Male Sexuality Facts
Facts, Theories, And Information on Male Sexuality: Male Sexual Problems
Male Sexuality - Erectile Dysfunction
Erectile dysfunction is one of the most common male sexual dysfunctions.
It's extremely distressing to men who experience it, both in terms of disrupting the sexual relationship between a man and his partner, and in terms of affecting a man's sexual self-confidence and self-esteem.
In the light of this extremely important dysfunction on men's whole sense of self, it's no wonder that a huge amount of effort has been dedicated to coming up with remedies that may restore a man's erection in situations where he experiences partial or complete loss of erectile function.
Yohimbine has been used for many years in the United States and Europe, although is difficult to obtain in Australia.
However, despite its reputation as a folk medicine or home remedy, extensive scientific tests have demonstrated that it does not actually have any more use in restoring a man's erections than a placebo.
The truth is there's only one thing that actually has been clearly demonstrated in scientific studies to restore erections, and that's Viagra.
Viagra was introduced in 1998 and it's revolutionized the way erectile dysfunction is treated.
Its chemical name is Sildenafil citrate. Its mode of operation is to ensure that the biochemical reactions within the corpora of the penis are enhanced in a way that reinforces the chance of a man's erection being sustained.
The chemicals promoted by Viagra cause the blood vessels feeding blood into the erectile chambers of the penis to open up and remain open during sexual activity. Because of the greatly increased rate of blood flow into the penis, an erection is more likely to occur and to be sustained.
When Viagra was introduced, there was massive publicity about its potential for radically transforming the science of sexual dysfunction; the truth is, however, that it has not lived up to it's promise in quite the way that was expected.
A lot of men believe that Viagra will give them an erection that allows sexual intercourse to take place but the reality is that it is not an aphrodisiac or libido enhancer; sexual desire must be present before sexual activity starts for Viagra to have any impact on a man's erectile capacity.
That in itself is perhaps not such a problem, because relationships where sexual activity has died because of lack of desire between partners are unworthy of a chemical solution anyway -- psychotherapy is what's needed.
So what of the 30% - 40% of men who appear to be unresponsive to the action of Viagra?
The interesting thing is that it seems to be a drug whose response develops over a period of time, at least in a certain number of men, and it's for this reason it is recommended you take Viagra on at least eight occasions before finally deciding whether or not it's helpful to you.
The time for the effect of Viagra to show itself -- in other words, the time in which you will likely to obtain a hard erection and sustain it -- is between 30 minutes and 120 minutes after the tablet is taken.
There is also certainly some kind of residual effect, because many men feel that their penis's capacity for erections is maintained for 24 hours after taking Viagra.
The later generation of drugs such as Cialis enhances this effect, and they may be more suitable for many men.
Viagra comes in three doses: 20 mg, 50 mg and 100 mg: the usual regime is to commence on a 50 mg dose and then to either reduce or to increase it depending on the man's response.
You may be wondering if Viagra safe. The reality is that there are some side effects, and some of these side effects can be serious. In particular Viagra can't be used with the nitrate drugs which are routinely prescribed for angina; using Viagra with them can significantly lower your blood pressure to a dangerous level.
Although an uncommon situation, if you have taken Viagra and you have a heart attack within 24 hours it's important that you tell your doctor so that he can use drugs other than nitrates to treat the heart problem.
And those men who use Amyl Nitrate during sex to increase the strength of their orgasms should certainly not take it with Viagra.
Other situations in which Viagra may be slightly risky include its use in men who have liver disease, those who have low blood pressure, and those who've had a recent stroke or heart attack.
One of the side effects of Viagra which men often comment on is a bluish haze to the vision. This clearly implies and interaction between Viagra and the retina of the eye. In essence, men who have retinitis pigmentosa should not take Viagra; and for other reasons, men who have leukemia, multiple myeloma or sickle cell anemia should not take Viagra either.
Interestingly enough, drugs such as Tagamet, erythromycin, or ketoconazole, all of which may be used as yeast infection medications absolutely must not be taken with Viagra because the effects of Viagra can be enhanced by the use of these drugs. Click here for more details on yeast infections.
We already mentioned a side effect of a bluish tinge to the vision; other side effects include headaches, facial flushing, and stuffy nose.
