Erectile dysfunction (ED) or impotence is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. There are various underlying causes, such as diabetes, many of which are medically reversible.

The causes of erectile dysfunction may be physiological or psychological. Psychological impotence can often be helped by almost anything that the patient believes in; there is a very strong placebo effect.

The introduction of perhaps the top Indian Aurvedic effective remedy for impotence, are Divya Yauvanamrita Vati, Divya Suvarna Bhasma, Divya Shilajita Sat & Divya Chandraprabha Vati by D Y Mandir Trust of Swami Ramdev of India. For Swami Ramdev Indian Aurvedic Medicines try http://www.YogaPranayama.com… But please do not worry now. There is hope & results.

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Please follow the diet plan as detailed in the following book by Swami Ramdev :

"Aushadh Darshan" (this book guides you what to eat & what to avoid, about the Aurvedic & herbal medicines which you can make at home & how to make your food your medicine).

Your all medical & mental conditions can be cured by doing Yoga Pranayama.

May we suggest, please start doing Yoga Pranayama, with the help of brand new revised & completely improved latest 2006 edition & updated Versions of exclusive DVD & 3 Books by Swami Ramdev, as the same things are prescribed by him and his Doctors in Indian System of Medicines - Aurveda.

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Following set of 4 is most effective:

1 DVD & 2 Books on Yoga, Pranayama (+ Free Book Aushadh Darshan) by Swami Ramdev

New DVD Yog Science Part 1 & 2 Pranayam/ Yog Aasan by Swami Ramdev on Pranayama & Yoga Exercises (in English & Hindi both in one DVD) Book "Pranayama (Its philosophy & Practice)" , Book Yoga Exercises "Yog Sadhna Yoga Healing Secrets / Its philosophy & Practice" & "Aushadh Darshan"

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May God bless you all with good health.

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Oral Therapy Although there are a number of options available for non-surgical treatment, it is clear that oral therapy has revolutionized the treatment approach to patients with erectile dysfunction. As previously mentioned, once an initial appropriate evaluation has been performed and a tentative diagnosis made, a trial of oral therapy is usually the preferred treatment choice for most patients. Currently, there are three oral agents approved for use by the Food and Drug Administration (FDA). These are Sildenafil Citrate (Viagra approved March 1998) and Vardenafil Hydrochloride and Tadalafil

All three drugs reversibly inhibit the penile-specific phosphodiesterase (type 5; PDE-5) and enhance the nitric oxide-cyclic GMP pathway of cavernous smooth muscle relaxation (ie, all three prevent breakdown of cyclic GMP by PDE-5). In several double-blind, placebo-controlled studies of patients with erectile dysfunction of varied etiology, all three drugs demonstrated improvement in erectile function, with success rates varying between 70% and 90% depending on the populations studied.7-10

Clinical studies have demonstrated that sildenafil is a durable therapy with patients able to remain on the medication and continuing to use it effectively. Some of these studies have also documented improved quality of life for both patient and partner with use of this medication. Vardenafil and tadalafil were only recently approved by the FDA, so existing clinical studies documenting effectiveness are short term. Hopefully, studies investigating their durability will be forthcoming.

The success rate of all three drugs is reduced in some patient groups. For instance, success in diabetic patients is probably closer to 50% to 60%, with demonstrated effectiveness in both type 1 and type 2 diabetes. While patients who have had a radical prostatectomy may respond to any of these drugs, the best response occurs in patients whose procedure was bilateral nerve sparing. In patients whose procedure was bilateral nerve sparing success rates may vary but approaches 70% in some series. However, if a single nerve was spared success is reduced, and if no nerves were spared results are generally quite poor with a success rate of less than 15%.

All three drugs require sexual stimulation to be effective. The usual dose of sildenafil is 50 mg or 100 mg taken approximately 1 hour before intercourse (on an empty stomach and avoiding a fatty meal). Vardenafil is also taken 1 hour before intercourse, with a usual dose of 10 mg or 20 mg. Vardenafil may be less affected by food intake, but absorption may be delayed if a high-fat meal is ingested. Tadalafil may be taken 2 hours prior to intercourse, but its longer half-life (17.5 hours) allows for greater flexibility in deciding when it can be taken before initiating intercourse (ie, 6, 8, or perhaps 12 hours before). Tadalafil may be taken without regard to food intake.

All three drugs are generally well tolerated. Side effects of all three include headache, flushing, dyspepsia, and nasal congestion. Visual abnormalities are encountered with sildenafil, but are less likely with vardenafil and unlikely with tadalafil. Back pain and myalgia may occur with tadalafil, but are unusual with either sildenafil or vardenafil.

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Damage to nerves, arteries, smooth muscles, and fibrous tissues, often as a result of disease, is the most common cause of ED. Diseases—such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurologic disease—account for about 70 percent of ED cases. Between 35 and 50 percent of men with diabetes experience ED.

Lifestyle choices that contribute to heart disease and vascular problems also raise the risk of erectile dysfunction. Smoking, being overweight, and avoiding exercise are possible causes of ED. Experts believe that psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause 10 to 20 percent of ED cases. Men with a physical cause for ED frequently experience the same sort of psychological reactions (stress, anxiety, guilt, depression). Other possible causes are smoking, which affects blood flow in veins and arteries, and hormonal abnormalities, such as not enough testosterone. Treatment: For some men, making a few healthy lifestyle changes may solve the problem. Quitting smoking, losing excess weight, and increasing physical activity may help some men regain sexual function.

Cutting back on any drugs with harmful side effects is considered next. For example, drugs for high blood pressure work in different ways. If you think a particular drug is causing problems with erection, tell your doctor and ask whether you can try a different class of blood pressure medicine.

