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Is Pelvic floor therapy good for sexual dysfunction?

Is Pelvic floor therapy good for sexual dysfunction?

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Any stage of the sexual response cycle is susceptible to sexual dysfunction. You can’t get the satisfaction you want from having sex because of that.

The classic stages of the sexual response cycle are anticipation, plateau, climax, and resolution. Both arousal and desire are a part of the sexual response’s excitement phase. It’s vital to understand that women don’t always experience these phases sequentially.

Even though evidence indicates that sexual dysfunction is common, many people find it uncomfortable to discuss. But you should discuss your worries with your partner and your doctor because there are therapeutic choices. Among the sexually dysfunctional are;

  • Sexual desire disorders ,
  • irregularities in sexual arousal,
  • erection problems,
  • an early ejaculation,
  • Anejaculation (inability to ejaculate),
  • sexual dysfunction,
  • Priapism (persistent and painful erection of the penis, in the absence of sexual excitement) 
  • The Peyronie’s disease (a bent, rather than straight, erect penis due to scar tissue).
  • Erectile dysfunction

Physical therapy for the pelvic floor is used to treat issues with the pelvic floor. Exercises that are part of this specialist therapy can aid in the relief of symptoms including pain, discomfort, and disturbances to your quality of life.

The Pelvic floor

There are numerous purposes for the pelvic floor. First, it supports the internal genital organs (the uterus) within the pelvis as well as the bladder, intestines, and other abdominal organs. The pressure that develops up in the pelvis and abdomen when doing things like coughing or lifting is secondly resisted. Finally, the ability to keep urine and faeces until one is ready to use the restroom is a function of the pelvic floor.

The pelvic floor has openings through which the urethra and rectum travel. Urination and faeces are made possible by the pelvic floor muscles relaxing. The pelvic floor muscles’ regular tension acts as a sphincter to keep these chemicals from passing out. If there are issues with one or more of these muscles, known as pelvic floor dysfunction, pelvic floor PT may be beneficial.

Pelvic Floor Dysfunction

Simply put, pelvic floor dysfunction refers to a malfunction of one or more pelvic floor muscles. This could indicate that they are either too tight or too loose, or that the person is having difficulty properly contracting and releasing them. Additionally, certain forms of surgery, such as a prostatectomy, as well as childbirth, medical procedures, and other procedures have the potential to harm the pelvic floor muscles.

A combination of a medical history, physical examination, MRI, and/or ultrasound can be used to diagnose pelvic floor dysfunction. It is estimated that up to 25% of women in the US are affected. Information on male prevalence is scarcer. Medication, surgery, and pelvic floor physical therapy are all options for treating pelvic floor dysfunction. Pelvic floor physical therapy frequently serves as an effective first-line treatment since it carries a much lower risk of adverse events. This is especially true for pelvic floor repair alternatives involving surgery, which have the potential to have serious negative effects on sexual function and other aspects.

Pelvic floor physical therapy and sexual dysfunction

In terms of sexual health, pelvic floor dysfunction can have an impact on several areas. Both direct and indirect impacts may be present. For instance, pain during sex could be a direct result of pelvic floor dysfunction. Because the pelvic floor muscles have an impact on so many facets of sexual function, there are many potential direct sexual implications of pelvic floor dysfunction. Penile rigidity and orgasm, as well as sexual excitement, are all influenced by muscle contraction.

Stress urine incontinence causing a phobia of sexual intimacy is one possible indirect impact. Muscles that are either too active or too passive might contribute to various sexual health issues linked to pelvic floor dysfunction. Direct effects typically result from excessive pelvic floor muscle contraction, whereas indirect effects typically result from inadequate pelvic floor muscle contraction.

Uncontrolled Muscles

Pelvic pain and pain during sexual activity can be brought on by overactive pelvic floor muscles. Men may experience this discomfort in any location, including the testicles, the tip of the penis, or the abdomen. Overactive pelvic floor muscles in men can potentially lead to:

  • erection issues
  • untimely ejaculation
  • hurt following ejaculation

Overactive muscles in women can lead to:

  • the vulva stinging or burning (the outer portion of the genitalia)
  • the clitoris hurts
  • The vagina is hurting

Sexual dysfunction brought on by hyperactive pelvic floor muscles in all people may or may not be accompanied by pain.

Under-active Muscles

Conditions like pelvic organ prolapse and urine incontinence are made more likely by weak pelvic floor muscles. It has been demonstrated that both urine incontinence and pelvic organ prolapse have a negative impact on people’s sexual lives. Each illness has the potential to alter a person’s perception of themselves, and there may also be worries about odour or pain during sex (with prolapse) (with urinary incontinence.)

It’s important to note that some people have overactive and underactive pelvic floor muscles. This is a feature of a few different pelvic pain syndromes.

Conclusion

Men and women both experience pelvic floor dysfunction, although women typically receive more attention when discussing pelvic floor rehabilitation. Studies and literature suggest that pelvic floor rehabilitation and physiotherapy management can be successful in treating a variety of problems, including urine incontinence, chronic prostatitis/chronic pelvic pain syndrome, erectile dysfunction, and ejaculatory dysfunction.

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The role of the mind in erection and erectile dysfunction.

The role of the mind in erection and erectile dysfunction.

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The medical problem known as erectile dysfunction (ED) is complicated and has both physical and psychological aspects. Over the past 50 years, the paradigm of what causes ED and how it is treated has moved from a mental focus to a physical one.

The development of non-invasive oral medicines and a deeper understanding of the physical aspects of ED have both contributed to this. Nevertheless, the psychological aspects of erections and ED continue to be crucial, although sometimes going unnoticed, and many men can overcome ED by addressing these elements.

While some erections appear to “simply happen,” many necessitate mental stimulation or sexual interest. Some men continue to engage in this process subconsciously, which means they do not need to actively think about sex but rather have an open mind that is susceptible to subconscious thoughts or stimuli. This is why many men don’t consider the mind’s function in the erection process until an ED develops.

