Erectile dysfunction has expressed the inability to achieve or maintain penile erectile sufficient for satisfactory sexual performance for a continuous period, this is a common disorder affecting the sexual normal function and pleasure of the individual.


This can affect all groups of men but the most common being the one from 20- 40 years of age who usually fall in the category of sexually active. The man who faces this issue does not only face physical problems but also mental trauma that results from broken relationships and social pressure.


The severity of erectile dysfunction with age is well known and established. Sometimes the term erectile dysfunction symptoms are used interchangeably with impotency.  Usually, if the issue of erectile dysfunction in the 20s or erectile dysfunction in the 30s does not resolve within the first 3m months then it’s a call for medical assistance.


Erectile dysfunction or ED is a complex condition that has a combination of psychological and physical attributes. The factors determining the extent of the involvement can be varied as well as vast. Increasing cases of sexual displeasure and infertility have led to the exploration of core sexual-related issues and erectile dysfunction icd 10 was the commonest among all.


Physiology is the scientific study of the functions and mechanisms which work within a living system. Penile erection is a complex biological as well as neural function. In the whole process of the erection physiological, vascular, and hormonal aspect also plays a crucial role.


Disturbed vascularity very well explains the relationship between erectile dysfunction and diabetes. The whole physiological and anatomical pathway can be understood through four stag


This is also known as the libido. This usually initiates the election cycle. And stimulation plays a pivot role in penile erection. More the desire more is the erection phase and time. Even when a person is on medication, they need a little sexual desire for the medication to work.


This process is stimulated by muscle activity within the penis. This is the crucial step that is at fault in the patient with erectile dysfunction. The whole process is a complex phenomenon that can be explained through increased vascular activity resulting from chemical inflow within the penis.


Once the erection phase is over the step of ejaculation takes place, this is marked by the release of sperm. Sometimes in the patient, this period of ejaculation is shorter which is also known as premature ejaculation. This is the second most common sexual disparity in men. It can often coincide or present along with erectile dysfunction.


This is known as the flaccidity of the penis, in which when the whole sexual activity ends the penis reverts to its normal condition.


In the whole cycle of levels hormones play a crucial role, it not only maintains the libido level but also flourish the physiological and anatomical balance. The whole integrity and signaling are done in response to neurotransmitters. So the whole idea of treating erectile dysfunction is based on maintaining the hormonal level and neuro-transmitter functions.


The activity of erection involves the response to external sensory stimuli through a parasympathetic activity which leads to the release of nitric oxide. These are present in the nerve ending of the endothelium of the penis. This release of nitric oxide then, in turn, leads to relaxation of the smooth muscles in the periphery leading to then more blood pouring inside the penis compartments. It initiates the process of erection. So starting from the production of nitric oxide to the production of cyclic GMP and relaxation of the muscle, every step is crucial and can be at fault for causing erectile dysfunction.


Erectile disease and causes are predefined and only require tapping at the investigation for erectile dysfunction cure. The contractile tone needs to be maintained throughout the process for a successful erection and sexual function preservation.


The reason behind erectile dysfunction is the presence of phosphor-di-esterase PDE5. THIS BLOCKS THE PRESENCE OF CYCLICLIC MONOPHOSPHATE WITHIN THE CIRCULAR AND Smooth muscle layer of the penis. as the number of cyclic monophosphatase decreases it also leads to a decrease in the amount of nitric oxide within the muscle wall. As nitric oxide is present in a lesser amount now no muscle relaxation occurs and pouring of the blood is restricted this leads to flaccidity in the muscles.


  • Heart Disease
  • High Cholesterol
  • High Blood Pressure
  • Diabetes
  • Tobacco Use
  • Sleep Disorders
  • Multiple Sclerosis
  • Stress
  • Depression
  • Anxiety
  • Mental Health Conditions
  • Relationship Problems


The foremost and important diagnostic tool for cases of erectile dysfunction is the clinical assessment or psychological analysis. The physical examination may be combined with one on one interchanging psychoanalysis or history taking. Erectile dysfunction needs to be understood in the light of a symptom itself rather than a disease. It may appear secondary to some diseases or issues like infertility.


During the diagnosis of ED, it is important that other sexual dysfunctions (e.g. loss of libido) be well recognized and taken into account. A few validated instruments are used in diagnosing ED, grading its severity, and assessing treatment satisfaction. Some examples of such instruments are the International Index of Erectile Function (IIEF), the modified 5-item version of IIEF (IIEF–5), and the Erectile Dysfunction Index of Treatment Satisfaction (EDITS).


