What is erectile dysfunction?

Erectile dysfunction (ED) or male impotence as it is usually referred to is a health condition when a man is unable to produce or maintain an erection suitable for successful sexual intercourse. It is not commonly discussed as compared to other health issues, but it is quite common, affecting about 10% of men regardless of age and race.

Common causes of erectile dysfunction

Erectile dysfunction can be caused by a large variety of factors, which may be divided into three main groups:psychological, physical, and pharmaceutical.

1. Psychological factors are the primary cause for ED, and include such conditions as stress, depression, anxiety relationship issues, insomnia, etc. 2. Physical factors causing impotence are connected to the four major health issues:

• Blood flow influencing conditions such as various heart diseases, blood pressure issues, diabetes, arteriosclerosis, etc. (this factor can be significantly reduced by medications like Cialis)


• Nervous system issues, such as spinal diseases, multiple sclerosis, Parkinson's disease, tumors, etc.


• Hormonal balance disorders, including hypogonadism, thyroid issues, and Cushing's syndrome


• Structural deformations in the penile area, such as Peyronie's disease, and hypospadias

3. Some medications can cause erectile dysfunction as a side-effect. Usually the effect wears off after you stop taking the drug, so don't rush taking Cialis or other ED medications if that's the cause. Here are some of the most common medications know to cause male impotence:

• Diuretics - these medications are used to induce urination, and are usually prescribed for treating hear failure, high blood pressure, and kidney disease


• Beta-blockers - these drugs act as anti-hypertension drugs, lowering the blood pressure.


• Fibrates - medications for reducing cholesterol levels


• Antipsychotics - these medications are used to treat severe psychiatric disorders


• Antidepressants - drugs used for treating depression symptoms


• Steroids - an entire class of medications used to treat a variety of health issues such steroid hormone deficiency, Aids and other conditions causing the decrease in muscle mass


• Immunosuppressants - drugs used to reduce the activity of the immune system


• H2-antagonists - medications prescribed for a variety of stomach acid related diseases.


• Anticonvulsants - drugs used in cases of epilepsy and bipolar disorders

It's all in the mind

When you bring everything down to simple plumbing, the whole question of erectile dysfunction gets easier to understand. It's all to do with pumps and valves. When the arteries dilate, the blood flows into the penis. As it swells, the pressure shuts off the veins that would drain the blood out and, before you can say Jack Robinson (sometimes say it several times), you have an erection. If the problem is with the plumbing, the little blue pill is effective and dilates the right arteries. And, in the majority of cases, the problem is with the plumbing, so it's easily fixed. Unfortunately, the plumbing system sits in a building and there can be problems with the owner. For the whole thing to work, the owner has to want it to work. He has to want to respond to the sexual stimulation. Erections do not happen by accident. They reflect the mind.

This brings the bad news. If the cause of the erectile dysfunction is psychological, trying to rely on the little blue pill is not only a waste of time, it is also going to add a new layer of performance anxiety to the man's list of problems. The truth is that if a man is seriously depressed or has gone through an extremely stressful situation, there may be no enthusiasm for sex. Now add in all the other possibilities, like there are religious or cultural reasons why the man might find the idea of sex inappropriate or distasteful, and the likelihood of an erection recedes into the distance. Worse, suppose the man has been sexually abused or his first experiences with a woman left his self-confidence shattered. If the mind and the body cannot work together, sexual relationships are not going to be a success.

For once, it's actually more appropriate to talk about love rather than sex which tends to be the more mechanical form. When two people are in love, they are more relaxed and the relationship develops more naturally. There is more trust and fewer inhibitions. When the man is depressed, trust in self is lost. The antidepressants often have impotence as a side effect. So therapy rather than drugs is the better route. Once therapy begin to lift the depression and change attitudes towards sex, there will be a time to buy viagra. Self-knowledge and understanding can help someone back into a relationship. Assuming that the partner is still willing, an active sex life can be resumed. In its own right, this decision needs to be planned. Performance anxiety needs to be addressed and viagra is a reliable drug to produce the erection once the mind is willing. Not everyone can recover from a depression and still make the relationship work. But once trust begins to return, the chances are good.