Penis hard enough-Impotence (Erectile Dysfunction) Guide: Causes, Symptoms and Treatment Options

When men become sexually aroused, hormones, muscles, nerves, and blood vessels all work with one another to create an erection. Nerve signals, sent from the brain to the penis, stimulate muscles to relax. This, in turn, allows blood to flow to the tissue in the penis. Once the blood fills the penis and an erection is achieved, the blood vessels to the penis close off so that the erection is maintained. Following sexual arousal, the blood vessels to the penis open up again, allowing the blood to leave.

Penis hard enough

Penis hard enough

Lower BP means less blood flow to the arteries in your penis, which could mean trouble getting hard, Dr. Others, such as flutamide Star whores dvd and bicalutamide Penis hard enough may cause erectile dysfunction to a lesser degree. An erection usually occurs within five to 20 minutes of an injection and lasts for 30—60 minutes. News videos. Standing Sex Positions 7. Geoffrey Macnab. The photo, which has been viewed over 1. These drugs, which include doxazosin Carduraterazosin Hytrinand tamsulosin Flomaxare used to treat BPH and high blood pressure. The blood filling the corpora Penis hard enough compresses and then closes off the openings to the veins that normally drain blood away from the penis.

State sex reg. The Causes of Erectile Dysfunction

Your doctor will ask about your sex Pneis. Terms of Service Privacy Policy. Diabetes can cause similar erectile dysfunction due Penis hard enough lowered testosterone levels. Psychological therapy can be effective in men whose impotence is caused primarily by psychological factors. These may include vascular, neurological and hormonal disorders. Sadly enough, No. How to treat erectile dysfunction Erectile dysfunction in men can also occur at a young age. Whether it's a Pejis drug that treats anxiety, Penis hard enough or stress, or a drug you'd purchase in a dark, seedy alleyway, it's all the same. David hernandez stripper picture erectile problems can damage a man's self-esteem, his partner's self-esteem and the relationship -- particularly if they don't talk about the issue together, leaving each of them alone to wonder what they might be doing wrong. But, and there is always a but, continued problems getting or keeping an erection may indicate a health condition such as diabetes or the side effects of a medication.

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  • You see, while we may enjoy putting it to good use as often as we can, our minds and bodies don't always align perfectly with what's dangling between our legs.

Nor is the inability to have another erection soon after an orgasm. The problem often develops gradually. On another occasion, the erection may not be as firm as usual, or it may end before orgasm. Erectile dysfunction can have many causes, including some forms of prostate disease and medications and surgery for prostate cancer. Fortunately, in many cases, this problem can often be effectively addressed.

Some men find relief by taking medications to treat erectile dysfunction. The possibility of finding the right solution is now greater than ever. This article explores why men may develop erectile dysfunction as a consequence of some prostate diseases, and details the current treatment options to restore sexual functioning. Blood fills the penis, causing it to swell and become firm.

Blood vessels, nerves, hormones, and, of course, the psyche must work together. Problems with any one of these elements can diminish the quality of an erection or prevent it from happening altogether. Nerves talk to each other by releasing nitric oxide and other chemical messengers. These chemicals initiate the erection by relaxing the smooth muscle cells lining the tiny arteries that lead to the corpora cavernosa, a pair of flexible cylinders that run the length of the penis see Figure 1.

The penis is made up of three cylindrical bodies, the corpus spongiosum spongy body —which contains the urethra and includes the glans head of the penis—and two corpora cavernosa erectile bodies , that extend from within the body out to the end of the penis to support erection. Blood enters the corpora cavernosa through the central arteries. As the arteries relax, the thousands of tiny caverns, or spaces, inside these cylinders fill with blood. Blood floods the penis through two central arteries, which run through the corpora cavernosa and branch off into smaller arteries.

The amount of blood in the penis increases sixfold during an erection. The blood filling the corpora cavernosa compresses and then closes off the openings to the veins that normally drain blood away from the penis. In essence, the blood becomes trapped, maintaining the erection.

Certainly, a man needs a normal level of this hormone to start and maintain an erection. Some signal — usually an orgasm, but possibly a distraction, interruption, or even cold temperature — brings an erection to an end. This process, called detumescence, or deflation, occurs when the chemical messengers that started and maintained the erection stop being produced, and other chemicals, such as the enzyme phosphodiesterase 5 PDE5 , destroy the remaining messengers.

Blood seeps out of the passages in the corpora cavernosa. Once this happens, the veins in the penis begin to open up again and the blood drains out. The trickle becomes a gush, and the penis returns to its limp, or flaccid, state. A young, sexually active man in good health may be able to get an erection after just a few minutes, whereas a man in his 50s or older may have to wait 24 hours. One reason may be that nerve function slows with age.

Indeed, erections may work on a use-it-or-lose-it principle. Some research suggests that when the penis is flaccid for long periods of time — and therefore deprived of a lot of oxygen-rich blood — the low oxygen level causes some muscle cells to lose their flexibility and gradually change into something akin to scar tissue.

