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What Is Erectile Dysfunction (ED)?

Couple making love without erectile dysfunction
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What are the treatments and cures for erectile dysfunction?

​Erectile dysfunction or male sexual impotency or ED for short is perhaps one of the most distressing and depressing ailment to afflict men as this sexually impotent condition affects the guys physically, mentally and emotionally. ED is the inability in a guy to achieve or getting a firm and strong penis erection long enough to sustain a satisfying sexual intercourse. It can be even worse as in not being even being able to get a boner at all.

Although erectile dysfunction usually happens to men as they get older, this is not necessary always the case as younger men can also be afflicted by it and it is getting more and more prevalent and common as we live in a stressful modern society.

There are also horror stories of broken relationships, spousal infidelities and broken marriages as these men just could not satisfy their partners adequately enough in their bedroom romps. Furthermore, some men are so embarrassed by the condition that they abstain from having sex permanently. Having erectile dysfunction can certainly be a big blow to the male ego and can resoundingly render you impotent sexually. Are you one of its victims?

Male sexual impotency was almost as good as a death sentence in the days of old although some conditions may be alleviated in variable effectiveness through traditional medicines, practices and folk treatments. This meant that most of those men back then were never be able to have penetrative sex and are doomed to be "un-castrated eunuchs" for the rest of their lives.

Fortunately, with the introduction of male impotency drugs such as Sildenafil, Tadalafil and Vardenaf among others, there was a major frenzied sigh of relief in the community of sexually impotent men. The problem is that some men are not suitable for these libido boosting medicines because there are negative side effects associated with the drugs and thus, these poor chaps are still in the limbo where their healthy sex life is the concern.

It is a fact that most men will experience this penis impotency or limp penis syndrome now and then. So if you are experiencing it, it does not necessary mean it will torment you for the rest of your life. However some of the unfortunate ones will develop permanent ED. This is where the trouble begins.

Although certain erectile dysfunctions may be caused by reversible social conditions such as stress, obesity, alcohol, anxiety, smoking and over excitement, at other times it could be a symptom of other more serious underlying medical conditions such as in diabetes, high blood pressure (hypertension), penile tissue damage, low testosterone level, heart problems, blood circulation disorders, nervous system impairment and therefore, a short trip to your doctor's office is necessary if you are experiencing repeated male impotency primarily to find out if you have any other medical conditions besides just having trouble getting a hard on.

Your doctor will probably ask you questions about your ED symptoms and your recent medical history to check if any other health issues are the suspects of your condition and he or she may also conduct some medical tests to determine what the underlying issues are in order to prescribe the most accurate and effective treatment available. If your ED is caused by other underlying medical conditions, most of the time, your sexual prowess will return with a vengeance once these causation conditions are kept in check or are simply eradicated once and for all.


Treatment for ED varies widely depending on the cause of the problem. For example, if the causation of your ED is from stress, then stress reliving techniques or avoidance of the situations that cause you the stress out may be the simple solution. On the other hand, if the impotency is caused by hypertension, then your doctor may treat the high blood pressure as the priority. Sometimes a combination of treatments may be recommended such as putting the patient on medication, psychological counselling as well as making lifestyle changes all at the same time.

Your doctor may also put you on impotency medications that trigger penile erections when sexually stimulated such as Sildenafil Citrate (Viagra), Avanafil (Stendra)​, Tadalafil (Cialis) or Vardenafil (Levitra and Staxyn) among other drugs. Do note that all these medications may cause side effects in some patients, so do ask for your doctor's advise and especially so if you have cardiac and blood pressure issues.


Alternatively, you may want to try out VigRX Plus which is a non prescription all natural supplement to give you the harder erection that you want and at the same time, improving your sex drive and thus killing two birds with one stone.

You can also take other popular natural health supplements instead of being put on medication. Common supplements being used to treat erectile dysfunction are Tongkat Ali, L-Arginine, ​Yohimbe Bark, Horny Goat Weed, Tribulus Terrestris and ​Panax Ginseng just to name a few of them. Some of these natural supplements are discussed in the questions and answers section below. How well these supplements work will depend on each individual's condition and his reaction to the supplements.

When your ED is caused by stress or anxiety, then a change of lifestyle will be a sufficient cure and medications may not be needed at all. Just simply identify the causes of your stress and remove them and that's it. So you may want to visit spas and get massages for relaxation or take up meditation classes or even treat yourself to a relaxing vacation which may just do the trick in getting your male member up and going again. However, if the stress is severe, then professional help and counselling may be required.

Do commit yourself to a regular exercise program to improve your blood circulation. Avoidance of smoking, consumption of alcohol, losing weight if you are on the heavy side can also help to improve your penile potency. Weight lifting to build muscles will also help to improve your condition because intensive weight training can increase your testosterone and human growth hormones which in turn will improve your libido as well as giving you stiffer erections and a harder boner.

