Where it comes from: When talking about erectile dysfunction, it's important to note that while there are many potential causes, they can essentially be divided into two discrete categories: physical and psychological. It's also important to note that there's a huge difference between chronic ED and the occasional (and very normal) inability to maintain an erection during sex.  
You may already know that lots of hard drugs — like cocaine, heroin, or Oxycontin — can cause sexual problems (though, quite frankly, if you're on cocaine, heroin, or Oxycontin, you have many more pressing concerns to deal with than getting dirrrty). But did you know that sometimes, even pot can inhibit erections? And you thought weed was just a harmless way to enjoy the musical stylings of Pink Floyd. Who knew it could actually mess with one's own pink floyd?
You should speak with a doctor before trying any medication that's meant to help with stronger erections. If you're looking to go that route, there are plenty of prescription drug options that have been engineered to help with this issue. "In terms of conventional treatment for erectile dysfunction, medications called PDE5-inhibitors are commonly prescribed," says Dr Axe. "Four PDE5-inhibitors that have been approved for use in the United States include sildenafil, tadalafil, vardenafil and avanafil."

A very stressful or intense situation, or performance anxiety, could definitely make a man lose his erection. The pressure to perform could be psychologically too intense to keep a strong one. Another, lesser talked about erection killer is difficulty penetrating a partner during sex. It’s related to performance anxiety and stress, but also fatigue. If sex becomes tiring, fatigue will bring a quick end to an otherwise great night.

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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.

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The National Institutes of Health estimates that erectile dysfunction strikes as many as 30 million men in the United States. Its prevalence does increase with age — 4 percent of men in their 50s are affected by ED, 17 percent in their 60s, and 47 percent of those over 75. But research has also found that 5 percent of those affected were between 20 and 39.
Francis,*, 42, had ED for 11 years before he decided to seek treatment a few years ago. At first, he didn't even realize that he might have ED. "I thought I was either depressed or that I had lost interest in my girlfriend at the time," he said. But when the problem persisted, he realized it was preventing him from having sex with his partner, who often taunted him for struggling to maintain an erection.
There are different reasons which cause erections and even some factors that make a person lose their erection. It can be troubling for some as it occurs during sexual activity with a partner. Self-consciousness, fatigue, distractions and more can cause the temporary loss of erection. If such things happen, don’t sweat it too much as it is a common and natural occurrence.

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Try to think of love-making as fun, not a trial. Laugh more, be more playful, and try to create opportunities for being together in situations that would be enjoyable for you both, even if sex does not occur. Most importantly, explore non-penetrative styles of eroticism. These things will help increase your sexual comfort and confidence, and reduce the pressure you currently feel to be an on-demand sex machine. You are merely human.
Natural treatments: Although natural remedies are increasingly available for sale over the counter, there is little scientific evidence to support their claims of improving ED. These remedies may produce adverse side effects or react negatively with other medications a man is taking. Before trying any over-the-counter treatments, it is essential to consult a doctor.
For many young men, performance anxiety plays a large role in erectile dysfunction. Other factors include money and work problems, as well as relationship issues and even issues about sexual orientation. Undiagnosed depression and post-traumatic stress disorder can cause erectile dysfunction--especially if the PTSD is related to a past sexual experience.
From a medical perspective, your semen packs a pretty incredible punch. Within the 2 to 5ml of semen (AKA your ejaculate) that you yield every time you ejaculate, there contains around 20 million spermatozoa (your moving sperm), each roughly 50 millionths of a metre long. If you can’t picture this, just think back to your childhood when you stared at the tadpoles in your garden pond. That’s about the gist of it – except much, much smaller. Of course, your spermatozoa are not alone in your semen, having for company complex enzymes and fructose sugars that help your swimmers, well, swim and survive for longer.
Irrespective of how stage one was achieved, the next part is all about your plumbing. Courtesy of your nervous system stimulus, a powerful blood vessel dilator, nitric oxide, is released into the trabecular arteries and smooth muscle in your penis. This causes the arteries and the main bulkhead of your penis, the corpora cavernosa, to become engorged with blood. Helpfully, to keep this blood in place and maintain your erection, the ischiocavernosus and bulbospongiosus muscles of your penis constrict, effectively blocking the veins of your penis from draining blood out.
"If any of these physiological factors don't work properly, a man can experience weak erections," says Axe. "Problems maintaining an erection can be due to a number of issues, from hormone imbalances, to neurological issues, cardiovascular conditions, stress and issues with your mental health. There is not one clear way to explain erectile dysfunction — it depends on the man and his specific health condition."

"On the physical side of things, we most prominently have physical fitness as the No. 1 factor in erection achievement and sustainability," he continues "If a body isn't healthy, it's going to labor to send blood flowing properly and to function in many respects. Much like a car in need of a tune-up, a body which is out of shape or overweight is going to labor to perform functions — like causing an erection."


