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Having a baby brings with it many decisions. From the moment that second pink line appears you are a parent. Some parenting decisions can be fun, like what color to paint the nursery. Other decisions require more research and discussion between the mother and her partner including, if the child is a boy, whether or not to circumcise. The decision to circumcise may be guided by your religious beliefs. Both Jews and Muslims circumcise as part of religious rites. The decision not to circumcise, however, may be one that you never considered. “Aren’t most boys circumcised? Isn’t it cleaner? Why wouldn’t I want my son to look like his father and all the other boys in the locker room?” While these myths are prevalent in the United States and other parts of the Western world, the facts of circumcision tell a significantly different story. Circumcision of male infants is not a medically necessary procedure; it is plastic surgery for the penis. The practice of circumcision began in ancient Egypt, according to Desmond Morris in his book Babywatching. The ancient Egyptians believed that the snake shedding its skin was undergoing a rebirth and, thus, became immortal. They reasoned that if humans followed suit they, too, would attain immortality. The foreskin was equated to the snakeskin, and the practice of circumcision was begun. For centuries, the only reason for circumcision was a religious one. Non-faith based circumcision began with the Victorians during the mid-to-late 1800s. They believed that removing the foreskin would reduce the male’s urge to masturbate. From that starting point, circumcision has been deemed by various groups to be more hygienic and credited as a preventative measure for diseases from chlamydia to HIV. In reality, removing the foreskin accomplishes none of these assertions and could result in more serious problems. The foreskin has several known functions, even in modern times. While some people suggest that its use has gone the way of the appendix, in reality the foreskin aids in the sexual health and enjoyment of men. The foreskin is a protective cover for the penis that needs no special care. At birth, the foreskin is attached to the head of the penis, much like fingernails are attached to the end of your fingers. It will remain attached until the boy is about ten years old. Premature retraction of the foreskin can lead to an increased chance of infection. Early life functions of the foreskin are to help in the proper development of the penile glans and to protect the glans from feces and urine-based ammonia in diapers. Throughout the man’s life, the foreskin continues to protect the glans from friction and abrasion and keeps it lubricated and moisturized by coating it in a waxy, protective substance. When the man becomes sexually active, the foreskin allows sufficient skin to cover an erection by unfolding and aids in penetration by reducing friction and chafing. The foreskin is highly sensitive and is, in fact, an erogenous tissue rich with erogenous receptors. For his partner, the foreskin contacts and stimulates the female’s G-spot. There are additional considerations when deciding upon whether your male infant will undergo circumcision. As with any medical procedure, there are complications presented by the choice to circumcise. In March 1999, the American Academy of Pediatrics concluded that any potential medical benefits are not significant, and the AAP no longer recommends circumcision as a routine procedure. Prior to consenting to a circumcision, the mother must sign a consent form outlining the risks of the procedure. These risks include hemorrhage (in about 2% of cases), infection, deformity, scarring, permanent bowing of the penis (chordee), and urinary retention from swelling, among other concerns, including loss of the penis. Though rare, death occurs in approximately 1 of every 5000 circumcisions. Many circumcisions are done without the use of anesthetic, but if anesthesia is used, there are additional complications presented by using anesthetic drugs on an infant. Despite the American perception, circumcision is not a worldwide practice. Eighty-two percent (82%) of the world's male population is intact. That leaves the 18% of circumcised men in the minority. Even in the U.S. circumcision rates are declining. Starting around World War II, rates of circumcised boys increased steeply as American births were moved from the home into the hospitals. Rates of U.S. circumcisions reached a plateau during the late 1980s. With the new century, rates of circumcision began a slow decline. In the latest census reports, from 2003, approximately 55% of American newborn boys are circumcised. Some sources believe that American circumcision rates will decrease steadily over the next generation and return to the pre-WWII ratio of approximately 1 of every 4 boys being circumcised. Whether or not to circumcise is a decision that must be made with concern for immediate and future implications for the male child. As more parents become aware of the choices they have in labor and birth, more parents are also making the decision not to circumcise. For more information on circumcision, visit www.nocirc.org. pennis enlargement tip does penis elargement work penis enargement pills review penis enlagement pump penis enlarement excercises penis enhancement video penis enlargement pills product vimax enlargement forum free matter penis size
