Over the years men complain of two distinct sexual problems: lack of desire and impotence. Impotence or erectile dysfunction is the inability to hold an erection long enough to pursue in sexual intercourse. Erectile dysfunction (ED) can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only short erections.
Erection begins with sensory and mental stimulation. Under normal conditions, when a man is sexually stimulated, his brain sends a message down the spinal cord and into the nerves of the penis. The nerve endings in the penis release chemical messengers called neurotransmitters that signal the corpora cavernosa (the two spongy rods of tissue that span the length of the penis) to relax and fill up with blood. As the penis becomes congested with blood, it enlarges and stiffens, causing an erection.
Surgical operation can wound nerves and arteries close to the penis making man an impotent. Also, between 35 and 50 percent of men with diabetes experience impotence. Many common medicines produce impotence as a side effect. Injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to impotence by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. Other possible causes of impotence are smoking, which affects blood flow in veins and arteries, and hormonal abnormalities, such as insufficient testosterone. Physicians believe that psychological factors cause 10 to 20 percent of cases of impotence. A small percentage of men experience sporadic and situational impotence.
Risk factors
Men with diabetes, smoking, taking drugs or older than 50 years of age are particularly at risk for impotence. For instance men with diabetes are at risk because of their high risk of both atherosclerosis and a nerve disease called diabetic neuropathy. Age seems to be a strong indirect risk factor in that it is associated with increased likelihood of direct risk factors, some of which are listed above. Some medications can contribute to impotence, as can some operations and radiotherapy treatments.
Years ago, the standard treatment for impotence was a penile implant or long-term psychotherapy. Today there are these popular methods: vacuum devices, oral drugs, locally injected drugs, and surgically implanted devices. Gene therapy for ED is now being tested in several centers and may offer a long-lasting therapeutic approach for ED. Because ED can take a toll on a man’s self-esteem, sex therapy is increasingly being recommended as a form of treatment on its own or in combination with other medical remedies. If your impotence problems are caused by low levels of testosterone then hormone therapy can be given in the form of injections or patches. Testosterone substitution therapy may improve energy, mood, and bone density, increase muscle mass and weight, and heighten sexual interest in older men who may have deficient levels of testosterone. Psychotherapy can also be valuable to men who are trying to overcome non psychological impotence. Hydrotherapy (cool showers, for instance) can also be effective for ED.
Sildenafil
The most common ED treatment today is with the prescription drug sildenafil citrate, sold under the brand name Viagra. Perhaps the most publicized advance was the introduction of the oral drug sildenafil citrate (Viagra) in March 1998.
Impotence, often called erectile dysfunction, refers to the males inability to achieve or maintain an erection long enough to engage in sexual intercourse. Impotence is distinguished from sterility (inability to produce sperm adequate for reproduction). Impotence usually has a physical cause, such as disease, injury, or drug side-effects. Impotence can be treatable in all age groups.
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First of all let's get our definition straight. Impotence is a chronic problem. In other words a male with this problem often can't have an erection. The inability to achieve an erection on a single occassion isn't impotence, it's just embarrasing and annoying.
The inability to achieve an erection happens to everybody. If it hasn't happened to a guy yet it will happen to him sometimes in the future. It can be caused by any number of things; stress, fatigue and or a lack of interest in his partner at that moment.
Perhaps this fellow as a bit tired when the message started and he was just too relaxed and maybe a bit sleepy when it became time to have an erection.
impotent God …go to hell!
It's probably nothing to worry about – have you heard of the placebo effect ? Just don't bring it up
m/
I think it is b….t, what kind of a doctor is this who puts healthy people on meds. a drug dealer?:)) viagra cialis are good meds, but only in case you need it.
This is a very good article about this issue:
http://viagrafans.com/what_happens_if_you_take_viagra_and_you_don't_really_need_it.php
Q. What Happens if You Take Viagra and You Don't Really Need It?
A. Men who say they don't have any problems achieving or maintaining erections say that using Viagra dramatically changes the sexual experience, but not always in a good way.
