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Impotence is often referred to as erectile dysfunction and is the inability of a man to either get or maintain an erection during penetration until ejaculation. It sometimes includes the lack of, or a reduced sense of sexual excitement, which in turn leads to a loss of an erection.
Erection in Love-Making
In order for a man to obtain an erection consciously, he must be sufficiently excited by one or more types of stimuli. The stimulus may be physical or psychological or both.
For example the stimulus can be what he sees or senses or even hears from his partner. It might be his imagination producing thoughts and images that are of a sexual nature. It can be and often is a combination of the two.
Involuntary Erections
All men experience what might be termed “involuntary” erections. This is when the man is not consciously seeking to get an erection but he gets one none the less. The most common time for a man to experience an involuntary erection is when waking in the morning and before emptying the bladder. Overnight the bladder fills and puts pressure on the prostate gland. Stimulating the prostate gland often leads to an erection.
There may be other times during the day or night when a man can experience having an erection, which is not of his choosing. Sometimes a man will be sexually attracted to another person he meets, will not want to have an erection but because he is sexually stimulated will experience an erection.
How Does the Body Get An Erection?
Three chambers are contained in the penis. During an erection these chambers fill will blood making the penis stiff and erect. For most men the girth and the length of the penis increases during an erection.
During sexual stimulation (physical or imagined) or involuntary stimulation, the brain sends a signal to engorge the penis and the blood pressure in the body increases. The three chambers fill with blood and the penis stiffens.
As long the brain experiences or interprets what it perceives as sexual arousal, the penis stays enlarged and blood is prevented from escaping from the penis by local muscles.
Interestingly in the body either the parasympathetic or the sympathetic nervous system are in ascendancy in the body at any one moment in time. For a successful erection the two systems are in balance.
That is why if a man experiences anxiety during love-making it can tip the balance between the parasympathetic or the sympathetic nervous system and lead to impotence.
To summarise, impotence or erectile dysfunction is the loss or the lack of a lasting erection through to ejaculation. Often the erection is lost just before or during penetration.
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Excerpt from The Steroid Deceit
Having abused steroids for three and a half years, I was always afraid of being found out. I took pains to keep my steroid use hidden from my parents. They thought my newfound muscles were the result of all the time I spent at the gym, as well as the various supplements and powders that I always seemed to be taking. Little did they realize that some of those pills I called “vitamins” were actually oral steroids.
The façade to my life of deceit began to crack, when I received a panicked phone call from my mother. She had evidently found one of my syringes.
I rushed home. Since using steroids, I had become a much better liar than I ever could have imagined, and naturally I was ready to give her an Academy Award winning performance.
My mother was waiting for me at the front door, and started in on me as I made my way up the pathway. “Are you using heroin?"
“Mom,” I told her, offering her a big smile. “You’ve got it all wrong.”
She waved the syringe in her hand as if to say, “How could this be wrong?”
I didn’t stop smiling, even though inwardly I was cursing myself for having been careless with my needles. I had slipped up. Until that mistake I had always cleaned up after my usage and secreted everything away. While my mother brandished the syringe, I was doing some waving of my own, showing her a prescription form. By this time we were in the house.
“I am not a junkie, Mom,” I told her. “I was given a prescription from a doctor.”
“What for?” she asked.
“For steroids,” I said, “only steroids.”
She still looked doubtful, so I said, “I’ll go show you.”
I went up to my room and returned with a vial. “See,” I said, showing her the vial, and then repeated, “It’s only steroids.”
It’s only steroids. As a parent I can tell you that if I heard those words from one of my two boys I would be as concerned as if my child had announced, “Don’t worry, it’s only heroin.”
I made a big show of throwing out the syringe and vial in front of my mother, My mother appeared pacified. Luckily, she didn’t know anything about steroids, and what I was saying must have sounded reasonable. Besides, my tossing out the vial and syringe clearly demonstrated that I didn’t have a problem. What she didn’t know was that I had a secret stash in my closet with dozens more vials and needles.