I remember when I was in eighth grade in school years ago and listening to Pink Floyd. I heard a song way back then that became a favourite of mine at the time and still is today. It was called Comfortably numb. At the time of listening to it back then, I thought it was all about heroin abuse. A year or so later I heard another song by an Australian band called the Choirboys that had lyrics that said: “You don’t need anyone, no you don’t need anyone; when you run the paradise.” Once again I saw this as the paradise that is found by the injection of heroin. In the movie Pulp Fiction, just a few years ago, I saw the absolutely mind blowing rush one can get from the injection of a needle, and how heroin really is like the big daddy of them all. For even the name itself boasts of its awesome ability and power and how it should be worshipped. We all know about branding and the power of a brand name, if it’s used properly. Just think of Coke, Mc Donald’s, and Disney and suddenly you have an emotion and hopefully a positive emotion come to mind. The word heroin is no mistake. It’s available when you need the ultimate peace and numbness, and you put the father of all drugs into your arm like a doctor gives medicine, you go and put the Hero in. I am fortunate in one way. I am sure it was an act of God and nothing short of it. As I was growing up, our house was a halfway house for recovering heroin addicts. They came around to our house on rainy Sundays for lunch and when they were healed often stayed with our family until they could find a permanent place of accommodation. They came to us raw and fresh out of rehabilitation. It was their words, and their tears that showed me heroin had its costs on a personal life and wasn’t just the hero in these guy’s life, but their master for many years. They who worshipped the drug and fought, begged borrowed and stole to inject it, were broken individuals who readily cried and told of the horror the drug demanded of them. Yes, heroin is a powerful drug and I’ll admit that it will make you leave this world we are in, and you will float and kick back into a comfortable numbness. Yes. You won’t need anyone when you run to paradise. But it comes with a price. I thank God I saw the pain in the drug and never injected it myself. Oh boy I came close and yes I mixed in all the right circles, but I never succumbed to its tantalizing beckoning. And how glad I am that I didn’t! But that isn’t to say those who do are bad people. I just found a better way for myself to find a release. If it’s comfortable being numb…how can there be comfort in pain? This was the confusing part for me to work out. How could I enjoy the release which was very pleasurable sleeping with prostitutes, and yet still enjoy the pain of it all in eating breakfast cereals and milk for days because I had no money left? I read an interesting article once in a psychology magazine. I had never picked one up before that day and have never picked another up since. But in this magazine on this day, whilst I sat in some Doctors surgery for half an hour, I truly learnt the key to the whole puzzle. We who have addictive tendencies, don’t get a choice in what we become addicted to. What? I hear you say. Yeah well its strange isn’t it? It’s not all that hard to grasp really. You know that song that you hear and you just can’t get it out of your head. Every time the radio plays it, you spend half a day singing it to yourself. Even years later when “Run to paradise” comes on, I still get caught up with the emotions I was feeling that day. I absolutely love that song. Well that’s how a habit is formed. Repetition. The more I hear it, the more stronger my emotional response, the more I am addicted to it, or attracted to it. Even if it’s a not so pleasurable experience. Even if that experience is being beaten by your father in a fit of rage. The more he does it, the more I emotionally respond, the more I begin to crave that negative emotion. You become addicted to the pain. And in some ways when life is going along fine, if you are missing that pain in your life, you actively seek it out. It's sad really. That’s why a woman stays with a man who beats her up. That’s why a junkie sells his soul for the junk he puts up his arm and that’s why a person will ritually cut themselves to feel the rush of pain. We are addicted to the pain, just as much as to the pleasure. And just like light follows darkness, after the pleasure we seek the pain, and when we are in pain we seek the pleasure, and we continue to exist. We all enjoy