Psychogenic Erectile dysfunction

The symptoms of erectile dysfunction are distinct from those of many other illnesses. Some physical conditions may have psychosomatic roots. In other words, a person’s thoughts may truly be the root of their physical ailment.

This idea is frequently misapplied to ED, which leads to misunderstandings and hinders effective treatment. The involvement of the mind in erections is more extensive, even though some men will have ED as a symptom of underlying mental health disorders like stress.

What the mind believes and how it interprets the world around it helps with erections. Erections will be challenging, if not impossible, to achieve without the right stimulus and desire. The mind must process information in a way that tells the body that an erection is required for sexual interaction, even when external stimulation is present. In the absence of this, ED may occur; not because the mind is interfering with a naturally occurring process, but rather because an essential element of erections (i.e. engaging the mind) is absent.

WHAT CAUSES MENTAL IMPOTENCE?

Although physical factors account for the majority of erectile dysfunction reasons, psychological or emotional problems are also frequently to blame. Erectile dysfunction (ED) or psychological impotence is the term used to describe ED that is caused by a psychological issue.

Erectile dysfunction in males can have a variety of psychological causes, just like with physical ED. Instead, numerous problems can all be the root of or contribute to psychological ED, including:

Anxiety and stress

Despite the fact that stress and anxiety are two distinct conditions, they are nonetheless closely tied to the problem of erectile dysfunction.

Erectile dysfunction frequently has underlying causes that include stress. However, tension can eventually lead to anxiety, which in turn increases stress. This vicious cycle is detrimental for both your mental health and sex life.

But it’s simple to see that stress and anxiety are much more tightly tied than you might think if you look at the physical side of things. Many guys are unaware that there are actually three different forms of erections.

While a psychogenic erection is brought on by a particular visual or mental image, a reflexive erection is brought on by physical stimulus. An erection that takes place while you’re sleeping is known as a nocturnal erection.

Each of these three involves a different set of physiological processes, such as those involving hormones, muscles, blood vessels, the neurological system, and emotions. ED may be brought on by or contributed to by the compromise of any of these systems.

Relationship difficulties

A healthy relationship takes work to develop and keep up. To genuinely know and trust someone, it takes time. It’s possible that problems in your romantic relationship could affect how you and your partner interact sexually.

Another possibility is that your erectile dysfunction is causing issues in your relationship. This is just one example of how the cycle of ED can negatively impact many different areas of your life. The first step in addressing this specific psychological ED cause is communication, but it’s also one of the trickiest.

Participating in counselling may assist you in better understanding each other’s needs and strengthening your relationship if you and your partner have trouble communicating.

Depression

If you haven’t personally dealt with depression, you could imagine it to be similar to melancholy. Clinically, it goes far further than that.

Depression has a similar effect to an anchor, dragging you down mentally and physically and interfering with practically every part of your life. The following are some of the most typical signs of depression:

  • constant sadness and emptiness
  • feelings of worry, pessimism, or despair about your lot in life
  • decreased passion for your hobbies and interests
  • feelings of guilt or worthlessness
  • slowed speech or movement
  • A change in your body weight or appetite
  • Oversleeping or have difficulties falling asleep
  • inability to concentrate, retain details, or decide
  • aches, pains, and stomach problems without a known cause
  • Suicidal ideas and actions

As you can expect, these symptoms can make it challenging to enjoy much of anything, much less sex. In middle-aged males, a 1998 study in the journal Psychosomatic Medicine clearly shown a connection between sadness and impotence.

The researchers came to the conclusion that there was an association between depressed symptoms and erectile dysfunction that existed and was unrelated to demographics or ageing using data from the Massachusetts Male Aging Study.

Performance phobia

In many instances, performance anxiety turns into a self-fulfilling prophecy where you worry that you won’t be able to please your spouse. Your anxiety may carry over into the bedroom and contribute to erectile dysfunction.

Negative self-talk, such as fears about being able to get an erection, win over your partner, or refrain from ejaculating too soon, can sometimes be the cause of performance anxiety.

If you’ve had trouble getting an erection in the past, those instances can still be fresh in your memory and interfere with your ability to unwind in bed.

Guilt and low confidence

Many erectile dysfunctional males feel bad about being unable to appease their partner. Guilt can often contribute to the continued cycle of ED if the problem continues to worsen, so it becomes more serious than just a small problem.

Shame and guilt are prevalent emotions that are frequently connected to mental health problems, such as severe depression. In actuality, guilt feelings are a typical sign of depression.

Psychological ED may also be influenced by low self-esteem. Your likelihood of having problems with your sexual performance may increase if you are insecure about it or worry that your partner won’t find you attractive enough.

Use of Pornography

While viewing pornography isn’t necessarily wrong or harmful, it can have a detrimental effect on your sexual function and erectile health.

According to research, regularly watching and masturbating to pornography may lead you to have inflated expectations of your sexual experiences and partners. It’s called porn-induced erectile dysfunction when this makes it harder for you to maintain a hard on.

Conclusion:

Many ED sufferers are uncomfortable with the idea that their thinking is a contributing factor in, if not the main cause of, their inability to have an erection. It may be harder to understand and accept psychogenic ED because it frequently happens even in the absence of any current mental health issues or discomfort.

These guys could be hasty to rule out the idea of psychogenic ED and end up ignoring a crucial aspect of normal erections. However, seeking assistance becomes simpler and ED therapies might ultimately result in greater results when men who experience ED can acknowledge that their minds are constantly engaged throughout erections.

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How can prostate cancer affects Sexual health?

How can prostate cancer affects Sexual health?

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Prostate cancer patients who are undergoing or have had treatment can experience sex-related issues. These include troubles with fertility, losing interest in sex, and getting an erection.

