EFFECTIVE TREATMENT FOR "ERECTILE DYSFUNCTION"-SIDDHA CURES...!!!

• Erectile dysfunction (ED) is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis.
• Erectile dysfunction thus 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 also termed as “impotence”.
• An estimated 152 million men worldwide suffer from ED.
• In America, alone 30 million men suffer from it.
• Alcohol Abuse and Alcoholism,Diabetes,High Blood Pressure,Kidney Failure,Multiple Sclerosis,Prostate Cancer,Smoking and ,Stress are commonly known to the causes for ED.

MECHANISM OF ERECTION:

• Penis have two chambers named corpora cavernosa which run throughout 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.
• 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.

Penile erection is managed by two different mechanisms.

• The first one is the reflex erection, which is achieved by directly touching the penile shaft.
• The second is the psychogenic erection, which is achieved by erotic or emotional stimuli.
• The former uses the peripheral nerves and the lower parts of the spinal cord, whereas the latter uses the limbic system of the brain.
• In both conditions an intact neural system is required for a successful and complete erection.

CAUSES FOR ED:

• The causes of erectile dysfunction may be physiological or psychological.
• Neurogenic Disorders -spinal cord and brain injuries, nerve disorders such as Parkinson's disease, Alzheimer's disease, multiple sclerosis,stroke.
• Hormonal Disorders -Pituitary gland tumor; low level of the hormone testosterone.
• Arterial Disorders -Peripheral vascular disease, hypertension, reduced blood flow to the penis. Cavernosal Disorders Peyronie's disease.
• Mental disorders -clinical depression, schizophrenia, substance abuse, panic disorder, generalized anxiety disorder, personality disorders or traits., psychological problems, negative feelings.
• Surgery of the colon, prostate, bladder, or rectum may damage the nerves and blood vessels involved in erection.
• Prostate and bladder cancer surgery often require removing tissue and nerves surrounding a tumor, which increases the risk for impotence.
• Aging-Normal aging process diminishes the mechanism of erection.
• Lifestyle -Alcohol and drugs, obesity, cigarette smoking .
• Smoking is a key cause of erectile dysfunction.Smoking causes impotence because it promotes arterial narrowing.
• Others-Prolonged travel on a bike and or the pressure on the penis is directly related to erectile dysfunction.

INVESTIGATIONS:

• There are no formal tests to diagnose erectile dysfunction.
• Some blood tests are generally done to exclude underlying disease, such as diabetes, hypogonadism and prolactinoma.
• Impotence is also related to generally poor physical health, poor dietary habits, obesity, and most specifically cardiovascular disease such as coronary artery disease and peripheral vascular disease.
• Duplex ultrasound,Penile nerves function,Nocturnal penile tumescence (NPT),Penile biothesiometry,Penile Angiogram,Corpus Cavernosometry,Digital Subtraction ,Angiography,Magnetic resonance angiography (MRA)

LABORATORY TESTS:

• Blood counts,
• urinalysis,
• lipid profile,
• serum creatinine
• liver enzymes,
• free testosterone in the blood.

TREATMENT:
Treatment to the ED depends upon the cause.

1. Oral treatment,
2. External applications,
3. Injection,
4. Vacuum pumps,
5. Hormone treatment and
6. Surgical treatment are available nowadays.

IN MY CLINICAL PRACTICE:

• A lot of erectile dysfunction cases with or without their life partners consult for treatment & advice at my clinic daily.
• Case history is studied well at first.
• Detailed enquiry about their sexual attempts are analysed.
• The exact cause for their problem is found with modern investigations and parameters.
• Psychological causes are being treated with counselling and instructed well for a better sexual performance.
• Patients with Erectile dysfunction of various causes are treated with separate effective medicine specially made as per the ancient Siddha literature.
• The ingredients of special medicines are carefully selected free from adulterations.
• It's really very graceful to treat such cases that we are saving a family from dreadful complications.

Dr.Selvin's