It was also a good thing she didn’t look closely at the prescription, or she might have wondered why a vet was prescribing a drug to a human. In my hunt for bigger and better steroids I had found a veterinarian willing to write me a scrip for equipoise, a steroid prescribed for horses. As if that wasn’t bad enough, I had made copies of the prescription. I didn’t even have horse sense. I was a drug abuser with an illegal prescription covering up his habit by lying.
I wish my mother hadn’t trusted me. I wish she had challenged me. I wish she had taken note of all the warning signs my body and behavior were giving off, and had pulled me up short.
According to the U.S. Center of Disease Control, up to 6% of high school students have tried, or are using, steroids. Even if that figure is wildly exaggerated – even if it’s only half of that number – we are still talking about an incredible number of young people using steroids.
Teens typically use steroids to get buff, or try and get an athletic edge. What they don’t take into account is the potential hazards that come with the drugs.
Some of the side effects include: Psychological addiction; Depression and mood swings; Insomnia; Severe acne; Hair loss; Infertility; Liver disease; Testicular atrophy; Arteriosclerosis; Heart disease; Permanent stunting of growth; Feminization of males including breast swelling (gynecomastia – also known by steroid users as “bitch tits”); Stretch marks; Water retention; High blood pressure; Tendon and ligament damage
Specific side effects of females are: Virilization (becoming more masculine) of females, with such symptoms as excessive face and body hair, deepening of the voice which is irreversible; suppression of menses; decreased breast size; and enlargement of the clitoris;
It is hard to believe that given all the health risks associated with steroids that they continue to grow in popularity. I am afraid that either the message of their dangers isn’t getting out, or maybe it’s just that the other “message” is so much more prevalent that it’s hard to refute. When people look at the hard, muscled bodies presented by smiling, oversized human beings, they see a tempting portrait. Users and potential users are seduced by this picture of health and vitality. The picture doesn’t show the strain on the arteries, the wear and tear on the heart, or the pinball effect on the psyche.
Because society has not yet raised enough red flags over steroid use, the burden for this scrutiny has to fall on parents and loved ones. At the time I abused steroids they were an “under the radar” drug; my parents didn’t even know what they were. Public awareness about steroids has grown, but judging from their increased popularity, teens and adults have not yet come to the realization that using them means playing Russian roulette.
To protect their children from the dangers of steroids, parents need to be vigilant. For their own good, no child should be able to get away with what I did. It was wrong of me to pretend indifference about my drug habit and proclaim, “It’s only steroids.”
Steroid use is the hidden epidemic. Somehow the war on drugs has missed this target. Parents can’t afford to turn a blind eye, though. Among the warning signs parents should be looking for in a child who might be using steroids is: A rapid increase in the musculature of your child; Your child’s preoccupation or obsession with “getting big”; An outbreak of acne (predominately on chest and back) far and above the usual; Pronounced mood swings;The presence of muscle magazines (look for the usual smiling steroid figures on the cover). There’s an old axiom: if it’s too good to be true, beware. Those bodies are too good to be true;
Vials and pills and syringes – it is up to you to read the labels. I told my parents that the oral steroids I was taking were vitamins. Watch out for the following pills: Anadrol; Dianabol; Winstrol; tamoxifen; clenbuterol; clomifen citrate; masterolone
Anything in a vial is suspect (if it is in a vial, it is usually vile). The brand names are many and varied, but look for the following substances: stanazalol; nandrolone decanoate; nandrolone phenilpropionate; dromastolone dipropionate; and testosterone.
Despite all those misleading advertisements which claim you can lose 10 pounds of fat and put on 10 pounds of muscle in just a few days, it doesn’t happen that way. The human body doesn’t change overnight. When not using steroids, professional athletes are hard-pressed to put on 10 pounds of muscle in a year, even with rigorous workouts. If your child suddenly sprouts muscles, it is your job to be suspicious. Don’t be surprised if your teen credits those muscles to his or her pumping iron, and taking protein shakes and supplements. Speaking from experience, I can tell you that those pills and shakes are all but worthless. Invariably, the spokesperson for those kinds of products is a steroid abuser. The fact is that those supplements will not pack on the pounds and muscles as the manufacturers claim. Steroids will do that. They might also cause you to die or go crazy getting those muscles, but that’s not something you are ever likely to hear coming out of the mouth of Mr. Big Biceps.
