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Erectile dysfunction (ED), also called "impotence", is one of the most common health problems affecting men. Erectile dysfunction can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. Causes Erectile dysfunction has many underlying physical and psychological causes. Most men with physical causes usually have an associated psychological component. Underlying conditions of erectile dysfunction include the following: Physical health conditions Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. This occurs in conditions including multiple sclerosis, spinal cord injury and Parkinson's disease. The nerves involved in sexual arousal can also be damaged in surgery to the pelvic area, such as removal of the prostate. Vascular diseases account for nearly half of all cases of erectile dysfunction in men older than 50 years. These include atherosclerosis, veno-occlusive disease, peripheral vascular disease, arterial hypertension, history of heart attacks, blood vessel trauma, high cholesterol levels. Systemic diseases associated with erectile dysfunction: Diabetes mellitus is a major cause of erection problems (about 60% of men with diabetes experience erectile dysfunction), scleroderma, kidney failure, liver cirrhosis, hemachromatosis, dyslipidemia, hypertension. Neurologic diseases. Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. Diseases that affect the nervous system and are commonly associated with erectile dysfunction include: multiple sclerosis, spinal cord and brain injuries, parkinson's disease, alzheimer's disease, epilepsy, Guillain-Barre syndrome. Respiratory disease associated with erectile dysfunction include: chronic obstructive pulmonary disease, sleep apnea Conditions of the penis: Peyronie's disease (a rare inflammatory condition that causes scarring of erectile tissue), epispadias, priapism, Infections. Traumatic Causes. Trauma or injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to erectile dysfunction by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. Bicycle riding for long periods has also been implicated as a cause of erectile dysfunction. Some types of prostate or bladder surgery. Surgery of the colon, prostate, bladder, or rectum may damage the nerves and blood vessels involved in erection. Medications. A great variety of prescription medication are known to cause or contribute to erectile dysfunction: blood pressure medication (especially beta-blockers) heart medication antihistamines antidepressants tranquilizers antipsychotics anticonvulsants appetite suppressants anti-ulcer medications sleeping pills Psychological conditions. Experts believe that psychological factors cause 10 to 20 % of erectile dysfunction cases. Anxiety and guilt are the most common psychological causes of erectile dysfunction. Depression, worry, stress, low self-esteem, and fear of sexual failure all contribute to loss of libido and erectile dysfunction. Substance abuse. Alcoholism. Drinking too much alcohol interferes with the production of the male hormone testosterone, which can reduce libido. Smoking is considered an important risk factor for erectile dysfunction because it is associated with poor blood circulation and its impact on cavernosal function. Hormone Disorders account for fewer than 5% of cases of erectile dysfunction. An imbalance in hormones, such as testosterone, prolactin, or thyroid, can cause erectile dysfunction. Age. Erection problems tend to become more common with age, but it can affect men at any age and at any time in their lives. Physical causes are more common in older men, while psychological causes are more common in younger men. Treatment options Erectile dysfunction is treatable at any age. In around 95% of the cases, a suitable treatment can be found. There are three oral medications approved for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All three medications belong to a class of drugs called phosphodiesterase (PDE) inhibitors. They block the enzyme phosphodiesterase-5 (PDE-5) and this helps maintain the levels of cyclic guanosine monophosphate (GMP), a chemical produced in the penis during sexual arousal. Balanced levels of GMP causes the smooth muscles of the penis to relax and increases blood flow. This allows a natural sequence to occur - an erection in response to sexual stimulation. These medications don't automatically produce an erection. Instead they allow an erection to occur after physical and psychological stimulation. Viagra, Levitra, and Cialis vary in dosage, duration of effectiveness and possible side effects. All three drugs are generally well tolerated. They are a good choice for men at any age and in any ethnic group who are in good health and who do not have conditions that preclude taking it (such as the use of nitrates or alpha-blockers). The success rates of all three drugs vary between 70% and 90%. top penile enlargement pills penis enlargment excersizes penis enlargement secret herbal natural penis enargement penis enlagement traction device vimax natural penis enlargement and lengthening herbal natural penis enlagement penis enlargement device

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Personal relationships can be seriously compromised by a continuing sexual problem. Such sexual dysfunction can cause terrible distress and can disrupt or even spell the end of personal relationship, regardless of which partner has the problem. Sexual dysfunction may be caused through physical problems but anxiety will often aggravate the dilemma. Sexual relationships are never entirely simple but they are very important and a source of much happiness for those in long term relationships. Many things, both physical and psychological, can go wrong and can threaten the fibre of the relationship if not dealt with in a proper manner. It is important for people to have some knowledge of what can impact on failure to achieve satisfactory sexual fulfillment. Such things can be caused by physical problems on the part of either partner or may be psychosomatic. Whatever the case, the problem affects both partners as such a relationship involves intense emotions and other mental factors. Factors such as faulty expectations, poor communication of sexual needs, ignorance, and concern over ability to perform can affect sexual function