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Erectile dysfunction
Also known as ED and impotence, the loss of the ability to produce and/or sustain an erection despite adequate stimulation and interest.


 
penis erection
The penis is made up of 3 chambers, two corpora cavernosa – the erectile tissues and one corpus spongium. Secretion of nitric oxide (NO) leads to sexual arousal, blood vessels dilate and blood fills the penis. This typically lasts until arousal is diminished or orgasm is achieved.

Penile erection is controlled in part by the nervous system. During sexual stimulation the body sends a compound which causes vasodilatation and relaxation of the cavernosal (penis) smooth muscle, which ultimately leads to penile erection. Nitric oxide is released from nerve endings by activating guanylate cyclase and resulting into cGMP which is the secondary messenger that causes smooth muscles relaxation leads to engorge the veins with blood and penile tumescence.

When a man is stimulated sexually, nerve impulses lead to relaxation and cause an almost seven-fold increase in the blood flow to the corpora cavernosa. This sudden rush of blood expands the spongy tissues, and straightens, elongates and stiffens the penis to produce an erection. Sustained sexual excitation maintains this rush of blood and keeps the erection firm. After ejaculation, or when sexual excitation ceases, the excess blood drains out of the spongy tissue, and the penis returns to its flaccid state.

Recent scientific research has helped to change the medical communities thoughts about the most common causes of impotence and sexual dysfunction. Until recently it was assumed that most erection problems were caused by mental, emotional, or psychological factors -- stress, anxiety, and fear. While these factors can play a role in some instances, most medical experts now believe the major cause of impotence is physical. Put simply, anything that results in an interference with blood flow to the penis interferes with proper sexual function.

It was presumed that almost all erection failures were caused by physiological factors like stress, fear, anxiety etc. Though these factors play a significant role, recent researches also indicate impotence as physical inability of blood flow to the penis.

The Causes of ED


If any factor affects/ disrupts any of the above steps or the delicate balance between them that lead to a complete erection, it may result in erectile dysfunction. Causes of ED could either be physical, nonphysical or both.


Physical causes of erectile dysfunction:
• Age
• Excess use of alcohol and tobacco/nicotine
• Fatigue/anxiety/stress
• Brain or spinal-cord injuries
• Low testosterone levels i.e. Hypogonadism
• Parkinson's disease
• Radiation therapy to the testicles
• Heart stroke/s
• Some types of prostate or bladder surgery
• Hyperglycemia (high blood sugar)
• Hypertension (high blood pressure)

Symptoms of ED

Erectile dysfunction can be categorized under the following patterns:

  • Inability to achieve erections occasionally
  • Inability to maintain erections during sexual intercourse
  • Absolute inability to achieve erections

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Erectile Dysfunction
Erectile dysfunction (ED) tends to affect the lives of most middle-aged men and their partners somehow or the other. The term ‘erectile dysfunction’, which was earlier called impotence, covers a wide range of sexual disorders in men, but usually refers to an inability to achieve or maintain an erection adequate enough to fulfill his own sexual needs or those of his partner.

It is quite normal for changes in erectile function to occur as men progress with age. Erections may take longer to be obtained, may not be as stiff or may require more effort and stimulation to achieve. Men may also observe that their orgasms are less intense, the ejaculate volume reduced and refractory period between erections may have increased. An occasional episode of erectile dysfunction may occur to most men, but it may not affect some psychologically.

Some men experience complete and chronic erectile dysfunction, while others retain the ability of achieving partial or short erections. Frequent ED can cause emotional problems and relationship drifts, which often lead to low self confidence in both partners. Erectile dysfunction has many causes, most of which can be treated, rendering it as not an inevitable consequence of aging. Although erectile dysfunction is more common in men older than 40, it can possibly occur at any age.
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Testosterone, Sex Drive, and Impotency

As men age and get older most generally experience low sex drive, lack of stamina and disinterest in sex. The cause of this is because most of the testosterone gets bound by sex hormone building globulin. Only 2% of testosterone are left free (free testosterone) which are the testosterone responsible for providing the body with energy and sex drive. Normally, men should have 400 to 850 free testosterone and lesser number can result in erectile dysfunction (impotence.)


Coping with ED
Whether the resulting disorder has physical or psychological causes or a combination of both, ED may become a source of emotional and mental stress for both the man and his partner. It is important to note the following points which are essential in helping you cope with your problem:

  • Communicate more frequently and openly about your problem with your partner. This will help you build your relationship. Treatment works better when the couple is in it together as a team. Good communication must be maintained throughout diagnosis and the treatment process.
  • Seeking counseling is a great idea, because it may be prove to be very difficult to overcome ED on your own.
  • Do not assume that you have a permanent problem if you experience ED occasionally. If you expect the problem to occur again during your next sexual encounter, chances are your psychological state might prevail.
  • Do not consider just one incident of ED as the ultimate seal on your masculinity and virility. ED is more common than you think it is.
  • You must remember to reassure your partner that your inability to have an erection is not a sign of diminished sexual desire.


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"There has been many years of study and research related to issues that strongly have an effect on sexual satisfaction among partners."

The study showed that Sexual Stamina, Self Confidence, and Impotence (erectile dysfunction) ranked the overall highest in partner complaints.

Niagra contains a powerful and reliable formula that utilizes varieties of herbs and sexual performance nutrients that have had proven effects on improving a man's erections and sexual stamina.

Niagra increases peripheral blood flow resulting in a longer, thicker, harder, and more powerful erection.

The ingredients in Niagra are of the highest quality and strongest potency and have been proven to result in guaranteed erection ability.

Niagra's unique formula contain 100% all natural ingredients proven to help men overcome erectile dysfunction (ED) and get bigger, harder, more powerful erections.

Dr. Gary Rheinsburg,
Board Certified Urologist,
Male Enhancement Clinic
Los Angeles, CA
Study of Penile Size Gains In Adults [2006]
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