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Definition of Erectile dysfunction Erectile dysfunction (ED) is the inability of a man to achieve or maintain an erection sufficient for his sexual needs or the needs of his partner. Erectile dysfunction is sometimes called as “impotence”. The term "erectile dysfunction" can mean the inability to achieve erection, an inconsistent ability to do so, or the ability to achieve only brief erections. Ayurveda defines Erectile dysfunction or ED as follows. Sankalpapravano nityam priyaam vashyaamapi sthreeyam || na yaathi lingashaithilyaath kadaachidyaathi vaa yadi | Shwaasaarthaha swinnagaatrshcha moghasankalpacheshtitaha || mlaanashishnashcha nirbeejaha syodetat klaibyalaxanam | This means even though a man has a strong desire to perform sexual act with a cooperative partner, he can not perform sexual act because of looseness (absence of erection) of his phallus (penis). Even if he performs sexual act with his determined efforts he does not get erection and gets afflicted with tiredness, perspiration and frustration to perform sex. Physiology of erection The two chambers of penis (corpora cavernosa,) which run throught the organ are filled with spongy tissue. The corpora cavernosa are surrounded by a membrane, called the tunica albuginea. The spongy tissue contains smooth muscles, fibrous tissues, spaces, veins, and arteries. The urethra, which is the channel for urine and semen runs along underside of the corpora cavernosa. Due to sensory or mental stimulation, or both, the erection begins. Due to impulses from brain and local nerves the muscles of corpora cavernosa relax and allow blood to flow in and fill the spaces of spongy tissue. The flow of blood creates pressure in the corpora cavernosa, making the penis expand. The tunica albuginea helps trap the blood in the chambers, thereby sustaining erection. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection recedes. In ayurveda physiology of erection and ejaculation is described as follows Vrishunow basthimedram cha naabhyuuru vankshnow gudam| Apaanasthaanamantrasthaha shukra mootra shakrunti cha|| The “apaanavayu” one of the five types of vayu is located in the testicles, urinary bladder, phallus, umbilicus, thighs, groin, anus and colon. Its functions are ejaculation of semen, voiding of urine and stools. Shushruta explains the process of erection and ejaculation as When a man has desire (iccha) to have sex, his response to touch increases (Vayu located in skin causes flow of signals from skin to brain, thus causing sensation of touch). This causes arousal or “harsha”. Arousal or Harsha intensifies actions of vayu and at this moment highly active vayu liberates the teja or heat of pitta. Thus tejas and vayu increase body temperature, heart beat and blood flow causing erection. Causes of ED Erection requires a sequence of events. Erectile dysfunction can occur when any of the events is disturbed. Nerve impulses in the brain, spinal column, around the penis and response in muscles, fibrous tissues, veins, and arteries in and around the corpora cavernosa constitute this sequence of events. Injury to any of these parts which are part of this sequence (nerves, arteries, smooth muscles, fibrous tissue) can cause ED. Lowered level of testosterone hormone: The primary male hormone is testosterone. After age 40, a man's testosterone level gradually declines. About 5% of men that doctors see for erectile dysfunction have low testosterone levels. In many of these cases, low testosterone causes lower sexual interest, not erectile dysfunction. The whole male body responds to testosterone. Even sushruta has illustrated about this response of body to the element “Shukra” . He has said "yatha payasi sarpistu goodashchekshow raso yatha shareereshu tatha shukram nrinaam vidyaadhbishagwara." This means the shukra (the element which helps in reproduction) is present all over the body. This can be explained with the following examples: 1. The ghee is present in milk in an invisible form. This is extracted from milk using many processes. 2. The sugar is present all over the sugarcane. It is extracted by subjecting the sugarcane to number of processes. Same way shukra is present all over the body. But the cream of shukra (semen) comes out of the body only during the process of ejaculation. But this process of ejaculation needs a joyful union of mind and body. Decrease in production of “Shukra” causes erectile dysfunction. Over exertion - physically and mentally: Working for long hours in office, mental stress at office and home, short temperedness ,insufficient sleep cause erectile dysfunction. These causes are explained in ayurveda as "shoka chintaa, bhaya, traasaat .... " which means that erectile dysfunction or Impotence occurs due to grief, fear, anxiety and terror. Strained relationship with sexual partner: Erectile dysfunction also occurs when there is a disliking towards sexual partner. Ayurveda describes this as "naarinaamarasamjnatwaat..." means disliking for women. Diseases that cause Erectile dysfunction: Neurological disorders, hypothyroidism, Parkinson's disease, anemia, depression, arthritis, endocrine disorders,diabetes, diseases related to cardiovascular system also become reasons for erectile dysfunction.. According to ayurveda the diseases which cause erectile dysfunction are "Hritpaandurogatamakakaamalashrama..." - Heart diseases, anemia, asthma, liver disorders, tiredness. Apart from these the imbalance in tridoshas also cause impotence or erectile dysfunction. Consumption of medicines, drugs and tobacco: Using