What should a parent do if they discover that their child is using steroids? One of the first priorities is opening up a dialogue with your child and start discussing this risky behavior. One of my favorite sayings is, “There is nothing uglier than truth when it is not on your side.” Truth is a great antidote to combating steroid usage.
From the onset I would impress upon the child that what they are doing is both illegal and harmful. If you take a steroid, in the eyes of the law it’s the same thing as popping an amphetamine or Quaalude. Possession of steroids is a federal offense, and can result in jail time of up to one year in prison along with a fine up to a thousand dollars. If you manufacture or distribute steroids, the penalties are much more severe. It is common for many steroid users to sell or distribute their drugs. Doing a “favor” for another user can now result in a jail sentence.
Expect your child to be defensive. When you start explaining about health risks associated with steroids, you are sure to hear, “I don’t know anybody who has had those kinds of problems.” It is entirely possible they’ll be telling the truth. You will have to explain that sometimes the effects are not immediate, and sometimes they can’t be seen. Tell them that steroids are like cigarettes; often they debilitate over time.
You also have to try and impress upon them what I think of as “the X Factor.” Every day more evidence comes forward showing the detrimental effects of steroids. It’s only recently that steroids have been linked with depression, just as there have only been preliminary studies on steroids being a possible “gateway” drug. Before the mid-nineties, though, no one was talking about ‘roid rage. And before that no one had any idea about the potential for kidney damage and arteriosclerosis due to steroid usage.
Your child will tell you that steroids work, and he’ll be right. They do work, but it’s one of those cases of their working too well. Your child might not want to hear about heart disease or liver tumors or hardening of the arteries. You will hear about the strength gains, and the “incredible” workouts. Your response should be, “At what cost?” The human body is designed for certain maximum levels. Those who abuse steroids can, and do, spend more time at the gym or on the playing field, and are able to push themselves harder and longer. Sooner, usually than later, though, the human body rebels; joints tear and ligaments rip. It isn’t surprising that sports medicine has seen an epidemic of career ending injuries in the past decade. Steroids have given athletes a false platform upon which to perform; when that platform collapses, too often it is game, set, and match. This trend of serious injuries extends from high schools to the professional levels. Sports doctors say they are seeing a huge increase in tendon and muscle ruptures. That isn’t a coincidence. When bodies get pushed too hard, they snap even harder.
Student athletes are under enormous pressure to perform and that makes steroids tempting. Non-athletes feel their own pressures; everyone wants to look “buff” and fit. Parents should also tell their children that steroids are cheating. In simple terms of right and wrong, they are wrong, and you don’t want your child to be a cheater. If your son or daughter is looking for an athletic advantage, tell them that you don’t believe in winning at all costs and neither should they. Stress to them that the muscles they think they are getting are artificial and temporary, and if they want the real thing then they are going to have to work for it. Talk to your child and make sure his or her self-esteem is not dependent on body image. This will probably be another case where your child thinks you are old-fashioned and out of it; when your child grows up he will see how wise you were (but don’t expect to get thanked any time soon).
It is possible your child has body dysmorphia, with a resulting skewed view on what his/her body really looks like. Harrison Pope established a formula to calculate what he called the “fat-free mass index” (FFMI). Based on those calculations, the upper limits of musculature and build can be defined by their scoring system. The researchers found that a drug-free individual could be muscular, but in a proportional and natural way. Unfortunately, these days we see so many images of bodies accomplished through steroids that we don’t realize them for what they are – fakes. Teens need to have a realistic idea of what is normal body image, and what is abnormal.
When confronting a child’s usage of steroids, the natural reaction for any concerned parent is to ban steroids from the household. That prohibition won’t work, though, unless your child realizes it is in his own best interest to quit. Going off steroids is something that can be fraught with problems; consult with a doctor. Going “cold turkey” can have tragic consequences. If you get steroids out of your house, be aware that your child might seek out steroids through friends and find a way to try and hide further usage from you. Don’t be afraid of looking like the “bad guy.” Your child might not understand the serious consequences involved with steroid usage. If you suspect continued use of steroids, take your son or daughter to a physician and have them tested.
