ERECTILE DYSFUNCTION (Impotence) | Cause, Diagnosis, Diet & HOMEOPATHY
Erectile
dysfunction (ED) is the inability to get or keep an erection firm enough for
sexual intercourse. It is also called Impotence.
Caladium Seguinum:- Sexual organs relaxed and swelledNocturnal emission without dream. Imperfect erection and premature ejaculation of semen. Excitement does not erect penis. Feeling of coldness in penis.
Conium Maculatum:
Agnus Castus:- The penis is small and flaccid, so relaxed that voluptuous fancies excite no erection. The testicles are cold, swollen, hard and painful. Impotence with gleets. Diminution of sexual power.
Phosphoricum Acidum:- Absence of sexual desire. Neurasthenia after sexual intercourse. Weakness of sexual organs with onanism and little sexual desire. Frequent and very debilitating pollutions. Onanism.
Lycopodium Clavatum:- Impotence of long standing. Weakness or total absence of erections. Penis small, cold, relaxed. Emission too speedy or too tardy during coition.Flow of prostatic fluid, without an erection. Abhorrence of coition.
Nux Vomica:- Excitement easy. Strong sexual desire with painful erection. Increased sexual desire with frequent erections and pollution in the morning. Pollution with flaccidity of penis fllowed by coldness and weakness in lower extremities. Involuntary seminal emission. Nightly emissions. Impotency due to masturbation and sexual excess.
Phosphorus:- Impotency after excessive excitement and onanism. Involuntary emission.Feeble and too speedy emission during coition.
Selenium:- Impotence with lascivious ideas. Discharge of semen, drop by drop, during sleep. Flow of prostatic fluid during evacuation and at other times. Thin and scentless semen. During coition, feeble erection, too prompt emission, and long-continued voluptuous thrill. Priapism.
Staphisagria:- Organs relaxed with backache and weakness of the lower extremities. Seminal emissions followed by great chagrin and mortification Dyspnoea develops after coition. Secretion of prostatic fluid during evacuation.
Damiana:- An excellent remedy for impotency. Give 5-10 drops a dose thrice daily.
Sulphur:- Too quick discharge of semen during coition. Erection fails when coition is attempted. Incomplete rection during coition. Impotence with mental depression, relaxed penis, with sexual desire and excitement. Testes relaxed and hanging down. Watery semen.
Calcarea Carbonica:- Weakness of the genital functions, and absence of sexual desire. Erections of too short continuance and emission of semen too slow.
Yohimbinum: It is a powerful stimulant of the genital function in males. Sexual neurasthenia, with impotence.
Arnica Montana:- Impotency due to fall or blow. Impotence from excess or abuse.
Sabal Serrulata:- Discharge of prostatic fluid. Pain in back much aggravates after coitus. Drawing pains in spermatic cords; shrunk testes
A penile erection is the
hydraulic effect of blood entering and being retained in sponge-like bodies
within the penis. It is not necessarily a normal part of aging. The process is
often initiated as a result of sexual arousal, when signals are transmitted
from the brain to nerves in the penis. Erectile dysfunction is indicated when
an erection is difficult to produce.
Disorders such as erectile
dysfunction (ED) and female sexual dysfunction are becoming increasingly more
important as a result of the aging population and newer therapies.
What
Causes ED?
We can classify the causative
factors as given below.
Vascular causes
Vascular diseases account for
nearly half of all cases of ED in men older than 50 years. Vascular diseases
include atherosclerosis, peripheral vascular disease, myocardial infarction,
and arterial hypertension.