A lump or tumour is created when cells in the prostate tissue develop uncontrolled, a condition known as prostate cancer or cancer of the prostate gland. The urethra, the tube that takes urine from the bladder to leave the body, can become blocked if the tumour becomes large enough.

Prostate cancer often has little effect on sexual function, although in rare instances, it may cause erection problems. On the other hand, the entire cancer experience, including its effects on the reproductive system and its treatments, which may involve radiation therapy, surgery, or hormone therapy, might lead to issues.

The most prevalent non-skin cancer in men in the US is prostate cancer. According to the Centers for Disease Control and Prevention, about 13 out of every 100 American men are affected (CDC).

Psychological factors

It is common to experience anxiety and depression after receiving a cancer diagnosis and while undergoing treatment. Relationship tension can also be caused by anxiety.

Multiple physical changes brought on by prostate cancer might have an impact on a person’s sexual confidence. These may consist of:

  • Constipation issues and urine leaking
  • having trouble getting an erection
  • decreased generation of sperm
  • lower fertility
  • These problems may have an impact on sexual performance and desire.

An active course of treatment may not be necessary if the cancer is in its early stages and slow-growing. This strategy is referred to as cautious waiting. Although worry may persist and the individual may still have less interest in sex as a result, monitoring does not have adverse effects that lead to sex issues. Counseling could assist them in overcoming this.

Some people may be concerned that they have a sexually transmitted infection (STI), but prostate cancer is not a STI and cannot be transferred by sexual activity or any other method.

Prostate cancer affecting sex life

Even prior to starting treatment, having prostate cancer might have an impact on your sexual life. However, it could take some time for you to notice how it affects you.

Typically, prostate cancer doesn’t immediately affect how you sex (unless your prostate gets very large). However, receiving a cancer diagnosis, regardless of the type, can have psychological or emotional effects. And you’re less likely to be interested in having sex if your diagnosis makes you feel scared, apprehensive, or depressed. The term “poor libido” is sometimes used to describe this.

If you often engage in sexual activity with someone, they may experience stress or sadness as a result of your diagnosis, which could affect their libido as well.

And as you might expect, sex is less likely to occur frequently if neither you nor your spouse are particularly interested in having it. This suggests that those who receive a prostate cancer diagnosis may be less likely to engage in sexual activity. Additionally, initiating treatment for prostate cancer frequently results in new sexual difficulties.

Prostate cancer treatments affect your sex life?

Hormone therapy, surgery, and radiation therapy are the top prostate cancer treatments. Your sexual life may be impacted by any of these treatments. Because of this, it’s critical to comprehend the possibility of sexual side effects during prostate cancer therapy so that you and your healthcare team can make the best decisions possible.

Treatment for prostate cancer may have an impact on:

  • Libido (sex drive)
  • Erections
  • Ejaculation
  • sexual enjoyment
  • Testicle and penis size

Possible sexual side effects of prostate cancer and/or its treatment

Sexual adverse effects are conceivable with prostate cancer as well as the available therapies (surgery, radiation, and/or hormone therapy). The following list includes some of the most frequently mentioned side effects of prostate cancer on a person’s sexual function:

  • Erectile dysfunction: A man may occasionally struggle to achieve or sustain an erection following a prostatectomy (surgical to remove the prostate).
  • Loss of interest in sex: Managing a cancer diagnosis and receiving treatment can be stressful and draining, thus it is common for someone to momentarily lose interest in sex during this time. The desire for sexual activity can also be decreased by some medications, such as hormone therapy.
  • Ejaculatory issues: Men who have undergone therapy for prostate cancer may notice that their ejaculations are diminished or nonexistent. Compared to prior treatment, orgasm may also feel different.
  • Lack of self-assurance or low sexual self-esteem: Having trouble getting an erection, having urine leakage, and/or having less or no semen volume may all lead to feelings of sexual self-consciousness or performance anxiety.

Things a person can do for a healthy sex life after prostate cancer

One can overcome these challenges and regain a healthy sex life after cancer by being informed about the potential sexual health effects of prostate cancer and its treatment. Following prostate cancer therapy, a person can improve their sexual life in the following ways:

  • Penile rehabilitation: Improvements in erections within the first year following surgery may enhance general contentment and quality of life, while the effects of penile rehabilitation are still under question.
  • Erection aids: There are a number of erectile dysfunction treatments available, including prescription drugs, vacuum devices, and penile implants, which are mechanical devices inserted surgically into the penis to enable a man to get an erection whenever he wants.
  • Counseling or sex therapy: When it comes to sexual function, a person’s mental health is just as vital as their physical health. A person might think about consulting a psychologist or sex therapist for help through a significant life event, including receiving a cancer diagnosis and undergoing treatment.
  • Open communication: Honest, open communication with a sexual partner is essential for a patient who is in a relationship. This can reduce sexual performance anxiety for both partners, enable them to manage their expectations for their sexual connection, and build a foundation of trust for future intimacy.

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Do certain Vitamins affect a person’s Sexual function?

Do certain Vitamins affect a person’s Sexual function?

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The term “erectile dysfunction” (ED) refers to a symptom, not a medical disease. Despite the fact that there are numerous potential reasons of ED, the most prevalent ones are illnesses like diabetes, sleep issues, and heart disease as well as lifestyle choices like smoking and alcohol abuse.

Some of the causes of ED, like ageing, are unavoidable. A healthy lifestyle, according to study, can reduce the risk of ED. For instance, ED rates have been linked to lower levels of physical activity and keeping a healthy body weight. 322 million males worldwide are anticipated to experience erectile dysfunction by 2025.

There is currently relatively little study on how vitamins and vitamin deficits affect sexual health. However, as vitamins are organic substances that are necessary for healthy development and for maintaining biological processes, it follows that a person’s vitamin levels may also have an impact on their sexual function. What is now known about vitamins and their possible effect on sexual function is as follows.

