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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 elargement surgery picture free penis enargement exercise buy penis enargement pills vimax homemade penis enlargement manual penis enlargment penile enlargement before and after picture natural penile enlargement technique penile enlargment product

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The source of human sexual fantasy is usually genitalia and accompanied by explicit visual or imaginary images. These fantasies are normal and considered to be very helpful in getting a quick penile arousal. Medically, sexual fantasies are considered healthy and play a significant part in maintaining a healthy sexual act. But sometimes, sexual fantasies can become a trouble some affair. This happens when the desire to perform sex with someone else or with some other objects rather than your partner increases. In that case one can suffer from acute sexual dysfunction while performing the act with their partner. Sexual dysfunctions leads to sexual desire disorder, sexual arousal disorder or it may be orgasmic disorder. These disorders lead to failure of sexual activity with your partner. In many instances, it has been found that a problem of perfect penile erection is common. Males either cannot gain enough hard erection or cannot maintain a prolonged erection. At times this creates grave situations in one’s sexual life full of anxiety and depressions. This type of stigma creates problems in ones relationship. Levitra has been discovered to be a useful drug to combat such a case. Testosterone regulates various sex drives in human beings and maintains our interest in sex. They are responsible for a penile erection by improving the rate of blood flow into the penis. To have a satisfying sex for both the sexual partners, it is a must that the male partner should have an erection. Without it the act of sex is of no use. Levitra is one such drug that is prescribed basically for perfect penile erection. FDA trials have approved it for treating penile erection. Levitra increases the blood flow to human penis and improve an erection long enough for finishing a sex. It has been clinically proved that Men taking Levitra experienced harder erections and greater success during sex. Levitra is available in 2.5mg, 5mg, and 10mg and 20 mg tablets and is taken only according to doctor’s prescription. Generally a dose a day is enough to give the required result. It is taken about 60mins before performing sex for it takes time to stimulate our testosterones. If Levitra doesn’t work for the first time its better to talk to your doctor. Sometimes it could be a matter of adjusting the dose. But one thing one should always keep in mind that Levitra doesn’t cure sexual diseases. The stigma attached to what some feel are dirty thoughts, ideas and feelings that they should not have if they are “normal”, causes fear and anxiety. Many feel ashamed at these thoughts. The guilt that they generate can often cause problems in a relationship especially where the fantasy is seen as a betrayal of a lover or partner’s trust. As a result it becomes harder to concentrate on their partner which leads to impotency. In such situation Levitra is a boon for these persons Fantasy is quite normal. It is your private domain. Enjoy your imagination and do not feel guilty. penis enlarement surgery picture penis enhancement tool do penile enlargement pills really work penis enlagement doctor pnis enlargement review penis enlagement review guide to penis enlagement free penis enlargment video penis enlagement pills

Male enhancement herbs are a natural way to curb male impotency problems. These natural enhancers are a safer option to prescription medications that cause serious side effects. Male enhancement herbs are also a better solution to restore the body to a state of healthy functionality, which can result in a series of health benefits. Male enhancement herbs are the chief ingredients in penis enlargement pills. These pills work to increase size, improve sexual health, and strengthen erections. Enhancement herbs are also used in penis patches. Recently, several experiments on this topic have developed a lot of combinations of male enhancement herbs, but only a small number of products have brought out the finest results. Among the more effective male enhancement herbs are damiana, ginkgo biloba, yohimbe extract, ginseng, saw palmetto, muira pauma, licorice root, and epimedium sagittatum. Most of these are available as stand alone supplements. Damiana is a powerful herbal extract, which can increase blood circulation to the penis, improve sexual performance, and strengthen the hormonal system. Ginkgo biloba, a Chinese herbal medicine, improves mental alertness, oxygenation, circulation, and increase blood flow to the penis allowing stronger, fuller and powerful erections. Yohimbe, the extracts from the bark of a West African evergreen tree, is noted for its ability to widen blood vessels and improve blood flow. The consumption of this enhancement herb makes the penis to swell to its full natural capacity which results to larger and firmer erections that are long lasting. Continuous use of yohimbe can result in some side effects such as nausea, dizziness, insomnia, anxiety, headaches and high blood pressure. Ginseng is among the most popular male enhancement herbs that can appreciably increase sex drive and enhance erection quality. Ginseng is the dried root of a plant native to China, Korea and Russia. Another popular stimulant is licorice root that balances hormone levels and promotes sexual readiness and energy. Saw palmetto is normally used to treat urinary tract problems. This product contains the powerful compound beta sisterol - vital for promoting sexual and prostate health. Muira pauma, also known as “viagra of the Amazon” and “potent wood”, and Epimedium Sagittatum, also called “Horny Goat weed”, are other famed male enhancement herbs which help in improving sexual drive, restoring sexual virility, and enhancing erectile function by boosting the production of sex hormones. penis enlargment pump free penis enlargment free penis enlagement technique truth about penis enlagement pills vig rx ingredient penile enlargement excersizes homemade penis enhancement penis enlargement without pill penis enlagement pills

