“Erectile Dysfunction” (ed), also known as ‘impotence’, is the inability to achieve or sustain an erection for satisfactory sexual activity. erectile dysfunction is different from other conditions that interfere with sexual intercourse, such as lack of sexual desire and problems with ejaculation and orgasm.
Erectile dysfunction (ed, impotence) varies in severity; some men have a total inability to achieve an erection, others have an inconsistent ability to achieve an erection, and still others can sustain only brief erections. while ed can occur at any age, it is uncommon among young men and more common in the elderly. by age 45, most men have experienced ed at least some of the time.
The causes of ed include:
Erection requires a sequence of events. injury to any of these parts that are a part of erection sequence (nerves, arteries, smooth muscles and fibrous tissues etc) cause ed.
Lowered levels of testosterone hormone levels;
Over exertion physically and mentally: working for longer hours in office, mental stress at office and home, short temperedness, insufficient sleep cause ed;
Neurological disorders, hypothyroidism, parkinsonism, anaemia, depression, arthritis, endocrine disorders, diabetes, cardiovascular diseases, obesity, prolonged bicycle riding, past history of sexual abuse, anxiety and stress and old age also cause ed.
Consumption of anti depressants, tranquilizers and anti hypertensives for a long time, addiction to tobacco especially smoking, marijuana, heroin, cocaine etc, excessive consumption of alcohol cause ed.
trauma or injury to pelvic region and surgeries for the conditions of prostrate, bladdr, colon or rectal area may lead to ed.
A diagnosis of erectile dysfunction is made in men who have repeated inability to achieve and/or maintain an erection for satisfactory sexual performance for at least 3 months. candid communication between the patient and the doctor is important in establishing the diagnosis, assessing its severity, and determining the cause.
The physical examination can reveal clues for physical causes of erectile dysfunction. common laboratory tests to evaluate erectile dysfunction include: complete blood picture, semen analysis, urine analysis, lipid profile, blood glucose levels, blood hemoglobin a 1c, serum creatinine, total testosterone levels, psa (prostate specific antigen) levels. a psychosocial examination using an interview and questionnaire may reveal psychological factors contributing to erectile dysfunction. the sexual partner also may be interviewed to determine expectations and perceptions encountered during sexual intercourse.
Ayurveda defines erectile dysfunction or ed as follows:
“sankalpapravano nityam priyaam vashyaamapi sthreeyam
na yaathi lingashaithilyaath kadaachidyaathi vaa yadi!!
shwaasaarthaha swinnagaatrshcha moghasankalpacheshtitaha
mlaanashishnashcha nirbeejaha syodetat klaibyalaxanam!!”
This means even though a man has a strong desire to perform sexual act with a cooperative partner, he cannot perform sexual act because of looseness (absence of erection) of his phallus (penis). even if he performs sexual act with his determined efforts he does not get erection and gets afflicted with tiredness, perspiration and frustration to perform sex.
A qualified and experienced ayurvedic doctor inquiries about medications taken / being taken, atherosclerosis, hypertension, smoking, diabetes, heart disease, circulatory conditions, and special emphasis is given on to the psychological issues. a detailed examination of the genitalia, pulses, dhatus, srotas, and assessment of ojas and agni is done for the diagnosis of ed (dhathukshaya) according to ayurveda.
ed is treatable at any age. ayurveda recommends speciality vaajikarana therapy for ed. as this therapy increases the strength of a man to perform sexual act, like a horse, it is called vaajikarana (vaaji=horse). it increases the span of erection, good strength, happiness, potency to produce healthy offsprings.
Based on the detailed diagnosis, separate treatment is chalked out to include the following:
Cleansing, purification and detoxification of the dhatus; a schedule of panchakarma therapies to dislodge, liquefy, mobilize and evacuate the accumulated dhoshas, with an aim to cleanse and purify the countless body channels is carried out. abhyangam (oil application on entire body), swedanam (medicated steam), elakizhi (leaf bundle massage), pizhichil (sarvanga dhara or oil bath), shali shashtika pinda swedam (navarakizhi), shiro dhara (pouring of oil on the head), uttara vasthi etc are carried out. rejuvenation procedures, diet management, life style corrections, stress relieving procedures, breathing exercises like pranayama etc are followed for the best results in treating erectile dysfunction.
Especially prepared and research ayurvedic medicines like aswagandha, kapikachu, musli, siddha makaradhwaja are given internally which improves and rejuvenates the vascular and neuro muscular activity and also stabilizes the male hormones (testosterone).
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