·
Atherosclerosis
·
Peripheral vascular disease
·
Myocardial infarction
·
Arterial hypertension
·
Vascular injury from radiation therapy
·
Vascular injury from prostate cancer treatment
·
Blood vessel and nerve trauma (eg, due to
long-distance bicycle riding)
·
Medications for treatment of vascular disease
Systemic diseases
·
Scleroderma
·
Renal failure
·
Liver cirrhosis
·
Idiopathic hemochromatosis
·
Cancer and cancer treatment
·
Dyslipidemia
·
Hypertension
Neurologic causes
·
Epilepsy
·
Stroke
·
Multiple sclerosis
·
Guillain-Barré syndrome
·
Alzheimer disease
·
Trauma
Endocrine conditions
·
Hyperthyroidism
·
Hypogonadism
·
Diabetes
Respiratory disease
·
Chronic obstructive pulmonary disease
·
Sleep apnea
Psychiatric conditions
·
Depression
·
Widower syndrome
·
Performance anxiety
·
Posttraumatic stress disorder
Penile conditions
·
Peyronie disease
·
Epispadias
·
Priapism
Nutritional states
·
Malnutrition
·
Zinc deficiency
Hematologic diseases
·
Sickle cell anemia
·
Leukemias
Medications
·
Antihypertensives
·
Antidepressants
·
Antipsychotics
·
Antiulcer agents (eg, cimetidine)
·
5-Alpha reductase inhibitors (eg, finasteride,
dutasteride)
·
Cholesterol-lowering agents
Surgical procedures
·
Brain and spinal cord procedures
·
Retroperitoneal or pelvic lymph node dissection
·
Aortoiliac or aortofemoral bypass
·
Abdominal perineal resection
·
Proctocolectomy
·
Transurethral resection of the prostate
·
Radical prostatectomy
·
Cryosurgery of the prostate
·
Cystectomy
Lifestyle habits
·
Smocking
·
Alcohol conception
·
Lack of exercise
ED has a
high prevalence in men over than 50 years. The incidence increase with aging
and its ethiology appears to be multifactorial. The anamnesis and detailed
physical evaluation ought to be performed in order to detect the main
etiological factors. The best approach to obtain better results is to identify
the main etiology. A multidisciplinary evaluation should be recommended for all
patients.
( Read ; Benign Prostatic Hyperplasia | Cause ,symptoms , Lab tests & Diet )
How
ED is diagnosed?
There
is no specific test to diagnose ED. Routine blood examination is done to
exclude infections.
History:- Sexual functioning in a male is goes through
these phases- arousal (libido), erection, orgasm, ejaculation, and a refractory
period. The history taking is aimed to find out in which stage the patient is
suffering from.
In
history taking, the doctor will be asking you about the past medications,
surgery and any emotional disturbances you might have gone through.
Physical examination:- After
history taking the patient is examined physically to find out the systemic
causes. If penis is not sensitive to
physical touch, a problem in the nervous system may be the cause.
If there is abnormal secondary
sexual characters like unusual hair growth and well developed breast , the
cause may be from hormone disturbance.
Psychological examination: -
interview and a questionnaire with the subject will help to rule out the psychological
cause. Both the partners are interviewed in this.
Other tests: - Monitoring
erections that occur during sleep-nocturnal erections-can help rule out certain
psychological causes of ED. A normal healthy individual has involuntary
erection during sleep. If it is absent the cause is physical.
How
to treat ED?
The treatment starts after
finding out the cause. Simple lifestyle rearrangement and modification will
show wonders in your sexual life. The patient should quit smoking and alcohol
conception and should engage in some physical activities for better results.
Phosphodiesterase-5
inhibitors (PDE-5) like sildenafil citrate (Viagra®),vardenafil HCl (Levitra®),
tadalafil (Cialis®) are the commonly used drugs to treat ED. These drugs work by relaxing the muscle cells
in the penis allowing for better blood flow and production of a rigid erection.
The most common side effects are
headache, stuffy nose, flushing and muscle aches. In rare cases, sildenafil can
cause temporary blue-green shading of vision.
Diet to prevent ED
·
Drinking water can help flush your system but
also flush cholesterol that may clog penile arteries. You should drink 100
ounces per day.
·
Eat smaller meals (about the size of your fist).
You should eat about 5-6 meals daily.
·
Eating vegetables is extremely important for the
vitamins, minerals and especially the fiber. The fiber will help flush the body.
·
Keep your dairy products to a minimum because of
the high levels of cholesterol.
·
Avoid caffeinated beverages that may cause
higher levels of stress.
