How to Crush Erectile Dysfunction (ED) and Rise to the Occasion
Men, it’s happened to most of us.
Everything is going your way. The heavens are smiling down on you. The person you are attracted to in the moment is right in front of you.
But there is a voice in your head, doubting you, asking if you are ready.
Of course you are ready, you tell yourself. But the voice won’t go away.
And then the moment presents itself. The moment you have been wanting. It is your time to shine.
Except there is technical glitch, down there, in your lions.
You are embarrassed. You try to will it to work. You tell the voice in your head to shut up.
But it doesn’t work.
You hang your head in shame and curse. You wish you had an immediate cure on hand, but you don’t.
If you have felt this, read on.
Erectile dysfunction is more common than you think, and it happens more with age.
Discover how erectile dysfunction can happen and what you can do to beat it and be ready when the time is right.
First of All, What Causes an Erection?
Erections are caused by an increased blood flow to the penis, plain and simple. But how does that happen?
The signal for an erection starts in the mind due to a pleasurable sight or sound, or by a sense of touch.
When a man is aroused, his brain tells the blood vessels in the penis to release Nitric Oxide. Nitric Oxide relaxes the muscles in the penis, therefore allowing the chambers in the penis to fill with blood which leads to an erection .
This process also contracts the veins that carry the blood out of the penis, thereby “trapping” the blood inside.
And this causes the magic to happen!
The penis stays erect until the blood leaves, which can happen if the arousal subsides or ejaculation (happy ending)!
What is Erectile Dysfunction (ED)?
Erectile dysfunction is the inability of a man to get or maintain an erection sufficient for sexual intercourse. Most men in their lifetime experience difficulties in getting an erection.
Though ED gets more likely with age, it can happen to men even in their 20’s and 30’s.
It is an embarrassing issue and can cause feelings of shame and helplessness.
If you are experiencing erectile dysfunction often, go see your doctor. ED can be a sign of some other serious health conditions like heart disease, diabetes, or low testosterone.
What causes Erectile Dysfunction (ED)?
Getting an erection involves a lot of processes in a man’s body such as the brain, heart, blood vessels, hormones, muscles and many more. Sometimes one of more of these processes may not work perfectly.
Erectile Dysfunction is caused by three major factors relating to your physical body, your psychology (mind) or your lifestyle.
Physical Causes of ED
ED happens when the body’s natural mechanism is blocked in some way. Here are the physical factors that can cause ED:
- The signal for arousal from the mind does not reach the penis: Due to nerve damage or surgeries near the groin area, the signal from the brain does not reach the penis. The muscles in the penis do not relax, therefore blood does not flow into the penis for an erection.
- Not enough blood flows into the penis: Due to problems with plaque buildup in the arteries, heart disease or high blood sugar, obesity, and diabetes, not enough blood flows into the penis to get an erection.
- The penis cannot trap the blood flowing in: If the blood does not stay in the penis long enough and flows out, a man cannot sustain the erection.
- Drugs for other health problems may interfere with erections: Drugs are known to interfere with an erection. Affected men should discuss medications they are taking with their doctor.
Psychological Causes of ED
Since the signal for arousal starts in the mind, the man must be in an emotional state in which he is open to arousal. If your mind is closed off to physical arousal or intimacy, then no erection will occur. This may be caused by the following reasons:
- Undue stress
- Worry about sexual performance
- Lack of attraction towards a partner
Lifestyle Causes of ED
Your lifestyle can affect your ability to get and maintain an erection. Remember, there are a lot of systems in your body that go into creating an erection. When you take in substances that can alter the chemical balance of your body, it can impact erections. Here are the common lifestyle causes of ED:
- Excessive drinking (whiskey dick is a real thing)
- Drug use (the illegal stuff)
- Other prescription medications for high blood pressure, depression, painkillers
- Lack of sleep
How to Diagnose ED
If you experience ED once in a blue moon, there are no reasons for worry. But if you experience it often, it is important to pay a visit to your doctor to discuss the problem.
ED can be a sign of other issues in the body such as heart disease or plaque buildup in the arteries. It is best to discuss with a doctor, who may consider some of the following methods of diagnosis:
- Discussion about current medications, lifestyle and surgeries
- Discussion about depression or other psychological causes
- Routine physical examination, including the penis and surrounding areas
- Blood test
- Urine test
- Testosterone level test
- Heart and blood pressure
- Prostate test
Luckily, there are many different types of treatments available for ED. It is best to discuss the treatments with your doctor who can prescribe one that best meets your needs. The treatments range from pills all the way to penis implants. Let’s review the treatments.
Unless you’ve been living under a rock, you have likely heard of the blue pill (Viagra). This is just one medication in a class of compounds known as PDE-5 inhibitors.
All these medications enhance the effects of nitric oxide and boost blood flow to the penis, making it easier to get and maintain an erection. Here are some of the more common medications/pills on the market:
- Viagra (Sildenafil Citrate), also known as the blue pill
- Cialis (Tadalafil)
- Levitra, Staxyn (Vardenafil)
- Stendra (Avanafil)
All of these ED pills work similarly. You just pop a pill 15-60 minutes before sex and you will have a much easier time getting an erection. Some work for a few hours while others (Cialis) can work all day or more. You may find one of these ED pills works better for your schedule or your body.
But just taking one of these pills does not automatically produce an erection. You must still feel sexually aroused, which will release the nitric oxide in the first place.