The great advantage of Viagra, of course, is that it supersedes the injection of drugs into the body of the penis as a therapeutic modality. These drugs acted by enlarging the arteries of the penis.
They have many disadvantages, not least that self-injection of the corpora of the penis before sex is an extremely un-arousing activity which can interfere with the flow of sexual activity; more importantly perhaps, these injections can also be responsible for the formation of Peyronie's disease.
Papaverine was the first injectable drug used for the purpose of stimulating a man's erection; since then others have been developed including prostaglandin E1. It's common nowadays for a combination of several drugs to be used.
The process of learning how to inject the drug mix into the penis is said to be easy, but the truth is that although generally safe, side effects do happen.
They include bruising and scarring in the penis. In addition, it's possible for man to develop a persistent erection which can result in serious damage to the penis if it is not dealt with within four hours.
There's also another treatment for erectile dysfunction called MUSE: this is the introduction of a pellet of prostaglandin down the eye of the penis into the urethra.
Although this does not require an injection, and therefore avoids the possibility of causing Peyronie's disease, MUSE's success rate was rather low and it can be a painful medication to use -- all of which has resulted in its withdrawal from sale in certain areas of the world (notably Australia).
You may have read about surgery on the arteries and veins of the penis as a treatment for erectile dysfunction: the truth is, however, that although a number of operations have been tried, the results were extremely disappointing.
I have personally heard from men who were extremely bitter after being the subject of these operations when they were in the research phase. It's certainly true that in general they were not only unsuccessful, but produced long-lasting problems which have basically prevented such men from enjoying a normal sex life for the majority of their adulthood.
When you consider what the best treatment for you in terms of restoring erectile capacity might be, it's clear that Viagra and its later derivatives such as Cialis are usually the treatments of choice.
Even when they initially appear to be unsuccessful in resolving erectile issues it's important to ensure that you give them an adequate trial.
You must also resolve any relationship issues which may be contributing to your erectile failure.
FAQ - Erectile dysfunction (ED) or Impotence
Erectile dysfunction (which used to be called impotence) is the inability to get or maintain an erection sufficient for intercourse.
If a man has never been able to achieve an erection for intercourse, he has primary ED. If a man has had a history of successful erection and intercourse, but during some particular period cannot achieve an erection, he has secondary ED. Secondary ED is much more common than primary ED
Erectile dysfunction may be the result of a physical malfunction or it may have a psychological cause. Physical malfunctions include the results of drug abuse as well as the effects of certain diseases, and psychological causes include anxiety and conflict in the relationship. For a fuller description of how to treat the problem see this treatment information.
It must be pointed out here that if a man does not get an erection occasionally, it is not proper to call his condition secondary ED.
He may be fatigued or distracted at that time and the next day he may be able to have an erection without difficulty. Masters and Johnson believed as a result of their research that a diagnosis of secondary ED is called for if a man cannot achieve an erection 25 percent of the time.
Not having an erection is usually very distressing for a man and/or his partner regardless of its frequency, but the label ED should be used only when erectile problems actually interfere with a relationship, causing difficulty, stress, or an unacceptable situation for a couple.
ED can occur to men of any age, social class and race. Although nobody really knows for sure, it is estimated that many men have had at least one occasion when they couldn't get an erection when desired, and popular belief would certainly seem to confirm this impression.
(The word impotence is being used less by sexologists and other professionals because it has a negative connotation and tends to label the whole man in an unfair way. Terms like erection problems, erectile inhibition and erectile difficulty are replacing the word impotence.)
Q: "Does ED mean you can't get an erection at all?"
A: "No. Some men can get an erection during masturbation, oral sex, and other forms of lovemaking, but lose their erection as soon as intercourse is expected. This is a form of ED."
Q "I'm 68 and it's taking me an awful long time to get it up. I remember when I could get it up in seconds. Am I getting impotent?"
A: "No, you are getting older. Sex after 50 is different - one of the natural results of aging is that it takes men longer to get an erection. It is quite normal, and if when you think about sex after fifty you relax and accept it your pleasure, enjoyment and ability to please your partner should be the same as always. Some men of your age indicate that once they get an erection they last longer during intercourse than they did before."