Regular exercise and a diet rich in antioxidants is also the foundation of permanent weight control and diabetes prevention. Studies at the Duke University Diet and Fitness Center show that weight loss is strongly associated with better sexual function. Other studies show that diabetes is a major risk factor for ED, and that a healthy lifestyle prevents the disease and can restore erection function.
...the root of the ground cover, Panax ginseng, which is the Asian species, and Panax quinquefolius, the American plant (grown mostly in Wisconsin). Ginseng is an "adaptogen," a medicinal herb that helps build and maintain body vitality, allowing users to better adapt to the stresses they face in life. Ginseng is available where herbal medicines are sold.
Both James and Michael fit the profile of millennial ED: healthy men with functional penises who experience occasional deflation for psychological reasons rather than mechanical issues (the latter of which typically plagues older men). Researchers and the medical community are aware of this specific problem facing younger men, says Landon Trost, MD, a urologist at the Mayo Clinic.
ED used to be something most men could barely admit to themselves, much less discuss with their partner or doctor. But the arrival of drugs such as Viagra (sildenafil), which help at least 80% of men with ED achieve solid erections, changed that attitude in a hurry. The important thing is that many men now openly talk about their erection troubles with their doctor. ED can be a dipstick for your health -- an early warning sign of serious health problems such as high blood pressure, heart disease, and diabetes. By making healthy choices, you can avoid ED and heart disease. More than 25% of 80-year-old men still enjoy great sex regularly, so you are never too old for great sex.
Depression, anxiety, stress, insecurity, conflicted emotions, missing the last quarter of the basketball game, all can have an effect. If your man is a healthy dude, then his brain could be cockblocking your giving of "brains." As a man, it is a very defeating feeling and not something you just talk out with your penis. He has got to remain cool. If it happens, the faster he pushes it out of his brain the faster his subconscious will kick in his arousal. Try something like this: grab a glass of water, take a pee break and then just hang in bed together. Share laughs, talk about other things and let your companionship do the work. The less he is engaging his inner dialogue and the more he is engaging you, the faster his inner workings will settle and his libido will be back in action. That is, of course, if he really does want it to happen.

The strength and frequency of your erection are an important indicator of your overall health. The blood vessels in the penis are smaller than arteries and veins in other parts of your body, so any problems like blockages, blood vessel dilation issues, or hormone imbalances will often show up as erectile dysfunction (or less firm erections) before something more serious like a heart attack or stroke. 

Like going bald, ED becomes more common as men age. According to the National Institutes of Health, about 5% of all 40-year-old men have ED and that number rises with age. Between 15% and 25% of 65-year-old men have ED. This is one of the reasons you see so many ED drug commercials during televised sporting events, Fox News programs, and other shows that typically attract men over 50 (just kidding, Fox).

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Natural treatments: Although natural remedies are increasingly available for sale over the counter, there is little scientific evidence to support their claims of improving ED. These remedies may produce adverse side effects or react negatively with other medications a man is taking. Before trying any over-the-counter treatments, it is essential to consult a doctor.
VigRX Plus– This is a natural supplement that works to maintain longer and harder erections as well as improve overall sexual performance. It is in the form of pills that helps men who suffers from low sex drive, poor stamina, premature ejaculation, erectile dysfunction and many others. This is made of 100% natural ingredients that prove to be effective in terms of sexual consistency.
The second tip is to breathe deeply, the whole time you’re having sex, but especially once you start to feel like you’re going to ejaculate or lose your erection for some reason. Deep breathing sends oxygen and energy to where it’s needed most, and it’s known for intensifying sex. What’s more important, though, is that it helps you get control over your body.
Most men may not openly talk about their erection problems, but erectile dysfunction — when a man cannot achieve or maintain an erection well enough or long enough to have satisfying sex — is very common. According to the National Institutes of Health, 5 percent of 40-year-olds and 15 to 25 percent of 65-years old have ED. But while ED is more likely to occur as a man gets older, it doesn’t come automatically with age.
So not only are erectile problems common, they're nothing for you or your special friend to be freaked out about. Check out the nine most common reasons that dudes sometimes can't get it up, and get ready to become the soothing voice of reason the next time the guy you're with has a hard time pitching his tent in your happy valley. Everything (and every penis) is gonna be fine!
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The production factory of your semen is on an industrial scale, constructed from multiple locations in your genitourinary system. First there are the stars of the show, your spermatozoa, which are naturally synthesised in the seminiferous tubules within your testicles. During the ejaculation process, these then pass through your ejaculatory ducts and blend with fluids from your prostate, seminal vesicles and bulbourethral glands. This melting pot forms your semen as it arrives via urethral meatus (the end of your penis) to the cold light of day – or night.


Gray-haired men soaking in Jacuzzis overlooking canyons, thumbing through the morning newspaper in their thick reading glasses, cuddling their wives on gently swaying hammocks while drinking sensible glasses of cabernet...the classic erectile-dysfunction commercials of the past 20 years were pretty clear about who they wanted to reach. Ever since, those iconic images have defined who we as a society assume are in need of penis pills: men of retirement age. 

Some of the most reliable ED stats have emerged from a large data collection effort called the Massachusetts Male Aging Study. According to that data, rates of ED among men tend to correlate with their age bracket, says Tobias Köhler, M.D., chief of the Division of Male Infertility at Southern Illinois University. “Roughly 40 percent of men in their 40s suffer from ED, 50 percent in their 50s, etc.,” he says.

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