antidepressants, tranquilizers and antihypertensive medicines for a long time, addiction to tobacco especially smoking, excessive consumption of alcohol, addiction to cocaine, heroin and marijuana cause erectile dysfunction. In ayurveda texts these causes have been said in brief as "rukshamannapaanam tathoushadham" - "dry food, drinks and medicines" cause impotence or erectile dysfunction. Trauma to pelvic region: accidental injury to pelvic region and surgeries for the conditions of prostate, bladder, colon, or rectal area may lead to erectile dysfunction. These causes are mentioned as abhighata (trauma), shastradantanakhakshataha (injury from weapons, teeth and nail.) in ayurveda. Other reasons: Obesity, prolonged bicycle riding, past history of sexual abuse and old age also cause Erectile dysfunction. Ayurveda describes the cause of impotence or erectile dysfunction due to old age as follows. "diminution of - tissue elements, strength, energy, span of life, inability to take nourishing food, physical and mental fatigue lead to impotence." Remedies for ED ED is treatable at any age. The total treatment in for impotence is called as “Vajikarana therapy” in ayurveda. As this therapy increases the strength of a man to perform sexual act, like a horse, it is called 'Vaajikarana'. ('Vaaji'=Horse.) Vaajikarana therapy leads to • Happiness. • Good strength. • Potency to produce healthy offspring. • Increased span of erection. Eligibility for vajikarana therapy. 1. The vajikarana therapy should be administered to persons who are between 18 to 70 years of age. 2. These therapies should be administered only to a self controlled person. If this therapy is administered to a person who does not have self control, he becomes nuisance to society through his illegitimate sex acts. Psychotherapy Decreasing anxiety associated with intercourse, with psychologically based treatment helps to cure ED. 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. Same treatment is illustrated in ayurveda. It has been said “A woman who understands a man and is liked by him, along with erotic environment act as best aphrodisiac.“ Drug Therapy Numerous herbal preparations are mentioned in Ayurveda to treat ED or impotence. It has been said that people who have strong sexual urge, who want to enjoy sex regularly have to consume these preparations regularly to replenish the energy, vigor, stamina and strength. These preparations also supply the nutrients which are necessary for production of semen. Ayurveda tips to overcome ED 1. Consuming herbal preparations to rejuvenate the reproductive organs. 2. Massaging the body with a herbal oil which gives a relief from physical exertion and also acts as aphrodisiac. 3. Practicing Yoga and Meditation to overcome mental exertion and to cope up with stress. 4. Sleep at least for 8 hours a day. 5. Avoiding the consumption of alcohol, tobacco, heroin etc. 6. Exercise regularly. 7. Avoid hot, spicy and bitter foods. 8. Favor sweets, milk products, nuts and urad dal. 9. Add little ghee in your diet. 10. Give a gap of four days between two consecutive intercourses penis enlargement supplement pennis enlargement surgery natural penis enlarement exercise penis girth enlagement enlargment forum free matter penile size penis elargement before and after picture best pennis enlargement easy enlargment free penile surgery way

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Vaginismus is an involuntary contraction of the muscles surrounding the entrance to the vagina, making penetration painful, and or impossible. The muscle group involved is called the pubococcygeal muscles (PC). These are the same muscles used for kegel exercises. Normally, the vaginal sphincter keeps the vagina closed until the need to expand and relax. This relaxation allows for sexual intercourse, medical examination, insertion of tampons and childbirth. Vaginismus occurs when the vagina is unable to relax and permit the penetration of the penis during intercourse however, when vaginismus does occur, the sphincter goes into spasm resulting in the tightening of the vagina. In some women vaginismus prevents all attempts at successful intercourse. Vaginismus may even occur anytime in life, even if a woman has a history of enjoyable and painless intercourse. The severity of vaginismus varies from woman to woman. Some are able to insert a tampon and complete a gynecological exam but are unable to insert a penis. Others are unable to insert anything into their vagina. Vaginismus is not due to a physical abnormality of the genitals. Some women wonder if their vagina is too small to "accomodate" a penis, or perhaps they have no vaginal opening at all. This is understandable especially when the vaginal muscles are in spasm as they can give the appearance that the opening is nonexistent. These concerns, however, are incorrect as the genital area is completely normal. In addition to vaginismus, there are a number of other disorders, such as endometriosis, pelvic inflammatory disease, and Bartholin cysts that can result in painful sexual intercourse or penetration. It's important that a reliable diagnosis is obtained so that the appropriate treatment can be recommended. Nonphysical Causes: The cause of vaginismus is often a result of an aversive stimulus associated with penetration. Some of the more common aversive stimuli are traumatic sexual assaults, painful intercourse, and traumatic pelvic exam. Vaginismus may also result from the patient having strong inhibitions about sex stemming from strict religious beliefs or cultural norms. This disorder does not mean that women