They say taking Viagra gives them a far more rigid erection that is so intense that it's almost uncomfortable, causing them to lose some sensation and making it difficult to finally achieve orgasm. One person described the feeling like puffing your cheeks full of air and then pushing them out as hard as you can.
Others say the physical reaction happens so effortlessly that it becomes intense long before the man's own level of excitement can catch up, creating a feeling of detachment. "The disembodied feeling is a really profound feeling," says the ViagraStories.com editor, a 33-year-old San Francisco man who has used the drug three times.
Mr. Brykman, managing editor of National Lampoon, used only one of the six pills his doctor gave him, and also says he felt disassociated from the experience. He says that although physically it worked, "it didn't have anything to do with arousal. As far as excitement levels or arousal levels, it didn't live up to my expectations."
Those who have used Viagra "recreationally," however, say the drug, nonetheless, makes it much easier to sustain an erection and achieve a second erection relatively quickly after orgasm.
Pfizer balks at the notion of a recreational use for Viagra, contending that if someone can feel the effect of Viagra, then they, by definition, have lost some sexual function. And the reality is, sexual function starts to fade in the 20s.
"Viagra helps to improve erectile function which isn't optimal, " says Pfizer's Dr. Sweeney. "If you're a 20-year-old college guy with no diseases and you have great erectile function, it's not going to do anything for you. It can't make it go beyond normal."
Masturbation in men will not lead to impotence and in fact will cause an increase in the frequency of erections. Unfortunately there is an extremely negative side effect. Frequent male masturbation will cause the length of time between stimulation and ejaculation to steadily decrease. Thus frequent male masturbation will lead to premature ejaculation.
It is kind of funny that in females the effect although not exactly opposite tends to increase her ability to have satisfying sex. Since a woman does not have to obtain or sustain an erection to have satisfying sex duration depends entirely on the man. For most women the problem is the large amounts of time and stimulation required to achieve orgasm often exceeds her mans endurance.
For a woman, anything she can do to make her orgasm come faster the more satisfying sex will be. For a man anything he can do to increase the length of time required for orgasm will make him more satisfying as a lover.
this is true metal!
There are a few supplements that CAN help …. they do not work for EVERYONE … BUT; for some of us they do ….
Ginko Biloba
Panax Ginsing
L-Arginine
Hope this might help …..
is the vocalist of this band emperor magus caligula of dark funeral
This is on of Hypocrisy’s best songs.(Taken from the “Penetralia” (1992)album). True Metal!!! I’ve never seen this video before so thanks for posting. 5 Star rating on this one.
Before trying any herbs consult a doctor. But yes herbs might help you.
hey, dark king, the vocalist of this band is peter tägtgren, also the front guy of pain. He’s playin the guitar on this fucking great here, too.
Desde Colombia un saludo a esa gran banda.
Great song, Great Band. !!!!!!!!VIVA EL METAL!!!!!!!!!
¡¡¡¡¡¡¡¡¡¡LIFE METAL!!!!!!!!
There are lots of factors. At a certain point, usually after 50, your serume testosterone level drops and you go through what is now called andropause (male menopause). With a reduced T level, your libido drops and so does the ability to have or sustain an erection.
Genes play a part in exactly when this happens and testoserone therapy (like gel patches) have certainly proved to help in that department.
Your level of sexual activity through your life also plays a part, and most people, men and women, who have been sexually active all their lives tend to stay that way.
Blood flow is important as well so anything that restricts this will restrict you. Among the factors are diabetes, coronary artery disease, the drugs you take daily (some reduce libido).
Your own self image is also involved. Sometimes as we age we don't really like what our bodies have done, and that can translate into not being able to perform.
And you are not 20 any more as previously said. Getting there will take a little longer and have patience. The best things in life are worth waiting for.
And stop watching the pharmaceutical ads because they only want to convince you that you have something wrong in order to sell you a product. ED happens in one way or other at some time to all guys…wrong time, wrong mood, stress, etc. It's not a unversal dysfunction. It's your body telling you something's gotta change.
Yes and that can become definite too.
Sky
sick ass fuckn riffs!!!
fuck yeah! good fucking death metal!