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Most Common and Most Effective
ED Treatments
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1 ED Treatments
1.1 The following options are available for direct ED treatments:
1.1.1 Psychological counseling – not the most effective but the most popular on the list of ED
treatments.
1.1.2 Oral medications for ED (PDE5 inhibitors)
1.1.3 Testosterone therapy – one of the hormonal ED treatments
1.1.4 Vacuum mounting device – belongs to the category of mechanical ED treatments
1.1.5 Intracavernous (ICI) and urethral (IU) therapies for ED treatments.
1.1.6 Self-injection therapy – self ED treatments option.
1.1.7 Intraurethral (IU) therapy Surgical ED treatments
1.1.7.1 Semi-rigid implant (bendable)
1.1.7.2 Inflatable implant
1.1.7.3 What do surgical ED treatments look like?
1.1.7.4 Recovery time after penile implants ED treatments:
1.2 Clinical Trials and the best ED treatments available.
1.3 What is ED
1.3.1 What are the different types (and causes) of ED?
1.3.1.1 Organic Erectile Dysfunction
1.3.1.1.1 Diabetes.
1.3.1.1.2 Depression.
1.3.1.1.3 Neurological causes.
1.3.1.1.4 Drug-induced erectile dysfunction.
1.3.1.1.5 Hormone-Induced ED.
1.3.1.2 Premature Ejaculation (PE)
1.3.1.2.1 Permanent premature ejaculation.
1.3.1.2.2 Acquired premature ejaculation.
1.3.1.2.3 Stage panic.
1.3.2 What causes erectile dysfunction?
1.3.2.1 The physical causes of erectile dysfunction
1.3.2.2 Psychological causes of erectile dysfunction
1.3.3 Risk factors for erectile dysfunction.
1.3.4 Diagnosis of erectile dysfunction
1.3.4.1 Physical exam.
1.3.4.2 Ultrasonic.
1.3.4.3 Psychological exam.
1.4 Alternative medicine as a form of ED treatments.
1.4.1 Lifestyle changes – the first step for all ED treatments.
1.4.2 Best food for erectile dysfunction – the essential part of all ED treatments
1.4.2.1 Watermelon
1.4.2.2 Spinach and other leafy greens
1.4.2.3 Coffee
1.4.2.4 Dark Chocolate
1.4.2.5 Salmon
1.4.2.6 Pistachios
1.4.2.7 Almonds, walnuts, and other nuts
1.4.2.8 Oranges and Blueberries
1.4.2.9 Spicy, hot food
1.4.3 Exercises for erectile dysfunction treatment
1.4.3.1 Kegel exercises for erectile dysfunction
1.4.3.1.1 The floor lying on your back squeezes
1.4.3.1.2 Floor laying on its side
1.4.3.1.3 Squeezes sitting in a chair
1.4.4 Aerobic exercises for erectile dysfunction
1.4.4.1 Walking as a form of exercise for erectile dysfunction
1.4.4.2 Jogging – another group of exercises for erectile dysfunction.
1.4.5 Acupuncture – one of the ancient Chinese ED treatments.
1.4.6 Homeopathy – the #1 natural ED treatment.
1.4.6.1 Caladium
1.4.6.2 Lycopodium is a homeopathic remedy that can be prescribed for erectile dysfunction.
1.4.6.3 Argentum Nitricum – a homeopathic treatment for men who cannot achieve an erection
1.4.6.4 Nuphar Luteum – a homeopathic medicine with many advantages
1.4.6.5 Agnus Castus
1.4.6.6 Selenium: For weak and slow erections
1.4.6.7 Avena Sativa: To increase sexual power
1.4.6.8 Tribulus Terrestris: For urinary problems associated with erectile dysfunction
1.4.7 Hypnosis – is one of the most effective ED treatments.
1.4.7.1 How hypnosis for ED works?
1.4.7.1.1 Let go of mental “blocks”
1.4.7.1.2 Restoring inner confidence
1.4.7.1.3 Review your habits
1.4.7.1.4 Live in the present
1.5 Frequently Asked Questions regarding ED treatments.
1.5.1 How can I make sure my ED is physical and not emotional?
1.5.2 If I worry about getting an erection, can I make a bad condition worse?
1.5.3 Can I combine different forms of ED treatments?
1.5.4 I was fine until I started taking this new drug, what should I do?
1.6 Holistic ED treatments in Philadelphia
ED Treatments
ED treatments are not simple and the approach depends on the type of
erectile dysfunction and the causes that initiated this condition. ED
treatments begin with keeping your heart and blood vessels healthy.
Your doctor can identify “risk factors” that can be changed or improved.
You may be asked to change certain eating habits, quit smoking, become
more active, or stop using drugs or alcohol. You may be offered an
alternative to the medications you are taking. (Never stop or change
prescription medications without talking to your doctor first.)
As a part of ED treatments, your doctor may also suggest treating
emotional problems. These can be due to relationship conflicts, life
stressors, depression, or anxiety related to past problems with erectile
dysfunction (performance anxiety).
The following options are available for direct ED treatments:
Non-invasive treatments are often tried first. Most of the best-known
treatments for erectile dysfunction work well and are safe. However, it is
helpful to ask your doctor about the side effects that could result from
each option:
 Oral medications or pills known as phosphodiesterase type 5
inhibitors are most often prescribed in the United States for erectile
dysfunction (Viagra, Cialis, Levitra, Stendra)
 Testosterone therapy (when low testosterone is detected in blood
tests)
 Penile injections for ED
 Intraurethral drugs (IU, Alprostadil)
 Vacuum erection devices
 Penile implants
 Surgical approach to sidestep penile artery damage for some
younger men with a record of severe pelvic damage. Penile
vascular surgical procedure is not advised for senior men with
hardened blood vessels.
Psychological counseling – not the most effective but the most
popular on the list of ED treatments.
If your erectile dysfunction is caused by stress, anxiety, or depression –
or the condition creates stress and relationship strain – your doctor might
suggest that you, you, and your partner visit a psychologist or counselor.
Don’t be surprised, this one of the common ED treatments.
Oral medications for ED (PDE5 inhibitors)
PDE5 inhibitors that increase penile blood flow are the only oral
medications certified in the United States by the FDA for ED treatments.
 Viagra ® (sildenafil citrate)
 Levitra® (vardenafil hydrochloride)
 Cialis® (tadalafil)
 Stendra® (avanafil)
For best results, men with erectile dysfunction take these pills about an
hour or two before having sex. Drugs require normal nerve function of
the penis. PDE5 inhibitors improve normal erectile responses by helping
the blood flow into the penis. Use these medications as directed. About 7
out of 10 men are doing well and have better erections. Response rates
are lower for diabetic and cancer patients.
If you are taking nitrates for your heart, you MUST NOT take any PDE5
inhibitors. Always talk to your doctor before using a PDE5 inhibitor to
learn how it might affect your health.
Most often, the side effects of PDE-5 inhibitors are mild and often short-
lived. The most common side effects are:
 headache
 stuffy nose
 redness of the face
 Muscle pain
 stomach upset
In rare cases, Viagra may cause a blue-green coloration of vision that
persists for a short time. In rare cases, Cialis® may cause or worsen
back pain or aching muscles in the back. In most cases, the side effects
are related to the effects of PDE-5 inhibitors on other tissues in the body,
which means they work to increase blood flow to your penis while
affecting other vascular tissues in your body at the same time. These are
not “allergic reactions”.
Testosterone therapy – one of the hormonal ED treatments
In the rare cases where a low sex drive and low blood levels of
testosterone are responsible for ED, testosterone therapy can correct
normal erections or help when combined with erectile dysfunction
medications (PDE type 5 inhibitors).
Vacuum mounting device – belongs to the category of mechanical
ED treatments
A vacuum erection device is a plastic tube that slides over the penis,
sealing it with the skin of the body. A pump at the other side of the
plastic cylinder creates a low-pressure emptiness all over the erectile
tissue, which results in an erection. A flexible stretchy band is then
positioned at the bottom of the penis. This catches blood in the penis for
up to 30 minutes keeping the penis hard. With proper training, 75 out of
100 men can achieve a functional erection using a vacuum erection
device.
Penis pumps. A penis pump (vacuum erection device) is a hollow tube
with a hand or battery-powered pump. The tube is placed over your
penis and then a pump is used to suck the air out of the tube. This creates
a vacuum that draws blood into your penis.
After you get an erection, you slide the tension ring around the base of
your penis to hold the blood in and keep it plump. Then you remove the
vacuum device.
The erection usually lasts long enough for the couple to have sex. After
intercourse, you remove the tension ring. A possible side effect is a
bruise on the penis and ejaculation will be restricted by the blindfold.
You may feel cold at the touch of your penis.
If a penis pump is a good treatment choice for you, your doctor may
recommend or prescribe a specific model. Thanks to this, you can be
sure that it suits your needs and that it is made by a reputable
manufacturer.
Intracavernous (ICI) and urethral (IU) therapies for ED treatments.
If ED treatments with the use of oral medications don’t work, the
Alprostadil drug is approved for use in men with erectile dysfunction.
This drug comes in two forms, based on how it is to be used:
Intracavernous injection (called “ICI”) or through the urethra (called “IU
therapy”).
Self-injection therapy – self ED treatments option.
Alprostadil is injected into the lateral side of the penis with a very fine
needle. It is of great value to have the first shot in the doctor’s office
before doing it yourself. Self-injection lessons should be taught in the
doctor’s office by an experienced professional. The success rate of this
type of ED treatments for getting an erection solid enough to have
sexual intercourse reaches 85% with this treatment. Many men who do
not respond to oral PDE5 inhibitors can be “saved” with ICI.
ICI Alprostadil can be used in combination with two other drugs to treat
erectile dysfunction. This combination therapy called “bimix or trimix”
is stronger than alprostadil alone and has become the standard treatment
for erectile dysfunction. The only ingredient Alprostadil is FDA
approved for erectile dysfunction. The amount of each medication used
can be changed depending on the severity of your ED by experienced
healthcare professional. You will be trained by your healthcare
professional on how to inject, how much to inject, and how to safely
increase the dosage of the medication if needed.
ICI therapy often produces a reliable erection, which goes down after
20-30 minutes or with a climax. Since the ICI erection is not regulated
by your penile nerves, you shouldn’t be surprised if the erection lasts
after an orgasm. The most common consequence of the ICI method is a
protracted erection. Prolonged erections (> 1 hour) can be reversed with
a second injection (antidote) in the office. Men who have penile
erections that last longer than two to four hours should seek emergency
care. Priapism is a prolonged erection, which lasts more than four hours.
It’s very painful. Failure to undo priapism will lead to permanent penile
damage and incurable erectile dysfunction.
Intraurethral (IU) therapy Surgical ED treatments
The main surgical approach to ED treatments is the insertion of a penile
implant (also called penile prostheses). Since penile vascular surgery is
not recommended for aging men who have failed oral PDE5 inhibitors,
ICI, or IU therapies, implants are the next step for these patients.
Although penile implant placement is a risky surgical procedure, it has
the highest success and satisfaction rates among erectile dysfunction
treatment options.
Penile implants are devices that are placed entirely inside your body.
They make a stiff penis that allows you to have normal sex. It’s a great
choice for enhancing uninterrupted intimacy and making relationships
more spontaneous.
In IE therapy, a tiny active pellet of the drug alprostadil is placed in the
urethra (the tube that carries urine out of your body). If you use the drug
in this way, you don’t have to give yourself a chance, unfortunately, it
may not work as well as ICI. Like ICI therapy, IU alprostadil should be
field-tested prior to home use.
The most common side effect of IE Alprostadil is a burning sensation in
the penis. If an erection lasts more than four hours, it needs medical
treatment to make it go away.