I would also strongly encourage you to get your child into counseling. Most males will resist this, and will no doubt insist that it’s unnecessary. These are the same males who might suffer severe depression in silence, not doing anything about it. Unfortunately their ultimate solution might be suicide. Without being overly dramatic, parents need to be on a “suicide watch” for a child that is using steroids, or has recently stopped. Coming “down” from steroids can be a perilous time, especially for young people. They need to understand what is happening to them. Because they have tinkered with their body chemistry, stopping steroid usage might result in considerable physical and mental shocks to the system.
When young men act rambunctious, people often roll their eyes and say, “Too much testosterone.” Imagine, then, too much testosterone for months and years at a time. Your child needs to know that’s what they wreaked upon their system, and that sometimes body and mind take time to find their way back to normal.
Take it from me; it will be one of the most important journeys they ever undertake.
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Do you know what Crohn’s disease is? It is a chronic inflammatory disorder that causes ulcerations in the small and large intestines. This happens when the body tissues are attacked by its own immune system. Recently a study published in The Lancet says that Crohn’s disease is caused by a weak immune response and Viagra can be of help in this condition.
A group of researchers in the University College London, UK found out a new reason behind the inflammation in Crohn’s. They tested inflammatory response to bacteria by injecting harmless Escherichia Coli under the skin to measure local inflammatory and blood flow changes. Their investigation showed that the Crohn’s patients had very low blood flow producing lower quantities of neutrophils and inflammatory mediators. The problem with low blood flow, they suggest, can be treated with Sildenafil Citrate. According to Anthony Segal, the main researcher, in Crohn's disease, a constitutionally weak immune response predisposes to accumulation of intestinal contents that breach the mucosal barrier of the bowel wall, causing granuloma formation and chronic inflammation.
An increased blood flow may increase the immune response in the body and help in treating the Crohn’s disease. The diamond shaped blue pill Viagra, with its main ingredient Sildenafil Citrate, till today, was well known for the treatment of erectile dysfunction. Later, we knew that Viagra can be a good treatment for enlarged heart condition. There are a lot of diseases associated with blood flow and nitric oxide in human body. Viagra has sensed the need to have a control over human body fluid and have been able to control it when required.
Viagra is a PDE5 inhibitor that inhibits the reduction of enzyme guanylate cyclase which is responsible for the penile erection. This is because the relaxed penile muscles induce increased blood flow to the corpus cavernosum and engorge the penile section with blood resulting in a firm and hardened penis. With Viagra, it becomes easy to attain and sustain a penile erection.
The amazing fact about Viagra is, the compound was studied initially as a treatment of heart related diseases. It was by chance found very affective in improving the penis erectile functions. This mechanism of Sildenafil Citrate did what no other drug could do. It addressed the problem of mail impotence for the first time and proved that it is like any other physical condition which can be treated with medications.
Slowly researchers from the different corners of the world have found out the potentials of the wonder drug. It can protect the heart from the damages of heart attack and stroke; it has been prescribed for the rare heart conditions, recommended for women with diabetes and even for stimulating brain function. Now the latest being Crohn’s disease, Sildenafil seems to be a magic pill created by Pfizer for the purpose of healing the human ailments. God bless Viagra and Viagra maker; long live the blessed human race!
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Genital warts, which appear as small flesh-colored clusters or bumps of tissue, are the most common sexually transmitted disease in the U.S. In fact surveys conclude that at least half the sexually active male and female population may contract genital HPV. “HPV stands for Human Papillomavirus. This indicates that warts are a virus, and can exist in the skin even if no warts are visible to the naked eye. That means that the virus is contagious even when there are no symptoms. So be careful, and be sure to check for STD’s regularly when you visit your doctor for check-ups. This way, you won’t accidentally spread a virus to a loved one.