feeling comfortable. We all enjoy being safe and secure where we are. Take us away from what we know, take us to another state or city suddenly and tell us to deal with it and we have a problem. We need to change slowly, but given the choice we like to stay with what we know. Why else would a country approve of a president who blatantly lies to his people? We don’t like change and we only do it if forced upon us. It’s only when a wife is beaten so very badly that the authorities step in and keep her from her husband by locking him up, that the wife accepts separation. But she has no choice in this matter. So she quickly goes out to a pub and finds another guy to beat her up. She can’t help it. She doesn’t like getting beaten up. And her friends can’t understand her for going back. But that’s the only sort of love she knows and that’s the only love her daddy taught her. He regularly beat her mother up and in between beating her he made love to her mother and brought her presents home from work. And if he was a fine example of an alcoholic father he even made special visits to his daughter’s room to comfort her and run his filthy hands over her and molest her. Oh yes She remembers the love, and she remembers the pain, and somehow they melded into one, and that was called life. To her, or to the heroin addict or to you the reader, life is all about feeling comfortable with our lot and coping as best we can in the circumstances. How do I know about pain…. Have you ever had a man shove his penis up your behind? I mean shove it right in there so you can feel the tears flowing down your cheeks. Have you ever had to lay down and push your bum in the air and let a beast put it into you with all his might? It’s not fun. Its not love, and if you’ve been there, it’s not something you forget real easy. Worse still is the guilt you feel for putting yourself in the position that allowed it. Oh what a fool you were. If only you weren’t so craving pain in your life, things like this wouldn’t happen. And soon you believe it is all your fault. And then you begin to take comfort in the pain. One day you are seeking the pain. One day you become comfortably numb. You go through the motions, you allow the lightning pain, and you switch off to it by a sheer act of will power. It seems as you lie there and let a man rip your insides with his penis that Pink Floyd may have been singing about this pain when they were singing. Maybe it wasn’t heroin, but the pain, and you’re switching off to it all, that makes you numb. Maybe you weren’t as smart as you thought you were when you are young, and the wisdom of a life half lived has served to give your life a richer and more rewarding tapestry. It’s a sad cycle. The addicted are addicted to the week of poverty and no food after one night down at the pokies or one night with the prostitutes. We feel lonely, hopeless and we have no hope in life, so we confirm what a sad person we are when we live in poverty and prove with cheap clothes a free charity meals that we really are a loser like everyone things we are. It’s not fun eating cereal for a week. It’s not fun nursing a black eyes once very few weeks, it’s not fun having to go up the street everyday saying can people spare you change for a bus fare, it’s not fun, but we are so useless and we are so lacking in self worth we just love the feeling of shame, guilt and stupidity and we beat ourselves up with it. We make all our promises. If he beats me up one more time I will leave. If that girl does not kiss me this time I am never going to see her again. If this jockey does not ride that horse in next week that is it for me and punting. We are weak, we are hopeless and we are addicted to feeling that way. The hardest thing about not sleeping with a prostitute for three months is not feeling the week of guilt after we have partaken of that sin. Especially when you are a Christian. It’s fine not to get the high, but how am I going to get that rush of guilt each week that I am in love with and addicted to? And then there is the high. It’s in the paper ringing private escorts working in their own rented apartments and interviewing them one by one a few days before you get the money. You narrow it down and pick one and then five hours after you have been paid you are in bed with her. No matter how much you cry to God about your wicked sin, here you are trying to bring pleasure to a professional so that you can feel like a man and have a good time, and if she’s a professional she’ll have you convinced you did bring her to orgasm. If this is all to crude for you, you can jump to the next paragraph. In twenty years of this addiction, I have only been convinced of about three orgasms of the prostitutes I have been with. And boy, twenty years worth of once a week, or once every two weeks of seeing a sex worker, you do the maths, that’s why I don’t own a house. You see I am poorly dressed and poor in assets and have never had any reason to really write a will because most of my life