There are two types of penile implants.
Semi-rigid implant (bendable)
The simplest type of implant consists of two easy-to-blend rods that are
most often made of silicone. These silicone rods give a man’s penis the
firmness necessary for sexual penetration. The implant can be folded
down for urination or up for sex.
Inflatable implant
With an inflatable implant, fluid-filled cylinders are placed
longitudinally in the penis. The tube connects these cylinders to a pump
located inside the scrotum (between the testicles). When the pump is
engaged, the pressure in the cylinders swells the penis and makes it stiff.
Inflatable implants create a normal-looking erection and are a natural
sensation for your partner. Your medical doctor may recommend the use
of lubricants for your lover. With the implant, men can control the
firmness and, at times, the size of the erection. Implants allow a couple
to be spontaneously intimate. There is generally no change in a man’s
feelings or orgasm.
What do surgical ED treatments look like?
Penile implants are most often placed under anesthesia. If a patient has a
systemic, skin, or urinary infection, this surgery should be postponed
until all infections are treated. If a man is taking blood thinners, he may
need to speak to a medical expert about stopping the medications for
elective surgery and healing.
Most often, a small surgical incision is made. The cup is either above the
penis where it joins the belly or below the penis where it joins the
scrotum. No tissue is removed. Blood loss is usually low. A patient will
go home the same day or spend a night in the hospital.
Recovery time after penile implants ED treatments:
 The majority of men will go through the pain and feel relief from a
narcotic pain killer for a week or two. After the first week, over-
the-counter pain relievers (such as acetaminophen or ibuprofen)
can be substituted for narcotic pain relievers. Discomfort, bruising,
and swelling after surgery will last for a few weeks.
 In the first month, men should limit their physical activity. The
surgeon will explain when and how much movement is required
during the healing period.
 Men most commonly start having sex eight weeks after surgery
with their penile implants. If swelling or pain persists, use of the
implant may be delayed. The surgeon or healthcare professional at
the surgeon’s office will discuss how the implant is inflated and
deflated.
Prosthetic surgery as a form of ED treatments comes with risks and
patients are counseled before surgery. In the case of postoperative
infection, the implant will likely be removed. The devices are reliable,
but in the event of a mechanical failure, the device or part of it will have
to be surgically replaced. If the penile prosthesis is removed, other non-
surgical treatments may no longer work.
Most men with penile implants and their partners say they are happy
with the results and go back to more spontaneous intimacy.
Clinical Trials and the best ED treatments available.
Several restorative or regenerative treatments are being explored for
future ED treatments:
 Extracorporeal Shock Wave Therapy (ESWT) – low-intensity
shock waves aimed at fixing the erectile tissue and helping to
restore natural erections.
 Intracavernosal injection of stem cells – to help regrow cavernous
tissue
 Intracavernous injection of autologous platelet-rich plasma (APRP)
– to support the regrowth of cavernous tissue
These are not currently FDA approved for ED management, but may be
offered as part of research (clinical) studies. Interested patients should
discuss the associated risks and benefits (informed consent) and costs
before beginning clinical trials. Most non-FDA-approved therapies are
not covered by state or private insurance.
What is ED
Erectile dysfunction or ED, aka impotence, is the inability to get and
maintain an erection sufficient for sex.
Erection troubles from time to time are not certainly a reason for
concern. However, while erectile dysfunction is an ongoing problem, it
can be stressful, affect your confidence, and contribute to relationship
problems. Problems with or maintaining an erection can also be a sign of
an underlying condition requiring treatment and a risk factor for
cardiovascular disease.
If you are concerned about erectile dysfunction, even if you are
confused, talk to your doctor. Sometimes, treatment of the underlying
disease is sufficient to eliminate erectile dysfunction. In other cases,
pharmaceutical drugs or other immediate therapies may be needed.
While almost all adult men suffer from ED from time to time, up to 30
million American men suffer from ED on a regular basis. Almost all
men who seek treatment for ED find some relief. The Massachusetts
Male Aging Study surveyed 1,709 men aged 40–70 between 1987 and
1989 and found an overall prevalence of erectile dysfunction of 52
percent. It was estimated that in 1995 over 152 million men worldwide
suffered from ED. It is predicted that by 2025 the prevalence of ED will
be approximately 322 million people worldwide.
In the past, erectile dysfunction was thought to be caused by
psychological problems. It is now known that in most men, erectile
dysfunction is caused by physical problems, usually related to the blood
supply to the penis. Many advances have taken place in both the
diagnosis and treatment of erectile dysfunction.
What are the different types (and causes) of ED?
Organic Erectile Dysfunction
Organic ED involves abnormalities in the penile arteries and veins or
both and is the most common cause of ED, especially in older men.
When the problem is arterial, it is usually caused by arteriosclerosis, or
hardening of the arteries, although trauma to the arteries can be the
cause. Controllable risk factors for atherosclerosis — being overweight,
lack of exercise, high cholesterol, high blood pressure, and smoking —
can cause erectile failure many times before it progresses to affect the
heart.
Many experts believe that atrophy, a partial or complete loss of tissue,
and fibrosis, the growth of excess tissue, of smooth muscle tissue in the
shaft of the penis (cavernous smooth muscle) triggers problems
maintaining a firm erection.
Inadequate ability to sustain an erection is frequently an early symptom
of erectile dysfunction. Although the condition is called venous leakage,
the real problem is not the veins, but the malfunctioning of the smooth
muscles that surround the veins. The end result is difficulty in
maintaining a strong erection (loss of erection too quickly), which is
now considered an early manifestation of atherosclerosis and vascular
disease.
Diabetes.
Erectile dysfunction is common in people with diabetes. An estimated
10.9 million adult men in the United States have diabetes, and 35 to 50
percent of these men are impotent. This process involves premature and
extremely severe hardening of the arteries. Peripheral neuropathy,
involving the nerves that control erection, is often seen in people with
diabetes.
Depression.
Depression is another cause of erectile dysfunction and is closely related
to erectile dysfunction. As there is a triad of depression, erectile
dysfunction, and cardiovascular disease, men with depression should be
fully evaluated for medical conditions as well as psychological factors.
Some antidepressants can cause erectile dysfunction.
Neurological causes.
There are many neurological (nerve problems) causes of erectile
dysfunction. Diabetes mellitus, chronic alcoholism, multiple sclerosis,
heavy metal poisoning, spinal cord, and nerve injuries, and nerve
damage from pelvic surgery can cause erectile dysfunction.
Drug-induced erectile dysfunction.
A great variety of prescription medications, such as blood pressure
medications, anti-anxiety, and antidepressant medications, glaucoma eye
drops, and cancer chemotherapy are some of the many medications
associated with erectile dysfunction.
Hormone-Induced ED.
Hormonal abnormalities such as elevated prolactin (a hormone produced
by the anterior pituitary gland), steroid abuse by bodybuilders, too much
or too little thyroid hormone, and hormones given for prostate cancer
can cause ED. An insufficient amount of testosterone can promote
erectile dysfunction but is infrequently the only component accountable
for ED.
Premature Ejaculation (PE)
Premature ejaculation is a male sexual dysfunction characterized by:
 Ejaculation always or almost always occurs before or within about
one minute of vaginal penetration.
 Inability to delay ejaculation on all or nearly all vaginal
penetrations; and negative personal consequences, such as distress,
annoyance, frustration, and/or avoidance of sexual intimacy.
Premature ejaculation is split up into enduring and gained
categories:
Permanent premature ejaculation.
With permanent premature ejaculation, the patient experienced
premature ejaculation from the very beginning of coitus.
Acquired premature ejaculation.
In case of acquired premature ejaculation, the person has previously had
productive copulatory interactions and has only now developed
premature ejaculation.
Stage panic.
Performance anxiety is a form of psychogenic erectile dysfunction,
usually caused by stress.
What causes erectile dysfunction?
Masculine sensual arousal is a complicated activity that includes the
brain, hormones, emotions, nerves, muscles, and blood circulation
vessels. Impotence can happen if a problem with any of them occurs.
Similarly, stress and psychological wellbeing troubles can trigger or
aggravate erectile dysfunction.
At times a combination of physical and psychological troubles leads to
erectile dysfunction. For instance, a minor bodily disorder that slows
down your sensual reaction can make you worried about keeping an
erection. As a result, anxiety can trigger or exacerbate erectile
dysfunction.
The following are some of the diverse forms and potential causes of
erectile dysfunction:
The physical causes of erectile dysfunction
 heart disease
 Clogged blood vessels (atherosclerosis)
 High cholesterol
 High blood pressure
 Diabetes
 Obesity
 Metabolic syndrome – a condition involving increased blood
pressure, high insulin levels, body fat around the waist, and high
cholesterol
 Parkinson’s disease
 Multiple sclerosis
 Certain prescription drugs
 Smoking
 Peyronie’s disease – development of scar tissue inside the penis
 Alcoholism and other forms of drug addiction
 sleep disorders
 Treatments for prostate cancer or enlarged prostate
 Surgical interventions or traumas that affect the pelvic area or
spinal cord
 Low testosterone levels
Psychological causes of erectile dysfunction
The brain plays a key role in triggering a series of physical events that
cause an erection, starting with feelings of sexual arousal. A number of
things can interfere with sexual feelings and cause or worsen erectile
dysfunction. These include:
 Depression, anxiety, or other mental health conditions
 Fatigue
 Relationship problems due to stress, poor communication, or other
worries
Risk factors for erectile dysfunction.
While erectile dysfunction (ED) is a condition that affects a person’s
ability to achieve or maintain an erection long enough to have a
satisfying sexual experience.
Many risk factors increase the likelihood of developing ED, including:
 age over 40
 mental health problems
 obesity
 Parkinson’s disease
 insomnia
 vascular disease
 alcohol, cigarette smoking, and illegal drug use
 Alzheimer’s disease
 high blood pressure (hypertension)
 high cholesterol
 hormonal imbalances
 metabolic disorders
 multiple sclerosis
 Peyronie’s disease
 priapism
 treatment of prostate cancer and other prostate-related problems
 kidney failure
 sleep apnea
 type II diabetes
Diagnosis of erectile dysfunction
For many people, a physical exam and answers to questions (medical
history) are all it takes for a doctor to diagnose erectile dysfunction and
recommend treatment. If you have chronic health conditions or your
doctor suspects that an underlying condition may be involved, you may
need further tests or a consultation with a specialist.
Tests for underlying conditions may include:
Physical exam.
This may include a careful examination of your penis and testicles and
checking your nerves for tenderness.
Blood tests.
A sample of your blood may be sent to a lab to check for signs of heart
disease, diabetes, low testosterone, and other health conditions.
Ultrasonic.
This test is usually performed by a specialist in a doctor’s office. A rod-
like device (transducer) is held over the blood vessels that supply the
penis. It creates a video image so your doctor can see if you have
circulatory problems.
This test is sometimes done in combination with an injection of
medication into the penis to stimulate blood flow and produce an
erection.
Psychological exam.
Your doctor may ask questions to look for depression and other possible
psychological causes of erectile dysfunction.
Alternative medicine as a form of ED treatments.
Before using any dietary supplement, ask your doctor if it’s safe for you
especially if you have a chronic medical condition. Some alternative
products that claim to treat erectile dysfunction can be dangerous.
The Food and Drug Administration (FDA) has warned against several
types of “herbal Viagra” because they contain potentially harmful drugs
not listed on the label. The dosages could also be unknown or they could
have been contaminated during formulation.
Some of these drugs can interact with prescription drugs and cause
dangerously low blood pressure. These products are especially
dangerous for anyone taking nitrates. Always consult a physician before
starting any alternative erectile dysfunction treatments. Always chose
a naturopathic clinic led by a medical doctor over the other holistic
offices.