Oral pills are easiest to take and are the most common form of ED treatments.
ED pills do cause temporary side effects in some men, such as a headache, upset stomach, changes in vision (color tinged lights).
Caution: Some oral medications might be dangerous for you if you take nitrate drugs for chest pain, have a heart disease or have very low blood pressure. Make sure to mention any conditions and drugs to your doctor.
Penis Injections (every time)
Alpostradil is a medication that has been approved by the Food and Drug Administration to treat ED. Alpostradil relaxes blood vessels and muscles in the penis which cause blood flow, causing an erection.
You use a fine needle to inject Alpostradi into the base or side of your penis. After the injection, you get an erection within 5-20 minutes and it generally lasts up to an hour.
The injection needle is very small, so there may be only a minimal amount of bleeding or pain during sex.
Insert in the Hole
Instead of the penis injection, you can also insert a small Alpostradil suppository in your pee hole (urethra). You can do this with your own hands or by using a special applicator that can push the suppository further down your pee hole.
Side effects may include small amount of bleeding inside your pee hole or formation of fibrous tissue inside your penis. It’s best to discuss these with your doctor.
Caution: Priapism is a condition which happens when you have an erection lasting longer than 4 hours. It is very painful and must be treated immediately (go to the emergency room if you must), otherwise it can lead to permanent penis damage and untreatable ED.
This device is a hollow tube which is placed over your flaccid penis. Then the pump (battery or hand-powered) is used to suck the air out from inside the tube, which creates a vacuum. The vacuum causes blood to flow into the penis and therefore causes an erection.
After you get an erection, you slip a band at the base of the penis. Then the tube and the pump can be removed and put away. This band maintains pressure and holds the blood inside the penis, thereby allowing you to maintain an erection during sex.
The erection generally lasts long enough for you to have sex. It is considered safe to put the band on the penis for about 30 minutes.
The downside to the penis pump is that it is hard to be subtle when the time is right. Your partner needs to be in the know, otherwise it might lead to awkward situations. Your penis might feel a bit cool to the touch, and there may be slight bruising on the penis.
About a third of men with ED do not respond to medications. The other option for these men is to have a penile implant. Implants sounds scary but are actually quite safe.
Penile implants are devices that are placed fully inside your body. There are two kinds of penis implants.
Bendable Penile Implant: Two easy to bend rods usually made of silicone are inserted into the penis. These semi-rigid rods give a man the ability to have the firmness needed for sex. These rods can be bent downwards or upwards allowing you to mold your penis into shape.
Inflatable Penile Implants: With inflatable implants, two fluid filled cylinders are placed along the length of the penis. These are attached to a pump which is placed inside the ball sac between the two testicles. When you are ready for sex, you just squeeze the pump between your testicles which fills up the cylinders with more water and this pressure causes an erection.
Both these techniques produce a normal looking erection and normal orgasms. In addition, your partner can look at your penis and will not know that you have penis implants.
Because penile implants require surgery which carries risks, they are usually not recommended until you have tried other ED treatment options first.
Penile implants rank highest in patient satisfaction among men who have tried other therapies without success. The reason is that there is no waiting period such as after swallowing a pill, and no injections or penis pumps to administer. Implants are also permanent, have no side effects and require no follow-up visits with your doctor.
A newer therapy using Platelet Rich Plasma for ED is starting to be recommended by some doctors. It is called the Priapus shot (P-shot) and works similar to other PRP treatments. Women have a similar shot called the O-shot.
A doctor extracts your blood and spins it in a centrifuge to separate the plasma and the growth factors from the red blood cells. The platelet rich plasma is then separated and then injected back into your penis.
PRP shows promise in helping men with maintaining firmer and stronger erections.
If you previously didn’t have any reason to insert injections into your penis before, here is a big reason: improving the strength and quality of your boner!
The downside to the therapy is that it costs much more than popping a pill or plain old exercise.
Lifestyle and Exercise
Exercises to treat Erectile Dysfunction (ED)
Doctors recommend exercise as one of the most common natural remedies for ED. Exercise gets you moving and the blood flowing in your body, hence that blood can flow into your penis when the time is right.
A study in the American Journal of Cardiology  found that aerobic activity can help cure ED. Aerobic exercise leads to better health, reduces fat stored in body and improves blood flow into various parts of the body which helps avoid ED.
Kegel exercises for men are recommended by many doctors for improved strength of erection and longer lasting erections. Kegel exercises strengthen the pelvic floor muscles.
How to find them: Kegel muscles are the muscles you tighten when you try to stop peeing midway or to prevent a fart. They are located between your testicles and anus.
How to do Kegel exercises: Tighten your kegel muscles and hold the contraction for 3 seconds. Then take a break for 3 seconds. Repeat this sequence 10 times for one set. Do 3 sets every other day to begin, and then expand to 5 sets and hold the muscles for 5 seconds each time.
These are muscles and need rest to grow, so do not do the exercises everyday. You should start to see a stronger and longer lasting erection in 4-6 weeks (wink).
With All That, We Should be able to Crush ED
Thanks to advancements in science and big pharma, ED should not be a concern that it used to be in the past. We have listed a whole slew of options above which should help any man no matter where you live.
Using these ED-busting techniques above should allow you to walk with full confidence and a smile on your face knowing that you can be ready when the time is right.
Now go on and put some pep to your step.
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