Erectile dysfunction

 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.

What is erectile dysfunction

 What is erectile dysfunction (ED)?

Erectile dysfunction is defined as the persistent inability to achieve or maintain penile erection sufficient for satisfactory sexual performance. 

The Massachusetts Male Aging Study surveyed 1,709 men aged 40–70 years between 1987 and 1989 and found there was a total prevalence of erectile dysfunction of 52 percent. It was estimated that, in 1995, over 152 million men worldwide experienced ED. For 2025, the prevalence of ED is predicted to be approximately 322 million worldwide.

In the past, erectile dysfunction was commonly believed to be caused by psychological problems. It is now known that, for most men, erectile dysfunction is caused by physical problems, usually related to the blood supply of the penis. Many advances have occurred in both diagnosis and treatment of erectile dysfunction.

What are the risk factors for erectile dysfunction?

According to the NIH, erectile dysfunction is also a symptom that accompanies many disorders and diseases.

How do couples cope with Erectile dysfunction?

 How do couples cope with ED?

Erectile dysfunction can cause strain on a couple. Many times, men will avoid sexual situations due to the emotional pain associated with ED, causing their partner to feel rejected or inadequate. It is important to communicate openly with your partner. Some couples consider seeking treatment for ED together, while other men prefer to seek treatment without their partner's knowledge. A lack of communication is the primary barrier for seeking treatment and can prolong the suffering. The loss of erectile capacity can have a profound effect on a man. The good news is that ED can usually be treated safely and effectively.

Since ED can be a forewarning symptom of progressive coronary disease, doctors should be more direct when questioning patients about their health. By asking patients more directly about their sexual function through conversation or a questionnaire during a checkup, doctors may be able to detect more serious health conditions sooner.

Feeling embarrassed about sexual health problems may prevent many men from seeking the medical attention they need, which can delay diagnosis and treatment of more serious underlying conditions. Erectile Dysfunction itself is often related to an underlying problem, such as heart disease, diabetes, liver disease, or other medical conditions.

Treatment for ED

 What is the treatment for ED?

Specific treatment for erectile dysfunction will be determined by your doctor based on:

• Your age, overall health, and medical history
• Extent of the disease
• Your tolerance for specific medications, procedures, or therapies
• Expectations for the course of the disease
• Your opinion or preference
• Some of the treatments available for ED include:
• Medical treatments:

Sildenafil. A prescription medication taken orally for the treatment of ED. This drug works best when taken on an empty stomach and many men can get an erection 30 to 60 minutes after taking the medication. Sexual stimulation is required for sildenafil citrate to have the best efficacy. 

Vardenafil. This drug has a similar chemical structure to sildenafil citrate and works in a similar manner.

Tadalafil. Studies have indicated that tadalafil citrate stays in the body longer than other medications in its class. Most men who take this medication find that an erection occurs within 4 to 5 hours after taking the pill (slow absorption) and the effects of the medication may last up to 24 to 36 hours.

Avanafil

The FDA recommends that men follow general precautions before taking a medication for ED. Men who are taking medications that contain nitrates, such as nitroglycerin, should NOT use these medications. Taking nitrates with one of these medications can lower blood pressure too much. In addition, men who take tadalafil or vardenfil should use alpha blockers with care and only as instructed by their physician, as they could result in hypotension (abnormally low blood pressure). Experts recommend that men have a complete medical history and physical examination to determine the cause of ED. Men should tell their doctor about all the medications they are taking, including over-the-counter medications.

Men with medical conditions that may cause a sustained erection, such as sickle cell anemia, leukemia, or multiple myeloma, or a man who has an abnormally-shaped penis, may not benefit from these medications. Also, men with liver diseases or a disease of the retina, such as macular degeneration or retinitis pigmentosa, may not be able to take these medications, or may need to take the lowest dosage.

These medical treatments should NOT be used by women or children. Elderly men are especially sensitive to the effects of these medical treatments, which may increase their chance of having side effects.

Hormone replacement therapy

Testosterone replacement therapy may improve energy, mood, and bone density, increase muscle mass and weight, and heighten sexual interest in older men who may have deficient levels of testosterone. Testosterone supplementation is not recommended for men who have normal testosterone levels for their age group due to the risk of prostate enlargement and other side effects. Testosterone replacement therapy is available as a cream or gel, topical solution, skin patch, injectable form and pellet form placed under the skin.

Penile implants

Two types of implants are used to treat ED, including:

Inflatable Penile Prosthesis (3-piece hydraulic pump). A pump and two cylinders are placed within the erection chambers of the penis, which causes an erection by releasing a saline solution; it can also remove the solution to deflate the penis. 

Semi-rigid Penile Prosthesis. Two semi-rigid but bendable rods are placed within the erection chambers of the penis, which allows manipulation into an erect or non-erect position.

Infection is the most common cause of penile implant failure and occurs less that 2 percent of the time. Implants are usually not considered until other methods of treatment have been tried but they have a very high patient satisfaction rate and are an excellent treatment choice in the appropriate patient.

