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Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex.

Having erection trouble from time to time isn't necessarily a cause for concern. If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease.

If you're concerned about erectile dysfunction, talk to your doctor — even if you're embarrassed. Sometimes, treating an underlying condition is enough to reverse erectile dysfunction. In other cases, medications or other direct treatments might be needed.

Erectile dysfunction symptoms might include persistent:

Trouble getting an erection
Trouble keeping an erection
Reduced sexual desire
When to see a doctor
A family doctor is a good place to start when you have erectile problems. See your doctor if:

You have concerns about your erections or you're experiencing other sexual problems such as premature or delayed ejaculation
You have diabetes, heart disease or another known health condition that might be linked to erectile dysfunction
You have other symptoms along with erectile dysfunction
Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction.

Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction.

Physical causes of erectile dysfunction
In many cases, erectile dysfunction is caused by something physical. Common causes include:

Heart disease
Clogged blood vessels (atherosclerosis)
High cholesterol
High blood pressure
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 medications
Tobacco use
Peyronie's disease — development of scar tissue inside the penis
Alcoholism and other forms of substance abuse
Sleep disorders
Treatments for prostate cancer or enlarged prostate
Surgeries or injuries that affect the pelvic area or spinal cord
Psychological causes of erectile dysfunction
The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include:

Depression, anxiety or other mental health conditions
Relationship problems due to stress, poor communication or other concerns
Risk factors
As you get older, erections might take longer to develop and might not be as firm. You might need more direct touch to your penis to get and keep an erection.

Various risk factors can contribute to erectile dysfunction, including:

Medical conditions, particularly diabetes or heart conditions
Tobacco use, which restricts blood flow to veins and arteries, can — over time — cause chronic health conditions that lead to erectile dysfunction
Being overweight, especially if you're obese
Certain medical treatments, such as prostate surgery or radiation treatment for cancer
Injuries, particularly if they damage the nerves or arteries that control erections
Medications, including antidepressants, antihistamines and medications to treat high blood pressure, pain or prostate conditions
Psychological conditions, such as stress, anxiety or depression
Drug and alcohol use, especially if you're a long-term drug user or heavy drinker
Complications resulting from erectile dysfunction can include:

An unsatisfactory sex life
Stress or anxiety
Embarrassment or low self-esteem
Relationship problems
The inability to get your partner pregnant
The best way to prevent erectile dysfunction is to make healthy lifestyle choices and to manage any existing health conditions. For example:

Work with your doctor to manage diabetes, heart disease or other chronic health conditions.
See your doctor for regular checkups and medical screening tests.
Stop smoking, limit or avoid alcohol, and don't use illegal drugs.
Exercise regularly.
Take steps to reduce stress.
Get help for anxiety, depression or other mental health concerns.

In some cases, psychological factors rather than physical incapability plays a vital role in causing Erectile Dysfunction (ED). Child abuse or any instance of sexual trauma is considered as one of the root causes of Erectile Dysfunction. Other than this, there are numerous factors like a person’s emotional health and well-being can also be a direct reason behind Erectile Dysfunction.

The psychological causes of Erectile Dysfunction are

Pressure: Constant exposure to stress due to work load, difficulties in married life, parenting issues, financial issues can be a major reason behind erectile dysfunction.

Guilt: The pressure of satisfying a new sexual partner may become so overpowering that it may result in poor sexual performance. This may lay seeds of guilt in a person and hamper his emotional health.

Anxiety: If a person erectile droop at any instance, fear may creep in that it can occur again. This situation opens door for ‘performance anxiety’ and may cause erectile dysfunction in the long run.

State of Depression: Even a person who performs normally during sexual intercourse can suffer from erectile dysfunction if he is in depression. Depression poorly hinders a person’s emotional health and cause a series of psychological as well as physical problems. The drugs taken during depression may even facilitate erectile dysfunction.

Loss of interest in sex: Reasons behind this can be growing age, disputes with partner, any kind of stress or certain medications.

Loss of Self-confidence: Failure in previous attempts for sexual intercourse, feeling of insufficiency in sex life may lead to loss of self-confidence. This can be one of the deciding factors behind erectile dysfunction.


Occurrence of erectile droop once or twice is quite common among men. There is nothing to be worried about. But if this problem persists, one shall consult a sexologist. Few tips to prevent and cure erectile dysfunction are as follows:

One needs to open up and discuss such issues with his partner as well as his physician. If the cause of erectile dysfunction is poor emotional health, then he can undergo some therapy. Some stress releasing exercises or meditation can help you gain control over your mind.