Lifestyle changes – the first step for all ED treatments.
For many people, erectile dysfunction is caused or made worse by
lifestyle. Your health care provider may recommend that you make
lifestyle modifications to help reduce the severity or improve ED. Here
are some actions that may possibly help:
 Quit smoking. If you are having trouble quitting smoking, ask for
help. Try nicotine substitutes like chewing gum or over-the-
counter lozenges, or ask your doctor for a prescription drug to help
you quit smoking.
 increase physical activity and maintain a healthy body weight
Include physical activity in your daily routine. Exercise can help
with underlying conditions that play a role in erectile dysfunction
in a number of ways, including reducing stress, helping with
weight loss, and increasing blood flow.
 limit or stop alcohol consumption. Get treated for alcohol or drug
problems. Drinking too much alcohol or taking certain illicit drugs
can directly worsen erectile dysfunction or cause long-term health
problems.
 Stop the use of the illegal drug
 lose extra pounds. Being obese can cause or aggravate erectile
dysfunction.
 Work on relationship issues. Consider couples counseling if you
are having a hard time improving communication with your
partner or solving problems on your own. Your health care
provider may suggest lifestyle changes to reduce or improve ED.
You can ask your health care professional for help if you’re having
trouble making these changes yourself.
Best food for erectile dysfunction – the essential part of all ED
treatments
Is it possible that foods can help maintain an erection during erectile
dysfunction?
According to the latest statistics, about one-third of all men experience
erectile dysfunction (ED), making it the most common sexual
dysfunction in men. While there are several medications on the market
to improve erection, there are also several foods that can help men
achieve and maintain a stronger erection.
Eating can help improve your erection as the processes involved in penis
swelling are both psychological and physical.
Particularly, when a man gets an erection, his attention, awareness,
interest, and body go through the following steps:
 He experiences mental and sensory stimulation that causes the
brain to send messages to the nerves in and around the penis.
 Nerve messages cause the muscles of the cavernous bodies to
relax.
 The cavernous bodies include the muscles around the shaft and
head of the penis.
 It is easier for them to inflow blood when they are relaxed.
Although relaxation of penile smooth muscle begins with messages sent
from the nerves, nitric oxide plays a key role. Nitric oxide regulates
blood flow and the tone of smooth muscles, including those in the penis.
Therefore, all of the foods on this list have one or more of the following
benefits:
 Improve blood flow
 They contain nitric oxide
 They contain arginine, a nitric oxide precursor
Here are some foods that can help you stay erect and support medical
treatment for erectile dysfunction.
1.Watermelon
Watermelon contains citrulline, another nitric acid precursor. It is a food
for a good erection because it dilates and relaxes the blood vessels, thus
facilitating the circulation of blood in the penis.
The citrulline content of watermelon makes it similar to other penile
health foods, such as cucumber, bitter melons, and squash.
2.Spinach and other leafy greens
Spinach is rich in nitric oxide, and therefore, like other hard foods for
erection, it helps the arteries to expand and fill with blood.
One study found that spinach, when served in a soup with onions, low-
sodium chicken broth, and black pepper, significantly improved
participants’ nitrate levels while adding just 94 extra calories to their
diet.
The nitrates in spinach and other green leafy erection foods like kale and
arugula serve not only as penile health foods but also for your entire
vascular system.
3.Coffee
Another food that helps with penis growth is coffee. It has less than five
calories – at least until you add sugar and cream – so it’s one of the
lightest foods to help with erectile dysfunction.
The study found that men who drank 170 to 375 milligrams (mg) of
caffeine each day, or about 2-3 cups, had a lower rate of erectile
dysfunction. Caffeine is an effective food for the penis as it relaxes the
smooth muscles of the penis, paving the way for it to be filled with
blood.
4.Dark Chocolate
Dark chocolate is a top food for a strong erection because it contains a
lot of flavanols, which facilitate blood flow through the body. However,
since dark chocolate is often high in sugar and fat, eating too much can
make you fat.
An ounce of dark chocolate has 155 calories and 9 grams of fat, so it
may not be the healthiest choice among important erection-promoting
foods.
5.Salmon
Salmon is one of the best erection-promoting foods because it’s high in
vitamin D. Sun exposure is responsible for about 80% of vitamin D, so if
you can’t get out as much as you want, salmon can help you get what
you need. Vitamin D has been shown to help prevent endothelial
dysfunction, which is when your arteries, blood vessels, and organs are
unable to circulate blood properly.
Vitamin D supplementation may be especially important in areas that
experience many cloudy days or long winters. In England and its British
neighbors, residents’ vitamin D levels are 50% higher at the end of
summer than at the end of winter. Eating salmon in these types of
climates can give your body what it needs to get and maintain a strong
erection.
6.Pistachios
Pistachios are loaded with arginine, which makes them excellent for
those looking for dietary aid for penis growth. Arginine promotes the
creation of nitric oxide, which, in succession, helps normalize blood
flow to the penis and other sections of the body.
7.Almonds, walnuts, and other nuts
Almonds, walnuts, and many other varieties of nuts are rich in high-
density lipoprotein (HDL), also known as “good cholesterol.” Good
cholesterol absorbs bad cholesterol and carries it back to the liver.
When bad cholesterol gets trapped in your arteries and blood vessels, it
blocks blood flow to your organs, including your penis. Eating walnuts,
almonds, and other nuts give your body what it needs to carry bad
cholesterol to the liver, where it can be broken down and disposed of as
waste.
8.Oranges and Blueberries
While oranges and blueberries seem to have little in common with dark
chocolate, they do share an important characteristic: they are packed
with flavonoids. Flavonoids make oranges and blueberries the best foods
for erectile dysfunction. Flavonoids stimulate blood flow, which allows
the penis to become engorged after being stimulated.
An Oxford University study found that the effect of flavonoid-rich foods
reduced the chances of erectile dysfunction by between 9-11%.
9.Spicy, hot food
Thanks to the capsaicin found in hot peppers, a little hot sauce or
habanero as a side dish can help induce an erection. French researchers
found that men who ate more hot food had higher testosterone levels.
Other studies have also discovered an explicit association between low
testosterone symptoms in men and how simple it is to get and preserve
an erection.
If you have ED, you may want to eat the above foods. They can make it
easier for your body to get blood to your penis when stimulated. Plus,
they can benefit the rest of your circulatory system and organs and lead
to a healthier lifestyle.
Exercises for erectile dysfunction treatment
Recent studies have found that exercise for erectile dysfunction,
particularly moderate to vigorous aerobic activity, can improve erectile
dysfunction. Less strenuous and regular exercise could also reduce the
risk of erectile dysfunction. Increasing the level of activity could also
further reduce the risk. Discuss the plan of exercises-base ED
treatments with your doctor.
Kegelexercises for erectile dysfunction
Kegel exercises, or pelvic exercises, have been shown to be effective in
treating erectile dysfunction and should be used as the first line of
treatment. The ischiocavernosus and bulbocavernosus muscles of the
pelvic region surround the penis and are active during an erection. The
following exercises for erectile dysfunction take aim to reinforce these
muscles.
The floor lying on your back squeezes
 Start by lying on your back with your hands flat on the floor and
your knees comfortably bent and pointing up.
 Try pulling your penis towards your body and hold for five
seconds, then release.
 Now squeeze your anus muscles together as if trying to stop a
bowel movement and hold for five seconds, then release.
Perform steps two and three, 8 to 10 times, and make three to five sets.
Floor laying on its side
 Position yourself lying on the floor mat and on your side.
 Place a pillow between your knees. Make sure the pillow is big
enough to separate your legs.
 Squeeze both legs simultaneously and keep up for five seconds,
then release.
 Perform the previous step, 8 to 10 times, and do 3 to 5 sets.
Squeezes sitting in a chair
 Find a comfortable sitting position in a chair.
 Squeeze your penis with just the muscles as if trying to stop the
urine from coming out, hold for five seconds, and release.
 Perform the previous step, 8 to 10 times, and do 3 to 5 sets.
One way to check that you are doing your bench press is to try to stop
the flow of urine for a few seconds. If you are able to do this, you are
doing it correctly.
As your body becomes more familiar and accustomed to these exercises,
consider increasing the amount of time you squeeze and hold different
pelvic muscles. Also, you can expand the number of repeats of sets
of exercises for erectile dysfunction you do.
When performing these exercises for erectile dysfunction, keep the
following tips in mind:
 Do not hold your breath
 Don’t push down, instead, squeeze your pelvic muscles tightly like
you’re trying to lift something with those muscles
 Try to keep your stomach muscles relaxed all the time
 Rest your pelvic floor muscles between each one squeeze
Most men start to see results after about a month of daily exercise. By
the end of that month, you should be able to hold compressions for 10
seconds and be able to do eight to 10 sets.
The exercises for erectile dysfunction shouldn’t cause any kind of pain.
If you feel pain, stop exercises for erectile dysfunction immediately
and seek medical help.
Aerobic exercises for erectile dysfunction
A healthy lifestyle plays an important role in preventing and treating
erectile dysfunction.
For patients suffering from conditions such as obesity, hypertension,
heart disease, or vascular disease, regular aerobic exercise is one of the
best ways to increase blood flow, improve weight loss, and improve
sexual performance.
Walking as a form of exercise for erectile dysfunction
Experts believe that just a few minutes of brisk walking a day can have
enormous benefits for your sexual and physical health.
According to one study, people who took a 30-minute walk every day
were 41% less likely to develop erectile dysfunction.
Jogging – another group of exercises for erectile dysfunction.
Intense aerobic training, such as jogging or swimming, is one of the best
ways to improve blood flow and reduce the risk of ED.
One study suggests that those who ran 90 minutes a week or performed
about 3 hours of vigorous outdoor work a week were less likely to have
ED problems.
Acupuncture – one of the ancient Chinese ED treatments.
Acupuncture and herbs are effective in treating erectile dysfunction. In
a study conducted at the Yunnan Provincial Hospital of Traditional
Chinese Medicine, acupuncture plus herbs revealed an overall effective
rate of 46.56%. The exclusive use of herbal medicine resulted in an
overall effectiveness rate of 16.17% and the exclusive use of
acupuncture resulted in an overall effectiveness rate of 13.24% The
researchers conclude: “Acupuncture combined with herbal medicine has
a synergistic therapeutic effect on erectile dysfunction.”
Erectile dysfunction (ED) is a sexual disorder characterized by the
persistent inability to achieve or maintain an erection sufficient for
satisfactory intercourse (> 3 months). ED has recently become a global
health problem and is estimated to affect 322 million men by 2025. In
Traditional Chinese Medicine (TCM), ED falls under the realm of Jin
Wei (translated as tendon withering) and is associated with aging,
excessive masturbation or sex, emotional states (e.g., depression),
congenital deficiencies, or improper diet.
The main diagnostic patterns of TCM are liver qi stagnation, blood
stasis, and renal essence deficiency. In the research paper, the scientists
note, “Emotional disorders can harm the liver and lead to stagnation of
liver qi. Based on the principles of TCM, the liver meridian regulates the
ligaments and the genitals are the collecting place of the ancestral
tendon. The liver that fails to move freely causes obstruction of the
meridians ruled by the liver and malnutrition of the ancestral tendon,
leading to erectile dysfunction. On the other hand, insufficiency of
kidney essence can lead to the weakening of the fire of the gate of life.
In other words, the essence of the kidney fails to be transported into the
ancestral tendon, which makes the genitals soft and withered. The
principle of treatment is to smooth the circulation of liver qi, release the
meridians to invigorate blood circulation, and tonify kidney essence.