One of the most effective natural penis enhancement supplement to treat erectile dysfunction is VigRX Plus. Since this is not a medication and is a proprietary blend of natural erection precursors, aphrodisiacs and testosterone boosters and as such, there is no side effect to worry about. The main active ingredients are Bioperine, Tribulus and Damiana (Turnera diffusa) among others.

Read more about how VigRX Plus can treat and cure erectile dysfunction here.

1) The article mentioned that ED prescription medicines may have negative side effects. What are they and how to avoid them?

Please do note that not everyone will encounter bad side effects when taking these medicines. Generally speaking, most prescription drugs being used to treat erectile dysfunction may give rise to the following negative side effects. Of course the description of the side effects below is generic in nature and there are differences between the various medications.

Possible minor side effects that you may encounter are headaches, flushing of the face, diarrhea, blocked nose, muscle aches, giddiness, nausea and skin irritations or rashes.

Although serious side effects happen less often, but they do occur. If that happens, stop taking the medication concerned immediately and see a doctor right away if you experience any of these symptoms. Some of the more serious side effects are side are :- 

a) A perpetual erection that will not go away even after ejaculation. Your penis have trouble going back to its flaccid state which can be very uncomfortable and even excruciatingly painful. This condition is called priapism and immediate medical attention is required in order to prevent permanent tissue damage to the penis.

b) Some people may experience hearing difficulties or even lost their hearing abilities altogether. Others may hear soft tinkling noises in their ears called tinnitus.

c) Sometimes the loss of vision in one or both eyes may be experienced. This can be a signal leading to some serious macular eye problem. Again immediate medical attention is required of this symptom occurs.

Always take ED drugs on the advice of your doctor. The drugs may also contraindicate with other medications, especially certain medicines prescribed for high blood pressure and heart ailments. Fatalities arising from the consumption some of these ED medicines is a documented fact.

2) Since prescription medications to treat erectile dysfunction may come with so many negative side effects, can you suggest any natural ED supplements that can work since you have mentioned some of them in the article?

Here are a few natural or herbal supplements you may want to try out, however please be aware that most supplements are not clinically proven nor are they approved by the FDA. Information provided are mostly based on either anecdotal evidence or manufacturers' statements which can be quite biased at times.

Of course this does not mean that they do not work, it is just that the pharmaceutical industry just do not want to spend money to do the research since they already have prescription ED drugs to sell.

Dehydroepiandrosterone - Commonly known as DHEA for short. This is a hormone which is produced by our adrenal glands. Among its other functions, it is also a precursor to the male hormone testosterone. One of the reasons for having limp erections is because of the low level of testosterone and so boosting up your testosterone level may help you get harder and more sustainable hard ons.

Since our production of DHEA and testosterone levels decline with age, supplementing with DHEA made from natural sources is thought to be able to maintain or increase muscle mass, improve athletic performances, charge up your sex drive, optimize our energy level and of course, helping you to get better and harder erections.

Tongkat Ali (Eurycoma longifolia) - This tree is also known as Pasak Bumi and Longjack and can be found in South East Asian countries like Malaysia, Indonesia, Thailand, Myanmar, Vietnam, Singapore and Laos. In fact the name Tongkat Ali in the Malay and Bahasa Indonesia language literally means "the walking stick of Ali" which is already rather suggestive, don't you think so?


The bark and the root of the tree is most often used for its medical properties for sexual stimulation and as such, had been used as an aphrodisiac for hundreds of years by the natives of both genders in the region where the trees are found.

Somewhat similar to DHEA, the Tongkat Ali is also claimed to increase testosterone levels in men thus having a positive impact in enhancing an erection. Furthermore, it is also said to have an anti-estrogenic efficacy, meaning it can lower the level of the female hormone estrogen and thus having more optimization of testosterone production.

Besides being a sexual stimulant, Tongkat Ali is also hailed by the natives of the region as the "tree of a hundred cures" because it is also used to treat other ailments like malariahigh blood pressure, fever, tiredness and as a general health supplement for overall well being. It is also documented that overweight people can shed some weight too when consuming this supplement.

Epimedium - More commonly known as the Horny Goat Weed and it is also called the barrenwort, bishop's hat or the fairy wings. Just like its name, it is suppose to make you horny, not the goat though.

The horny goat weed is actually not a weed, but a flowering plant found mostly in Oriental regions of Asia like China, Korea, Taiwan and Japan. This herb has been used by the Chinese traditional medicine system for many hundreds of years to treat low libido, erectile dysfunction, body aches, tiredness and various other medical ailments. 