Vitamin D

Perhaps the most thoroughly studied vitamin in terms of sexual health is vitamin D, which is created by exposure to sunlight and is present in fatty fish and fortified milk. Vitamin D seems to assist healthy endothelium function and testosterone synthesis in men. (The endothelium is a thin layer of cells that line the inside of the heart and blood vessels and is essential for managing blood clots, relaxing and constricting blood vessels, and aiding in the body’s immune response.)

Researchers have discovered that vitamin D decreases inflammatory disorders that might harm a person’s vascular function by stimulating nitric oxide and antioxidants in the endothelium. In turn, this might enhance vascular health, which is crucial for erectile performance.

Studies in the past have discovered links between adequate vitamin D levels and enhanced male sexual function. Males who were vitamin D deficient had significantly poorer International Index of Erectile Function (IIEF) ratings than men in the control group, according to one such study.

It has been demonstrated that vitamin D benefits females by promoting oestrogen release and the maturation of vaginal cells. When it comes to female sexual function, oestrogen is a crucial hormone because it supports healthy vaginal tissues and adequate lubrication, which makes sex more pleasurable and pleasant for women. In reality, when compared to a placebo, intravaginal vitamin D suppositories have demonstrated positive outcomes in reducing the symptoms of painful sex and vaginal atrophy in postmenopausal women.

Vitamin C

Vitamin C has been demonstrated to be protective against endothelial dysfunction, much like vitamin D. Nitric oxide availability is aided by vitamin C, a potent antioxidant, which also improves endothelial and vascular function, all of which are necessary for healthy sexual performance. Oranges, lemons, and tomatoes are examples of citrus fruits that contain this vitamin.

Vitamin E

Leydig cells, the main source of testosterone in males, appear to be correlated with vitamin E levels in animal studies. Compared to healthy animals, those with vitamin E deficiency had fewer Leydig cells, smaller testicles, and more testicular injury. While it seems that vitamin E may support the synthesis of testosterone and, consequently, sexual function, it is crucial to ascertain whether these results apply to people. Nuts, seeds, avocados, mangos, and plant-based oils all contain vitamin E.

Vitamin B9 (Folate)

Dark green vegetables, beans, peanuts, complete grains, and peanut butter all contain folate. Similar to other vitamins, it supports normal endothelium function. Additionally, it is crucial for the metabolism of serotonin, which is crucial for controlling ejaculation. A 2014 Chinese study discovered that men’s premature ejaculation and erectile dysfunction were both correlated with folate insufficiency. However, more investigation is required to determine how this vitamin might affect human sexual functioning in general.

Conclusion

However, sexual health is made up of many distinct factors, such as neurological processes, vascular function, mental health, and even interpersonal dynamics. Vitamins may enhance good sexual functioning. Therefore, it is unrealistic to believe that taking a multivitamin will help with any sexual health issues. Nevertheless, these findings imply that eating a healthy, balanced diet and taking supplements to make up for any vitamin deficits you might have may be beneficial for your sexual health.

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Can Cycling increases the risk of Erectile dysfunction?

Can Cycling increases the risk of Erectile dysfunction?

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Cycling is a well-liked kind of aerobic exercise that tones the legs while burning calories. A third or more of Americans ride bikes. Some people ride bikes for amusement on occasion, while others are more serious riders who pedal for several hours each day.

The unexpected consequence of spending too much time on a bike seat, however, is that persons who have a penis and cycle may face erection issues.

It’s hardly news that cycling can cause erection issues. When he observed, “The frequent jolting on their horses unfits them for intercourse,” the Greek physician Hippocrates actually recognised sexual problems in male horseback riders.

Erectile dysfunction

The inability to achieve and maintain an erection strong enough for intercourse is known as erectile dysfunction, commonly referred to as impotence. Sometimes having erection problems is not a cause for alarm. However, if erectile dysfunction persists, it can worsen your stress levels, undermine your confidence, and cause relationship issues. It may also detract from your desire for sexual activity.

The percentage of bikers who have experienced genital numbness while cycling ranges from 50 to 91%. This numbness results from a rider’s saddle compressing their perineum, which is a densely populated area of blood vessels and nerves located between their anus and genitalia.

Here are several reasons why cycling may interfere with getting an erection and some tips for avoiding this problem.

How does cycling affect erections?

Cycling may cause erectile dysfunction because the pressure of sitting on the saddle may be pressing against the nerves in your private areas, which can cause them to become painful. This can lead to erectile dysfunction because it’s bad for your fertility.

The perineum, which is the region between the genitalia and the anus, is constantly compressed by the seat when riding. This pressure has the potential to damage nerves and momentarily reduce blood flow. This may eventually result in erectile dysfunction as well as tingling or numbness in the penis.

Nerve impulses from the brain arouse the penis in order for a guy to get an erection. These nerve signals cause blood vessels to relax, resulting in more blood flowing into the penis through the arteries. Any issue with the blood vessels, nerves, or both may prevent you from getting an erection. The term for this is erectile dysfunction (ED).

The perineum, a region that lies between your anus and penis, gets compressed when you ride a bike for extended periods of time. Your penis receives oxygen-rich blood and feeling from the arteries and nerves that make up your perineum.

Men who ride their bikes for long periods of time have complained of numbness and difficulty getting an erection. According to experts, ED is caused by arteries and nerves becoming entrapped between the rider’s pelvic bones and the bicycle’s tight seat.

What research says

Male bikers should regularly stand up when biking, according to research from the Wroclaw Medical University in Poland, to avoid erectile dysfunction. Every ten minutes, people should stand on the pedals, according to the research. The study notes that, in addition to private parts being squashed on the saddle, bad riding technique or choosing the wrong kind of bike can also result in genital numbness.

