Erectile Dysfunction (ED)- नपुंसकता – Impotency Treatment in India
Erectile Dysfunction Treatment In Mumbai – Erectile Dysfunction (ED), sometimes called Impotence, is defined as failure to obtain or sustain an erection until completion of satisfactory sexual activity. In simple words erectile Dysfunction is a problem in maintaining an erection during sex.
Erectile dysfunction or ED is also known as impotence, less erection, erectile failure, failure in intercourse, Napunsakta, sexual inadequacy, decreased erection, less hardness of penis, sexual incompetence, looseness of penis, and erection problem.
According to Ayurveda, when a man feels a strong desire to perform a sexual act with his partner but cannot perform the act due to the absence of erection or looseness of his phallus (penis) is known as Erectile Dysfunction. Even if there is determination and desire, yet inability to get an erection results in affliction with tiredness, sweat, and frustration with performing sex.
Erectile dysfunction (Impotence) can be of many forms:
- It may be a complete erectile disorder, i.e., some men achieve no erection at all.
- An erection may occur regularly, but as the love play continues, the erection is lost.
- The erection may be maintained very adequately up to the point of entry. The penis becomes flaccid as it enters the vagina.
- May be maintained beyond the point of entry and then wane after a period of activity inside the vagina before discharge.
The patient feels frustrated, depressed, ashamed, has lowered self-esteem & may even disturb his family relationship.
Impotence is majorly due to poor circulation or the lack of blood flow to the penis. Lack of blood flow leads to the inability to maintain an erection, which leads to poor or unachievable sexual performance.
The condition of ED is often embarrassing for men to discuss because the sexual performance of a man is usually considered an indication of their manliness in our society.
The problems of erectile dysfunction can affect personal relationships with the partner. The relationships may face conflicts, anxiety, a lack of intimacy, anger, and stress.
In various estimation studies, 15 million to 30 million people worldwide are affected with Erectile Dysfunction to some extent.
At some time, all men experience erectile problems. But for 30 million men in the United States, erectile dysfunction is a chronic, persistent problem. According to a survey in the USA, 40% of 40-year-old men and 70% of 70-year-old men complained of some degree of impotence.
Older men often face the issues of erectile dysfunction. Although, the problem of ED can occur at any age. Consult the best sexologist for erectile dysfunction treatment in India to get healed from the issue at a faster pace.
With the increase in age, many men begin to notice changes in sexual function, like erections may take a longer time to develop, less rigidness in the penis, or may require direct touch to the penis to erect.
Also known as impotence, erectile dysfunction or ED was a taboo in earlier times. It was considered a psychological issue or a natural consequence of growing older.
These attitudes have changed in recent years. It’s now known that physical problems more often cause erectile dysfunction than psychological ones.
Men often view ED as an embarrassing issue and avoid talking with the doctor. Still, erectile dysfunction treatment in Mumbai, India, is very important. The problems of erectile dysfunction are successfully healed in most cases. The inability to maintain an erection occasionally is quite common and assumed as normal. However, if erection issues are continuously occurring, then this can be a major sign of ED. In some cases, erectile dysfunction is the first sign of another underlying health condition that needs erectile dysfunction treatment in India with the best Sexologist.
The issues of erectile dysfunction are treatable at any age, and people are becoming aware of the same in the present scenario. Numerous men are consulting the top sexologist for erectile dysfunction treatment in Mumbai and getting healed properly.
Earlier, the cause of erectile dysfunction was believed to be psychological problems. In the present era, experts believe that ED results from treatable physical factors in 85% of the cases. Most patients are cured by proper diagnosis & correction of the defect. Thus, now more & more people are seeking medical advice regarding their problems.
Erectile dysfunction, regardless of the cause, leads both sexual partners to experience a range of feelings and intense emotions, including a sense of hopelessness and low self-esteem. These negative feelings can result in performance anxiety in a man and create a cycle of an increase in negativity and repeated failures while performing sexual activities.
Both partners must acknowledge the problem and communicate openly and honestly to overcome these feelings. As sexual performance is directly related to the self-esteem and confidence of a man, erectile dysfunction may hurt self-esteem as well as the sense of self. Men with erectile dysfunction often develop feelings of inadequacy, embarrassment, or guilt and may consider themselves unattractive to their partner. Men might start avoiding intimate situations, isolate themselves from the relationships, or separate from their partners due to these negative feelings.