my addiction kept me broke. Boy I can relate to people in addictions. The only way I came out of my addiction the time the original of this piece was written in 2005 and now in 2006 my two successful times of reprieve from the addiction was when I repented with many tears before God with all my heart and not wishing with all my heart to ever go back to these ladies. I had to love the girls and stay away and not abuse them, I had to love God enough not to break His heart with my sin with sleeping with a girl I was not married to, and I had to love myself enough not to degrade my self esteem by becoming a sex starved brute. The only way out of my addiction was to hate it. The problem with many of us is this addiction to the highs and the lows. Oh I know about the rush of horse racing I did that for many years. There’s nothing like buying a car from your winnings one week. There’s nothing like seeing your horse win the race and it’s because you were a smart little punter watching all of that horses races since it first started racing and knowing that it can only win certain races at certain distances according to the track, the rider, the breeding and the time in the current campaign it is in. There’s a skill of knowing which race the owner and trainer are wanting to win with the horse and what races the horse is only racing to stay fit. There’s knowing which jockey will ride the horse when the horse has got to look like its trying to win the race and it’s the race favourite, but the owner, the trainer and the serious in the know punters connected to the stable want it not even to run a place and definitely at all costs do not want it to win the race. There really are so many factors to consider as a horse punter, it’s no wonder big high profile people in the business world are kings and respected for placing million dollar bets. Racing stroked my ego on the high side when I won, and when I had a big loss on a big punt it made me feel like the loser I was when I lost. So how could I lose? lol And what about today five years on? I am comfortable and I am not addicted any more. I attend a church where I am loved and I have began to preach in a few churches. My Lord Jesus trusts me today to help strangers find their way to Him and to healing and I am in love with myself. I am quite impressed with what articles I have written five years ago and a lot has happened in my life since then. I have been Baptised and now have some giftings that Jesus has given me so that I can better witness to people. He has given the ability to "Know" a person's pain and their struggle and know things about them that they haven't told me. He gives me the ability to give strangers a message from Him and that just makes me so happy to be out and about doing that. I have not seen my son in six years and that is sad but it was his mother's wish and I didn't fight it. I have had another breakdown and now am wiser and have stayed on my medication for four years without a serious incident. It seems the more hard balls life throws at me the more confident I am in the power and the love of Jesus to pull you through anything. I really enjoy sharing a message with a person through prophecy when Jesus speaks through me as I really enjoy seeing Him speak. He is such a magnificent, wonderful, caring and patient God that was man. It is so good to have a God in heaven called Jesus who thinks and reasons like a man but with all the power of God behind Him. Jesus is just so real to me. I have seen Him in visions close to ten times now and some of them have been so very memorable. He told me once that I was his hidden treasure and if you are reading this I am sure He would tell you the same also. He is so sweet, I do not need another person to sustain me. He is my everything and He is such a loyal and honest and caring friend. With much love, penis enlarement product top penis enlarement pills penis enlargment surgery picture surgical penis enlargement penile enlargement before and after photo best penis enlargement surgery vimax penis pillss in uk home penis enlagement plastic surgery penis enargement
A brief introduction to the herpes simplex viruses The herpes simplex viruses [HSV] are DNA viruses and are of two types, HSV1 and HSV2. Both of them are capable of producing identical lesions. HSV1 Affections The HSV1 has an affinity for the upper part of the body producing oropharyngeal, cutaneous, and ocular lesions such as herpes labialis, gingivostomatitis, and keratoconjunctivitis, the reason being that this virus remains dormant in the trigeminal ganglion. HSV2 Affections . HSV2 on the other hand affects the lower half of the body producing genital lesions and also producing neuralgias along the genitocrural, femoral, and obturator nerves because it tends to remain dormant in the sacral ganglion. Herpetic whitlow or nailbed infection, meningitis, encephalitis, hepatitis, etc. are rarely seen manifestations of the virus and tend to occur only in the immunocompromised individuals. An