·
You should eat lean meat and seafood. Avoid red
meats which can clog arteries.
·
Bran cereal is great in the morning for fiber.
·
Supplement foods with high levels of zinc. Zinc
deficiency is common in ED sufferers. You can get plenty of zinc with whole
grain cereals, chicken, turkey, brown rice, beans and low fat yogurt.
·
Eating fruits is important but should be
lessened because of too much sugar. High levels of sugar is associated with
male impotence.
Homeopathy
for Erectile dysfunction
Homeopathy
has shown significant results in ED.
Homeopathy has a unique method of case taking. A complete casetaking will need a detailed
explanation of mental as well as physical generals of the individual. This
casetaking itself will help the physician to find out the cause. There are many
medicines which will deal with ED in homeopathy.
Argentum Nitricum:
Want of desire. Apprehensive
impotency before coition. Penis shriveled. Coition painful, sensitive at
orifice. Painful tension during erection. Testicle drawn high up. Psychological
impotency.
Caladium Seguinum:- Sexual organs relaxed and swelledNocturnal emission without dream. Imperfect erection and premature ejaculation of semen. Excitement does not erect penis. Feeling of coldness in penis.
Conium Maculatum:
Want of energy in coition. Erections
imperfect, and of too short duration. Easy emission of semen, even without firm
erections. Dejection, after coition. Sometimes emission at mere presence of
women.
Agnus Castus:- The penis is small and flaccid, so relaxed that voluptuous fancies excite no erection. The testicles are cold, swollen, hard and painful. Impotence with gleets. Diminution of sexual power.
Phosphoricum Acidum:- Absence of sexual desire. Neurasthenia after sexual intercourse. Weakness of sexual organs with onanism and little sexual desire. Frequent and very debilitating pollutions. Onanism.
Lycopodium Clavatum:- Impotence of long standing. Weakness or total absence of erections. Penis small, cold, relaxed. Emission too speedy or too tardy during coition.Flow of prostatic fluid, without an erection. Abhorrence of coition.
Nux Vomica:- Excitement easy. Strong sexual desire with painful erection. Increased sexual desire with frequent erections and pollution in the morning. Pollution with flaccidity of penis fllowed by coldness and weakness in lower extremities. Involuntary seminal emission. Nightly emissions. Impotency due to masturbation and sexual excess.
Phosphorus:- Impotency after excessive excitement and onanism. Involuntary emission.Feeble and too speedy emission during coition.
Selenium:- Impotence with lascivious ideas. Discharge of semen, drop by drop, during sleep. Flow of prostatic fluid during evacuation and at other times. Thin and scentless semen. During coition, feeble erection, too prompt emission, and long-continued voluptuous thrill. Priapism.
Staphisagria:- Organs relaxed with backache and weakness of the lower extremities. Seminal emissions followed by great chagrin and mortification Dyspnoea develops after coition. Secretion of prostatic fluid during evacuation.
Damiana:- An excellent remedy for impotency. Give 5-10 drops a dose thrice daily.
Sulphur:- Too quick discharge of semen during coition. Erection fails when coition is attempted. Incomplete rection during coition. Impotence with mental depression, relaxed penis, with sexual desire and excitement. Testes relaxed and hanging down. Watery semen.
Calcarea Carbonica:- Weakness of the genital functions, and absence of sexual desire. Erections of too short continuance and emission of semen too slow.
Yohimbinum: It is a powerful stimulant of the genital function in males. Sexual neurasthenia, with impotence.
Arnica Montana:- Impotency due to fall or blow. Impotence from excess or abuse.
Sabal Serrulata:- Discharge of prostatic fluid. Pain in back much aggravates after coitus. Drawing pains in spermatic cords; shrunk testes
Kali Bromatum: -Impotency
with melancholy, loss of memory; nervous prostration; epilepsy.
Sources:-
http://www.emedicinehealth.com/diagnosing_erectile_dysfunction
http://emedicine.medscape.com
http://www.urologyhealth.org/urology
www.similima .com
http://EzineArticles.com/3352942
http://kidney.niddk.nih.gov
http://kidney.niddk.nih.gov
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