A Harvard Special Health Report further states that riding a bike might harm the nerves and constrict the arteries in the penis, which can cause erectile dysfunction. According to the study, men who cycled for more than three hours each week were at the greatest risk.

How to reduce your risk of ED

You can still ride for fun and exercise while maintaining your love life with a few adjustments. You can make the following changes to lessen your risk of developing ED:

  • Adjust your seat – Replace your slender bicycle seat with one that is wider and has more padding to support your perineum. Additionally, to lessen strain, select a seat without a nose (it will be more rectangular in shape).
  • Lower the handlebar -. Your perineum will feel less pressure if you lean forward and lift your bottom off the seat.
  • Cushioned biking shorts – You will have additional security as a result of this.
  • Reduce the amount of training – Reduce the number of hours you cycle.
  • During lengthy rides, take frequent breaks – Periodically move around or stand on the pedals.
  • Use a recumbent bike instead – Reclining is better for your perineum if you want to spend a lot of time on the bicycle.
  • Change up your workout routine – Alternate between jogging, swimming, and other aerobic exercises in place of only cycling. Include cycling in a comprehensive exercise regimen.

Stop riding for a bit if you experience any discomfort or numbness in the region between your rectum and scrotum.

Other risk factors

Other than cycling, a number of other risk factors can result in erectile dysfunction. Tobacco use, which reduces blood flow, obesity, medical procedures like prostate surgery or radiation therapy for cancer, antidepressant pills, stress, anxiety, or depression, and heavy or regular drug and/or alcohol use are a few examples of these.

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Is there a link between PTSD and Erectile dysfunction?

Is there a link between PTSD and Erectile dysfunction?

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Men of various ages and socioeconomic backgrounds experience erectile dysfunction (ED), a prevalent problem with sexual performance. In fact, it’s thought that 30 million American men suffer from erectile dysfunction to some extent.

Physical health conditions like high blood pressure, diabetes, and atherosclerosis are to blame for the majority of cases of ED (clogged arteries). However, for many men, erectile dysfunction is also significantly influenced by mental health issues. These include post-traumatic stress disorder(PTSD), sexual anxiety, and depression.

In fact, numerous studies have demonstrated a connection between PTSD and erectile dysfunction (but more on that later). If you have PTSD, it could be harder for you to keep an erection while having sex or to acquire one while you’re sexually aroused. Your capacity to sustain a happy, satisfying sexual life may be seriously impacted by this.

The good thing is that both psychological erectile dysfunction and post-traumatic stress disorder may be treated, typically with a combination of treatment and medication.

Cause of Erectile dysfunction

There are many factors involved in male sexual arousal, including hormones, emotions, nerves, muscles, and the blood vessels. There are a number of factors that can contribute to erectile dysfunction. It is also possible for erectile dysfunction to be caused or worsened by stress and mental health concerns.

In some cases, erectile dysfunction is caused by a combination of physical and psychological factors. In some cases, anxiety about maintaining an erection may be caused by a minor physical condition that slows down your sexual response. A result of this anxiety or stress may exacerbate the problem of erectile dysfunction or lead to it.

Post-Traumatic Stress Disorder

A horrific event can cause post-traumatic stress disorder (PTSD), a mental health disease that can be brought on by experiencing it or seeing it. Flashbacks, nightmares, excruciating anxiety, and uncontrollable thoughts about the incident are just a few possible symptoms.

The majority of people who experience traumatic circumstances might initially struggle to adjust and cope, but with time and adequate self-care, they typically get better. You may have PTSD if the symptoms worsen, last for weeks, months, or even years, and affect your daily functioning.

Symptoms of PTSD

Numerous symptoms could be associated with PTSD, the most of which start to manifest three months after the traumatic incident that caused them. Among the typical signs of PTSD are:

  • flashbacks to the horrific incident, frequently accompanied by an immediate bodily response
  • nightmares or frightful ideas
  • Avoiding locations, things, or activities that serve as reminders of the painful event
  • consciously ignoring any sentiments or ideas connected to the incident
  • Having trouble relaxing, sleeping, and generally feeling uptight
  • being quickly shocked and/or displaying irrational anger
  • difficulty recalling specifics of the causal event
  • negative self-talk, feelings of shame or blame, and self-doubt
  • a decline of enthusiasm for your regular interests and hobbies

Many persons experience PTSD symptoms together with depression or an anxiety condition at the same time. You may be more likely to experience PTSD if certain conditions exist. These include experiencing horror, fear, or helplessness, going through a traumatic incident like a sexual assault, going through trauma as a child, suffering an injury, or witnessing an injury to another person.

Additionally, if you have a history of substance misuse or other mental illnesses, or if you experience significant stress following a traumatic event, you may be more likely to develop PTSD.

Links between PTSD and Erectile dysfunction

The potential link between PTSD and erectile dysfunction has been investigated by researchers for many years, and evidence suggests that men with PTSD are more likely than their peers to experience ED.

In a 2002 study that appeared in the journal Urology, 85% of combat veterans receiving PTSD treatment disclosed signs of erectile dysfunction. Only 22% of the males in the control group experienced ED, in contrast.

In addition, the males with PTSD had a higher proportion of moderate to severe ED than their peers, which impacted 45% of the men with PTSD and only 13% of the men in the control group.

A randomized trial containing data from more than 1,000 patients, which was published in the journal Annals of General Psychiatry in 2021, discovered that males with post-traumatic stress disorder had a higher risk of developing ED than men in a non-PTSD group.

Simply put, there seems to be a strong correlation between post-traumatic stress disorder and a higher likelihood of experiencing erectile dysfunction.

Research analysis

The authors of a review that was published in the Journal of Sexual Medicine indicate that women are also prone to experience sexual dysfunction as a result of post-traumatic stress disorder, even though PTSD is frequently connected to battle in men.

One of the outcomes from this study is that the type of trauma does not matter when it comes to sexual dysfunction brought on by trauma.