Genital warts are generally found around the genital areas. In women they are found in the vagina, cervix or anus and on men they are found in the penis and anus. Genital warts may be passed on through vaginal, oral, or anal sex and research reveals that a pregnant woman can pass HPV on to her infant during vaginal delivery.
There are more than 100 types of HPV and 30 of these are transmitted through sexual activity and are classified as high or low risk. The high-risk variety reportedly causes cell changes that may result in cervical cancer in those infected with the virus if left untreated for a long period of time. Low-risk HPV can cause genital warts, but not cervical cancer. Often, those infected with low-risk HPV are unaware they are infected since low-risk HPV may not present symptoms.
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Men may love to fantasize a strong and long-lasting erection anywhere and any moment they need, but what about a persistent erection which lasts from several hours up to a few days? Trust me it happens! But this has nothing to do with sexual pleasure or great potency performance, this type of erection is called Priapism, it is painful and occurs without sexual stimulation. The condition develops due to the trapped blood in the penis which does not draw off and can cause permanent erectile dysfunction if not treated immediately.
Now let me tell you why this emergency state in a man’s life is named Priapism. Priapism is named after Priapus, the Greek god of fertility, and the son of Aphrodite, the goddess of love. Statues and pictures of Priapus always showed him to be rather well-endowed and, seemingly, perpetually erect male organ. Sculptures of Priapus with large genitalia were placed in paddy fields to guarantee an abundant crop and even used as a scarecrow and his erect penis was thought to frighten thieves. Priapism in medical terms is a painful and potentially harmful medical condition in which the erect penis does not return to its flaccid state despite the absence of both physical and psychological stimulation within four hours. It is indeed, a medical emergency and needs proper treatment by a qualified medical practitioner.
It can occur to any age group including even the infants; nevertheless, it is more frequent between the ages of 5 to 10 years and 20 to 50 years. We can categories Priapism into low-flow and high-flow based on two different reasons. When blood is trapped in the erection chamber of an otherwise healthy person without a known reason, it is low-flow Priapism. This type of Priapism may also be the result of sickle-cell disease, leukemia (blood cancer) or malaria. High-flow Priapism is rare and less painful, generally caused by a ruptured artery from an injury to the penis or the area between scrotum and anus resulting in abnormal blood flow to the penis. Other causes of Priapism include trauma to the spinal cord or to the genital area, black widow spider bites, carbon monoxide poisoning, and illicit drug use, such as marijuana and cocaine, certain drugs like antidepressants, antihypertensives, anticoagulants and corticosteroids. The drugs which are used to treat impotency, particularly those given by injection in the penis like papaverine, prostaglandin E1 (alprostadil), phentolamine can cause this problem. One more significant class of drugs may have the potential of Priapism, that are, the phosphodiesterase type-5 (PDE5) inhibitors such as sildenafil, tadalafil and vardenafil, sold under the names of FDA approved Viagra, Cialis and Levitra consecutively.
Viagra and other PED5 drugs do not cause priapism unless combined with other medications like prostaglandin injections and a recreational drug called Ecstasy. All the PDE5 drugs requires sexual stimulation to get an erection, however, these type of drugs should be used with caution for patients who have conditions that might predispose them to priapism such as sickle cell anemia, multiple myeloma, high blood pressure and cardiovascular problems etc. Viagra, Cialis and Levitra should be taken as per doctor’s prescription to avoid the possibilities of Priapism. Nevertheless, the instances are very rare where Viagra, Cialis and other PED5 drugs caused a prolonged and painful erection, but then those patients were found to have prior health conditions which were responsible for Priapism.
Priapism calls for immediate medical attention to avoid fatal consequences of permanent erectile dysfunction. The erection can be easily reduced if the person gets the treatment within 6 hours of erection, and in a case where the erection has lasted less than four hours, decongestant medications may decease blood flow to the penis. Ice applied to the perineum and the penis can reduce swelling in the pre-medication state. In serious situations, intracavernous injection, aspiration and surgery may be required to cure Priapism. But we should keep in mind that the longer the medical attention is delayed, the greater are the risk of permanent erectile dysfunction.
