Erectile dysfunction
Also commonly named ED and impotence, erectile dysfunction is the inability to produce or maintain an erection hard enough for vaginal or anal penetration during sexual intercourse.
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Known also as impotence, erectile dysfunction is defined as an erection problem sufficient enough that one can not get an erection strong enough for penetration of the partners sexual organ - usually a woman's vagina. Soft erection, weak erection, limp erection are other forms and names for impotence.
The penis consist of erectile tissues both spongy and fibrous. The spongy penile tissue is part of 2 chambers known as the corpora cavernosa. A third penile chamber is the corpus spngium. An erection occurs thru a series of events. First a man becomes aroused which as part of the erection process causes a secretion of nitric oxide (NO) which in turn causes the blood vessels in the non-erect penis to dilate (enlarge.) This allows the second erection process to begin, the flow of blood into the penis which then causes the erection. Anything that interferes with the flow of blood into the penis can be a cause of impotence, or erectile dysfunction, causing a problem in getting an erection.
Lately urologist studying the erection process and how it relates to erection problems such as impotence and erectile dysfunction have transformed our knowledge about the causes. For a long time, many centuries, it was assumed that impotence and other erectile dysfunction was the result of a emotional problem or some other mental or psychological disorder and even a lack of will. This has turned out to be misinformed, and the actual cause of impotence is when the process described above affects the flow of blood into the penis. Without the flow of blood, there will be now erection.
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Non-emotional causes of impotence (erectile dysfunction):
• Using too much alcohol and/or nicotine
• Being fatigued from work, stress, lack of sleep.
• Trauma to the central nervous system
• Testosterone levels too low (Low-T - inadequate levels)
• Diseases such as Parkinson's, diabetes, heart disease.
• Various x-ray problems to the testes.
• Strokes
• Certain prostate or bladder surgery
• High or Low blood sugar
Non-physical situations which cause erectile dysfunction and impotence
• Nervousness or being uptight about sex.
• Stress caused by relationship at work, home, about money or other problems.
• Problems with your sex partner, relationship issues.
• Major Depressive disorder, Bi-Polar disorder, and other psychiatric illnesses
• Self- Consciousness and negative feelings
• prior occurrence of impotence
Testosterone and Sex Drive
It is natural for men to notice a gradual decline  in their sex drive as they age. This because most of the testosterone becomes bound by sex hormone building globulin. Normal functioning men without an erectile dysfunction problem should have free testosterone somewhere in this range and a lesser number indicates erectile dysfunction and or impotence may be present. The degree of this decline varies with the individual. However, an abrupt loss of sex drive at the relatively young age of 51 is not normal. Most men still maintain some sexual interest well into their 60s and 70s.
The most likely treatable cause of loss of sex drive is depression. Less common causes of a loss of sex drive include a side effect of medication or a decrease in male sex hormones due to an endocrine disorder.
Encourage your husband to talk to his doctor. A medical evaluation by a family practitioner, internist or urologist can help determine the cause of decreased sex drive. Treatment of the underlying problem may help
The Connection between Impotence, Erectile Dysfunction, and Low Sex Drive Connection
Several studies that looked at "male problems" such as difficulties achieving and maintaining erections and having low testosterone found not only that these issues can be markers for heart disease but that treating the problem could have a positive effect on heart health.
In the first of two studies presented at the American Society of Hypertension's 20th Annual Scientific Meeting and Exposition, researchers compared the rates of erectile dysfunction and high blood pressure in a group of 634 men between the ages of 31 and 65.
Of the participants, 358 had high blood pressure, while the remaining 276 fell within the normal range. But while some of the men in both groups had symptoms of erectile dysfunction, 35% of the men in the high blood pressure group had problems achieving and maintaining erections, compared to just 14% of the men with normal blood pressure. And even in the group with normal blood pressure levels, there was a higher incidence of erectile dysfunction in men whose blood pressure was at the higher end of the range, a condition called prehypertension.
Though it's a small study, research on 9 men who had been diagnosed with erectile dysfunction showed the daily use of sildenafil Viagra to be more effective than a placebo at decreasing stiffness in the blood vessels. Of course the adverse side effects of Viagra are well known.
Older men do not have the market on erectile dysfunction and diminished libido. Men under age 40, married and single also report being frustrated with impotence and lack of sex drive.. Studies suggest the problem is trickling down to younger, college-aged males; as many as one-fourth face performance problems.
Once this connection between sex drive and erectile dysfunction was known, the formulators of the top impotence medicines began researching them as a component of the herbal compounds used. The scientist formulating Niagra paid special attention to this aspect of sexual function problems and created the most powerful formula erectile dysfunction treatment available today.
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