It is thought that this herb facilitates better blood circulation to the penis and thus helps in getting better and harder penile erections. An active ingredient in the horny goat weed was thought to act as a phosphodiesterase inhibitor, the function of the inhibitor is rather similar to some prescription medicines used for the treatment of male impotency. The plant has also been used for the treatment of other medical problems as well such as in osteoporosis and the hardening or calcification of the walls in the arteries.

Are there any negative side effects? Well, because some of its actions are somewhat similar to male enhancement prescriptive drugs to treat ED, then the side effects may probably be similar to those prescription medicines thus there are the possibilities of blood pressure abnormality, fluttering or skipping heart beats, diarrhea, respiratory breathlessness and so on.


Tribulus Terrestris - Tribulus Terrestris which is also known as the Devils Thorn, Devils Weed and the Puncture Vine is used widely in ancient traditional Chinese and the Indian Ayurvedic medical systems for what is thought to be at least 3,000 years already. This plant has been traditionally used for the treatment of increasing virility, strengthening of the immune system, for liver and kidney detoxification, to boost libido, as an anti-inflammation and of course, for the treatment of erectile dysfunction. Today, this plant is also used as a supplement for boosting natural testosterone production too. 

Protodioscin (which is a substance found in the plant) is a precursor to DHEA which in turn is a precursor to testosterone and as such, it is supposed to increase our testosterone levels. Furthermore, Protodioscin is also supposed to augment the production of nitric oxide which is required to enhance the erection mechanism since nitric oxide helps to better facilitate better blood circulation to the penile area. It is also believed that men supplementing with this plant extract may also increase their sperm count.


Yohimbe (Pausinystalia Johimbe) - The Yohimbe trees are mostly found in the West African region. The barks of the trees are used by the natives as folk medicine to treat and enhance sexual performances. Today, some athletes, especially the bodybuilders take Yohimbe as a dietary supplement to help them to metabolize their body fat so as to improve their athletic performances and looking ripped too. It is further claimed that yohimbe works by jamming up the receptors which obstruct healthy penis erections. 

Taking the supplement may also help to produce more nitric oxide. As discussed earlier, nitric oxide helps to dilate the blood vessels and in the process facilitates better flow of blood to the penis so that there can be a healthy erection.

3) I have heard that the Kegel exercise can can help top make the penis hard again and can make a hard on stronger. Is this true and how to do this exercise? 

It is correct that pelvic floor muscle exercises or Kegel exercises do improve the quality of the erectile dysfunction condition and helping also patients to get harder boners and thus performing better in bed.

The main aim of the exercises is to strengthen up the pelvic floor muscles around the base of the penile area and the testicles. Men make use of these muscles several times a day everyday without even consciously realizing they are using it. You see, we instinctively relax these muscles when we urinate to let the urine flow out into the urinals and we squeeze these muscles in order to stop the peeing. The muscles are also used during bowel movements for exactly the same purposes. 

Furthermore, these same muscles are required for you to get and sustain an erection and that is why by strengthening them can help you to get more solid erections. The best part is that you can do these exercises anywhere without any gadgets or equipment and no one will know that you are exercising your Kegel muscles. However, it may take you several months of consistently exercising the muscles before you will notice any positive results.

Let's begin by feeling and finding out where these muscles are located. First, try to squeeze your muscles around your pubic and pelvic area now, exactly like what you will do when you are stopping yourself from urinating. Similarly, you can also tense the muscles by squeezing your anus as if you are holding back a big fat fart. Now, can you feel those muscles contracting? Yes, these are the muscles that you will be working on for the next couple of months until you get your rock hard boner back.

As those muscles tensed up, hold on the tension and squeeze it as hard as you can for about ten seconds and then breathe out and relax. Rest for another ten seconds and repeat the squeeze again. Repeat the exercise for around ten repetitions. This entire process will be called one set.

Then take a minute of rest before going for the second set, and then a third set. Alternatively, you can do each set at different times of the day and you can do it anywhere anytime without anyone even knowing what you are up to, such as when you are waiting for the elevator or at your work desk. That's it. Do 3 sets every day for the next couple of months.


Research has shown that this exercise do improve your ability to develop and sustain a healthy penile erection. However, please do not think that the exercise is the miracle magic pill to your your limp and soft penis woe as

erectile dysfunction can occur for many reasons other than having weak kegel muscles as described in the article above. As such, other causes for the ailment must also be treated if there are any.

The good news is that besides improving your erection quality, the Kegel exercise can also give you other benefits such as better bladder control and on top of that, some men even reported that they are getting more intensive orgasms when they have sex. So what do you say to that, eh?

What Are The Causes Of Male Impotency

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Infographic showing the causes and cures for erectile dysfunction

This diagram shows the causes and treatments for erectile dysfunction in a nutshell.

Frequently Asked Questions And Answers(Q&A)

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A yellow flowering tribulus terrestris plant

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