What Is Erectile Dysfunction?

Erectile dysfunction (ED), also known as impotence, is the inability to achieve or sustain an erection for satisfactory sexual activity. Erectile dysfunction is different from other conditions that interfere with male sexual intercourse, such as lack of sexual desire (decreased libido) and problems with ejaculation and orgasm (ejaculatory dysfunction).

What is normal penis anatomy?

The penis contains two chambers, called the corpora cavernosa, which run the length of the upper side of the penis (see figure below). The urethra, which is the channel for urine and ejaculate, runs along the underside of the corpora cavernosa. Filling the corpora cavernosa is a spongy tissue consisting of smooth muscles, fibrous tissues, spaces, veins, and arteries. A membrane, called the tunica albuginea, surrounds the corpora cavernosa. Veins located in the tunica albuginea drain blood out of the penis.

How does erection occur?

Erection begins with sexual stimulation. Sexual stimulation can be tactile (for example, by touching the penis) or mental (for example, by having sexual fantasies). Sexual stimulation or sexual arousal generates electrical impulses along the nerves going to the penis and causes the nerves to release nitric oxide, which in turn increases the production of cyclic GMP (cGMP) in the smooth muscle cells of the corpora cavernosa. The cGMP causes the smooth muscles of the corpora cavernosa to relax and allow rapid blood flow into the penis. The incoming blood fills the corpora cavernosa, making the penis expand.

How is erection sustained?

The pressure from the expanding penis compresses the veins (blood vessels that drain the blood out of the penis) in the tunica albuginea, helping to trap the blood in the corpora cavernosa, thereby sustaining erection. Erection is reversed when cGMP levels in the corpora cavernosa fall, causing the smooth muscles of the corpora cavernosa to contract, stopping the inflow of blood and opening veins that drain blood away from the penis. The levels of the cGMP in the corpora cavernosa fall because it is destroyed by an enzyme called phosphodiesterase type 5 (PDE5).

What are the causes and risk factors of erectile dysfunction?

  • Advanced age
  • Cardiovascular disease
  • Diabetes mellitus
  • High cholesterol
  • Cigarette smoking
  • Recreational drug use
  • Depression or other psychiatric diseases

The 3 Symptoms that you get:

  1. Trouble getting an erection
  2. Trouble keeping an erection
  3. Reduced sexual desire

How can you reduce your Risk of developing erectile Dysfunction?

  • Stop smoking and alcohol
  • Exercise regularly and maintain a healthy weight
  • Talk to your doctor about the medications you are taking and if there are possible substitutions for those that may contribute to ED (never stop or change any medications without first talking to your doctor).
  • If you have a chronic illness such as diabetes, heart or kidney disease, follow your doctor’s recommendations to keep healthy.

Case

Name – Kumar (Name Changed) Male, 33yrs, Software Engineer, Case no – xx54

I have been suffering from erectile dysfunction since few months, I am a married man, feel very embarrassed and used to ignore to have a sexual act with my wife, we have been planning to have a second child but since I had this problem just wanted to put off the matter with my wife. Later, I heard that Homoeopathy has a solution for my problem without any side effects and I even felt shy to reveal this matter to my wife or discuss with any medical person. I came to know about Victory Homoeo Speciality Clinic, doctors here have a lot of patience and listened to the problem with care, I got the confidence that here my problems would be solved. They took my history confidentially and even asked if I had any history of masturbation, which I revealed to the doctor that I used to perform the act during my younger days and bachelorhood and they even asked about my professional life and how I have been managing my work, stress level and they even gave me tips on how to combat them.  It’s been 3 months now and my problem of erectile dysfunction is all better, even my semen count is improved and now, me and my wife enjoy a healthy sexual life and planning to have another child shortly.