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Embark on a revealing journey into men's health with Saad Alam on Hone In, where he's joined by the insightful Dr. Laura Purdy. This episode takes an in-depth look at the sensitive issue of erectile dysfunction (ED) and the complexities surrounding male sexual performance. Dr. Purdy explains the two parts of the nervous system involved in the erection and ejaculation cycle, shedding light on how stress and certain substances can disrupt this balance. She likens the heightened state of stress to the aftermath of a car accident - leaving you jittery and not in the right frame for sexual performance. Dr. Purdy emphasizes the importance of relaxation for the body to function as intended, offering practical advice for those struggling with ED. The discussion also delves into the hierarchy of medications like Viagra and Cialis, and the role of testosterone in sexual health, comparing it to fuel in a car. This episode is not just about the physical aspects of ED but also addresses the psychological pressures men face, providing a comprehensive understanding of this complex issue. Tune in for an engaging and informative session on Hone In with Saad Alam, where myths are dispelled, and sensitive topics are approached with knowledge and empathy. Check out all the episodes at: : https://honehealth.com/edge/podcast/ Listen to the episodes on: SPOTIFY: https://open.spotify.com/show/76Hg5OU5oOu7S9Ze6WPSlw APPLE PODCASTS: https://podcasts.apple.com/us/podcast/hone-in/id1707026738 Get exclusive weekly tips from show guests in our newsletter:: https://hone-health.ck.page/hone-in Follow us at: HONE HEALTH INSTAGRAM: https://www.instagram.com/hone.health/?hl=en SAAD ALAM INSTAGRAM: https://www.instagram.com/msaadalam/?hl=en Learn More: https://honehealth.com/

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In erectile dysfunction, an individual is unable to develop or maintain an erection during sex. This disorder is also called impotence and like other sexual dysfunction, this condition becomes more common with age. Sex can be important within relationships, so erectile dysfunction often carries with it emotional and psychological stigma. In both males and females,, sexual activity involves a sequence of events called the sexual response cycle. This cycle has four phases, excitement, plateau, orgasm, and resolution. During the excitement phase, muscle tension, heart rate, and blood flow to the genitals increases. In males, this is called an erection. When these reach the maximum level, it’s called the plateau phase. Next, the accumulated sexual tension gets released during orgasm, causing ejaculation in males. Immediately after orgasm comes the resolution phase, where the body slowly returns to its original, un-excited state. Alright, let’s take a closer look at the penis which is made of three long cylindrical bodies: the corpus spongiosum that surrounds the penile urethra, and the two corpora cavernosa made of erectile tissue. The corpora cavernosa are wrapped in a fibrous coat called the tunica albuginea, and each corpus cavernosum is made up of blood-filled spaces called the cavernosal spaces. These areas are lined with endothelial cells surrounded by smooth muscle. Running down the centre of each corpus cavernosum is a large artery called the deep artery which gives off smaller arteries that supply the cavernosal spaces. Next, blood get drained from these spaces by small emissary veins, which drain into the deep dorsal vein. This vein then carries the blood back into the systemic circulation. Now, the penis receives both somatic and autonomic innervation through the cavernous nerves, which innervate both the corpus spongiosum, and the corpora cavernosa. Hypertension causes wear and tear in the endothelial cells, and decreases their ability to produce nitric oxide. Another vascular condition that can damage the arteries is diabetes mellitus. High glucose levels can cause hyaline arteriolosclerosis in the small arterioles in the penis. This is where the arteriole walls develop hyaline deposits, which makes it harder for them to dilate. It also builds up in the capillaries causing the basement membrane to thicken which makes it harder for oxygen to efficiently move from the vascular space to the tissues, causing hypoxia and death of the smooth muscle cells. Hypoxia also causes the parasympathetic nerve fibers to die off, and damaged parasympathetic nerve fibers can’t release acetylcholine, so there’s less nitric oxide synthase activation, and less nitric oxide is produced. Another leading cause of erectile dysfunction is surgery, either on central nervous system structures, like the brain and spinal cord, or on the genital structures themselves, like prostate surgery. Also, conditions like stroke, multiple sclerosis, and back or pelvic trauma can directly damage the nerves, leading to erectile dysfunction. Next, endocrine dysfunctions that causes testosterone levels to fall, like hypogonadism, can cause erectile dysfunction. This happens because low testosterone levels are associated with lower levels of nitric oxide synthase, which causes less nitric oxide to be produced, and less smooth muscle relaxation. Since testosterone production decreases with age, it’s normal for erections to become more difficult to achieve and maintain later in life. Finally, many medications can cause erectile dysfunction as a side effect. These include diuretics because they leave less fluid in your circulation, making it difficult to achieve an erection, and medications like antidepressants and methadone, but those mechanisms are not as well understood. There is no specific test to diagnose erectile dysfunction, so the diagnosis largely relies on the sexual experiences of the individual. Careful questioning of psychological stressors as well as blood tests to check for testosterone and glucose levels, a neurological assessment, and duplex ultrasound to evaluate blood flow and atherosclerosis can be done to investigate the cause of erectile dysfunction. Treatment of erectile dysfunction largely focuses on addressing the underlying cause. In terms of medications, PDE-5 inhibitors, like sildenafil can be used. These medications inhibit the PDE-5 enzyme in endothelial cells which normally breaks down cGMP, leading to higher levels of cGMP. That allows for more smooth muscle relaxation which facilitates an erection. Sometimes, vacuum erection devices can be used. These devices apply negative pressure around the penis which can help draw in blood to achieve an erection. Finally, surgical procedures like prosthetic implants can be embedded into the penis. They does not cause erections but it could help keep the penis rigid.

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http://www.bestpenisenlargementdevice.net There are a myriad of penis enlargement devices on the market today. Throughout the internet and men's magazines, the abundance of devices makes many men decide that they cannot decide which penis enlargement device is right for them.It is unfortunate that many men decide that they cannot pick a penis enlargement device. Many men suffer from the psychological effects of having a small penis.

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