
Product of the Month: Vitalboost Tablet
Vitalboost Tablet is made with shilajit, gokshur, Ashwagandha, shatavari, kaunch, safed musli, atibala, Tulsi, Kesar and curcumin. Each of these herbs improves the health of male reproductive system. These herbs balance hormone levels in men and some of them also act as aphrodisiacs. Curcumin serves to reduce inflammation of the involved structures and also reduces blockage of blood flow to the penis.
Together these herbs increase testosterone production and sperm count in males and decrease the probability of erectile dysfunction and premature ejaculation. Being an adaptogenic herb, Ashwagandha improves the responses of body towards stress and does not let stress take over the physical body. Tulsi also works as a stress reliever.
One to two Vitalboost Tablet each day can keep a man fertile and active.
Iced cold curcumin teas in hot June!
We celebrated yoga day with yoga-asanas, and our curcumin teas and juices at Raman Kendra, Lodi Road on 21 June ’19. We were overwhelmed by the number of people that relished our curcumin teas and health tonics or juices. Yoga and ayurveda undoubtedly complement each other. When physical activity is supplemented with the right herbs, it is nearly impossible to keep you away from good health. And that is what we promoted on Yoga Day - Healthy eating, healthy supplements, and good exercise!
Our curcumin teas can also be taken in iced tea form to beat the heat of summer and promote health at the same time. The motto of Preserva Wellness of spreading health remains the same as ever!