When considering ED treatments for blood circulation or psychological
problems, acupuncture can be cheaper than traditional medical ED
treatments and is covered by some insurance companies.
Homeopathy – the #1 natural ED treatment.
You will need to consult a homeopath for homeopathic ED treatments.
All ED treatments aim to help the individual achieve an erection and
maintain it long enough to allow for intercourse. Though, no healing
protocol can offer a constant cure for ED or impotence in allopathic
medicine. Homeopathic treatment of erectile dysfunction (ED) or
impotence It is estimated that 35 million men in the United States of
America experience erectile dysfunction (ED) or impotence sooner or
later. This explains why there is such a huge market for products to
strengthen or restore erections. There are many patients who have tried
herbal products that simply didn’t work at all. And we’ve read alarming
reports of men going blind or having heart attacks as a result of taking
prescription allopathic or conventional medications for erectile
dysfunction (ED) or impotence. Fortuitously, there is a permanent way
out from impotence.
Yes, erectile dysfunction is curable at any age. Homeopathy gives
remarkable results in cases of erectile dysfunction (ED) or impotence,
which can be caused by both physical and psychological causes. Both
mental and physical components of the disorder can be eliminated
through homeopathic treatment. Homeopathy offers nearly 203 remedies
for men suffering from erectile dysfunction (ED) or impotence. Unlike
allopathic medicines, homeopathic medicines are non-toxic and non-
addictive. Homeopathic physicians often treat patients suffering from
anxiety, fear of not having sex, erectile dysfunction (ED), or impotence
associated with stress and high blood pressure. Stress at work, midlife
crisis, and other problems affect men’s health in different ways. Men
facing the challenge of aging, retirement, and new identities find a
particularly suitable therapy in homeopathy that affects them on the
mental, emotional, and physical levels. Combined with good nutrition,
exercise, and rest, homeopathy provides optimal support for these
patients.
Where the cause of erectile dysfunction (ED) or impotence is with other
ailments of the system and due to the effects of drugs, homeopathy also
offers the best option. Homeopathy is strongly recommended for erectile
dysfunction (ED) or impotence. However, homeopathy is a 200+-year-
old medical science that is fully regulated by the United States Food and
Drug Administration (FDA). And all homeopathic medicines recognized
by the respected Homeopathic Pharmacopoeia of the United States
(HPUS) have been tested and proven effective in carefully controlled
clinical trials. Erectile dysfunction (ED) or impotence can be an
indicator of other health imbalances that need to be addressed and
should not be put off.
There are 203 homeopathic medicines that give great relief in erectile
dysfunction (ED) or impotence. However, the correct choice and the
resulting relief is a matter of experience and right judgment on the part
of the homeopathic practitioner. The treatment is decided after careful
patient care. Therefore, homeopathic remedies for erectile dysfunction
(ED) or impotence are designed, unlike allopathy where all patients
receive the same surgery or medications although the brand name may
be different. With homeopathy, erectile dysfunction (ED) or impotence
is a problem that can be treated and overcome, allowing you and your
partner to enjoy a full and satisfying loving relationship. I wish you the
joy of love and intimacy.
Centered on your particular case and the roots behind your erectile
dysfunction, the homeopath would mention the following remedies:
1.Caladium
This homeopathic remedy can help a man who is aroused but has no
genitals. It can be recommended for ED treatments.
When the genitals are flaccid, nocturnal emissions occur without an
erection, even if the dreams are related to sex. A person in need of this
remedy often experiences cravings for tobacco.
2.Lycopodium is a homeopathic remedy that can be prescribed
for erectile dysfunction.
Lycopodium for ED or impotence is a homeopathic medicine that can be
given to people whose stress hormones act to constrict the blood vessels
in the penis. This causes erectile dysfunction.
Symptoms, in this case, are self-doubt, digestive problems such as gas
and bloating, and an energy slump. It is commonly available as
lycopodium 200 or lycopodium 1m for the treatment of impotence.
Always consult your doctor before starting a course of the same
medication.
3.Argentum Nitricum – a homeopathic treatment for men who
cannot achieve an erection
Argentum Nitricum can help men with erectile dysfunction. This
homeopathic remedy is especially for those men whose erections decline
during sex.
Symptoms specific for Argentum Nitricum include anxiety and tension
with cravings for both sweets and salty foods.
4.Nuphar Luteum – a homeopathic medicine with many
advantages
The Nuphar Luteum acts as a testosterone booster and is useful for
restoring energy and reducing fatigue. It helps in strengthening the male
reproductive organs, thus increasing sexual performance. The Nuphar
Luteum helps in cases where sex drive is low and also helps to relax the
genital area.
5.Agnus Castus
Agnus Castus is obtained from the chaste tree. Medicine is made from
the ripe berries of trees. This homeopathic remedy is most commonly
utilized to cure impotence in older men.
When a man is completely unable to get erections, in some cases the
sexual organs become cold. The patient’s penis continues to be
absolutely lifeless during intercourse.
Agnus Castus as a remedy is usually prescribed when the patient lacks
both sexual desire and the ability to perform in bed.
6.Selenium: For weak and slow erections
Selenium is the best prescription when the erection is too weak and slow
and not the complete inability to have an erection. The erection is also
insufficient and lasts for a very short period of time. Most men who
require selenium have a sexual urge and desire to have intercourse, but
lack the physical strength to pursue it. Irritability and excessive
weakness after intercourse also favor the use of selenium. The majority
of men who need the drug selenium also suffer from involuntary
ejaculation during sleep. Some may also complain of dribbling of semen
during bowel movements or feces.
7.Avena Sativa: To increase sexual power
Avena Sativa can be used as a tonic to increase sexual power in men.
This drug helps eliminate extreme fatigue and defective erections.
Avena Sativa is used in tincture form. Patients suffering from erectile
dysfunction after excessive sexual activity or masturbation need this
medicine.
8.Tribulus Terrestris: For urinary problems associated with
erectile dysfunction
The main indication for the use of Tribulus Terrestris is the presence of
urinary problems along with erectile dysfunction. The genitals are weak
and there is a pain when urinating. Tribulus Terrestris can be of real help
in curing erectile dysfunction with urinary tract problems.
Hypnosis – is one of the most effective ED treatments.
While there are many highly effective ED treatments available at
affordable prices, these primarily address the symptoms rather than the
root cause of ED.
Now, with over 30 million men in the United States estimated to
routinely suffer from erectile dysfunction, many men are interested in
remedies.
One of the conceptual solutions to ED treatments comes in the form of
hypnotherapy. While it may sound a bit bizarre, hypnosis is commonly
used to treat a variety of mental and physical issues — including sexual
ones.
It stands to reason that hypnosis could also be a solution for erectile
dysfunction.
When it comes to treating psychological problems, the best options are
generally pharmacological interventions or therapies to address the root
causes of a problem. Hypnosis is the most abstract form of
psychotherapy.
People often misunderstand what hypnosis means thanks to absurd
depictions in movies and cartoons. In reality, hypnosis is a mental state
similar to a trance, but during which a person experiences focused
attention, increased concentration, increased suggestibility, and vivid
fantasies. Although it may appear that people in a hypnotic state are
drowsy or zoned out, they are actually in a hyperactive state of
situational awareness.
Depending on the cause, hypnosis can be an effective treatment for a
variety of sexual problems, including erectile dysfunction.
In addition to erectile dysfunction, some of the more common issues that
hypnosis is used to treat include:
 A decrease in libido or libido
 Anorgasmia is when someone has difficulty achieving orgasm
during sex
 Dyspareunia, an overwhelming amount of pain felt during sex
 Premature ejaculation
Hypnosis can help in many ways, and although definitive research is still
lacking, anecdotal evidence suggests it can be helpful for the right
candidates.
In the case of guided hypnosis or hypnotherapy, we will focus less on
the erection process and more on the potential psychological problems
that prevent it. Stress, anxiety, and depression are often associated with
erectile dysfunction. Being able to reduce these feelings may help to
improve your erectile function.
Under the influence of hypnosis, the brain has difficulty distinguishing
reality from its imagination, which enables it to break down these
emotional barriers. By acting on a subconscious level, hypnosis can
encourage positive change through the power of suggestion. Entering
this suggestive state helps to reduce feelings of stress and anxiety while
improving the sense of self-confidence and self-esteem. Hypnosis can
also help treat the physical causes of erectile dysfunction.
For example, hypnosis is one of the most popular methods related to
quitting smoking, which is a major risk factor for erectile dysfunction.
Another popular use for hypnosis is to help someone eat healthier or eat
less to lose weight, which can reduce the risk and severity of erectile
dysfunction.
In addition to hypnosis, sex therapy is also often recommended,
especially for people who think their sexual problems may be impacting
their relationship.
Although self-hypnosis is possible, it is probably best to attempt
hypnosis with the help of a qualified professional who has experience in
treating sexual dysfunction.
How hypnosis for ED works?
Here are some of the more common ways hypnosis is used for erectile
dysfunction:
1. Let go of mental “blocks”
Since the brain plays a significant role in the physiological reactions that
create an erection, it is important to take care of it.
Sexual arousal which is the usual cause of an erection can be blocked.
Psychological disorders such as depression, anxiety, and stress are also
common blockers.
Unfortunately, this becomes a vicious cycle as ED can cause more
anxiety and stress in the long run.
In these cases, hypnosis can be a powerful therapy: learning relaxation
strategies to help you focus and get closer to sex with a sense of fun
again.
2. Restoring inner confidence
Loss of self-confidence and low self-esteem can also be major causes of
psychological ED.
If you are too shy or feel inadequate during sexual activity,
hypnotherapy is here to help.
You can trace the root of your feelings to previous issues and shed light
on them so they don’t seem so heavy. Some of the most common
problems can be bad relationships, jealousy, resentment towards your
partner, or other previous embarrassing sexual encounters.
During therapy, you will be able to regain your sexual confidence and
feel safe and comfortable again.
3. Review your habits
Remember how important blood flow is? Well, while good habits like
exercise can help you increase it, bad habits like smoking can have an
impact.
Since quitting smoking is difficult, hypnosis has proven to be an
effective way to quit smoking.
Reprogramming your brain and getting rid of this type of activity can
help increase blood flow to your penis and produce stronger erections.
What’s more, leading a healthier lifestyle (like lifting weights and
getting good sleep) can do wonders for boosting libido and sex drive.
If you have problems such as eating habits, a sedentary lifestyle, and
alcohol abuse, try hypnotherapy. This is a great strategy to start
redefining your daily habits in order to lead a better lifestyle.
4. Live in the present
It sounds a little spiritual. But are you really enjoying the present
moment as you spend your day?
Most men focus on the need to succeed during sex and lose sight of the
main thing: being intimate and enjoying the act together. Hypnosis can
help you feel less self-conscious by noticing the pleasurable sensory
experiences associated with sex and connecting to the present moment.
Frequently Asked Questions regarding ED treatments.
How can I make sure my ED is physical and not emotional?
It’s hard to know. Healthcare providers now recognize that most men
have an underlying physical cause of ED. In most patients, there are
both physical and emotional factors that lead to ED. It’s impossible to
prove that a man’s ED doesn’t have a psychological component.
If I worry about getting an erection, can I make a bad condition
worse?
Nothing happens in the body without the brain. If you’re concerned
about your ability to get an erection, getting one can be difficult. This is
called stage fright and can be overcome with education and other ED
treatments.
Can I combine different forms of ED treatments?
This is often done. However, only combine treatments after discussing
this with your doctor. Sometimes, erections can last too long as a result
of drug therapy. This is a dangerous side effect. Ask your doctor for the
right instructions.
I was fine until I started taking this new drug, what should I do?
Never stop or change prescription medications without talking to your
doctor first.