One can take some pills like Viagra and prevail over psychological impediments. It helps to boost up one’s confidence while performing any sexual act.

Try to remain fit and fine. Exercise daily to shed any extra weight. Avoid drinking and smoking and take a healthy diet. Take adequate sleep (about 7 hours in night) and get your blood pressure and cholesterol levels checked regularly.

All the above tips help in maintaining your physical as well as psychological health. Follow them and get cured of erectile dysfunction.

There are many solutions available in the market which are much more effective than 'viagra' or home remedies. Some of them include:

- Oral Medications: Certain drugs can help in relaxing the muscles found in male sexual organs, and increase blood flow to the penis, in response to sexual stimuli.

- Self-Injections: Sometimes a doctor can prescribe a medication called alprostadil that men are required to inject at the base of the penis. The treatment is painless, as the medication is performed through a fine needle.

- Pumps or vacuum devices: Vacuum erection devices involve placing a small cylindrical device that is placed over the penis. It puts negative pressure and pulls blood into the organ, causing an erection. A band is then placed at the base to maintain the erection, which lasts for about 30 mins.

With the rising incidents of patients with #ED, there is a need to understand the problem completely and act accordingly. Individuals must remember that avoiding proper medical condition due to shame or embarrassment will fuel the problem rather than treating it.

Erectile Dysfunction

Erectile Dysfunction ही समस्या त्रासदायक असून त्यापासून बचावण्यासाठी या खाद्यपदार्थांचा आहारात समावेश करणे नक्कीच फायदेशीर ठरेल.
योग्य व पौष्टिक आहार घेतल्याने केवळ तुम्ही फीट व तरुण रहाता असे नाही तर त्यामुळे तुमचे सेक्शुअल लाईफ देखील निरोगी रहाते.विशेषत: Erectile Dysfunction ही समस्या असलेल्या पुरुषांनी आहारात काही विशिष्ट बदल केल्यास त्यांच्या समस्येमध्ये फार फरक पडू शकतो.असे असले तरी कोणताही अन्नपदार्थ हा विकार पूर्ण बरा करु शकत नाहीत.त्यावर उपचार करण्यासाठी तुम्हाला वैद्यकीय मदतीची गरज ही लागतेच.पण औषधोपचार करण्यापूर्वी जाणून घेऊयात असे काही अन्नपदार्थ ज्यामुळे तुमचा सेक्शुअल स्टॅमिना सुधारतो व Erectile Dysfunction या समस्येमधील लक्षणांवर प्रभावीपणे उपचार करता येतात.

१.बीटरुट -जेव्हा प्रश्न पुरुषांच्या सेक्शुअल हेल्द अथवा Erectile Dysfunction सारख्या समस्येचा असतो तेव्हा बीटरुट आहारात असणे फारच गरजेचे आहे.बीटमध्ये Nitrates हा घटक मुबलक प्रमाणात असतो जो इनऑर्गेनिक घटक हवा,पाणी व काही विशिष्ट पदार्थांमध्ये उपस्थित असतो.तोंडामधील बॅक्टेरिया या Nitrates चे रुपांतर Nitrite मध्ये करतात व गिळल्यानंतर पोटातील बॅक्टेरिया त्याचे रुपांतर Nitric oxide मध्ये करतात.पोटात तयार होणा-या या वायुमुळे रक्ताभिसरण सुधारते.शरीराच्या खालच्या भागातील रक्तप्रवाह सुधारतो व पेनिसमध्ये होणारे रक्ताभिसरण सुधारल्यामुळे Erectile Dysfunction मध्ये देखील सुधारणा होऊ लागते.त्यामुळे बीटचा रस पिणे फायदेशीर ठरते.

२.पालेभाज्या-बीटप्रमाणेच पालेभाज्यांमध्ये देखील Nitrates मुबलक प्रमाणात असते.पालक,मेथी व सेलरी सारख्या भाज्यांमुळे रक्तप्रवाह सुधारल्यामुळे तुम्हाला इरेक्शन करणे सोपे जाते.मात्र त्या आधी भेसळयुक्त भाज्या कशा ओळखाव्यात ? हे जरुर जाणून घ्या.

३.कलिंगड– कलिंगडामधील L-citrulline व Lycopene या दोन घटकांमुळे पुरुषांमधील सेक्शुअल हेल्द सुधारते.Citrulline मुळे रक्तवाहिन्या शिथिल होतात ज्यामुळे रक्तप्रवाह सुधारतो व सहाजिकच इरेक्शन होण्यास मदत होते.तसेच यामुळे पुरुषांच्या सेक्शुअल हेल्द साठी आवश्यक असणारी Testosterone या हॉर्मोन्सची पातळी देखील सुधारते.Lycopene या घटकाचा देखील या समस्येमध्ये सारखाच फायदा होतो.

