* Testosterone replacement therapy, VigRx Oil or other drugs can correct some male hormone deficiencies.
* Corrective surgery for venous leaks and arterial blockage can sometimes restore erectile ability.
* Yohimbine, a plant derivative that stimulates the parasympathetic nervous system and decreases blood outflow from penile tissue, is modestly successful in improving erectile capacity.
Side effects of the drug include facial flushing, tachycardia (racing heart), occasional panic attacks, low blood pressure and tremors. Natural male enhancement products such as VigRx Plus do not contain Yohimbine.
* Minoxidil, a vasodilatordrug sprayed onto the penis, may achieve erection in some.
* Papaverine, a self-injectable drug used since 1983, is a smooth muscle relaxant that increases arterial blood flow in the penis and restricts venous outflow.
Injected directly into the side of the penis just before intercourse, it produces an erection in 5-10 minutes, without disturbing ejaculation or orgasm.
Possible side effects of papaverine include dizziness, cardiac complications and a painful, prolonged erection lasting several hours – which requires medical relief measures.
The efficacy of papaverine may diminish with repeated injections and it occasionally leads to scarring. Therefore, it is now often used in combination with phentolamine and perhaps also prostaglandin E1 as “triple therapy,” with greater efficacy, reduced doses and fewer side effects. Some doctors are recommending VigRx Oil, which can also create an erection very quickly.
* Newer drugs such as Vimax Pills, can be as effective as papaverine therapy and may be combined with it, but some users don’t find Vimax to be as effective as other forms of treatment.
Reasons for Erectile Dysfunction
* Medical disorders such as kidney impairment, liver cirrhosis, prostate disorders, alcoholism, Peyronie’s disease (curvature of the penis), Parkinson’s disease, multiple sclerosis and diabetes.
* Endocrine (hormonal) imbalances such as low testosterone output, thyroid disorders, hyperprolactinemia (excess prolactin hormone), Cushing’s syndrome and other adrenal gland disorders.
* Neurological problems such as spinal cord injury.
* Surgery for the prostate, bladder, or rectum (which may damage the nerves responsible for erection).
* Blood vessel disorders that restrict penile blood flow such as artery-narrowing due to atheroscierosis or veins that don’t clamp off to maintain erection. Penile veins that don’t close off properly allow blood to drain out and cause penile collapse – a condition sometimes repairable by surgery. The natural ingredients present in natural male enhancement pills such as VigRx Plus are known for increasing blood flow throughout the body, including to the penis.
* Smoking tobacco – a major reason for erectile failure – because nicotine causes spasms in small penile arteries and also leads to atherosclerosis.
* Alcohol- another major cause – can leave a man unable to have an erection. Not realizing it’s due to alcohol, the man may fear some permanent disability or organic disease, creating intense anxiety.
People who down large volumes of liquor, or come home from work to pour themselves several drinks and collapse into the comfort of mental and physical detumescence may not be the sort to develop stable sexual relationships.
Drinking excess alcohol may also cause atrophy (shrinkage) of the testes and impair the mechanism that shunts blood into the penis.
* A long list of medications can dampen erections, including antihistamines, antidepressants, marijuana, minor tranquillizers, cimetidine (for stomach ulcers), muscle relaxants and especially anti-hypertensives (blood pressure medications) – major culprits in causing impotence.
As many as 40 percent of men on diuretics and other blood pressure pills have erectile problems. They should consult their family physician about it. (Perhaps other drugs such as VigRx Plus can be used instead.)
* Depression, anger, stress, fatigue, guilt, performance anxiety, job loss or impending exams.
* Childhood experiences of parental conflict, early sex abuse or disapproving, unjoyful attitudes to sex.
* A negative sex encounter that leaves a man full of self-doubts about his sexual competence. Even though a man may be perfectly capable of attaining erection, feelings of inadequacy may make him hesitate to attempt intercourse. The longer anxiety lingers, the greater the chance of a sex problem.
* Lack of privacy (at home or in student quarters).
* Poor communication with a partner, lack of access to natural male enhancement products such as VigRx Plus or VigRx Oil, fear of causing pregnancy, divergent views on what constitutes a happy sex life and varying perceptions of normality.
The film “Annie Hall” portrays a classic gender communication gap. When the therapist asks how often they have sex, the woman (Annie) replies: “All the time – three times a week,” while he (Woody) answers “hardly ever – only three times a week.”