insight into the science of Homeopathy Homeopathy is the science of healing which is based on the principle of similars. According to this, a substance capable of inducing a particular set of symptoms in a healthy person is capable of treating the very same set of symptoms if seen in a diseased individual. The foresight of the Discoverer of Homeopathy Two hundred years ago when Dr. Hahnemann discovered it, there were no microscopes and microbes were not known of. In fact it was he who speculated that there must be certain virulent particles capable of causing disease. He realized that to every stimulus, be it internal or external, the body first allows itself to be acted upon which he termed the primary action. Following this, the body reacts opposite to this primary action and that he called the secondary action. Action of Homeopathic medicines It is now that it is understood that the homeopathic medicines act as immune-modulators that induce an artificial disease in the body that is similar to the natural disease but a bit stronger. The body’s secondary response to this artificially induced disease fights off the artificial as well as the natural disease. Also, the process of potentization of the homeopathic remedies converts them into bioenergetic vibrionic medicines that act subtly upon the body’s energy reserves so as to restore the homeostasis between the positive and negative forces. Homeopathy follows the Nature’s law of cure Thus, while modern medicine aims at attacking the virus directly, homeopathy stimulates the vitality and boosts the defense mechanisms to combat and eliminate the virus. In this way, homeopathy follows the nature’s law of cure. Modern Medicines for the viral infection Modern medicine has little to offer for any viral infection except for vaccination which in fact had been borrowed from the homeopathic principle of isopathy itself where the individual’s immunity was exposed to diluted fragments of the microbe or the attenuated microbe itself so as to evoke an immunological reaction against that very same microbe when attacked by the latter naturally. Other medicines try to prevent the replication of the viruses but are only partly successful and helpless against the frequently mutating strains of the virions. Homeopathy for the viral infection Homeopathy on the other hand has an answer for any condition and any infection because “It doesn’t treat the disease in the person but the person in disease,” the entire approach being holistic and wholistic if I may say so. Individualization is the most important feature of homeopathy and we as homeopaths draw a conceptual image of the patient and study the psychosomatospiritual dynamics of every case taking the patient’s past, present and probable future into consideration. With our theory of miasms that talks about the attributes and manifestations of a particular category of people and similarly by taking into account the person’s constitutional type, temperament, and susceptibility, we can predict a lot about the prognosis of the disease in that particular individual. I will go into more details of these as I give you more examples. Homeopathy for the manifestations of herpes simplex in general Unlike the other schools of medicine where, the more the symptoms and the more the organs involved, more are the medicines given, homeopathy looks out for those remedies which cover the case in totality. The classical homeopaths give a single remedy known as the constitutional similimum only whereas some others give the constitutional drug along with other organ specific remedies or biochemical tissue salts to facilitate faster recovery. For example: A person with herpetic keratoconjunctivitis, anxious disposition, nervous diarrhea, and marked craving for sugar might require a remedy called Argentum nitricum; whereas, another individual who has a violent temper, a tendency to recurrent ulcers in the mouth, with craving for ice and icy cold drinks with the same herpetic keratoconjunctivitis could probably require a remedy called Mercurius solubilis. A third person with herpes labialis and keratoconjunctivitis but with a reserved disposition, craving for salt, severe constipation and sun headaches would mostly need a few doses of Natrum muriaticum to treat the malady. Thus you can understand the finer intricacies behind a logical homeopathic prescription. A lot of thinking goes into the selection of the potency of the remedy too, depending upon the age, gender, weight, build, sensitivity, susceptibility, immunity, pathology, etc. Herpes simplex in men In men, herpes simplex manifests in the form of balanoposthitis, i.e. the inflammation of the glans penis and prepuce. The outbreaks are typically circumscribed lesions with burning, itching, tingling, and dull pain or irritation. If the lesions are very close to the urethra, there could be pain and burning even during the passage of urine. Secondary bacterial infections may lead to pus formation also. In the case of homosexual men, anorectal