४.ओट्स-विशेषत: वाइल्ड ओट्सचा Erectile Dysfunction व नपूसंकता या समस्यांवर उपचार करण्यासाठी चांगली मदत होते.ओट्समध्ये Arginine हा भरपूर प्रमाणात असतो ज्यामुळे रक्तातील Testosterone सक्रिय रहाण्यास मदत होते.सहाजिकच ओट्सच्या सेवनामुळे तुमचे सेक्स लाईफ सुधारते व Erectile Dysfunction समस्या कमी होते.

५.डार्क चॉकलेट-डार्क चॉकलेट मध्ये फ्लेवोनॉईड व अॅन्टीऑक्सिडन्ट भरपूर प्रमाणात असतात.या फ्लेवोनॉईड व अॅन्टीऑक्सिडन्ट मुळे तुमच्या ह्रदयाचे कार्य व रक्ताभिसरण सुधारते.ह्रदयाचे आरोग्य व रक्ताभिसरण सुधारणे यामुळे तुम्हाला बराच वेळ इरेक्शन रोखता येते व तुमचे सेक्शुअल लाईफचा आनंदही लुटता येतो.

६.पिस्ता-मूठभर पिस्ता रोज खाल्लास तुम्हाला सेक्सची इच्छा वाढण्यास मदत होते.खरंतर पिस्त्यामधील Arginine या घटकामुळे तुमचा मूड सुधारतो.कारण यामुळे रक्तवाहिन्या शिथिल होतात, गुड कोलेस्टेरॉलची पातळी सुधारते,कोणतेही दुष्परिणाम न होता रक्ताभिसरण कमी होते.

७.शेलफीश-Oysters व Shellfish मध्ये मुबलक प्रमाणात झिंक असते.हे मिनरल्स पुरुषांमधील testosterone च्या निर्मितीसाठी फार आवश्यक असते.Testosterone चे कमी प्रमाण देखील Erectile Dysfunction व सेक्शुअल समस्यांसाठी कारणीभूत असते.

८.टोमॅटो-टोमॅटो मध्ये Lycopene हे phytonutrient असते ज्यामुळे रक्ताभिसरण सुधारते व अनेक सेक्स समस्या कमी होतात.टोमॅटो खाल्ल्यामुळे ह्रदयाचे पंपीग सुधारते व ह्रदयाचे आरोग्य राखले जाते.ह्रदयाचे आरोग्य सुधारल्यास शरीरातील विविध भागांना रक्ताचा योग्य प्रमाणात पुरवठा होतो ज्यामध्ये लैगिंक अवयवांचा देखील समावेश असतो.त्यामुळे सेक्स करण्यापूर्वी रात्रीच्या जेवणात टोमॅटो सलाड घेणे फायदेशीर ठरु शकते.

९.शेवग्याच्या शेंगा-या भाजीची पाने,फुले व शेंगा सर्वच आरोग्यदायक असतात. American Journal of Neuroscience मध्ये प्रकाशित झालेल्या अभ्यासानूसार शेवग्याच्या शेंगा खाल्लाने Testosterone पातळी वाढते व सेक्स ची इच्छा व लिबीडो देखील वाढतो.

१०.केळं–केळ्यामध्ये पोटॅशियम भरपूर प्रमाणात असल्यामुळे शरीरातील सोडीयमची पातळी नियंत्रित रहाते,रक्तदाब कमी होतो व रक्ताभिरसण सुधारते.केळ्यामुळे Testosterone च्या निर्मितीला चालना मिळते व सहाजिकच तुमचे सेक्स लाईफ सुधारते.

Dr. Surbhi Agrawal
Dr. Surbhi Agrawal
Specialist, Diabetologist General Physician, 8 yrs, Nagpur
Dr. Suchita Tupdauru
Dr. Suchita Tupdauru
BSMS, Homeopath, 18 yrs, Pune
Dr. Aakash Bora
Dr. Aakash Bora
BHMS, Homeopath, 7 yrs, Pune
Dr. Rajendra Lahore
Dr. Rajendra Lahore
MS/MD - Ayurveda, Ophthalmologist, 11 yrs, Pune
Dr. Vijay Satav
Dr. Vijay Satav
MD - Allopathy, Clinical Pathologist, 23 yrs, Pune