Such conditions include diabetes, kidney disease, multiple sclerosis, atherosclerosis, vascular disease, and alcoholism. However, some types of prostate disease and treatments particularly for prostate cancer may also be responsible. A sudden onset of erectile dysfunction may be a sign that a man has prostate cancer, so your doctor will likely order a prostate-specific antigen PSA test and do a digital rectal exam during the diagnostic workup to assess this possibility.

Surgery for prostate cancer can sever some of the nerves or arteries that are needed for an erection. Even when the nerves are not permanently impaired, it can still take six to 18 months for the tiny nerve fibers to recover from the trauma of surgery and restore sexual function.

Radiation treatment for prostate cancer can also harm erectile tissues. Both external beam radiation and radiation-emitting seeds implanted in the prostate brachytherapy lead to erectile dysfunction in about half of men who receive these therapies.

However, these changes may not occur for up to two years after treatment. Erectile dysfunction is sometimes a side effect of some hormone therapy medications prescribed for men with prostate cancer that has spread beyond the prostate. Among such hormone-based medications are leuprolide Lupron , and goserelin Zoladex.

Others, such as flutamide Eulexin and bicalutamide Casodex may cause erectile dysfunction to a lesser degree. Many men who have benign prostatic hyperplasia BPH , a noncancerous enlargement of the prostate, also experience erectile dysfunction and ejaculatory problems. For example, finasteride Proscar , an antitestosterone drug prescribed for BPH, has been linked to erectile dysfunction in 3.

But alpha blockers such as terazosin Hytrin , tamsulosin Flomax , and doxazosin Cardura can improve the symptoms of BPH with a lower risk of sexual side effects. Because testosterone helps spark sexual interest, one might assume that low levels of the hormone are to blame for erectile dysfunction. This inflammation of the prostate gland can be either acute usually caused by a bacterial infection or chronic usually not caused by an infectious agent. Severe prostatitis can cause erectile dysfunction directly.

In milder forms, the condition can produce painful ejaculation, which can certainly interfere with sexual pleasure and may lead to erectile dysfunction. Your doctor may prescribe antibiotics to treat the problem, but it can take several weeks for the infection to clear and for normal erections to return. Such a conversation is never easy, but thanks in part to greater publicity about this problem and its treatment, many obstacles have been toppled.

In reality, your doctor must diagnose the cause of your erectile dysfunction in order to recommend an effective treatment. While therapy usually does involve medication, erectile dysfunction is sometimes a symptom of an underlying condition that requires its own treatment.

And if a psychological condition is significantly involved, you may benefit from counseling with a mental health professional trained in sex therapy. At first, the doctor will probably ask you about your medical history. Do you have any chronic illnesses? What illnesses and operations have you had in the past? What medications are you taking, if any?

Your doctor is also likely to ask about your psychological well-being and lifestyle: Do you suffer or have you ever suffered from depression? Are you under a lot of stress?

Do you drink alcohol? Use illegal drugs? Have you felt a loss of affection for your partner? Have you recently grown interested in a new partner? As part of this health history, be prepared to tell your doctor specific details about the symptoms that brought you to the office and when they began.

Your doctor may conduct a written or verbal screening test. If the cause is clear — a recent operation for prostate cancer, for example — the conversation may move directly to your treatment options. A key issue is whether the symptoms came on gradually or suddenly.

Erectile dysfunction that comes on gradually often points to causes that involve blood flow or nerves. On the other hand, a sudden loss of sexual desire or the ability to have erections usually suggests that a medication or psychological difficulty, such as depression or stress, may be to blame. The ability to do so is an important clue in determining whether the problem is psychologically or physically based see Table 1. The physical exam for diagnosing the cause of erectile dysfunction usually takes about 10—15 minutes.

The doctor will listen to your heart for signs of a murmur and other abnormalities that can affect blood flow. He or she will also take your blood pressure; both high and low blood pressure can impair blood flow. The doctor will check your pulse in several places — at the wrist, ankle, and groin. Slow or low pulse in any of these areas can mean that not enough blood is reaching tissues in the extremities, including the penis.

In addition, the doctor will examine your testicles, penis, and chest. Abnormally small testicles and enlarged breasts are sometimes signs of inadequate testosterone.

Your doctor may check the prostate gland for signs of infection or cancer, by doing a digital rectal exam. Your doctor may also test for neurological problems by checking the reflexes in your legs, groin, and anus. Your checkup will probably include tests for cholesterol to assess your risk of cardiovascular disease and triglyceride and blood sugar levels to check for diabetes. The doctor might also ask for a urine specimen because the presence of blood could be a sign of a urologic disease, such as bladder cancer.

Hormone tests. Checking testosterone levels used to be one of the first tests ordered for men with erectile difficulty, but that was before doctors realized that testosterone deficiency was rarely the source of the problem. Now, hormone testing is done for men whose medical exams suggest an endocrine problem and for those who have experienced a loss of sexual desire.

