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Later on we discuss the various factors factors involved in psychological and organic erectile dysfunction, but for now we wanted to let you know about a discovery regarding years of research in formulating an herbal blend to enhance sexual stamina and support healthy erectile function. We are proud to announce a wonderful blend called Passion Rx which has more than a dozen aphrodisiac herbs.

Erectile dysfunction statistics
An estimated 18 million American men suffer from erectile dysfunction. Dr. Elizabeth Selvin of Johns Hopkins Bloomberg School of Public Health, Baltimore found the overall prevalence of erectile dysfunction was 18 percent. The prevalence of erectile dysfunction differed substantially by age, from a 5 percent prevalence in men between 20 and 40 years of age to a 70 percent prevalence in men 70 years or older. There was a high prevalence of erectile dysfunction in men with diabetes, high blood pressure, a history of heart and vascular disease and other cardiovascular risk factors. The prevalence of erectile dysfunction was about 50 percent in men with diabetes. Even after controlling for other key risk factors for erectile dysfunction, diabetic men were more than three times as likely to have erectile dysfunction compared with non-diabetic men. Men who led a sedentary lifestyle were also much more likely to have erectile dysfunction than men who led a physically active life. The American Journal of Medicine, February 2007.

Psychological-Mental causes of Erectile Dysfunction
The causes of psychological erectile dysfunction are numerous, and it is difficult to list them all, but most often erectile dysfunction is related to depression, performance anxiety, marital stress or relationship problems, life crisis, financial difficulties, religious repression, or some type of mental illness.

Organic Erectile Dysfunction usually has 4 major causes

1. Vascular causes of Erectile Dysfunction
Alterations in the flow of blood to and from the penis are thought to be a common cause of male erectile dysfunction. For instance, medical conditions such as atherosclerosis (hardening of the arteries), high cholesterol, hypertension, or diabetes reduce blood flow to the penis and genital organs thus leading to difficulty with erection or genital swelling.  Erectile dysfunction could be an early indication of oxidative stress and vascular dysfunction. A vascular problem in the penis may precede a wider, systemic problem in other blood vessels in the body. Patients with cardiovascular disease and patients with diabetes represent the largest group of patients with erectile dysfunction. Lowering cholesterol through diet, supplements, or medicines improves erectile dysfunction.
        Additional factors that can impede blood flow include penile injury and surgery in the pelvic and abdominal area. Smoking can reduce genital blood flow.

2. Neural causes of Erectile Dysfunction
Nerve damage from disorders such as multiple sclerosis, Parkinson’s disease, diabetes, and stroke affect the brain’s ability to respond to sexual stimulation and cause erectile dysfunction. In women, abdominal or pelvic operations can occasionally lead to nerve damage. Erectile dysfunction is common in men undergoing surgical treatment for prostate enlargement or cancer.

3. Hormonal causes of Erectile Dysfunction
Low levels of androgens, such as testosterone, are a major component of erectile dysfunction. Testosterone levels decline about 1 percent each year in men, which may contribute to erectile dysfunction with aging. Testosterone also declines with age in women leading to a decrease in female libido. Women who have had surgical removal of the ovaries notice a drop in sexual interest. Replacement of androgens can be helpful in those with age related erectile dysfunction. Testosterone is available by prescription only. An over the counter hormones, such as DHEA, converts into testosterone and thus has a positive influence on erectile dysfunction. Pregnenolone is another over the counter hormone that may increase testosterone levels and thus improve erectile dysfunction. Many herbal aphrodisiacs also have a positive influence on erectile dysfunction.

4. Drug induced Erectile Dysfunction
Drugs that interfere with erectile function include some anti-hypertensives, SSRIs (like Prozac), sedatives, and beta-blockers. SSRIs cause erectile dysfunction mostly due to their effect on serotonin metabolism. Serotonin has an inhibitory effect on erectile function and sexuality.
   Some chemicals involved in the human sexual response include dopamine, acetylcholine, and nitric oxide. All these three natural chemicals and others can be manipulated n the treatment of erectile dysfunction. Alcohol's negative affect on sex drive increases with age.

Erectile Dysfunction and Medical conditions
Certain medical conditions cause erectile dysfunction or reduce libido, performance, or enjoyment. These include hypertension, diabetes, high cholesterol, cardiovascular disease, obesity, peripheral vascular disease, neurologic disorders, and insomnia.
   Sitting on a bicycle too long. Men who log several thousand miles a year on their mountain bikes suffer scrotal damage that could reduce their fertility or cause erectile dysfunction.

Erectile Dysfunction and Cardiac Patients
Erectile dysfunction is common in cardiac patients and shares the same risk factors - smoking, hypertension, hyperlipidemia and diabetes mellitus. Sexual activity is not unduly stressful to the heart and, providing patients are properly assessed using established guidelines, sexual intercourse can be enjoyed without increased risk. Erectile dysfunction in asymptomatic patients may be a marker of silent vascular disease or increased vascular risk factors and should alert the physician to the need for cardiac risk screening.
        Physical fitness positively influences sexual desire and performance.

Smoking and erectile dysfunction
Smoking causes erectile dysfunction by harming the health of blood vessels. Cigarette smoking has been strongly linked with erectile dysfunction, with smokers at a 50 percent greater risk than non-smokers of having difficulty achieving an erection. Smoking contributes to erectile dysfunction by impairing penile blood flow, interfering with the nitric oxide activity essential for erection, or lead to atherosclerosis (hardening of the arteries), which is known to be involved in erectile dysfunction. Urology, December 2006.