Parasites, commonly thought of as only affecting those in developing countries, actually affect 1 in 6 people in North America and are the most common disease condition in the world. For many chronic conditions this can be the missing diagnosis. For example, amebiasis can be misdiagnosed as Chron's disease, and roundworm can be mistaken for peptic ulcers. IBS, food allergies, and chronic fatigue syndrome have all been found to have parasitic causes. WHAT IT IS A parasite is an organism which lives off of a host body, such as humans plants and animals,feeding on the nutrients, cells and organs of the host. Some reproduce by producing thousands of eggs, or simply replicating by cell division, within the host. Living in the body, they often move around and graze, eating cells and draining nutrients from the host’s tissues, while secreting fecal wastes. CAUSES Transmitted in a variety of ways,it is likely that everyone is host to some type of parasite. Transmission can occur through ingestion of cysts contained in comtaminated food & water, person-to-person contact, cockroaches, houseflies, etc. as in the case of amebiasis, giardiasis, Some are spread by insect bites, (Chagas' disease, malaria). Most microbial infections come from our food and water sources but can also be transmitted by human or animal contact. Simply petting and grooming our pets can cause infection as parasites’ eggs pass from their fur to our hands, nose and mouth. Some parasites (e.g. pinworms) can even be transmitted through the air and are in the dust we breath. It’s likely, therefore, that those who live in the same household will all have the same parasitic infections, whether they are currently symptomatic or not. SYMPTOMS Wide-ranging symptoms can be chronic or acute and include: NAUSEA VOMITTING DIARRHEA BLOOD OR MUCUS IN STOOL ITCHY SKIN SKIN RASHES ABDOMINAL PAIN FLATULENCE SULFUROUS BURPING DECREASED APPETITE WEIGHT LOSS INTENSE ITCHING AROUND ANUS AND /OR NOSE SLEEP DISTURBANCES ABNORMAL VAGINAL DISCHARGE LIVER/SPLEEN ENLARGEMENT DIAGNOSIS Unless a lab is is experienced in looking for microbial infections it is highly like that diagnostic tests will miss them because they take so many different forms within their many stages of development. To locate a clinic near you contact the Great Smokies Diagnostic Labratories at: http://www.gsdl.com TREATMENT Conventional treatment involves the use of parasiticides which are generally very toxic, even in the small doses needed, and thus, must be used carefully. These drugs are also generally specific for only one particular parasitic organism at certain stages of parasitic development. Because of the cunning survival strategies of parasites, and the fact that most are motile, they can quickly migrate from the area of the body that is being treated. Herbal treatments are generally more successful at treating the differing stages of parsitic infection and for dealing with parasites for which there are no conventional treatments available. RECOMMENDATIONS Practice good hygeine. Keep nails short, especially children's. Wash hands often, especially after using toilet. Launder bedding often in hot water. Avoid suspect water sources. Freeze fish for 24 hrs before eating to kill tapeworms. BENEFICIAL HERBS AGRIMONY ARTEMISIA (WORMWOOD) BARBERRY BETEL NUT BLACK WALNUT BROMELAIN CLOVES ECHINACEA GARLIC IPECAC PAU D' ARCO PRICKLY ASH WOLFBERRY Coconut Oil contains antifungal properties and can be used topically or taken internally. vimax penis enlargement cream penile enlargement program vig rx side effects pnis enlargement pump penile girth enlargment pennis enlargement forum best penis enlagement penis enlagement pills penis enlagement pills

The Complications associated with Primary Pulmonary Hypertension can lead to fatal consequences in patients afflicted by this progressive lung disorder. However, there is no reason for despair. The situation may be grave but a variety of treatments are now available, aiming at prevention or even curing of Primary Pulmonary Hypertension-related Complications. A serious Complication may be blood clots. Blood clot formation where there is no need for it can turn fatal. If there are clots in the small arteries of the lungs then this can pose a threat by disturbing the already narrowed or blocked blood vessels, thereby terminating normal blood circulation to the lungs. This undesirable clotting or coagulation of blood can be remedied by the use of anti-coagulants. However, it must be remembered that anti-coagulants have their own risks and benefits, which need to be carefully considered by a doctor prior to administration. Fluid build-up in the body may be another complication. Two kinds of edemas- pedal edema (fluid accumulation in legs) and ascites (fluid accumulation in abdomen) are among such Primary Pulmonary Hypertension Complications. Pulmonary edema may also develop as a complication, whereby the lungs fill with accumulated fluid. This may even prove to be fatal, as the accumulated fluid can hamper the proper exchange of oxygen and carbon dioxide in the lungs. As medication for such edema, diuretics are helpful. A less-fluid, low-sodium diet may also manage the risks of such complications. The enlargement of the heart’s right ventricle, leading to its functional failure, is among the most serious of the Primary Pulmonary Hypertension Complications. This might even lead to a complete failure of the heart. Several drug treatments come in aid of these complications- digoxin therapy, vasodilators, calcium channel blockers; endothelin receptor antagonists and oxygen therapies are carried out as treatment. It may be that a lung transplant proves a workable solution for the prevention or treatment of Primary Pulmonary Hypertension Complications.