Erectile Dysfunction
Erectile Dysfunction (ED) is big business! An estimated 30 million American men suffer with some degree of ED, which translates into roughly 60 million Americans affected by the disorder when you add in men’s partners! The annual cost of ED in the US, aside from the emotional, is estimated at over $200,000,000 per year.
While sildenafil (Viagra) has given us an invaluable tool to manage the condition, it is not without its limitations and though it provides symptomatic relief, it is not a cure and it comes with a risk of adverse effect. In addition, we do not know the long-term effects of sildenafil usage.
For many men, the solution lies deeper, at the hormonal or nutritional level. Hormones can affect sexual function in a variety of ways. If stress is causing excess stimulation of the sympathetic nervous system, this will prevent engorgement of the penis due to the constricting effect of the stress hormones on the arteries that cause the penis to fill with blood and become engorged. When a man is able to reduce his stress hormone levels by relaxing, the parasympathetic nervous system is stimulated, which causes the arteries to relax through the release of nitric oxide. The relaxation of the arteries allows more blood to fill the penis and results in good erectile function. This is why it is difficult to get aroused when feeling stressed. The answer: chill!
This nervous system involvement may be the reason why diabetic men can have ED-diabetes can cause damage to the nervous system that can include the nerves to the penile erectile apparatus.
Another hormonal cause of ED is low testosterone levels. This can be due to stress as well, or by conversion of testosterone to estrogen, or exposure to estrogens in food and the environment. The conversion of testosterone to estrogen is encouraged by excess body fat, consumption of alcohol or coffee (in excess of 2 cups per day), a diet low in protein, tight underwear, and certain drugs such as some blood pressure meds, and antibiotics (uncommonly).
It is important to address underlying hormonal issues directly as these deficiencies can have serious health consequences other than just ED. These can include high blood pressure and heart disease, stroke, diabetes and cancer among others.
ED is important. While popping a Viagra or Cialis can solve the immediate problem, it may be due to underlying issues than can be diagnosed and treated appropriately. Addressed in this manner with the help of your doctor, the more serious health consequences of the underlying causes for ED can be prevented.