Types Erectile Dysfunction

Different types Erectile Dysfunction

The following are some of the possible causes of erectile dysfunction:

1. Drug-induced ED.

A great variety of prescription drugs, such as blood pressure medications, anti

anxiety and antidepressant medications, glaucoma eye drops, and cancer chemotherapy agents are just some of the many medications associated with ED. Many experts believe that atrophy, a partial or complete wasting away of tissue, and fibrosis, the growth of excess tissue, of the smooth muscle tissue in the body of the penis (cavernous smooth muscle) triggers problems with being able to maintain a firm erection. Poor ability to maintain an erection is often an early symptom of erectile dysfunction. Although the condition is called venous leak, the real problem is not with the veins but malfunction of the smooth muscle that surrounds the veins. The end result is difficulty with maintain a firm erection (losing an erection too quickly) that is now believe to be an early manifestation of atherosclerosis and vascular disease.

2. Organic Erectile Dysfunction Organic ED involves abnormalities the penile arteries, 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 may be the cause. The controllable risk factors for arteriosclerosis--being overweight, lack of exercise, high cholesterol, high blood pressure, and cigarette smoking--can cause erectile failure often before progressing to affect the heart.

3. Neurologic causes.

There are many neurological (nerve problems) causes of ED. Diabetes, chronic alcoholism, multiple sclerosis, heavy metal poisoning, spinal cord and nerve injuries, and nerve damage from pelvic operations can cause erectile dysfunction.

4. Hormone-induced ED.

Hormonal abnormalities, such as increased prolactin (a hormone produced by the anterior pituitary gland), steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones administered for prostate cancer may cause ED. Low testosterone can contribute to ED but is rarely the sole factor responsible for ED.

5. Depression.

Depression is another cause of ED and is closely related to erectile dysfunction. Because there is a triad relationship between depression, ED and cardiovascular disease, men with depression should be fully evaluated for medical illness as well as psychological factors. Some antidepressant medications cause erectile failure.

6. Diabetes.

Erectile Dysfunction is common in people with diabetes. An estimated 10.9 million adult men in the U.S. have diabetes, and 35 to 50 percent of these men are impotent. The process involves premature and unusually severe hardening of the arteries. Peripheral neuropathy, with involvement of the nerves controlling erections, is commonly seen in people with diabetes.

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How to stop Spam Emails

How to stop Spam Emails: Keywords,Tutorials,Tools,Marketing,Affiliates

How can be done to stop emails entering the spam folder?

The problem many people encounters when it comes email sending, is their email ends up in spam folder. Sometimes the recipient could not check his Spam folder. In some cases the software deletes in from the spam making it not available to the recipient. For the beginners it will discourage them from going further as they might give up that it is not working.

How can be done to stop emails entering the Spam folder?

Capitalized Email subject

The email can enter the spam folder when the subject is in Capital letters as the most of the spam email had their subject in Capital letter. This makes it possible for the spider to locate such as a spam

Provide an unsubscribe link

Every email messages that can repeat itself or to be sent several times can be offensive to the recipient and as such a case it might be regarded as spam. It might be that the recipient is not interested on the message. This is why the unsubscribe link must be provided in order to avoid the repetition of such email without the authorization of the recipient. The received might decide to stop such email coming to his email box by using the unsubscribe link to stop the email.

Set up email authentication

When an email is originated from an authenticated source it will be trusted. The email had trace back to the sender, so the sender can receive response from the receiver. The source of the email plays an important role in determining how the email will be treated. And in some cases such email can be verified if they are spam or not.

Do not send more than one attachment.

One message might be seen as a spam if it contains more than one attachment. When an email is containing more than one attachment it might likely be offensive to the receiver as such email might occupy big space when received. There are some emails that sent some attachment that contained spam emails or virus in order to deceive the receiver in this case the sever might detect this as a spam email thereby relocating it to the spam folder.

Use trusted email hosting

Some hosting company that does not always comply with the regulations of the spam prevention can be flagged and regarded as an un-trusted. Some server had be used to send several spam emails and deceptive emails. This hosting sever had not integrity with the email server so any email been sent from the server can be suspicions.

Spam tag words

Avoid words that are considered spam , such as cheap, free, limited offer, and others
Many words had reports attached to it, because it had been used several times to send a fraudulent emails, therefore using such word can land the email to spam folder.

Special server

You can use a special server such as VPS, Dedicated server. If the server is shared server it means that you have no control of what will be going out or coming in to the server. That is why it advisable to use the special server, where can be in control of some activities of the server. You can control the server in sending authentic emails. The most important thing you apply is to use a special server for your email marketing. Because email hosting usually provides extra security features for email marketing.

The subject of the email

The subject of the email is relevant to the content of the email. The subject of the email is not related to the body of the email. This is also can be regarded as a fraudulent email because the subject maybe attractive the recipient but the message will be saying a different thing from the subject. Some subject like How to become a millionaire, Free Offers etc. Some subject might be deceptive, when an email had such a word it will be regarded as a spam as well.