Another was that the inability to control and divert the arousal necessary for sexual function from intrusions and aversive hyperarousal that can occur with post-traumatic stress disorder may be the basis for the sexual dysfunction caused by PTSD.

Sexual activity and PTSD both cause physiological arousal that resembles the “fight-or-flight” reaction. When a person with PTSD becomes aroused, the instinctive response sets off PTSD symptoms that obstruct optimal sexual function, leading to issues like ED.

ED Treatment Options For Men With PTSD

Almost always, erectile dysfunction is curable. You can treat erectile dysfunction with medicine and healthy, constructive adjustments to your behaviours and lifestyle, in addition to enhancing your mental health by addressing post-traumatic stress disorder.

Four medicines for the treatment of ED have currently received FDA approval, all of them are PDE5 inhibitors.

  • Sildenafil. Sildenafil, the primary component of Viagra, relieves ED symptoms for around four hours after administration.
  • Tadalafil. Tadalafil, the main ingredient in Cialis, is a long-lasting medicine that can treat ED for up to 36 hours after administration.
  • Vardenafil. Vardenafil, the active component in Levitra, offers ED relief for four to six hours after each dose.
  • Avanafil. Avanafil, sold under the brand name Stendra, is a more recent ED drug that takes 15 to 30 minutes to take action and has a lower likelihood of having negative effects.

When you feel stimulated, it will be simpler for you to get and keep an erection thanks to these drugs’ increased blood flow to your penis.

Making small adjustments to your everyday routine can help lower your risk of coping with recurring erectile dysfunction in addition to using medication. These consist of staying physically active, eating a balanced diet, quitting smoking, and upholding sound sleep patterns.

Your mental health may benefit from some of these improvements as well. More information on how you can modify your daily routine to enjoy greater sexual function and wellbeing is included in our list of natural ways to boost your erections.

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What’s the link between Cancer treatment and ED?

What’s the link between Cancer treatment and ED?

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Your sex life may change as a result of physical and psychological side effects of cancer treatment. These alterations are referred to as “sexual side effects” by doctors. They consist of modifications to your sex interest and your capacity for sexual action.

Physical, mental, or emotional adverse effects from sexual activity are possible. Your attitude, sense of wellbeing, energy level, and body image can all be impacted by cancer therapy. All of these factors can influence your sexual life.

Whether your cancer diagnosis and/or treatment may alter your sexual life is something you should discuss with your medical team. If at all possible, do this before beginning treatment. The optimal form of treatment for you can be impacted by it. Getting a second opinion might be wise if you are extremely concerned.

Sexual problem during cancer

Your sexual health may change as a result of having cancer or the therapy for it, either during or after treatment. These modifications could go or stay put. Everyone is unique.

Treatments that directly affect your genital organs are more likely to have physical side effects. Prostate, bladder, and testicular cancer treatments, for instance, are more likely than some other cancer treatments to have an impact on your capacity to physically engage in sexual activity. However, leukaemia treatment, for example, might also make you feel exhausted or ill, which can reduce your interest in sex. This is why discussing your unique diagnosis and what to expect with your medical team can be beneficial.

The following are examples of possible sexual side effects:

  • less sex-related interest
  • having trouble attaining or maintaining an erection long enough to engage in penetration. Other terms for this issue include “erectile dysfunction” and “ED.”
  • Orgasming before you’re ready is known as premature ejaculation.
  • urinating (peeing) while having an orgasm.
  • having a “dry” orgasm in which no sperm emerges. This can occur if semen exits the penis instead of flowing backward into the bladder.
  • suffering when having sex.

Inform your medical staff if you experience any of these issues before starting therapy. They might be able to assist or stop the difficulties from growing worse if they are aware of the issue. Additionally, during or after treatment, let your medical team know if you have any new issues or changes in your sexual health.

Treatments that can cause sexual problems

Surgery – The nerves that regulate erections can be harmed during procedures on the prostate, testicles, bladder, colon, and/or rectum. Consult your surgeon on “nerve-sparing” procedures. Additionally, surgery can result in “dry” ejaculation. You might find this upsetting or you might not.

Radiation treatment – ED may result after radiation therapy administered to the pelvis, which is the region around the hips. This may occur between six months and two years following the treatment. In two to three years, it might disappear or become better. What to do when you have ED should be discussed with your doctor.

Chemotherapy – Chemotherapy side effects can have an impact on your mood, sense of self, and sexual attraction. Weight gain or loss, nausea, vomiting, and diarrhoea are possible side effects. Additionally, you can stop having erections, but this normally returns with time. Any medication, including targeted therapy or immunotherapy, that is a part of your treatment plan should be discussed with your doctor for any potential sexual side effects.

Hormone treatment – Some prostate cancer treatments aim to reduce the amount of testosterone your body produces. Although it is done to treat the cancer, this may result in ED, reduced sex drive, and difficulties achieving an orgasm.

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Is Shockwave treatment effective for Erectile dysfunction?

Is Shockwave treatment effective for Erectile dysfunction?

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In current society, erectile dysfunction (ED) is a common issue. It is more common in older people and people who are at risk for cardiovascular disease. The two primary therapy options for these patients are intravenous/intra-urethral alprostadil and oral 5-phosphodiesterase inhibitors (PDE5-I). Despite the positive outcomes of these strategies, non-responders are left without any other reasonable options.

One of the several treatments for erectile dysfunction is shockwave therapy (ED). Though the Food and Drug Administration (FDA) has not approved it, multiple studies that produced positive findings have supported the science behind this pill-free treatment.

People with vasculogenic ED, a blood vessel condition that affects blood flow to the tissue in the penis, seem to respond best to shockwave therapy. We are still uncertain of the therapy’s effectiveness with other ED reasons.

Shockwave Therapy

Recent years have seen the emergence of several cutting-edge solutions to this issue, and experiments using low-intensity extracorporeal shockwave therapy (Li-ESWT). It is applicable in the corpora cavernosa which have produced promising results.