suffering from this disorder are frigid. Many are very sexually responsive and may have orgasms through clitoral stimulation. Many women with vaginismus may seek sexual contact and sexual foreplay as long as actual intercourse/vaginal penetration is avoided. Concepts such as penetration, intercourse and even sex can cause fear or trepidation in the mind of may a young inexperienced woman who may hear stories about painful first intercourse, which then reinforce the fear of penetration. This fear can compound and create a pattern of sexual anxiety, causing the vagina to remain dry and unrelaxed before intercourse. Treatment: The treatment of vaginismus is usually a therapy program that includes vaginal dilation exercises using plastic dilators. It's important that the use of dilators proceeds in a systematic progression under the direction of a sex therapist and should actively involve the woman's sexual partner. The treatment include gradually more intimate contact eventually culminating in successful and pain free intercourse. Sex education is also very important to counter sexual naivety and dispel any misinformation which has been identified as a factor in 90% of vaginismus cases. This education should include information about sexual anatomy, physiology, the sexual response cycle, and common myths about sex. Psychotherapy and Counseling See a qualified, licensed professional. Anyone can call themselves a sex therapist, so find a qualified psychologist or psychiatrist; one you trust. Try to get referred by your own physician or health care provider. plastic surgery penis enlarement guide to penis enhancement free natural pnis enlargement enlargment forum free matter penile size pennis enlargement procedure penis enlargment excercises enlargement free penile pills sample pnis enlargement surgery picture penile enlargement operation

Sex is a taboo in many societies; people don’t discuss it overtly. However, this is an essential part of human life without which human existence on the earth is not possible. Satisfying each other’s sexual desires is an important obligation which must be fulfilled after marriage. There may be many psychological conditions under which a man can lose his capability of satisfying a woman. But most of the time it is the physical problem which restricts a man from sexually satisfying a woman. The sexual satisfaction of a woman does not depend upon the ejaculation of man. Sexual satisfaction of a woman depends upon the time period for which the man gives her motion of penis. Hard and erect penis is the demand of every woman in the world who lives a normal sexual life. Man can arouse her with intense foreplay. Foreplay can include kissing her on erogenous spot and licking her deeply with tongue. Foreplay is an effective way to prepare her for penetrative sex. Similarly, a woman can arouse her counterpart with the help of masturbation by hand or by sucking. The activities of foreplay can be different according to religion and social customs. There can be a time in marital life when a partner loses his or her libido; when this happens in a man he loses the capability of erection of penis. This problem is known as erectile dysfunction (ED). There is no age limit for erectile dysfunction to affect the body. It can occur in early young age or in mature part of the life. Erectile dysfunction is very embarrassing for a man; generally he never tells about his condition because of shame. The common myth, “erectile dysfunction occurs because of masturbation” also restricts him to discuss his problem with appropriate person. There is no scientific relation between erectile dysfunction and masturbation. Erectile dysfunction is the result of improper working of two chemicals- one is GMP, other is PDE5. GMP is a chemical whose secretion takes place in the body to stimulate erection of penis. Under its effect capillaries of penis fills with blood and a man gets hard erection. The counter chemical to GMP is phosphodiesterase type 5 (PDE5), which helps in bringing back penis in relaxed position. If there is excessive and early secretions of PDE5, the penis fall back quickly even during intercourse. Earlier, there was no remedy for erectile dysfunction, but medical science has found a set solution for helping people in this disease. This set contains tablets like Levitra, Viagra, Cialis, Kamagra, Soft Tab, Meltab etc. Levitra has two lines of action, firstly it stimulates GMP secretion and secondly it inhibits the working of PDE5. The first action of the Levitra helps in erection of penis quickly and second action doesn’t let the penis to fall back early. People using Levitra can sexually satisfy a woman of any age group because penis remains in erect position for up to 4 hours. There can be some mild side effects of Levitra like increased palpitation, stomach disorder, headache, dizziness and pain in erection of penis. These side effects disappear within in few days. People suffering from cardio-vascular diseases and old age people should not use Levitra. Levitra is an oral-prescription drug for which advice and prescription of doctor is essential. Levitra is available easily through online order so tonight fizz all her fire with the help of Levitra. penis enlarement picture do pnis enlargement pills really work herbal penis enhancement manual pennis enlargement vimax enlargement free penis pills sample penis enlargment stretcher penis enlarement doctor penis enlarement doctor penile enlargement operation