Whether the cause is physical factors, psychological factors, or a combination of both, erectile dysfunction can become a source of mental and emotional stress for a man — and his partner. If you experience erectile dysfunction occasionally, try not to consider it as a permanent issue. Don’t expect ED to happen during your next sexual encounter. Never view a single experience of erectile dysfunction as a permanent issue on your health and virility.
Communicate and discuss with your partner honestly about your condition. If couples stay together as a team, treatment often becomes successful. You may even want to see a counsellor with your partner. This can help you to have an effective erectile dysfunction treatment in Mumbai. We provide the best erectile dysfunction treatment at Kayakalp International Clinics in Mumbai, India.
Usually following thoughts come to the mind of a person who has Erectile Dysfunction (impotence):
- I feel frustrated because of my erection problem,
- My erection problem makes me feel depressed.
- I feel like less of a man because of my erection problem.
- I have lost confidence in my sexual ability.
- I worry that I won’t be able to get or keep an erection.
- I feel that I have lost control over my erections.
- I worry about the future of my sex life.
- I have lost pleasure in sex because of my erection problem.
- I try to avoid having sex.
- I worry that I am not satisfying her because of my erection problem.
- Will I be able to have a child?
How Erections Form ?
Male sexual arousal is a process that involves the hormones, nerves, blood vessels, emotions, and muscles. If there is an imbalance in any of these systems, the problem of erectile dysfunction arises.
Before moving to the causes of erectile dysfunction, let’s discuss how erection takes place initially. The penis comprises two cylindrical chambers that are known as the Corpus Cavernosum. When sexual stimulation is sent from the brain, these chambers get filled up with blood through a network of arteries.
When men feel sexually aroused, the brain sends a signal down nerve fibres in the body, instructing the arteries in the penis to expand. As the arteries expand, blood flows into the corpus cavernosum, and the veins constrict, trapping pressurised blood in the penis and causing the erection to form.
Important Aspects to be Considered for a Man to Achieve an Erection
- The nerves of the penis are healthy and functioning properly.
- The blood circulation should be proper.
- The brain must send sexual stimulation signals on time.
If any of these three important aspects are not functioning well, there will be a problem with the erection quality.
Causes of Erectile Dysfunction:
- Prolonged erectile dysfunction can be an indication of a serious issue. There may be psychological, physical, or a mix of both problems.
A. Physical causes of erectile dysfunction:
Earlier doctors assume that physiological problems are the main cause of ED. But this isn’t true. Yes, emotions, feelings, and thoughts play a crucial role in getting an erection. Still, many other issues can be a cause of erectile dysfunction, including some chronic health issues or side effects of heavy medications. Many times, a blend of different problems becomes the cause of erectile dysfunction.
- Diabetes: Diabetics may experience the problem of erectile dysfunction. The reason behind this is that there can be arterial or nerve damage due to diabetes. The arterial damage can make erection difficult and can lead to the problem of ED.
- Vascular Disease: Vascular diseases adversely impact the arteries, such as arteriosclerosis. The causes of arteriosclerosis can be high BP or blood pressure, smoking, and increased cholesterol. The diseases related to arteries affect blood flow, which, in turn, impacts the ability to achieve an erection.
- Kidney Disease: The chemical makeup, hormones, and nerve function can be affected adversely due to Kidney disease, and it affects the ability to achieve an erection.
- Neurological Diseases: Diseases that hamper brain signals can create erectile dysfunction. Neurological diseases include Alzheimer’s, stroke, Parkinson’s, and multiple sclerosis.
- Surgery: Operations like bladder and prostate cancer can cause damage to the nerves and tissues near the penis. Sometimes, there is a permanent, but most of the time, the issues are resolved with the healing process. The healing takes up to 18 months.
- Hormonal Imbalance: Difficulty in the erection in men can be due to the lack of certain hormones. Testosterone is the main male hormone. In men, the testosterone levels gradually decline after their 40s; about 5% of men that doctors see for erectile dysfunction have low testosterone levels. Rare testosterone deficiency can result in the loss of libido or sexual desire. The reason for the reduction in testosterone and the problem of ED is an excess of the prolactin hormone prolactin, produced by tumours in the pituitary gland.