It’s a harmless treatment that has long been utilised in orthopaedics to aid in the recovery of tendons, ligaments, and shattered bones. Additionally, LiESWT has been utilised to enhance wound healing. LiESWT has the ability to accelerate cell development and tissue repair by using focused high-energy sound waves.

Healthy blood flow to the penile tissue is necessary for erections. Shockwave therapy is regarded favourable method of promoting blood flow and rebuilding and fortifying blood vessels in the penis.

The purpose of more conventional ED treatments, such as oral drugs like sildenafil (Viagra) and tadalafil, is to improve blood flow to the penis (Cialis).

How does it work?

A pen-like device is used to deliver shockwave therapy close to certain penile regions. For roughly 15 minutes, a medical practitioner moves the device over various penile regions while it sends out moderate pulses. Anesthesia is not required.

The pulses cause the penis’s tissue to restructure and its blood flow to improve. These two adjustments can produce erections strong enough for sexual activity. There is presently no accepted recommendation for the length of time or frequency of treatment.

But according to a study and meta-analysis of clinical studies published in 2019, the most popular treatment schedule was twice weekly treatments for 3 weeks, followed by 3 weeks without therapies and another 3 weeks of twice weekly treatments. According to the research, shockwave therapy’s effects lasted for about a year.

Shockwave Therapy Candidate

It is not yet known who might benefit from shockwave therapy the most, similar to other off-label medical equipment. Theoretically, everyone dealing with chronic ED could be a candidate, but according to recent study, vasculogenic ED may benefit the most.

Studies on this topic are conflicting, however. While some studies indicated that shockwave therapy was most beneficial in cases of moderate to severe ED when used in alongside other treatments, other studies showed the opposite.

Talking with your doctor about your case is the best approach to find out if you qualify for this ED treatment, especially if you haven’t had luck with other treatments.

What about research?

The same 2019 research and meta-analysis discovered that shockwave therapy significantly improved erectile function. The best outcomes were seen in vasculogenic ED-positive individuals.

In a pilot trial conducted in 2010, it was discovered that after receiving shockwave therapy for six months, all 20 of the males with vasculogenic ED had improved erectile function. Following up with the males indicated no negative outcomes.

The Food and Drug Administration (FDA) has not yet approved shockwave therapy as a treatment for ED, despite this promising evidence. Shockwave therapy for ED may still be prescribed by some doctors, although doing so outside of a study environment is off-label.

New therapies that receive FDA approval are always associated by instructions for use and warnings about potential negative effects for patients.

Side effects

For most men, shockwave therapy is painless. And as was already mentioned, the study that is currently accessible has identified minimal, if any, negative effects.

That does not, however, imply that the surgery is risk-free. As a relatively novel medication, more investigation is required to ascertain its adverse effects, problems, and long-term efficacy.

Shockwave therapy costs

Shockwave therapy is a non-FDA-approved off-label ED treatment, therefore medical insurance is unlikely to pay for it. With an average of $450 each session, the precise fees may differ depending on the service and area.

So, if a doctor advises a twice-weekly schedule for three weeks at a time, the fees may perhaps total around $2,700.

However, you might be able to find ways to lower the cost of your treatment by collaborating with your provider. Discounted bundle prices and monthly payment plans are two alternatives.

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What are the symptoms of HIV found in men?

What are the symptoms of HIV found in men?

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The human immunodeficiency virus (HIV) is the primary cause of the chronic, potentially fatal illness known as Acquired Immuno Deficiency Syndrome (AIDS) (HIV). HIV interferes with your body’s capacity to fight disease and infection by weakening your immune system.

A sexually transmitted infection is HIV (STI). Additionally, it can be transferred through sharing needles, injecting illegal substances, and coming into touch with infected blood. Additionally, it can be passed from mother to kid while she is pregnant, giving birth, or nursing. Without treatment, it can take years for HIV to progressively impair your immune system to the point where you develop AIDS.

HIV/AIDS has no known cure, however drugs help manage the infection and stop the disease’s progression. International organisations are attempting to promote the accessibility of prevention strategies and treatment in resource-poor nations. Antiviral therapies for HIV have decreased AIDS fatalities globally.

How is HIV transmitted?

HIV can be distributed in a variety of ways:

  • by having unprotected sex with an HIV-positive person. It spreads primarily in this manner.
  • by lending each other a needle.
  • by coming into contact with an HIV-positive person’s blood.
  • During pregnancy, childbirth, or breastfeeding, from mother to kid.

You CANNOT obtain HIV via kissing, sharing food or beverages, or using the same fork or spoon since saliva (spit) is not how HIV is communicated. Additionally, HIV cannot be transmitted through hugging, holding hands, coughing, or sneezing. And a toilet seat cannot transmit HIV to you.

HIV infection was once spread through blood transfusions. However, it is now completely safe to give or receive blood in medical facilities. In addition to testing donated blood for HIV and other illnesses, doctors, hospitals, and blood donation facilities never reuse needles.

Who is susceptible to contracting HIV?

HIV can affect anyone, however some groups are more likely to contract it than others:

  • individuals who are infected with another STD. You run a higher risk of contracting or spreading HIV if you have an STD.
  • drug injectors who use sharing needles.
  • Bisexual and gay males.

Symptoms of HIV in men

The severity of the symptoms varies from person to person. Some people will experience symptoms, while others won’t. Depending on the stage of HIV infection, symptoms can vary. If untreated, HIV infection progresses through three stages.

Stage 1
This develops after HIV infection and may feel like the flu. However, not everyone will encounter this. Some symptoms include:

  • fever (raised temperature) (raised temperature)
  • rash
  • unwell throat
  • enlarged glands
  • headache
  • stomach aches or diarrhoea
  • joint pains and aches
  • muscular ache.

