Erectile Dysfunction (E.D.) a fact of Life?
It’s a nightmare
Look, everybody knows what E.D. is
and it’s a nightmare. Now, maybe… your one of those guys that have been led to believe that your E.D…is just a fact of life
or that it’s presence in YOUR life is just an artifact of getting older. And for the most part, that is just simply not true.
Body & Mind
A Man’s penile erection is mediated by two primary mechanisms: PHYSIOLOGIC or the REFLEX erection, achieved by direct contact with the penis and the PSYCHOGENIC erection, obtained by sexually arousing or emotional stimuli. The first utilizes peripheral nerves and the lower parts of the spinal cord, whereas the second uses the limbic system of the brain.
Nerves, gasses & structures
In both cases, an INTACT NEURAL SYSTEM is required for a successful, complete & deployable erection. Stimulation of the penile shaft by the nervous system leads to the secretion of nitric oxide (NO), which causes the relaxation of smooth muscles of corpora cavernosa (the main erectile tissue of penis) and subsequently penile erection.
Spinal cord injury can be on of the causes sexual dysfunction including ED. Restriction of blood flow can arise from impaired endothelial function due to the usual causes associated with coronary artery disease.
Additionally, adequate levels of TESTOSTERONE (produced by the testicular tissue) and an intact pituitary gland are required for the development of a healthy erectile system. As can be understood from the mechanisms of a normal erection, ED may develop due to hormonal deficiency, disorders of the neural system, lack of adequate penile blood supply or psychological problems.
There are no formal tests to diagnose erectile dysfunction. Blood tests are done to exclude underlying diseases, such as hypogonadism and prolactinoma.
ED is also related to generally poor physical health, poor dietary habits, OBESITY, and most specifically CARDIOVASCULAR disease such as coronary artery disease and peripheral vascular disease.
Therefore, a thorough physical examination is helpful, in particular, the simple search for a previously undetected groin hernia since it can affect sexual functions in men and is easily curable.
 Rany Shamloul; Anthony J Bella (2014-03-01). Erectile Dysfunction. Biota Publishing. pp. 6–. ISBN 978-1-61504-653-9.
 Zieren J, Menenakos C, Paul M, Müller JM (2005). “Sexual function before and after mesh repair of an inguinal hernia”. Journal of pharmaceutical and biomedical analysis. 12(1): 35–38. doi:10.1111/j.1442-2042.2004.00983.x. PMID 15661052.