Many medications can cause erectile dysfunction, but some cannot be
changed because the benefits of taking the drug are too important to you.
If you’re sure a particular drug caused your ED problem, ask your doctor
if you can change your medications. If you must stay on the medication
that is causing the problem, there are erectile dysfunction treatments that
can help.
Holistic ED treatments in Philadelphia
For a decade Philadelphia Holistic Clinic was awarded as a #1
naturopathic center in the city of brotherly love. At the clinic, we
provide ED treatments combining different alternative techniques
including but not limited to acupuncture, homeopathy Ayurveda, Reiki,
and hypnosis. All treatments at the clinic are performed by or under the
strict supervision of the medical doctor Victor Tsan, who has 40+ years
of academic and clinical experience. To schedule an appointment for the
evaluation and treatment, contact us at (267) 284-3085 or online using
our secure scheduling application by scanning the QR code below.

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Erectile dysfunction.docx

  • 1. Most Common and Most Effective ED Treatments Contents hide 1 ED Treatments 1.1 The following options are available for direct ED treatments: 1.1.1 Psychological counseling – not the most effective but the most popular on the list of ED treatments. 1.1.2 Oral medications for ED (PDE5 inhibitors) 1.1.3 Testosterone therapy – one of the hormonal ED treatments 1.1.4 Vacuum mounting device – belongs to the category of mechanical ED treatments 1.1.5 Intracavernous (ICI) and urethral (IU) therapies for ED treatments. 1.1.6 Self-injection therapy – self ED treatments option. 1.1.7 Intraurethral (IU) therapy Surgical ED treatments 1.1.7.1 Semi-rigid implant (bendable) 1.1.7.2 Inflatable implant 1.1.7.3 What do surgical ED treatments look like? 1.1.7.4 Recovery time after penile implants ED treatments: 1.2 Clinical Trials and the best ED treatments available. 1.3 What is ED 1.3.1 What are the different types (and causes) of ED? 1.3.1.1 Organic Erectile Dysfunction 1.3.1.1.1 Diabetes. 1.3.1.1.2 Depression. 1.3.1.1.3 Neurological causes. 1.3.1.1.4 Drug-induced erectile dysfunction. 1.3.1.1.5 Hormone-Induced ED. 1.3.1.2 Premature Ejaculation (PE) 1.3.1.2.1 Permanent premature ejaculation. 1.3.1.2.2 Acquired premature ejaculation. 1.3.1.2.3 Stage panic. 1.3.2 What causes erectile dysfunction? 1.3.2.1 The physical causes of erectile dysfunction 1.3.2.2 Psychological causes of erectile dysfunction 1.3.3 Risk factors for erectile dysfunction. 1.3.4 Diagnosis of erectile dysfunction 1.3.4.1 Physical exam. 1.3.4.2 Ultrasonic. 1.3.4.3 Psychological exam. 1.4 Alternative medicine as a form of ED treatments. 1.4.1 Lifestyle changes – the first step for all ED treatments.
  • 2. 1.4.2 Best food for erectile dysfunction – the essential part of all ED treatments 1.4.2.1 Watermelon 1.4.2.2 Spinach and other leafy greens 1.4.2.3 Coffee 1.4.2.4 Dark Chocolate 1.4.2.5 Salmon 1.4.2.6 Pistachios 1.4.2.7 Almonds, walnuts, and other nuts 1.4.2.8 Oranges and Blueberries 1.4.2.9 Spicy, hot food 1.4.3 Exercises for erectile dysfunction treatment 1.4.3.1 Kegel exercises for erectile dysfunction 1.4.3.1.1 The floor lying on your back squeezes 1.4.3.1.2 Floor laying on its side 1.4.3.1.3 Squeezes sitting in a chair 1.4.4 Aerobic exercises for erectile dysfunction 1.4.4.1 Walking as a form of exercise for erectile dysfunction 1.4.4.2 Jogging – another group of exercises for erectile dysfunction. 1.4.5 Acupuncture – one of the ancient Chinese ED treatments. 1.4.6 Homeopathy – the #1 natural ED treatment. 1.4.6.1 Caladium 1.4.6.2 Lycopodium is a homeopathic remedy that can be prescribed for erectile dysfunction. 1.4.6.3 Argentum Nitricum – a homeopathic treatment for men who cannot achieve an erection 1.4.6.4 Nuphar Luteum – a homeopathic medicine with many advantages 1.4.6.5 Agnus Castus 1.4.6.6 Selenium: For weak and slow erections 1.4.6.7 Avena Sativa: To increase sexual power 1.4.6.8 Tribulus Terrestris: For urinary problems associated with erectile dysfunction 1.4.7 Hypnosis – is one of the most effective ED treatments. 1.4.7.1 How hypnosis for ED works? 1.4.7.1.1 Let go of mental “blocks” 1.4.7.1.2 Restoring inner confidence 1.4.7.1.3 Review your habits 1.4.7.1.4 Live in the present 1.5 Frequently Asked Questions regarding ED treatments. 1.5.1 How can I make sure my ED is physical and not emotional? 1.5.2 If I worry about getting an erection, can I make a bad condition worse? 1.5.3 Can I combine different forms of ED treatments? 1.5.4 I was fine until I started taking this new drug, what should I do? 1.6 Holistic ED treatments in Philadelphia ED Treatments
  • 3. ED treatments are not simple and the approach depends on the type of erectile dysfunction and the causes that initiated this condition. ED treatments begin with keeping your heart and blood vessels healthy. Your doctor can identify “risk factors” that can be changed or improved. You may be asked to change certain eating habits, quit smoking, become more active, or stop using drugs or alcohol. You may be offered an alternative to the medications you are taking. (Never stop or change prescription medications without talking to your doctor first.) As a part of ED treatments, your doctor may also suggest treating emotional problems. These can be due to relationship conflicts, life stressors, depression, or anxiety related to past problems with erectile dysfunction (performance anxiety). The following options are available for direct ED treatments: Non-invasive treatments are often tried first. Most of the best-known treatments for erectile dysfunction work well and are safe. However, it is helpful to ask your doctor about the side effects that could result from each option:  Oral medications or pills known as phosphodiesterase type 5 inhibitors are most often prescribed in the United States for erectile dysfunction (Viagra, Cialis, Levitra, Stendra)
  • 4.  Testosterone therapy (when low testosterone is detected in blood tests)  Penile injections for ED  Intraurethral drugs (IU, Alprostadil)  Vacuum erection devices  Penile implants  Surgical approach to sidestep penile artery damage for some younger men with a record of severe pelvic damage. Penile vascular surgical procedure is not advised for senior men with hardened blood vessels. Psychological counseling – not the most effective but the most popular on the list of ED treatments. If your erectile dysfunction is caused by stress, anxiety, or depression – or the condition creates stress and relationship strain – your doctor might suggest that you, you, and your partner visit a psychologist or counselor. Don’t be surprised, this one of the common ED treatments. Oral medications for ED (PDE5 inhibitors) PDE5 inhibitors that increase penile blood flow are the only oral medications certified in the United States by the FDA for ED treatments.  Viagra ® (sildenafil citrate)  Levitra® (vardenafil hydrochloride)  Cialis® (tadalafil)  Stendra® (avanafil) For best results, men with erectile dysfunction take these pills about an hour or two before having sex. Drugs require normal nerve function of the penis. PDE5 inhibitors improve normal erectile responses by helping the blood flow into the penis. Use these medications as directed. About 7 out of 10 men are doing well and have better erections. Response rates are lower for diabetic and cancer patients.
  • 5. If you are taking nitrates for your heart, you MUST NOT take any PDE5 inhibitors. Always talk to your doctor before using a PDE5 inhibitor to learn how it might affect your health. Most often, the side effects of PDE-5 inhibitors are mild and often short- lived. The most common side effects are:  headache  stuffy nose  redness of the face  Muscle pain  stomach upset In rare cases, Viagra may cause a blue-green coloration of vision that persists for a short time. In rare cases, Cialis® may cause or worsen back pain or aching muscles in the back. In most cases, the side effects are related to the effects of PDE-5 inhibitors on other tissues in the body, which means they work to increase blood flow to your penis while affecting other vascular tissues in your body at the same time. These are not “allergic reactions”. Testosterone therapy – one of the hormonal ED treatments In the rare cases where a low sex drive and low blood levels of testosterone are responsible for ED, testosterone therapy can correct normal erections or help when combined with erectile dysfunction medications (PDE type 5 inhibitors). Vacuum mounting device – belongs to the category of mechanical ED treatments A vacuum erection device is a plastic tube that slides over the penis, sealing it with the skin of the body. A pump at the other side of the plastic cylinder creates a low-pressure emptiness all over the erectile tissue, which results in an erection. A flexible stretchy band is then positioned at the bottom of the penis. This catches blood in the penis for
  • 6. up to 30 minutes keeping the penis hard. With proper training, 75 out of 100 men can achieve a functional erection using a vacuum erection device. Penis pumps. A penis pump (vacuum erection device) is a hollow tube with a hand or battery-powered pump. The tube is placed over your penis and then a pump is used to suck the air out of the tube. This creates a vacuum that draws blood into your penis. After you get an erection, you slide the tension ring around the base of your penis to hold the blood in and keep it plump. Then you remove the vacuum device.
  • 7. The erection usually lasts long enough for the couple to have sex. After intercourse, you remove the tension ring. A possible side effect is a bruise on the penis and ejaculation will be restricted by the blindfold. You may feel cold at the touch of your penis. If a penis pump is a good treatment choice for you, your doctor may recommend or prescribe a specific model. Thanks to this, you can be sure that it suits your needs and that it is made by a reputable manufacturer. Intracavernous (ICI) and urethral (IU) therapies for ED treatments. If ED treatments with the use of oral medications don’t work, the Alprostadil drug is approved for use in men with erectile dysfunction. This drug comes in two forms, based on how it is to be used: Intracavernous injection (called “ICI”) or through the urethra (called “IU therapy”). Self-injection therapy – self ED treatments option. Alprostadil is injected into the lateral side of the penis with a very fine needle. It is of great value to have the first shot in the doctor’s office before doing it yourself. Self-injection lessons should be taught in the doctor’s office by an experienced professional. The success rate of this type of ED treatments for getting an erection solid enough to have sexual intercourse reaches 85% with this treatment. Many men who do not respond to oral PDE5 inhibitors can be “saved” with ICI. ICI Alprostadil can be used in combination with two other drugs to treat erectile dysfunction. This combination therapy called “bimix or trimix” is stronger than alprostadil alone and has become the standard treatment for erectile dysfunction. The only ingredient Alprostadil is FDA approved for erectile dysfunction. The amount of each medication used can be changed depending on the severity of your ED by experienced healthcare professional. You will be trained by your healthcare
  • 8. professional on how to inject, how much to inject, and how to safely increase the dosage of the medication if needed. ICI therapy often produces a reliable erection, which goes down after 20-30 minutes or with a climax. Since the ICI erection is not regulated by your penile nerves, you shouldn’t be surprised if the erection lasts after an orgasm. The most common consequence of the ICI method is a protracted erection. Prolonged erections (> 1 hour) can be reversed with a second injection (antidote) in the office. Men who have penile erections that last longer than two to four hours should seek emergency care. Priapism is a prolonged erection, which lasts more than four hours. It’s very painful. Failure to undo priapism will lead to permanent penile damage and incurable erectile dysfunction. Intraurethral (IU) therapy Surgical ED treatments The main surgical approach to ED treatments is the insertion of a penile implant (also called penile prostheses). Since penile vascular surgery is not recommended for aging men who have failed oral PDE5 inhibitors, ICI, or IU therapies, implants are the next step for these patients. Although penile implant placement is a risky surgical procedure, it has the highest success and satisfaction rates among erectile dysfunction treatment options. Penile implants are devices that are placed entirely inside your body. They make a stiff penis that allows you to have normal sex. It’s a great choice for enhancing uninterrupted intimacy and making relationships more spontaneous. In IE therapy, a tiny active pellet of the drug alprostadil is placed in the urethra (the tube that carries urine out of your body). If you use the drug in this way, you don’t have to give yourself a chance, unfortunately, it may not work as well as ICI. Like ICI therapy, IU alprostadil should be field-tested prior to home use.