- Leaking Veins: Sometimes, the penis veins are damaged and leaked. The leak and damage in the penis veins create trouble in preventing the blood from leaving the penis and becomes the cause of difficulty sustaining erection. Any injury or disease can cause damage to the penis veins.
- Enlarged prostates: Enlarged prostates are another cause of the problem of erectile dysfunction. If a man has enlarged prostates, the problem of ED, followed by other symptoms like difficulty in passing urine, can be encountered.
B. Psychological Factors affecting Erectile Dysfunction:
It is estimated that 20% of men have erectile dysfunction due to psychological factors. The psychological factors include stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure caused by work, financial or marital problems.
Past experiences that include encountering the problem of impotence in the past become the reason for ED in the present. Men who have gone through the problem of impotence previously may face performance anxiety in the present, and the erection will not be sustained due to the negative experience in the past.
C. Medications Affecting Erectile Function :
Medications can surely become the cause of erectile dysfunction. Medications can affect the nervous system, blood circulation, and hormones and result in the problem of erectile dysfunction.
Various medications can cause impotence in men. If you are experiencing the problem of ED while taking some medications, consult your doctor immediately.
200+ prescribed medications can cause erectile dysfunction. The medications include antidepressants, appetite suppressants, medications for high blood pressure, tranquillisers, cimetidine (an ulcer drug), antihistamines, sedatives, and various over-the-counter medications. The use of illegal drugs such as heroin and cocaine can also cause erectile dysfunction.
D. Lifestyle:
Your lifestyle can be another cause of erectile dysfunction. The habits of alcohol or drug intake, obesity, and cigarette smoking can be harmful and can cause impotence. It is observed that the impotence or the problem of erectile dysfunction is found to be 85% more in smokers compared to non-smokers. Smoking contributes to arterial narrowing that can become a reason for impotence or ED.
Various antihypertensives (medications intended to control high blood pressure)
Intake of excessive alcohol is one of the major causes of erectile dysfunction or impotence.
E. Excessive bicycling :
According to a study in 2002, bicycling can be a cause of ED—the men who spend most of their time riding a bicycle face the issues of erectile dysfunction. With cycling, men’s penis gets pressure due to the saddle of an upright bicycle Pressure from the saddle compresses nerves and restricts blood flow to the penis, resulting in Erectile Dysfunction.
F. Some studies show that erectile dysfunction is related to small penis size.
G. Peyronie’s disease :
This is a relatively rare inflammatory condition that causes scarring of the erectile tissue in the penis. The curvature of the penis produces due to scarring and becomes a problem with sexual functions. In addition, it may cause erections to be painful.
H. Diseases, medicines & Deficiencies associated with Erectile Dysfunction are summarized as follows :
Atherosclerosis, Peripheral vascular disease, Myocardial infarction, Diabetes mellitus, Renal failure, Liver cirrhosis, Cancer and cancer treatment, Hypertension, Epilepsy, Stroke, Alzheimer’s disease, Trauma, Chronic obstructive pulmonary disease, Sleep apnea, Hyperthyroidism, Hypothyroidism, Hypogonadism, Peyronie disease, Priapism, Depression, Performance anxiety, Stress guilt, Malnutrition, Zinc deficiency, Procedures on the brain and spinal cord, Surgical removal of the prostate for cancer, Antidepressants, Antipsychotics, Antihypertensives (Medicines to Lower High Blood Pressure) Take erectile dysfunction treatment in Mumbai, India with best ayurvedic sexologist.
ERECTILE DYSFUNCTION AND AYURVEDA:
In Ayurveda, the condition of erectile dysfunction is called Klaibya. ED has four categories. These days, even healthy men avail themselves of Erectile Dysfunction treatment in India because of fatigue, stress, and other health issues.
The physiology of a normal erection – as per Ayurveda, is; the ‘apaanavayu’ is one of the five types of Vayu – and is located in the testicles, urinary bladder, phallus, umbilicus, thighs, groin, anus, and colon. The functions of ‘apaanavayu’ are ejaculating semen and voiding urine and stools.