The IIEF is a self-administered protocol of question and answer pattern feedback that allows a better understanding of the current situation both for the patient and the physician. item questionnaire consisting of five distinct domains:


  • Erectile function (total score range 1– 30)
  • Orgasmic function (total score range 0–10)
  • Sexual desire (total score range 2–10)
  • Intercourse satisfaction (total score range 0–15)
  • Satisfaction (total score range 2– 10)


Erectile dysfunction cure naturally is present today, unless contraindicated in a few individuals. The first-line therapies offered for the treatment of ED are lifestyle and risk factor modification like erectile dysfunction exercise and weight loss and the use of the oral phosphodiesterase type 5 (PDE–5) inhibitors such as sildenafil, tadalafil, or vardenafil. These things help with erectile dysfunction no doubt.


Given that PDE–5 drugs may interact with nitrates concerning the vasodilatory effect, all PDE–5 drugs are contraindicated in patients taking nitrates for cardiac disease. The introduction, availability, and production of PDE–5 inhibitors have revolutionized the management of ED, allowing physicians to treat the condition in the primary care setting.


Although other types of medical treatments (e.g. intracavernosal injections, intraurethral suppositories) for erectile dysfunction have existed for years, their use has been associated with specific adverse events like local pain, priapism, and fibrosis. Erectile dysfunction vital 12 is also gaining popularity as many cases have seen much improvement due to just by administration of such drugs or using erectile dysfunction food.


Several companies have started manufacturing sprays and lotions that are very efficient for the one who is having the issue of erectile dysfunction. When a person feels sexual stimulation, they are advised to apply this spray directly on the tip of the penis about 15 minutes before the sexual engagement. These sprays are anesthetic in nature and help in the increment of the active time of any person.


These sprays are very easily available. Also, some lotions can be applied to the penis which ultimately increases the blood flow in the muscles giving proper erection during sexual intercourse.


Topical therapies of agents that are approved by the FDA for other indications have been explored as alternative options given their less invasive routes of administration. Other second-line treatment modalities for patients with refractory ED or who cannot tolerate PDE–5 therapy are hormonal treatments, vacuum constriction devices, and surgical therapies which are very much in trend nowadays like penile prosthesis implants, penile arterial bypass.


The natural way is considered the best way to cure any problem. Many herbs help in addressing erectile dysfunction. To name a few we have


  1.  Withania Somnifera is commonly known as ginseng and Indian Ashwagandha: This herb is believed to increase sperm count by regulating the hormonal levels of a person. Also, this herb reduces stress and confusion those are quite accountable for this issue.
  2.  Safed Musli: Believed to increase the sperm count, this herb is available on the market in powder or capsule form.
  3. I Cassia Cinnamon: This herb improves the sexual function of a man. This herb is not commonly found everywhere and thus has a higher value.

Along with ayurvedic medicines, Yoga can also help in the treatment


There is no particular company or manufacturer to name the best. A person must take suggestions from the doctor and get a medicine that gives the best and quick results. Also, try to pick up a medicine that has the lowest side effects. The drug must be purchased from the market depending upon the suggestion of doctors with other factors such as price, brand authenticity, and age.


  • Fildena 100 MG
  • Cenforce 100 MG
  • Vidalista 20 MG
  • Tadalista 20 MG


As we know the person who is fit enough has lesser physical problems. Other than medicines, exercise can also add to the cure of erectile dysfunction. The kegel exercise and pelvic floor exercises are most beneficial for the problem. They improve muscle strength and also improve the blood flow in the penile region. Exercise keeps a man’s weight under control which increases the testosterone level in the man. There are many exercises to try such as pilates, weight lifting, aerobics, and running.


A healthy and balanced diet that involves natural nutrition is very important for any person. A person facing the problem of erectile dysfunction is advised to stay away from processed foods including refined oils and meat. There is no particular food that can help one the cure, but there is a list of foods that can help cure and minimize the impression of ED. To get help from your diet you can add these to your list. These are

  •  Watermelon
  •  Oysters
  •  Coffee
  •  Dark Chocolate
  •  Walnuts
  •  Pomegranate and grape juice
  •  Garlic
  •  Fish
  •  Green leafy vegetables
  •  Peppers
  • Olive oil


Psychological counseling (e.g. psychotherapy) and recommended lifestyle modifications (e.g. smoking cessation, low-fat diet, physical activity, weight loss) should be offered to men with ED either alone or in combination with other treatments.


A person is advised to see the doctor before going for any kind of medication. An expert in this field can suggest the patient get the right amount of medicine at the right time. They also need to check whether the patient is free from all kinds of medical treatment. In case a person is undergoing treatment, the medication for erectile dysfunction is managed and it is made sure that the treatment is not disturbed due to this medical course.


There was a consistent clinical benefit in patients receiving sildenafil, tadalafil, vardenafil or Dapoxetine compared with placebo regardless of their origin of ED (i.e., organic, psychogenic, and mixed). This suggests that quite a broad etiologic spectrum of ED patients could potentially benefit from using these agents to improve the clinical symptoms of ED. An ED person is required to take a drug along with the prescribed diet to see the best result.


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