  • 9. The most common side effect of IE Alprostadil is a burning sensation in the penis. If an erection lasts more than four hours, it needs medical treatment to make it go away. There are two types of penile implants. Semi-rigid implant (bendable) The simplest type of implant consists of two easy-to-blend rods that are most often made of silicone. These silicone rods give a man’s penis the firmness necessary for sexual penetration. The implant can be folded down for urination or up for sex. Inflatable implant With an inflatable implant, fluid-filled cylinders are placed longitudinally in the penis. The tube connects these cylinders to a pump located inside the scrotum (between the testicles). When the pump is engaged, the pressure in the cylinders swells the penis and makes it stiff. Inflatable implants create a normal-looking erection and are a natural sensation for your partner. Your medical doctor may recommend the use of lubricants for your lover. With the implant, men can control the firmness and, at times, the size of the erection. Implants allow a couple to be spontaneously intimate. There is generally no change in a man’s feelings or orgasm. What do surgical ED treatments look like? Penile implants are most often placed under anesthesia. If a patient has a systemic, skin, or urinary infection, this surgery should be postponed until all infections are treated. If a man is taking blood thinners, he may need to speak to a medical expert about stopping the medications for elective surgery and healing. Most often, a small surgical incision is made. The cup is either above the penis where it joins the belly or below the penis where it joins the
  • 10. scrotum. No tissue is removed. Blood loss is usually low. A patient will go home the same day or spend a night in the hospital. Recovery time after penile implants ED treatments:  The majority of men will go through the pain and feel relief from a narcotic pain killer for a week or two. After the first week, over- the-counter pain relievers (such as acetaminophen or ibuprofen) can be substituted for narcotic pain relievers. Discomfort, bruising, and swelling after surgery will last for a few weeks.  In the first month, men should limit their physical activity. The surgeon will explain when and how much movement is required during the healing period.  Men most commonly start having sex eight weeks after surgery with their penile implants. If swelling or pain persists, use of the implant may be delayed. The surgeon or healthcare professional at the surgeon’s office will discuss how the implant is inflated and deflated. Prosthetic surgery as a form of ED treatments comes with risks and patients are counseled before surgery. In the case of postoperative infection, the implant will likely be removed. The devices are reliable, but in the event of a mechanical failure, the device or part of it will have to be surgically replaced. If the penile prosthesis is removed, other non- surgical treatments may no longer work. Most men with penile implants and their partners say they are happy with the results and go back to more spontaneous intimacy. Clinical Trials and the best ED treatments available. Several restorative or regenerative treatments are being explored for future ED treatments:
  • 11.  Extracorporeal Shock Wave Therapy (ESWT) – low-intensity shock waves aimed at fixing the erectile tissue and helping to restore natural erections.  Intracavernosal injection of stem cells – to help regrow cavernous tissue  Intracavernous injection of autologous platelet-rich plasma (APRP) – to support the regrowth of cavernous tissue These are not currently FDA approved for ED management, but may be offered as part of research (clinical) studies. Interested patients should discuss the associated risks and benefits (informed consent) and costs before beginning clinical trials. Most non-FDA-approved therapies are not covered by state or private insurance. What is ED Erectile dysfunction or ED, aka impotence, is the inability to get and maintain an erection sufficient for sex. Erection troubles from time to time are not certainly a reason for concern. However, while erectile dysfunction is an ongoing problem, it can be stressful, affect your confidence, and contribute to relationship problems. Problems with or maintaining an erection can also be a sign of an underlying condition requiring treatment and a risk factor for cardiovascular disease. If you are concerned about erectile dysfunction, even if you are confused, talk to your doctor. Sometimes, treatment of the underlying disease is sufficient to eliminate erectile dysfunction. In other cases, pharmaceutical drugs or other immediate therapies may be needed.
  • 12.
  • 13. While almost all adult men suffer from ED from time to time, up to 30 million American men suffer from ED on a regular basis. Almost all men who seek treatment for ED find some relief. The Massachusetts Male Aging Study surveyed 1,709 men aged 40–70 between 1987 and 1989 and found an overall prevalence of erectile dysfunction of 52 percent. It was estimated that in 1995 over 152 million men worldwide suffered from ED. It is predicted that by 2025 the prevalence of ED will be approximately 322 million people worldwide. In the past, erectile dysfunction was thought to be caused by psychological problems. It is now known that in most men, erectile dysfunction is caused by physical problems, usually related to the blood supply to the penis. Many advances have taken place in both the diagnosis and treatment of erectile dysfunction. What are the different types (and causes) of ED? Organic Erectile Dysfunction Organic ED involves abnormalities in the penile arteries and veins or both and is the most common cause of ED, especially in older men. When the problem is arterial, it is usually caused by arteriosclerosis, or hardening of the arteries, although trauma to the arteries can be the cause. Controllable risk factors for atherosclerosis — being overweight, lack of exercise, high cholesterol, high blood pressure, and smoking — can cause erectile failure many times before it progresses to affect the heart. Many experts believe that atrophy, a partial or complete loss of tissue, and fibrosis, the growth of excess tissue, of smooth muscle tissue in the shaft of the penis (cavernous smooth muscle) triggers problems maintaining a firm erection. Inadequate ability to sustain an erection is frequently an early symptom of erectile dysfunction. Although the condition is called venous leakage, the real problem is not the veins, but the malfunctioning of the smooth
  • 14. muscles that surround the veins. The end result is difficulty in maintaining a strong erection (loss of erection too quickly), which is now considered an early manifestation of atherosclerosis and vascular disease. Diabetes. Erectile dysfunction is common in people with diabetes. An estimated 10.9 million adult men in the United States have diabetes, and 35 to 50 percent of these men are impotent. This process involves premature and extremely severe hardening of the arteries. Peripheral neuropathy, involving the nerves that control erection, is often seen in people with diabetes. Depression. Depression is another cause of erectile dysfunction and is closely related to erectile dysfunction. As there is a triad of depression, erectile dysfunction, and cardiovascular disease, men with depression should be fully evaluated for medical conditions as well as psychological factors. Some antidepressants can cause erectile dysfunction. Neurological causes. There are many neurological (nerve problems) causes of erectile dysfunction. Diabetes mellitus, chronic alcoholism, multiple sclerosis, heavy metal poisoning, spinal cord, and nerve injuries, and nerve damage from pelvic surgery can cause erectile dysfunction. Drug-induced erectile dysfunction. A great variety of prescription medications, such as blood pressure medications, anti-anxiety, and antidepressant medications, glaucoma eye drops, and cancer chemotherapy are some of the many medications associated with erectile dysfunction. Hormone-Induced ED.
  • 15. Hormonal abnormalities such as elevated prolactin (a hormone produced by the anterior pituitary gland), steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones given for prostate cancer can cause ED. An insufficient amount of testosterone can promote erectile dysfunction but is infrequently the only component accountable for ED. Premature Ejaculation (PE) Premature ejaculation is a male sexual dysfunction characterized by:  Ejaculation always or almost always occurs before or within about one minute of vaginal penetration.  Inability to delay ejaculation on all or nearly all vaginal penetrations; and negative personal consequences, such as distress, annoyance, frustration, and/or avoidance of sexual intimacy. Premature ejaculation is split up into enduring and gained categories: Permanent premature ejaculation. With permanent premature ejaculation, the patient experienced premature ejaculation from the very beginning of coitus. Acquired premature ejaculation. In case of acquired premature ejaculation, the person has previously had productive copulatory interactions and has only now developed premature ejaculation. Stage panic. Performance anxiety is a form of psychogenic erectile dysfunction, usually caused by stress. What causes erectile dysfunction?
  • 16. Masculine sensual arousal is a complicated activity that includes the brain, hormones, emotions, nerves, muscles, and blood circulation vessels. Impotence can happen if a problem with any of them occurs. Similarly, stress and psychological wellbeing troubles can trigger or aggravate erectile dysfunction. At times a combination of physical and psychological troubles leads to erectile dysfunction. For instance, a minor bodily disorder that slows down your sensual reaction can make you worried about keeping an erection. As a result, anxiety can trigger or exacerbate erectile dysfunction. The following are some of the diverse forms and potential causes of erectile dysfunction: The physical causes of erectile dysfunction  heart disease
  • 17.  Clogged blood vessels (atherosclerosis)  High cholesterol  High blood pressure  Diabetes  Obesity  Metabolic syndrome – a condition involving increased blood pressure, high insulin levels, body fat around the waist, and high cholesterol  Parkinson’s disease  Multiple sclerosis  Certain prescription drugs  Smoking  Peyronie’s disease – development of scar tissue inside the penis  Alcoholism and other forms of drug addiction  sleep disorders  Treatments for prostate cancer or enlarged prostate  Surgical interventions or traumas that affect the pelvic area or spinal cord  Low testosterone levels Psychological causes of erectile dysfunction The brain plays a key role in triggering a series of physical events that cause an erection, starting with feelings of sexual arousal. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include:  Depression, anxiety, or other mental health conditions  Fatigue  Relationship problems due to stress, poor communication, or other worries Risk factors for erectile dysfunction. While erectile dysfunction (ED) is a condition that affects a person’s ability to achieve or maintain an erection long enough to have a satisfying sexual experience.
  • 18. Many risk factors increase the likelihood of developing ED, including:  age over 40  mental health problems  obesity  Parkinson’s disease  insomnia  vascular disease  alcohol, cigarette smoking, and illegal drug use  Alzheimer’s disease  high blood pressure (hypertension)  high cholesterol  hormonal imbalances  metabolic disorders  multiple sclerosis  Peyronie’s disease  priapism  treatment of prostate cancer and other prostate-related problems  kidney failure  sleep apnea  type II diabetes Diagnosis of erectile dysfunction For many people, a physical exam and answers to questions (medical history) are all it takes for a doctor to diagnose erectile dysfunction and recommend treatment. If you have chronic health conditions or your doctor suspects that an underlying condition may be involved, you may need further tests or a consultation with a specialist. Tests for underlying conditions may include: Physical exam. This may include a careful examination of your penis and testicles and checking your nerves for tenderness.