When a man has a desire or iccha to have sex, the response to touch increases; the sensation of touch is caused due to the Vayu located in the skin. Vayu lets the signals lower from the skin to the brain and increases the response to touch in a male. 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. Therefore, there is an increase in the blood flow, body, temperature, and heartbeat due to Tejas and Vayu causing an erection. Generally, Klaibya or erectile dysfunction is caused due to vitiation in Vatadosha. This is the process of erection and ejaculation by Sushruta.
According to Ayurvedic texts, there are 7 types of Klaibya based on the cause. The psychological factors cause Manasikklaibya and Doshajklaibya. A deficiency of Shukradhatu causes Shukrakshayaj; some other diseases like diabetes cause Vyadhij, Aghataj is caused by surgical or accidental trauma, Shukranirodhaj is caused by suppression of sexual urge, and Sahaj means congenital.
The pathophysiology of erectile dysfunction in Ayurveda is considered as- because of all the causative factors (hiatus). There is vitiation of all doshas where kappa and pitta doshas toxicity is carried along with vata dosha hindering the rajas and tamas doshas of mana; manovaha strotasa in Friday and sharira that in turn again vitiates sharir doshas causing rakta and rasa dhusti leading to karya awards of art have shrotas and rasavaha shrotas showing the lakshanas like lack of libido, soft or no erections, etc., hence leads to erectile dysfunction.
How is Erectile Dysfunction (Impotence) diagnosed?
Sexologists ask questions and perform a physical examination. Doctors may take urine and blood samples to test for disorders or diseases. Other tests may also be needed.
Patient History
The medical and sexual history of a patient can evaluate the nature and degree of ED. With the help of medical history, doctors can understand the causes and diseases that are becoming the reason for erectile dysfunction.
Physical Examination
- A physical examination is necessary to detect systemic problems. For say, if the penis is not sensitive to touch, the cause can be some issues in the nervous system.
- Abnormal secondary sex characteristics, such as hair patterns or breast enlargement, can point to hormonal problems, which would mean that the endocrine system is involved.
Unusual or abnormal characteristics of the penis can suggest the source of the problem. For example, a penis that bends or curves after being erect could be the result of Peyronie’s disease.
Laboratory Tests
Several laboratory tests can help diagnose Erectile Dysfunction. Systemic diseases include several tests like lipid profile, blood counts, lipid profile, urinalysis, liver enzymes, and creatinine measurements. Measuring the amount of free testosterone & prolactin level in the blood can yield information about problems with the endocrine system.
Penile Colour Doppler Study
Some medicines are injected directly into the penis or inserted into the urethra at the tip of the penis. Then, an ultrasound is used to evaluate blood flow, venous leak, signs of atherosclerosis, and scarring or calcification of erectile tissue. Penile blood pressure is also measured. Measurements are compared with the measurements taken with the flaccid penis.
Specific nerve tests are used in patients with suspected nerve damage due to diabetes or nerve disease.
Nocturnal penile tumescence (NPT)
If a man has five to six erections during sleep, it’s normal, especially during rapid eye movement or REM. If it’s not happening, then there may be a problem with the blood supply in the penis or an issue with nerve function.
Monitoring erections that occur during sleep (nocturnal penile tumescence) can help rule out certain psychological causes of Erectile Dysfunction. If men are healthy, they may experience involuntary erections during sleep.
There can be a physical cause of ED if there is an absence of nocturnal erections. Tests of nocturnal erections are not completely reliable, however. Scientists have yet to standardise such tests.
Psychosocial Examination
Using an interview and a questionnaire, a psychosocial examination reveals psychological factors. Doctors may examine the sexual partner to understand their perceptions and experience during sexual intercourse.
How is Erectile Dysfunction (Impotence) treated?
- Psychotherapy: Experts often treat psychologically based erectile dysfunction using techniques that reduce performance anxiety. The patient’s partner can help the patient with techniques like gradually developing intimacy and stimulation. Such techniques also can help relieve anxiety when erectile dysfunction from physical causes is being treated.
- Drug Therapy: There are drugs to treat erectile dysfunction that can be taken orally, like Sildenafil, Tadalafil, Vardenafil, etc., etc.