Human beings are the most superior creature on this planet with immense control over body and mind which helps to achieve fulfillment against all odds; but everything in life comes with its share of adversity. Just like the condition of erectile dysfunction, prevalent in millions of men over the world which is enough to take many successful men and their relationships to the dock. For years, men suffered in silence as they were too embarrassed to speak about their sexual incompetence and also feared rejection by their partners. Erectile dysfunction (ED) commonly termed impotence is in all aspect a medical condition when a man is unable to achieve or sustain an erection necessary for a sexual act pertaining to his sexual needs or the needs of his partner and has to be treated like any other disease, erectile dysfunction is the sexual inability in a man prevalent consistently over a prolonged period of time and has nothing to do with momentary fluctuations in sexual activity. This is caused mainly due to the hardening of arteries, called arteriosclerosis where narrower hardened arteries prevent the flow of blood to the penis, even on stimulation. There are also several psychological and lifestyle conditions responsible for erectile dysfunction. Latest studies have revealed that erectile dysfunction is not age-related and it can be treated at any age. Researchers over the world have been trying on various methods for treating impotence but the most successful and popular amongst them is the oral medication Viagra. For years, men suffering from ED continued their trial against destiny and had to rely only on their sexual fantasy. While a group of researchers aided by the pharmaceutical giant Pfizer Inc. New York developed the first oral drug for the treatment of erectile dysfunction. This pioneer drug was named viagra and was approved by the FDA in March, 1998. Since then Viagra has been successfully retrieving back the sexual bliss in many dismantled relationships. This power in Viagra is due to its magical active component, Sildenafil citrate. This ingredient helps in the relaxation of the arteries which thereby improve the flow of blood to the penis on stimulation, thus facilitating an erection. Viagra taken an hour prior to a sexual activity guarantees absolute pleasure and hold true your sexual fantasies for the next 4 hours. Pfizer has been no less than a savior to the many ED affected men, but anyone contemplating the use of Viagra is advised to consult a doctor before using it considering factors like drug interaction and the health factor for an active sex. Moreover, Viagra online information provides adequate support on latest studies, expert consultations and online buying guide with the click of a mouse. It is indeed the well wishes of many privileged men whose lives are being rejuvenated by Viagra that is behind the success story of Pfizer Pharmaceuticals. do penile enlargment pills work penis enlagement pills review pnis enlargement pump penile enlargment pump do penile enlargment pills really work guide to penis enhancement penile enlargement forum free penis enlarement exercise penile enlargement operation

So, does penis size matter? A heavily debated topic for years, the answers vary widely depending on who you talk to. I submit that it in fact DOES matter. So who am I to suggest definitively that penis size does matter? I am not a physician, nor am I an expert on human anatomy, so many would dismiss my statements as unsubstantiated. It is my intention with this article to address those who believe penis size doesn't matter based on the opinions and findings of so-called "experts". Do you need a huge penis to pleasure a woman effectively? Absolutely not, but I can tell you that size does become an issue when the penis is very small. The average sized penis, according to "experts" is 5 1/2 inches. Now this could be true, but one does have to consider a couple of factors. First, we don't know how many men were surveyed. Secondly, it is entirely possible that whoever conducted the survey had a penis slightly larger than 5 1/2 inches and came to that conclusion in a not-so unbiased fashion so that he could say, "I have a larger than average penis". Expert testimony aside, I would now like to discuss what women say about the penis size issue. We've all heard statements like, "It's not the size of the boat, it's the motion of the ocean" or "Penis size doesn't matter." Well, I'm sure that many women honestly believe that penis size doesn't matter. However, I submit that the women that fall into that category have never experienced intercourse with a man who has a tiny penis. The author has had quite a few women tell him that if a guy has a particularly small penis, they will wait a couple of days (out of courtesy) and break up with him. They'll say things like, "I'm not ready for a relationship" or other typical "let-the guy-down-easy" excuses to end their courtship. Women that do this to a man with a very small penis are doing him a huge disservice. The sad fact is a man with a small penis may never know that his penis has become an issue in his sexual relationships because women are to affraid of hurting his feelings over the matter. He therefore may not be aware that taking action is necessary in regards to his penis size. So what can a man do to increase penis size? Many people would tell you nothing. Pills to increase penis size are a huge industry, regardless of the fact that they are ineffective. Surgery can be dangerous, painful, expensive...and may leave a man permanently impotent. Is there a way to increase penis size naturally and safely? Before the reader makes up his/her mind, I would suggest visiting the sites below.