Psychotherapy and behavior modifications in selected patients are considered next if indicated, followed by oral or locally injected drugs, vacuum devices, and surgically implanted devices. In rare cases, surgery involving veins or arteries may be considered. Psychotherapy

Experts often treat psychologically based ED using techniques that decrease the anxiety associated with intercourse. The patient's partner can help with the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety when ED from physical causes is being treated. Drug Therapy

Drugs for treating ED can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. While oral medicines improve the response to sexual stimulation, they do not trigger an automatic erection as injections do. The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. Vacuum Devices

Mechanical vacuum devices cause erection by creating a partial vacuum, which draws blood into the penis, engorging and expanding it. The devices have three components: a plastic cylinder, into which the penis is placed; a pump, which draws air out of the cylinder; and an elastic band, which is placed around the base of the penis to maintain the erection after the cylinder is removed and during intercourse by preventing blood from flowing back into the body. Surgery to repair arteries can reduce ED caused by obstructions that block the flow of blood. The best candidates for such surgery are young men with discrete blockage of an artery because of an injury to the crotch or fracture of the pelvis. The procedure is almost never successful in older men with widespread blockage.

Surgery to veins that allow blood to leave the penis usually involves an opposite procedure—intentional blockage. Blocking off veins (ligation) can reduce the leakage of blood that diminishes the rigidity of the penis during erection. However, experts have raised questions about the long-term effectiveness of this procedure, and it is rarely done.

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Erectile dysfunction may also be a sign of a physical or emotional problem that requires treatment. It can occur at any age. As men age, it's also normal to experience changes in erectile function. Erections may take longer to develop, may not be as rigid or may require more direct stimulation to be achieved. It's normal to experience erectile dysfunction on occasion. But if erectile dysfunction lasts longer than two months or is a recurring problem, seek the doctor who helps you determine the underlying cause or causes of erectile dysfunction and then help you find the right type of treatment.

Screening and diagnosis Your doctor/sex therapist will want to ask questions about how and when the condition developed, the medications you take and any other physical conditions you may have. Your doctor will also want to discuss recent physical or emotional changes.

If your doctor suspects that physical causes are involved, he or she will likely want to take blood tests to check your level of male hormones and for other potential medical problems, such as diabetes. Your doctor may also want to try eliminating or replacing certain prescription drugs you're taking one at a time to see whether any are responsible for erectile dysfunction.

More specialized tests may include:

Ultrasonography. This test can determine the adequacy of arterial circulation in your genital organs. Ultrasonography involves using a wand-like device (transducer) held over the blood vessels that supply the penis. The transducer emits sound waves that pass through body tissues and reflect back, producing an image to let your doctor see if your blood flow is impaired. The test often is done before and after injection of medication to see if there's an improvement in blood flow. Neurologic evaluation. Your doctor usually assesses possible nerve damage by conducting a physical examination to test for normal touch sensation in your genital area. Cavernosometry and cavernosography. Cavernosometry is a test that measures penile vascular pressure. Cavernosography involves injecting a dye into your blood vessels to permit your doctor to view any possible abnormalities in blood flow into and out of your penis. If your doctor suspects that mainly nonphysical causes are to blame, he or she may ask whether you obtain erections during masturbation, with a partner or while you sleep. Most men experience many erections, without remembering them, during sleep. A simple test that involves wrapping a special perforated tape around your penis before going to sleep can confirm whether you have nocturnal erections. If the tape is separated in the morning, your penis was erect at some time during the night. Tests of this type confirm that there is not a physical abnormality causing erectile dysfunction, and that the cause is likely psychological.

http://kidney.niddk.nih.gov/kudisea…

http://www.mayoclinic.com/health/er…

http://www.ti.ubc.ca/pages/letter32…

http://www.emedicinehealth.com/nons…

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Modern sexology is a multidisciplinary field which uses the techniques of fields including biology, medicine, psychology, statistics, epidemiology, sociology, anthropology, and sometimes criminology to bear on its subject. It studies human sexual development and the development of sexual relationships as well as the mechanics of sexual intercourse and sexual malfunction. It also documents the sexuality of special groups, such as handicapped, children, and elderly, and studies sexual pathologies such as sex addiction and child sexual abuse.

Note that sexology is considered descriptive, not prescriptive: it attempts to document reality, not to prescribe what behavior is suitable, ethical, or moral. Sexology has often been the subject of controversy between supporters of sexology, those who believe that sexology pries into matters held sacrosanct, and those who philosophically object to its claims of objectivity and empiricism

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Dear helpme, http://familydoctor.org… Erectile dysfunction doesn't have to be a part of getting older. It's true that as you get older, you may need more stimulation (such as stroking and touching) to get an erection. You might also need more time between erections. But older men should still be able to get an erection and enjoy sex.

--Physical Causes of Erectile Dysfunction Alcohol and tobacco use Fatigue Brain or spinal-cord injuries Hypogonadism (which leads to lower testosterone levels) Liver or kidney failure Multiple sclerosis Parkinson's disease Radiation therapy to the testicles Stroke Some types of prostate or bladder surgery

--Feelings that can Lead to Erectile Dysfunction Feeling nervous about sex, perhaps because of a bad experience or because of a previous episode of impotence Feeling stressed, including stress from work or family situations Being troubled by problems in your relationship with your sex partner Feeling depressed Feeling so self-conscious that you can't enjoy sex Thinking that your partner is reacting negatively to you.

--Erectile Dysfunction Treatment How erectile dysfunction is treated depends on what things are causing it. After your doctor checks you for medical problems and medicines that might cause erectile dysfunction, he or she may have you try a medicine to help with erectile dysfunction. Some of these medicines are injected into your penis. Other medicines are taken by mouth. Not everyone can use these medicines. Your doctor will help you decide if you can try them.

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