Your doctor also may want to check your blood levels of prolactin a pituitary hormone that can block the action of testosterone or thyroid—stimulating hormone a good indicator of an under-active or overactive thyroid gland.

These tests also used to be commonplace, but are now done only if your doctor thinks you might have a hormonal deficiency or imbalance. Blood flow tests. A color duplex Doppler ultrasound, an imaging technique, can reveal problems with blood flow through the arteries or veins of the penis, such as venous leakage.

Nocturnal tumescence tests. Physical causes affect both kinds of erections. There are several ways to test for nocturnal erections. Medical devices may be attached to the penis to monitor its circumference or its rigidity throughout the night. Approved by the FDA in , sildenafil Viagra revolutionized the way we think about — and treat — erectile dysfunction, largely because it is so easy to use and effective.

All three drugs work in a similar fashion, by affecting the normal physiology of the penis. In particular, they block PDE5, an enzyme that breaks down the erection-producing chemical cyclic guanosine monophosphate. This enables the penis to fill with blood and to stay erect long enough for intercourse. The main differences between the three drugs have to do with timing: how quickly they begin to work, and how long their effects last see Table 2. Levitra may start working slightly faster than Viagra within a half-hour instead of an hour although the FDA says that like Viagra, it should be taken about an hour before sexual activity.

Cialis stays active in the body much longer than the other drugs.

The man cannot get or maintain an erection. But why is that? Causes of erectile dysfunction can, among other things, be stress and mental stress, obesity, smoking, or but not very commonly some medications. It can also be related to blood flow restrictions caused by disease processes. Yes No. Web4Health was selected as finalist for the Stockholm Challenge Award. Trending Questions.

Penis hard enough

Penis hard enough

Penis hard enough

Penis hard enough

Penis hard enough. Continue Learning about Sex and Relationships

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Erectile dysfunction: How to recognise when it's a serious problem | The Independent

The Erection Hardness Score is a self-reporting measure that scores hardness on a 4 point scale to help men, their partners and doctors diagnose the causes of erectile dysfunction. It can be compared to foods for ease of description. Erectile dysfunction ED is defined as the inability to maintain an erection sufficient for sexual activity.

However, many young men today are also experiencing erectile problems. Stress, relationship concerns, too much alcohol, smoking, illicit drugs, a late night or being worried are just some of the cause of erectile difficulties.

Pfizer developed the Erection Hardness Score as a self-reporting measure that scored erection hardness on a 4 point scale. The aim was to help men, their partners and doctors diagnose erectile dysfunction.

One is soft and 4 is hard. I have added the food analogy for ease! Erectile problems can cause immense distress in relationships and to individuals.

It is important to recognise that every man in their life at some time will have days when an erection may be unpredictable. Many find that a few weeks or days later the problem resolves itself. So it is important to be realistic.

If you are experiencing night time and spontaneous day time erections it is a good sign that the blood flow and the nerve supply to the penis are in good working order. If the problem continues and is causing distress you need to visit your GP.

This is the time to have that health check that you may have been avoiding. Erectile dysfunction can often occur at the same time as urinary symptoms, as well as being an early warning sign of underlying vascular disease and diabetes.

So it is particularly important that blood pressure, cholesterol, blood sugars and urinary analysis are all within normal limits. Your doctor may also suggest a genital examination. This is related to insufficient blood supply to the penis, peripheral neuropathy, poor glucose control, treated or untreated high blood pressure, low testosterone levels, obesity, and history of smoking.

Diabetic men need to make a real effort to exercise regularly, take control of their diet, lose any excess weight, attend for regular check-ups and keep their glucose levels under control. There are a variety of treatments now available to treat erectile failure. However, they need to be prescribed by a doctor and not bought online due to safety issues and contraindications.

It's obviously very well known and is sold online, but younger men who are using the drug to enhance their sexual performance, last longer or impress their partners should to be aware that drugs online may be fake and dangerous, and may interfere with other medications and problems, so it's always best to consult your doctor, particularly as the erectile dysfunction could be a symptom of another underlying problem.

The best exercises to help are keeping fit, eating healthily, and pelvic floor exercises - plus foreplay. The Sexual Advice Association has further advice on the causes and treatments for erectile dysfunction.

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View offers. Erectile dysfunction: How to recognise when it's a serious problem. You can form your own view. Subscribe now. Shape Created with Sketch. Love and sex news: in pictures Show all Scientists have now answered one of these great unknowns. This is swiftly followed by the appearance of pubic hair, penile skin, and girth. Length comes in at number six, with the look of the scrotum trailing closely behind.

Over half of divorcees considered abandoning their husband or wife-to-be at the altar on their wedding day, a new study has revealed. On top of likely worrying about wedding favours and making sure guests behave on their big day, 49 per cent of divorcees admitted they were unsure before the ceremony that their marriage would last. Some 15 per cent of divorcees polled said they were so wracked with doubt that they felt physically sick in the run up to their wedding.

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Penis hard enough