Stage 2
Many folks start to feel better at this point. This phase could continue ten years or longer. You might not have any symptoms at this time.

Stage 3
Your immune system is severely compromised at this point and is unable to protect you from major infections and illnesses. You’ll feel quite ill. Some symptoms include:

  • slim down
  • persistent diarrhoea
  • morning sweats
  • fever
  • recurring cough
  • mouth and skin conditions
  • persistent infections
  • significant disease or illness.

You are thought to have AIDS if you contract certain dangerous infections. Some individuals who are not receiving treatment experience no symptoms in phases 1 or 2.

If you do get symptoms, they will probably begin two to six weeks after the illness. HIV does not always indicate you have symptoms. An HIV test is the only way to determine if you are infected. You can arrange for a test when you see your healthcare provider.

Treatments for HIV/AIDS

HIV infection cannot be cured, although it can be managed with medication. The term for this is antiretroviral treatment (ART). HIV infection may become a chronic, manageable illness with ART. Additionally, it lessens the chance of infection transmission to others.

If they start and continue taking ART, the majority of people with HIV live long, healthy lives. Additionally, it’s critical to look after your needs. You can have a higher quality of life by making sure you have the support you require, leading a healthy lifestyle, and receiving regular medical care.

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What is meant by erectile dysfunction nerve damage?

What is meant by erectile dysfunction nerve damage?

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About 30 million men in the United States alone suffer from erectile dysfunction (ED), a frequent type of sexual dysfunction. If you struggle to get or keep an erection strong enough for sex, you may have erectile dysfunction.

Another possibility is that you can have an erection, but not frequently enough to engage in sexual activity when you want to. ED can be brought on by a number of things, including cardiovascular problems and psychological conditions including sexual performance anxiety.

Sometimes, issues with your neurological system can have an impact on how you behave sexually and either induce or exacerbate erectile dysfunction. The term “neurogenic” or “neurological ED” is used to describe this kind of erectile dysfunction.

Neurological ED

Any form of erectile dysfunction brought on by a neural system disorder is referred to as neurological erectile dysfunction, or neurological ED. The development and maintenance of an erection both before and during sex are significantly influenced by your neurological system.

Arousal and stimulation are the precursors to erections. The erectile tissue inside your penis receives impulses from neurons in your brain and pelvic region when you become aroused by physical contact or sexual imagery.

Due to the expansion of the blood vessels that supply your erectile tissue as a result of these impulses, more blood is pumped into your penis. The size and strength of an erection are a result of this blood.

The tunica albuginea, a fibrous membrane, contracts as blood continues to flow into your penis, trapping the blood inside the tissue and maintaining your erection, enabling you to engage in sex. Several factors influence this process such as:

This process may be disrupted when your nervous system is compromised, making it impossible for you to achieve and/or maintain an erection.

Causes of Neurological ED

There are a number of disorders that can lead to neurological erectile dysfunction, including neurological conditions that harm the nerves in specific areas of your body and injuries or surgeries that cause damage to your nervous system.

Typical neurological ED causes include:

Injuries to the neurological system

Sexual problems including erectile dysfunction and anejaculation are frequently brought on by injuries to the neurological system, such as spinal cord injuries (inability to ejaculate). These problems are frequently transient. For instance, after two years, the majority of men with spinal cord injuries resume some penile function, according to study.

Surgery on the bladder or prostate

The nerves and blood vessels surrounding the penis can be harmed during several surgical treatments for prostate or bladder cancer, which could result in erectile dysfunction. Many men discover that as they heal from this kind of surgery, their erection quality and sexual function gradually improve.

Diabetic nerve injury (nerve damage due to diabetes)

Diabetes, especially when it’s uncontrolled or inconsistently treated, can result in diabetic neuropathy, a type of nerve damage. Strong erectile dysfunction and poorly controlled diabetes have been linked in research. In fact, erectile dysfunction brought on by neuropathy affects 40 to 50 percent of men with diabetes.

A number of sclerosis

The central nervous system is harmed by multiple sclerosis (MS), which finally results in irreversible nerve loss. Erectile dysfunction may eventually result from this nerve injury. In some circumstances, drugs intended to treat MS symptoms may also cause ED.

Parkinson’s condition

Parkinson’s disease is an illness of the nervous system that worsens over time, and one of its symptoms is impotence. Other sexual difficulties, such as diminished sexual arousal and trouble initiating orgasm, are frequently experienced by men with Parkinson’s disease.

Epilepsy

Some epileptic males experience erectile dysfunction. The levels of sex hormones like testosterone and prolactin, which are involved in sex drive and erections, may be affected by epileptic discharges as the source of this, according to experts.

Additional neurological reasons

Heavy metal toxicity and alcoholism are two more potential reasons of neurological ED, both of which can have an impact on the nerve tissue throughout your body. if you are afflicted, more than one component may be involved in the development of your neurological ED symptoms.

Symptoms of Neurological ED

Neurological erectile dysfunction, like ED brought on by poor cardiovascular health or psychological problems, can vary in severity. Those who experience neurological erectile dysfunction may:

  • having trouble getting an erection at any time or finding it impossible
  • being able to erect yet having trouble keeping it up long enough to engage in sex
  • possess the ability to erection but not frequently enough to engage in sex when you want to

Similar signs and symptoms to cardiovascular ED can be found in neurological ED.

Treatment for Neurological Erectile dysfunction

Damage to your neural system, whether through an accident, surgery, a disease that impairs nerve function, frequently results in ED. While certain neurological ED types go better with time, others need constant care and management.

Neurological ED can be treated with a variety of ED medications, gadgets, and surgical techniques. Many men discover that they can actually result in noticeable increases in their erections and sexual performance. Although they aren’t successful for everyone.

These medicines need to be discussed with a qualified healthcare provider online. They will decide whether or not a prescription is necessary.

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