  • 19. Blood tests. A sample of your blood may be sent to a lab to check for signs of heart disease, diabetes, low testosterone, and other health conditions. Ultrasonic. This test is usually performed by a specialist in a doctor’s office. A rod- like device (transducer) is held over the blood vessels that supply the penis. It creates a video image so your doctor can see if you have circulatory problems. This test is sometimes done in combination with an injection of medication into the penis to stimulate blood flow and produce an erection. Psychological exam. Your doctor may ask questions to look for depression and other possible psychological causes of erectile dysfunction. Alternative medicine as a form of ED treatments. Before using any dietary supplement, ask your doctor if it’s safe for you especially if you have a chronic medical condition. Some alternative products that claim to treat erectile dysfunction can be dangerous. The Food and Drug Administration (FDA) has warned against several types of “herbal Viagra” because they contain potentially harmful drugs not listed on the label. The dosages could also be unknown or they could have been contaminated during formulation. Some of these drugs can interact with prescription drugs and cause dangerously low blood pressure. These products are especially dangerous for anyone taking nitrates. Always consult a physician before starting any alternative erectile dysfunction treatments. Always chose
  • 20. a naturopathic clinic led by a medical doctor over the other holistic offices. Lifestyle changes – the first step for all ED treatments. For many people, erectile dysfunction is caused or made worse by lifestyle. Your health care provider may recommend that you make lifestyle modifications to help reduce the severity or improve ED. Here are some actions that may possibly help:  Quit smoking. If you are having trouble quitting smoking, ask for help. Try nicotine substitutes like chewing gum or over-the- counter lozenges, or ask your doctor for a prescription drug to help you quit smoking.  increase physical activity and maintain a healthy body weight Include physical activity in your daily routine. Exercise can help with underlying conditions that play a role in erectile dysfunction in a number of ways, including reducing stress, helping with weight loss, and increasing blood flow.  limit or stop alcohol consumption. Get treated for alcohol or drug problems. Drinking too much alcohol or taking certain illicit drugs can directly worsen erectile dysfunction or cause long-term health problems.  Stop the use of the illegal drug  lose extra pounds. Being obese can cause or aggravate erectile dysfunction.  Work on relationship issues. Consider couples counseling if you are having a hard time improving communication with your partner or solving problems on your own. Your health care provider may suggest lifestyle changes to reduce or improve ED. You can ask your health care professional for help if you’re having trouble making these changes yourself. Best food for erectile dysfunction – the essential part of all ED treatments
  • 21. Is it possible that foods can help maintain an erection during erectile dysfunction? According to the latest statistics, about one-third of all men experience erectile dysfunction (ED), making it the most common sexual dysfunction in men. While there are several medications on the market to improve erection, there are also several foods that can help men achieve and maintain a stronger erection. Eating can help improve your erection as the processes involved in penis swelling are both psychological and physical.
  • 22. Particularly, when a man gets an erection, his attention, awareness, interest, and body go through the following steps:  He experiences mental and sensory stimulation that causes the brain to send messages to the nerves in and around the penis.  Nerve messages cause the muscles of the cavernous bodies to relax.  The cavernous bodies include the muscles around the shaft and head of the penis.  It is easier for them to inflow blood when they are relaxed. Although relaxation of penile smooth muscle begins with messages sent from the nerves, nitric oxide plays a key role. Nitric oxide regulates blood flow and the tone of smooth muscles, including those in the penis. Therefore, all of the foods on this list have one or more of the following benefits:  Improve blood flow  They contain nitric oxide  They contain arginine, a nitric oxide precursor Here are some foods that can help you stay erect and support medical treatment for erectile dysfunction. 1.Watermelon Watermelon contains citrulline, another nitric acid precursor. It is a food for a good erection because it dilates and relaxes the blood vessels, thus facilitating the circulation of blood in the penis. The citrulline content of watermelon makes it similar to other penile health foods, such as cucumber, bitter melons, and squash. 2.Spinach and other leafy greens
  • 23. Spinach is rich in nitric oxide, and therefore, like other hard foods for erection, it helps the arteries to expand and fill with blood. One study found that spinach, when served in a soup with onions, low- sodium chicken broth, and black pepper, significantly improved participants’ nitrate levels while adding just 94 extra calories to their diet. The nitrates in spinach and other green leafy erection foods like kale and arugula serve not only as penile health foods but also for your entire vascular system. 3.Coffee Another food that helps with penis growth is coffee. It has less than five calories – at least until you add sugar and cream – so it’s one of the lightest foods to help with erectile dysfunction. The study found that men who drank 170 to 375 milligrams (mg) of caffeine each day, or about 2-3 cups, had a lower rate of erectile dysfunction. Caffeine is an effective food for the penis as it relaxes the smooth muscles of the penis, paving the way for it to be filled with blood. 4.Dark Chocolate Dark chocolate is a top food for a strong erection because it contains a lot of flavanols, which facilitate blood flow through the body. However, since dark chocolate is often high in sugar and fat, eating too much can make you fat. An ounce of dark chocolate has 155 calories and 9 grams of fat, so it may not be the healthiest choice among important erection-promoting foods.
  • 24. 5.Salmon Salmon is one of the best erection-promoting foods because it’s high in vitamin D. Sun exposure is responsible for about 80% of vitamin D, so if you can’t get out as much as you want, salmon can help you get what you need. Vitamin D has been shown to help prevent endothelial dysfunction, which is when your arteries, blood vessels, and organs are unable to circulate blood properly. Vitamin D supplementation may be especially important in areas that experience many cloudy days or long winters. In England and its British neighbors, residents’ vitamin D levels are 50% higher at the end of summer than at the end of winter. Eating salmon in these types of climates can give your body what it needs to get and maintain a strong erection. 6.Pistachios Pistachios are loaded with arginine, which makes them excellent for those looking for dietary aid for penis growth. Arginine promotes the creation of nitric oxide, which, in succession, helps normalize blood flow to the penis and other sections of the body. 7.Almonds, walnuts, and other nuts Almonds, walnuts, and many other varieties of nuts are rich in high- density lipoprotein (HDL), also known as “good cholesterol.” Good cholesterol absorbs bad cholesterol and carries it back to the liver. When bad cholesterol gets trapped in your arteries and blood vessels, it blocks blood flow to your organs, including your penis. Eating walnuts, almonds, and other nuts give your body what it needs to carry bad cholesterol to the liver, where it can be broken down and disposed of as waste. 8.Oranges and Blueberries
  • 25. While oranges and blueberries seem to have little in common with dark chocolate, they do share an important characteristic: they are packed with flavonoids. Flavonoids make oranges and blueberries the best foods for erectile dysfunction. Flavonoids stimulate blood flow, which allows the penis to become engorged after being stimulated. An Oxford University study found that the effect of flavonoid-rich foods reduced the chances of erectile dysfunction by between 9-11%. 9.Spicy, hot food Thanks to the capsaicin found in hot peppers, a little hot sauce or habanero as a side dish can help induce an erection. French researchers found that men who ate more hot food had higher testosterone levels. Other studies have also discovered an explicit association between low testosterone symptoms in men and how simple it is to get and preserve an erection. If you have ED, you may want to eat the above foods. They can make it easier for your body to get blood to your penis when stimulated. Plus, they can benefit the rest of your circulatory system and organs and lead to a healthier lifestyle. Exercises for erectile dysfunction treatment Recent studies have found that exercise for erectile dysfunction, particularly moderate to vigorous aerobic activity, can improve erectile dysfunction. Less strenuous and regular exercise could also reduce the risk of erectile dysfunction. Increasing the level of activity could also further reduce the risk. Discuss the plan of exercises-base ED treatments with your doctor. Kegelexercises for erectile dysfunction Kegel exercises, or pelvic exercises, have been shown to be effective in treating erectile dysfunction and should be used as the first line of
  • 26. treatment. The ischiocavernosus and bulbocavernosus muscles of the pelvic region surround the penis and are active during an erection. The following exercises for erectile dysfunction take aim to reinforce these muscles. The floor lying on your back squeezes  Start by lying on your back with your hands flat on the floor and your knees comfortably bent and pointing up.  Try pulling your penis towards your body and hold for five seconds, then release.  Now squeeze your anus muscles together as if trying to stop a bowel movement and hold for five seconds, then release. Perform steps two and three, 8 to 10 times, and make three to five sets. Floor laying on its side  Position yourself lying on the floor mat and on your side.  Place a pillow between your knees. Make sure the pillow is big enough to separate your legs.  Squeeze both legs simultaneously and keep up for five seconds, then release.  Perform the previous step, 8 to 10 times, and do 3 to 5 sets. Squeezes sitting in a chair  Find a comfortable sitting position in a chair.  Squeeze your penis with just the muscles as if trying to stop the urine from coming out, hold for five seconds, and release.  Perform the previous step, 8 to 10 times, and do 3 to 5 sets. One way to check that you are doing your bench press is to try to stop the flow of urine for a few seconds. If you are able to do this, you are doing it correctly.
  • 27. As your body becomes more familiar and accustomed to these exercises, consider increasing the amount of time you squeeze and hold different pelvic muscles. Also, you can expand the number of repeats of sets of exercises for erectile dysfunction you do. When performing these exercises for erectile dysfunction, keep the following tips in mind:  Do not hold your breath  Don’t push down, instead, squeeze your pelvic muscles tightly like you’re trying to lift something with those muscles  Try to keep your stomach muscles relaxed all the time  Rest your pelvic floor muscles between each one squeeze Most men start to see results after about a month of daily exercise. By the end of that month, you should be able to hold compressions for 10 seconds and be able to do eight to 10 sets. The exercises for erectile dysfunction shouldn’t cause any kind of pain. If you feel pain, stop exercises for erectile dysfunction immediately and seek medical help. Aerobic exercises for erectile dysfunction A healthy lifestyle plays an important role in preventing and treating erectile dysfunction. For patients suffering from conditions such as obesity, hypertension, heart disease, or vascular disease, regular aerobic exercise is one of the best ways to increase blood flow, improve weight loss, and improve sexual performance. Walking as a form of exercise for erectile dysfunction Experts believe that just a few minutes of brisk walking a day can have enormous benefits for your sexual and physical health.
  • 28. According to one study, people who took a 30-minute walk every day were 41% less likely to develop erectile dysfunction. Jogging – another group of exercises for erectile dysfunction. Intense aerobic training, such as jogging or swimming, is one of the best ways to improve blood flow and reduce the risk of ED. One study suggests that those who ran 90 minutes a week or performed about 3 hours of vigorous outdoor work a week were less likely to have ED problems. Acupuncture – one of the ancient Chinese ED treatments. Acupuncture and herbs are effective in treating erectile dysfunction. In a study conducted at the Yunnan Provincial Hospital of Traditional Chinese Medicine, acupuncture plus herbs revealed an overall effective rate of 46.56%. The exclusive use of herbal medicine resulted in an overall effectiveness rate of 16.17% and the exclusive use of acupuncture resulted in an overall effectiveness rate of 13.24% The researchers conclude: “Acupuncture combined with herbal medicine has a synergistic therapeutic effect on erectile dysfunction.”