and satisfaction. Male Sexual Dysfunction Male dysfunction is most commonly in the form of the inability to achieve an erection or the inability to maintain an erection sufficiently to allow normal intercourse. This condition is known as impotence and can cause great distress to the male, not only because it prevents satisfying sexual intercourse but also because many men think it indicates a lack of masculinity. Most men suffer episodes of impotence at some time and these episodes are almost always of a psychological origin. Very few are attributable to disease and those cases that are, are usually among older men. Psychogenic impotence happens quite often because of performance anxiety. However, the majority of women do not place a great deal of importance on the occasional episode of impotence and are usually sympathetic and understanding rather than critical of their partner. They do not normally see it as a deficiency in the man’s masculinity. Sometimes, organic impotence can be helped by drugs like Viagra. In fact, it was only when Viagra was introduced to the market, the true prevalence of erectile dysfunction was revealed. Premature ejaculation, as its name implies, is when the male orgasm happens too early, thus depriving both partners of sexual satisfaction. This can even happen before penetration and is normally due to excessive excitement. This is fairly common in inexperienced men but will settle down as they become more sexually skilled. There is also a condition called Priapism that is potentially dangerous to the man. It is a rare condition in which the erection does not subside after he reaches orgasm. It is important that he seek immediate treatment as the blood in the penis will usually clot after about four hours, forming damaging internal scar tissue. The condition is usually treated by draining the blood under anaesthesia. Priapism has been known to be caused by drug abuse. Another disorder of the penis is Peyronie’s disease of which the cause is unknown. This disorder is characterized by a thickening and rigidity of tissue, resulting in a bend in the penis on erection. This can interfere with normal intercourse by causing discomfort to both partners. It may also prevent sexual intercourse from happening at all. The condition is often helped by steroid injections but surgical removal of the thickened areas is usually needed. Female Sexual Dysfunction Due to unrealistic expectations, many men see women who fail to achieve orgasm as being frigid. However, this often occurs because of a lack of affectionate expression by the partner, or a lack of sexual understanding and skill. Of course, there are other causes such as fear of pregnancy, recent childbirth, dyspareunia (pain during intercourse), and some prescription drugs. Drugs prescribed to treat conditions such as depression, insomnia, or high blood pressure can prevent female orgasm. Approximately ten percent of women will never achieve orgasm and around half never experience orgasm during sexual intercourse due to insufficient foreplay. Men often see the lack of female orgasm as a criticism of their own masculinity. Additional Sexual Problems Dyspareunia is the medical terminology for painful sexual intercourse which may be of physical or psychological origin. For instance, a woman who has recently had an episiotomy repair following childbirth will suffer from dyspareunia if she engages in sexual intercourse too soon. It may also be caused by infections in the uterus or the vagina or from rare congenital defects in the vagina. Pain can also be psychological and can be experienced because of fear or anger. It can also be an instinctive tactic to avoid unwanted sex. There is also an extreme condition called vaginismus which is an involuntary rejection of sexual intercourse and is difficult to treat. Sexual Therapy Those who suffer from any of the conditions mentioned may benefit from a referral to a therapist who will discuss treatment and options. Therapy can help couples overcome their fears of communicating sexual needs and their fear of rejection by their partner by using behavior therapy such as sensate focusing. This is generally a set of exercises that teach the partners to enjoy general body sensuality without intercourse. These exercises encourage a couple to enjoy body contact and sexual versatility and can help to overcome shyness which is sometimes still felt after many years of being together. Sexual intercourse is far more than a way of reproduction and includes intense emotions of attraction, love, and desire. These emotions generally begin in adolescence. When a loving bond is formed between two partners, it is important to look after that bond in any way possible. penis enhancement device free penile enlargement tip penis enhancement surgery photo best penis enlagement surgery magna rx pill natural penis enlagement pills penis enlagement device penis enlargment photo vigrx pills

The Vagina and even the word seems mystical. Most of a woman’s sexual organs are internal, rather than external, but we shall examine the vagina, and what leads to it, and what it leads to. This is a really then an examination of a woman’s sexual organs. The External Areas Leading to the vagina, one must begin with the “mons pubis” or mound of Venus. This is some fatty tissue that is just beneath the woman’s pubic hair, and this pillow cushions the area during intercourse. Next is the clitoris, and although considered an external element of the woman’s sex organs, the greater part of it is internal. The clitoris could be considered a miniature penis, as it contains as many nerve endings as penis does. It is very sensitive to stimulation, and during sexual excitement, the clitoris swells (as does a penis), and becomes even more sensitive. Constant stimulation to a clitoris will generally result in an orgasm. Strangely, the clitoris when stimulated can retract internally even more than it is when un-stimulated. The actual clitoris extends all the way to the vagina. There are two sets of “lips” called Labia Majora and Labia Minora. The Labia Majora (larger lips) act to protect the opening of the vagina and the urethra opening. The Labia Minora again cover the opening of the vagina, but these secrete a lubricating liquid called ‘sebum’ to facilitate the entry of the penis. Also these lips