A note about Viagra and erectile dysfunction
Viagra (sildenafil), approved by the FDA in 1998, has been the most popular medicine for the treatment of erectile dysfunction. Viagra works very well in dilating blood vessels in the genital region leading to an erection or increased blood flow to the vaginal tissues, however it does little to directly increase libido or sexual arousal. The effect of Viagra is often noticed within an hour after taking a pill of 50 or 100 mg, and ease of erection may last up to 12 hours. Side effects of Viagra include headache, flushes, nasal congestion or runny nose, malaise, nausea, changes in blood pressure, irregular heart beats, visual disturbances including rare cases of blindness, and chest pain. Viagra may cause stickiness of blood platelets.
   We find natural sex boosters quite effective and preferable to pharmaceutical drugs.

Erectile Dysfunction studies
The etiology of erectile dysfunction and contributing factors in different age groups in Turkey.
Caskurlu T.Sisli Etfal Training and Research Hospital, Istanbul, Turkey.
Int J Urol. 2004 Jul;11(7):525-529.
Abstract Background: The aim of the present study was to determine the pathophysiological factors which cause erectile dysfunction, as well as the risk factors in different age groups in Turkey. A total of 948 patients with erectile dysfunction who were admitted to three andrology clinics were evaluated in terms of etiological factors. They underwent a multidisciplinary diagnostic evaluation. Erectile dysfunction was classified as primarily organic, primarily psychogenic, mixed or unknown in etiology. Results: Psychogenic erectile dysfunction was diagnosed in 65.4% of the patients and organic erectile dysfunction was diagnosed in 34.6% of patients overall. In patients under 40 years, the rate of psychogenic erectile dysfunction was 83% and the rate of organic erectile dysfunction was 17%, but in the patients over 40 years, the rate of psychogenic erectile dysfunction was 40.7% and the rate of organic erectile dysfunction was 59%. The causes of organic erectile dysfunction were identified as arteriogenic erectile dysfunction, 40.5%; cavernosal factor (venogenic) erectile dysfunction, 10%; neurogenic erectile dysfunction, 12.5%; endocrinologic erectile dysfunction, 1.8%; mixed type erectile dysfunction, 11.8%; and drug induced erectile dysfunction, 4.5%. Our data represent a higher ratio of erectile dysfunction in patients under 40, which are mostly psychogenic, This finding potentially results from local social and cultural differences.

Improvement in erectile function in men with organic erectile dysfunction by correction of elevated cholesterol levels: a clinical observation.
Saltzman EA. Lahey Clinic Northshore, Peabody, Massachusetts 01960, USA.
J Urol. 2004 Jul;172(1):255-8.
We determined that use of a statin drug to lower cholesterol would improve erectile function in men who have hypercholesterolemia as the only risk factor for erectile dysfunction. A total of 18 men were determined to have increased cholesterol as the only risk factor for erectile dysfunction by history, system review, physical examination and laboratory analysis. Nine of these men agreed to participate in the study. Organic erectile dysfunction was verified by abnormal nocturnal penile tumescence and rigidity testing. Subjects were given atorvastatin with a goal decrease of total cholesterol to less than 200 mg/dl and low-density lipoprotein cholesterol to less than 120 mg/dl. RigiScan measurements were compared before and after treatment with atrovastatin. Mean age +/- SD was 49.7 +/- 7.4 years. Mean length of treatment with atrorvastatin was 3.7 months. Clinically 8 of the 9 men had improved erection adequate for penetration during sexual intercourse. Mean questionnaire scores improved from 14.2 to 20.7 (p <0.001). Mean total and low-density lipoprotein cholesterol decreased significantly after treatment. RigiScan measurements showed an increased average penile rigidity at the base and tip after treatment with atorvastatin. Erectile dysfunction improves in men with hypercholesterolemia as the only risk factor for erectile dysfunction when treated with atorvastatin. Treating hypercholesterolemia may improve erectile dysfunction, while promoting primary cardiac prevention.

Erectile Dysfunction questions
Q. How many years would someone have to be smoking in order to get erectile dysfunction?
   A. Some people may begin having vascular disease within a few months of smoling while for others it may take several years or decades to impede blood flow to the penis.

Q. Recently saw an ad in Golf magazine about Zyrexin as an enhancer for erectile dysfunction and started to do my research on this product. I had never heard of Zyrexin before. While doing research, I came across your web site. I had recently been diagnosed with prostate cancer and had the radical prostatectomy. It's been about 8 months and still can't seem to get a full erection. Was wondering if this type of erectile dysfunction product would help me. My doctor gave me a perscription for Levitra. But I hesitate to get involved with that just yet. I was hoping for a more natural recovery with natural supplements. So, I started to research the ingredient "nitric oxide". Can you advise?
   A. We prefer not to comment on other products unless they make claims that are truly untruthful. On the Zyrexin website we quickly noticed one untruthful statement, " Zyrexin is the world's only natural sex pill to be awarded the exclusive rights to the compound butea superba." This is not true since butea superba is a natural herb that can be used by anyone. Hence, we find it unnecessary to continue reading the Zyrexin website any further.

Q. I have erectile dysfunction and have tried various Internet products plus prescriptions. Will Passion-Rx Yohimbe help with that condition like say Viagra? Are there other products that I should be looking at?
   A. There are many herbs and herbal formulas used for erectile dysfunction treatment and it is difficult to predict in any one individual which product will work for them best. Sometimes it takes a trial with 2 or 3 different ones to find one that works really well. Passion Rx is a popular and effective sexual enhancing formula.

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