  • 29. Erectile dysfunction (ED) is a sexual disorder characterized by the persistent inability to achieve or maintain an erection sufficient for satisfactory intercourse (> 3 months). ED has recently become a global health problem and is estimated to affect 322 million men by 2025. In Traditional Chinese Medicine (TCM), ED falls under the realm of Jin Wei (translated as tendon withering) and is associated with aging, excessive masturbation or sex, emotional states (e.g., depression), congenital deficiencies, or improper diet. The main diagnostic patterns of TCM are liver qi stagnation, blood stasis, and renal essence deficiency. In the research paper, the scientists note, “Emotional disorders can harm the liver and lead to stagnation of liver qi. Based on the principles of TCM, the liver meridian regulates the ligaments and the genitals are the collecting place of the ancestral tendon. The liver that fails to move freely causes obstruction of the meridians ruled by the liver and malnutrition of the ancestral tendon, leading to erectile dysfunction. On the other hand, insufficiency of kidney essence can lead to the weakening of the fire of the gate of life. In other words, the essence of the kidney fails to be transported into the ancestral tendon, which makes the genitals soft and withered. The
  • 30. principle of treatment is to smooth the circulation of liver qi, release the meridians to invigorate blood circulation, and tonify kidney essence. When considering ED treatments for blood circulation or psychological problems, acupuncture can be cheaper than traditional medical ED treatments and is covered by some insurance companies. Homeopathy – the #1 natural ED treatment. You will need to consult a homeopath for homeopathic ED treatments. All ED treatments aim to help the individual achieve an erection and maintain it long enough to allow for intercourse. Though, no healing protocol can offer a constant cure for ED or impotence in allopathic medicine. Homeopathic treatment of erectile dysfunction (ED) or impotence It is estimated that 35 million men in the United States of America experience erectile dysfunction (ED) or impotence sooner or later. This explains why there is such a huge market for products to strengthen or restore erections. There are many patients who have tried herbal products that simply didn’t work at all. And we’ve read alarming reports of men going blind or having heart attacks as a result of taking prescription allopathic or conventional medications for erectile dysfunction (ED) or impotence. Fortuitously, there is a permanent way out from impotence. Yes, erectile dysfunction is curable at any age. Homeopathy gives remarkable results in cases of erectile dysfunction (ED) or impotence, which can be caused by both physical and psychological causes. Both mental and physical components of the disorder can be eliminated through homeopathic treatment. Homeopathy offers nearly 203 remedies for men suffering from erectile dysfunction (ED) or impotence. Unlike allopathic medicines, homeopathic medicines are non-toxic and non- addictive. Homeopathic physicians often treat patients suffering from anxiety, fear of not having sex, erectile dysfunction (ED), or impotence associated with stress and high blood pressure. Stress at work, midlife
  • 31. crisis, and other problems affect men’s health in different ways. Men facing the challenge of aging, retirement, and new identities find a particularly suitable therapy in homeopathy that affects them on the mental, emotional, and physical levels. Combined with good nutrition, exercise, and rest, homeopathy provides optimal support for these patients. Where the cause of erectile dysfunction (ED) or impotence is with other ailments of the system and due to the effects of drugs, homeopathy also offers the best option. Homeopathy is strongly recommended for erectile dysfunction (ED) or impotence. However, homeopathy is a 200+-year- old medical science that is fully regulated by the United States Food and Drug Administration (FDA). And all homeopathic medicines recognized by the respected Homeopathic Pharmacopoeia of the United States (HPUS) have been tested and proven effective in carefully controlled clinical trials. Erectile dysfunction (ED) or impotence can be an indicator of other health imbalances that need to be addressed and should not be put off. There are 203 homeopathic medicines that give great relief in erectile dysfunction (ED) or impotence. However, the correct choice and the resulting relief is a matter of experience and right judgment on the part of the homeopathic practitioner. The treatment is decided after careful patient care. Therefore, homeopathic remedies for erectile dysfunction (ED) or impotence are designed, unlike allopathy where all patients receive the same surgery or medications although the brand name may be different. With homeopathy, erectile dysfunction (ED) or impotence is a problem that can be treated and overcome, allowing you and your partner to enjoy a full and satisfying loving relationship. I wish you the joy of love and intimacy.
  • 32. Centered on your particular case and the roots behind your erectile dysfunction, the homeopath would mention the following remedies: 1.Caladium
  • 33. This homeopathic remedy can help a man who is aroused but has no genitals. It can be recommended for ED treatments. When the genitals are flaccid, nocturnal emissions occur without an erection, even if the dreams are related to sex. A person in need of this remedy often experiences cravings for tobacco. 2.Lycopodium is a homeopathic remedy that can be prescribed for erectile dysfunction. Lycopodium for ED or impotence is a homeopathic medicine that can be given to people whose stress hormones act to constrict the blood vessels in the penis. This causes erectile dysfunction. Symptoms, in this case, are self-doubt, digestive problems such as gas and bloating, and an energy slump. It is commonly available as lycopodium 200 or lycopodium 1m for the treatment of impotence. Always consult your doctor before starting a course of the same medication. 3.Argentum Nitricum – a homeopathic treatment for men who cannot achieve an erection Argentum Nitricum can help men with erectile dysfunction. This homeopathic remedy is especially for those men whose erections decline during sex. Symptoms specific for Argentum Nitricum include anxiety and tension with cravings for both sweets and salty foods. 4.Nuphar Luteum – a homeopathic medicine with many advantages The Nuphar Luteum acts as a testosterone booster and is useful for restoring energy and reducing fatigue. It helps in strengthening the male reproductive organs, thus increasing sexual performance. The Nuphar
  • 34. Luteum helps in cases where sex drive is low and also helps to relax the genital area. 5.Agnus Castus Agnus Castus is obtained from the chaste tree. Medicine is made from the ripe berries of trees. This homeopathic remedy is most commonly utilized to cure impotence in older men. When a man is completely unable to get erections, in some cases the sexual organs become cold. The patient’s penis continues to be absolutely lifeless during intercourse. Agnus Castus as a remedy is usually prescribed when the patient lacks both sexual desire and the ability to perform in bed. 6.Selenium: For weak and slow erections Selenium is the best prescription when the erection is too weak and slow and not the complete inability to have an erection. The erection is also insufficient and lasts for a very short period of time. Most men who require selenium have a sexual urge and desire to have intercourse, but lack the physical strength to pursue it. Irritability and excessive weakness after intercourse also favor the use of selenium. The majority of men who need the drug selenium also suffer from involuntary ejaculation during sleep. Some may also complain of dribbling of semen during bowel movements or feces. 7.Avena Sativa: To increase sexual power Avena Sativa can be used as a tonic to increase sexual power in men. This drug helps eliminate extreme fatigue and defective erections. Avena Sativa is used in tincture form. Patients suffering from erectile dysfunction after excessive sexual activity or masturbation need this medicine.
  • 35. 8.Tribulus Terrestris: For urinary problems associated with erectile dysfunction The main indication for the use of Tribulus Terrestris is the presence of urinary problems along with erectile dysfunction. The genitals are weak and there is a pain when urinating. Tribulus Terrestris can be of real help in curing erectile dysfunction with urinary tract problems. Hypnosis – is one of the most effective ED treatments. While there are many highly effective ED treatments available at affordable prices, these primarily address the symptoms rather than the root cause of ED. Now, with over 30 million men in the United States estimated to routinely suffer from erectile dysfunction, many men are interested in remedies. One of the conceptual solutions to ED treatments comes in the form of hypnotherapy. While it may sound a bit bizarre, hypnosis is commonly used to treat a variety of mental and physical issues — including sexual ones.
  • 36. It stands to reason that hypnosis could also be a solution for erectile dysfunction. When it comes to treating psychological problems, the best options are generally pharmacological interventions or therapies to address the root causes of a problem. Hypnosis is the most abstract form of psychotherapy. People often misunderstand what hypnosis means thanks to absurd depictions in movies and cartoons. In reality, hypnosis is a mental state similar to a trance, but during which a person experiences focused attention, increased concentration, increased suggestibility, and vivid fantasies. Although it may appear that people in a hypnotic state are
  • 37. drowsy or zoned out, they are actually in a hyperactive state of situational awareness. Depending on the cause, hypnosis can be an effective treatment for a variety of sexual problems, including erectile dysfunction. In addition to erectile dysfunction, some of the more common issues that hypnosis is used to treat include:  A decrease in libido or libido  Anorgasmia is when someone has difficulty achieving orgasm during sex  Dyspareunia, an overwhelming amount of pain felt during sex  Premature ejaculation Hypnosis can help in many ways, and although definitive research is still lacking, anecdotal evidence suggests it can be helpful for the right candidates. In the case of guided hypnosis or hypnotherapy, we will focus less on the erection process and more on the potential psychological problems that prevent it. Stress, anxiety, and depression are often associated with erectile dysfunction. Being able to reduce these feelings may help to improve your erectile function. Under the influence of hypnosis, the brain has difficulty distinguishing reality from its imagination, which enables it to break down these emotional barriers. By acting on a subconscious level, hypnosis can encourage positive change through the power of suggestion. Entering this suggestive state helps to reduce feelings of stress and anxiety while improving the sense of self-confidence and self-esteem. Hypnosis can also help treat the physical causes of erectile dysfunction. For example, hypnosis is one of the most popular methods related to quitting smoking, which is a major risk factor for erectile dysfunction.
  • 38. Another popular use for hypnosis is to help someone eat healthier or eat less to lose weight, which can reduce the risk and severity of erectile dysfunction. In addition to hypnosis, sex therapy is also often recommended, especially for people who think their sexual problems may be impacting their relationship. Although self-hypnosis is possible, it is probably best to attempt hypnosis with the help of a qualified professional who has experience in treating sexual dysfunction. How hypnosis for ED works? Here are some of the more common ways hypnosis is used for erectile dysfunction: 1. Let go of mental “blocks” Since the brain plays a significant role in the physiological reactions that create an erection, it is important to take care of it. Sexual arousal which is the usual cause of an erection can be blocked. Psychological disorders such as depression, anxiety, and stress are also common blockers. Unfortunately, this becomes a vicious cycle as ED can cause more anxiety and stress in the long run. In these cases, hypnosis can be a powerful therapy: learning relaxation strategies to help you focus and get closer to sex with a sense of fun again. 2. Restoring inner confidence Loss of self-confidence and low self-esteem can also be major causes of psychological ED.
  • 39. If you are too shy or feel inadequate during sexual activity, hypnotherapy is here to help. You can trace the root of your feelings to previous issues and shed light on them so they don’t seem so heavy. Some of the most common problems can be bad relationships, jealousy, resentment towards your partner, or other previous embarrassing sexual encounters. During therapy, you will be able to regain your sexual confidence and feel safe and comfortable again. 3. Review your habits Remember how important blood flow is? Well, while good habits like exercise can help you increase it, bad habits like smoking can have an impact. Since quitting smoking is difficult, hypnosis has proven to be an effective way to quit smoking. Reprogramming your brain and getting rid of this type of activity can help increase blood flow to your penis and produce stronger erections. What’s more, leading a healthier lifestyle (like lifting weights and getting good sleep) can do wonders for boosting libido and sex drive. If you have problems such as eating habits, a sedentary lifestyle, and alcohol abuse, try hypnotherapy. This is a great strategy to start redefining your daily habits in order to lead a better lifestyle. 4. Live in the present It sounds a little spiritual. But are you really enjoying the present moment as you spend your day?
  • 40. Most men focus on the need to succeed during sex and lose sight of the main thing: being intimate and enjoying the act together. Hypnosis can help you feel less self-conscious by noticing the pleasurable sensory experiences associated with sex and connecting to the present moment. Frequently Asked Questions regarding ED treatments. How can I make sure my ED is physical and not emotional? It’s hard to know. Healthcare providers now recognize that most men have an underlying physical cause of ED. In most patients, there are both physical and emotional factors that lead to ED. It’s impossible to prove that a man’s ED doesn’t have a psychological component. If I worry about getting an erection, can I make a bad condition worse? Nothing happens in the body without the brain. If you’re concerned about your ability to get an erection, getting one can be difficult. This is called stage fright and can be overcome with education and other ED treatments. Can I combine different forms of ED treatments? This is often done. However, only combine treatments after discussing this with your doctor. Sometimes, erections can last too long as a result of drug therapy. This is a dangerous side effect. Ask your doctor for the right instructions. I was fine until I started taking this new drug, what should I do? Never stop or change prescription medications without talking to your doctor first. Many medications can cause erectile dysfunction, but some cannot be changed because the benefits of taking the drug are too important to you. If you’re sure a particular drug caused your ED problem, ask your doctor if you can change your medications. If you must stay on the medication
  • 41. that is causing the problem, there are erectile dysfunction treatments that can help. Holistic ED treatments in Philadelphia For a decade Philadelphia Holistic Clinic was awarded as a #1 naturopathic center in the city of brotherly love. At the clinic, we provide ED treatments combining different alternative techniques including but not limited to acupuncture, homeopathy Ayurveda, Reiki, and hypnosis. All treatments at the clinic are performed by or under the strict supervision of the medical doctor Victor Tsan, who has 40+ years of academic and clinical experience. To schedule an appointment for the evaluation and treatment, contact us at (267) 284-3085 or online using our secure scheduling application by scanning the QR code below.