tend to shelter the clitoris. The last external area is call the perineum, and this is the area (also sensitive) between the opening of the vagina (called the vulva) and the anus. The Internal Components of a Woman’s Sexual Organs The vagina itself is the connecting area from the vulva to the cervix. The vagina itself is where the penis is placed at intercourse, and it has its own very sensitive area called the g-spot (about 2 to 3 inches inside and on the top side of the vagina). The vagina is smaller than a penis, but is very flexible and can accommodate penises of very large sizes. The penis itself however cannot travel further than the opening of the cervix. The Cervix is the connecting area to the uterus. The uterus is the area where fertilized eggs will lodge themselves and grow into the fetus (the immature child). The last part of the woman’s sexual organs are the ovaries (which correspond to a man’s testicles) as they make eggs, and the female hormone estrogen (along with progesterone and even small amounts of testosterone!). Connected to the ovaries are the fallopian tubes. The Fallopian Tubes receive fertilized eggs and sperm (if present) where the eggs become fertilized. Care of the Vagina This is a very large subject, but generally, there are some rules which apply to “partners” and will tend to keep the vagina and the partner’s penis healthy. 1. Use condoms if you can, and always with new partners. 2. Should your partner wish to insert fingers into the vagina, it would be well advised to kept their hands very clean, trim their fingernails very low and be careful not to have any sharp areas on the fingernails. 3. Before a sexual encounter, a shower or bidet wash is advised, and certainly after the sexual encounter. 4. Be very careful of bacterial and yeast infections. To prevent them, one should not allow vaginal and anal penetration with the same condom. After any anal penetration (either with a penis, finger or toy), it must be thoroughly washed before being placed in a vagina. 5. Women must take a great care in their personal hygiene, and after defecation, wipe themselves in a single direction motion only, always away from the vagina towards the anus. For additional care, each woman is well advised to consult their gynecologist, and establish a hygienic care program. magnarx penile enlargement information plastic surgery penile enlargment free natural penis enlarement male penis elargement vimax penis enlargement before and after home pennis enlargement vimax best penis enlargement surgery vigrx pills

Genital warts are one of the most common sexually transmitted diseases (STD) and are spread by vaginal and oral sex with an infected person. Genital warts are caused by a virus called Human Papillomavirus(HPV) also known as condylomata acuminata. One survey reveals that genital warts affect about 5.5 million Americans each year. It is important to say right up front that a person can have genital warts without showing any symptoms. This means that a person can be contagious without even knowing it. You would not want to spread a virus like this to a loved one, so be sure you know the first signs, and get yourself checked out every so often with a doctor. Symptoms: Warts look like small bumps with a cauliflower-like appearance. They may be as small as two mm in diameter or may be multiply into a large cluster. In women, the warts may grow in the wall of vagina, between external genitals and the anus. In men, warts can be found on the tip or shaft of the penis. Treatment: Genital warts can be prevented by avoiding sex with an infected person. Using condoms can protect you but not all the time because warts can grow in the unprotected area also. Different therapies are available for genital warts such as freezing with liquid nitrogen or using laser treatment but these are not permanent solutions. HPV remains dormant in the body and genital warts can reappear at anytime. Those infected by genital warts should see their doctor to discuss treatment, side effects and cost. compare pennis enlargement pills com enhancement penis penis pump top penis enlargement pill penis elargement before and after penile enlargement pic free penis enlargment technique prosolution penis enlargment pills homemade pennis enlargement vigrx pills

ED or erectile dysfunction is one of the major concerns to a happy married life. Erectile dysfunction is also defined as impotence which is also explained as the situations when men are unable to have a proper penile erection though fully aroused. Erectile dysfunction is not only one of the major obstacles when thinking about a successful physical relation but it is one of the major causes which makes a man lose his courage and motivation while performing any other tasks at his home or working place. Impotence is defined as the major element behind disputes in a married life and social life. Not only this it sometimes creates hassles in reproduction also creating blunders to the lives of men and their partners. Impotence or erectile dysfunction occurs because of the absence of nerves between brain and penis which actually act as stimulants at times of intercourse. In the absence of these nerves the blood flow from the brain to penis gets lowered hence allowing low penile erection or early ejaculation at times. Understanding the effects and criticality of impotence in one’s married life medications like tablets and jellies have been introduced into the market. Those who prefer Generic treatments to other branded treatments Generic Viagra is the most reliable and popular treatment available today. Generic Viagra a quicker and reliable source of getting a safer penile erection allowing the partners get a proper satisfaction from their love making. Generic Viagra is available in different dosage forms as 100 mg tablets, soft tablets and jellies depending on the preference of users. Generic Viagra guarantees a quicker and safer result with cheap prices and the flexibility to make love when you want to. It offers the users a quicker result within 30 minutes of its intake and gives a long lasting result up to 4-6 hrs from its consumption allowing the user to attain the maximum out of his intercourse. These wonder pills are very popular with the name of Kamagra which is considered to be the power booster to alls married lives.