- Intra Penile Injection : During Intra Penile Injection, medicines are often injected directly inserted into the urethra at the tip of the penis or into the penis. Men may experience stronger erections when drugs are injected into the penis. Injected drugs into the penis make it become engorged with blood. These drugs might have certain side effects like persistent erection, also known as priapism. Some common side effects of injecting drugs into the penis include aching in the penis, area between the penis and rectum, and testicles. Other side effects may include redness from increased blood flow to the penis, warmth or burning sensation in the urethra, and minor urethral bleeding or spotting.
- Vaccum Devices: Mechanical vacuum devices create a partial vacuum and help in getting erections. The partial vacuum helps draws blood into the penis, engorge, and expand it. The mechanical vacuum devices comprise three components: a plastic cylinder into which the penis is placed, a pump that draws air out of the cylinder, and an elastic band. The elastic band is placed around the penis’s base, which helps maintain an erection during sex. With the help of an elastic band, the blood is prevented from flowing back to the body even after removing the cylinder.
- Surgery usually has one of three goals:
- Implanting a device to cause erection in the penis.
- Reconstructing arteries to increase the blood flow to the penis.
- Blocking off veins that allow blood to leak from the penile tissues.
- Ayurvedic medicines: Ayurveda explains Vajikaranatherapy as the complete treatment for erectile dysfunction or Impotence. There are eight major Ashtanga Ayurveda specialities. One is Vajikarana, or Vrishya chikitsa, concerned with masculinity, aphrodisiacs, and improving progeny health. Vaji means horse in Sanskrit. The horse resembles by its sexual potency. So, Vajikaran is about producing a horse’s vigour. All seven dhatus (body elements) are revitalised by Vajikarana. Vajikaran also restores equilibrium and health. According to Ayurveda, Vajikaran offers a solution to reduce the problems in Shukra (sperm and ovum) defects and to ensure healthy progeny. Here are some suggestions to take Ayurvedic medicines;
- Half a teaspoon of Ashwagandha churan in the morning & at night.
- One capsule of SHILAJIT in the morning and one in the night,
- One tablet of Manmath Ras in the morning and one in the night.
- Take one tablet of Pushp dhanva Ras in the morning and night.
- Tablet of Sidh Makardhwaj Vati with gold, one in the morning and one at night post dinner.
- Take all the above medicines with hot milk or water.
- Application and message on the penis with Shri Gopal’s tail on your penis two to four times three times a week.
- Drinking hot milk twice a day is beneficial.
- Eat two or three dates in the morning and night with milk.
- Counselling:
Tips to over come Erectile Dysfunction
What to do:
- Practice Yoga and meditation regularly to keep away anxiety, depression, and stress. Yoga and Meditation are the best ways to melt away the stress. Also, do Vajroli Mudra and Ashwini Mudra daily.
- Testosterone levels, sexual energy, and stamina can be uplifted with weight reduction. Hypertension and diabetes can also be controlled with weight reduction. ED is caused by diabetes and anti-hypertensive medications.
- Exercise regularly. A 45-minute walk is the finest and easiest exercise to keep the cardiovascular system healthy. Research shows that erectile dysfunction is lesser in men who exercise regularly.
- Reduce the frequency of masturbation. Masturbating twice a month is ideal.
- Sleep at least for 8 hours a day. The body gets energised with good sleep.
- Take all steps to prevent indigestion and constipation. ED can occur due to the Vitta dosha of indigestion and constipation. If the body is unhealthy, the possibility of hard erections becomes low.
- To stimulate sexual desire and keep our sexual health fine, then, it’s important to have a cherishing and comfortable homely atmosphere.
- Consult a sexologist to get proper help with erectile dysfunction and the conditions that are causing this issue to occur, like heart disease and diabetes.
What not to do:
- Avoid hot, spicy and bitter foods.
- Avoid working for long hours. Take a break from your weekend routine and spend time with your partner.
- Fearing hard erections, or doubting your ability to satisfy your partner can lead to psychological ED or Erectile Dysfunction.
- Do not control or ignore natural urges. Before going to bed with your partner, empty your bladder.
- Stop drinking alcohol.
- Stop smoking.
With Ayurveda, you can get the best Erectile dysfunction treatment in Mumbai. It’s wise to talk with our sex experts at Kayakalp International clinics in Mumbai, India, and get the right solution.