lesions are produced due to the practice of anal sex. Homeopathic remedies in men Homeopathic remedies like Nitric acidum, Mezereum, and Cinnabaris are specifics. Even the nosodes prepared from the Herpes simplex viruses themselves are very useful and act as microvaccines to boost the immunity against these viruses. Herpes simplex in women This infection manifests frequently as vulvovaginitis with itching, burning, irritation and leucorrheal discharge. It rarely leads to dysplastic changes within the cervix of the uterus, which is considered precancerous. Homeopathic remedies in women In such cases, homeopathic remedies like Vespa and Kreosotum. Women have to be very careful if they are pregnant. In fact having genital lesions at around the time of delivery is one of the indications to go in for a caesarian section in order to prevent the spread of the infection to the baby. In any case, constitutional treatment is advisable even along with specific medications as it is known to remove many of the hindrances to recovery. Combination therapies for the treatment of herpes simplex Combination therapies consisting of Homeopathics, naturopathics, ayurvedics, and Tibetan herbs can be used in various formulations so as to raise the immune status on one side whilst relieving the symptoms simultaneously. HE, the ALMIGHTY who cures Alternative non-medicinal healing methods like Reiki, Yoga, Accupressure, Accupuncture, Sintergetica healing, and many such techniques along with the right diet and regimen can help to a very great extent and potentiate the therapeutic powers of any medicine. I believe that all diseases can be cured but not all people can be cured because every disease is karmic in nature and every suffering is predestined. We doctors can only treat, whereas, it is HE, the ALMIGHTY who cures. We have to put in our best efforts and leave the rest to HIM. manual penis enhancement exercise natural penile enlargement and lengthening enlargement free pennis pills sample penile enlargement review manual penis enlagement pennis enlargement pic before and after pennis enlargement tip pnis enlargement review plastic surgery penis enargement
The face of a man is usually an open book to most women. They can read practically anything in our faces. I’ve known ladies who could tell if the size of my penis, bank account and sex life by taking only one look at me. Of course, the look was followed by the lady’s departure in the opposite direction to where I was standing. Failure always leaves a mark on your face, just like success does. And women can read those marks awfully well. It’s even worse when you have a small penis and failure tends to follow failure in a pattern that grows bigger every day. The first thing women notice about a man is his confidence level. A stoop-shouldered man with a downcast look has very little chance of actually getting a date from a decently-looking lady. On the other hand, a broad-chested guy with a confident look in his eyes and a swagger in his step is sure to catch the eye of most women. He may not get every single pretty babe, but he’ll sure as hell be noticed by each and every one. And trust me, nothing gives a man more confidence than a big penis. A man who knows that the schlong dangling in his pants is big enough to satisfy any woman walks around with an “I don’t have a care in the world” kind of aura. And women notice that You can bet your life that women notice that. Women don’t care a lot what a man says, since most men have little to say that interests a woman. But they pay strict attention to the subtle signs in a man’s attitude. Women think: “If he looks confident, then there must be something about him that makes him so confident. This could be interesting”. And a big penis is your ticket to that show of confidence that is not an act or a sham, but the real thing. Are you suffering from low-confidence and anxiety? Are you afraid that women may look down on you? Then penis enlargement is the solution for you. The minute you stop worrying, it’s their turn to be anxious. A big penis has a lot of benefits and no downsize that I can think of. Well, maybe if you decide to increase your penis size to 9 or 10 inches; that would be a problem. But if you stick to a nice 8 inches, then you’ll reap all the juicy benefits. Increased confidence, increased stamina in bed, increased control of your ejaculation, longer sex sessions and more pleasure for you and the lady, all these can be yours. Anxiety, depression and low self-esteem have no chance against a big penis and rock-hard erections that last much longer than before. Women will be impressed by the hefty dick that just keeps going and men will eye the bulge in your pants with envy. Now that’s what I call turning the tables! safe pennis enlargement safe penis enlarement penis enlarement supplement penis enlagement product penis elargement surgery cost free exercise tip for penis enlagement truth about penis enlargement penile enlargement pills review plastic surgery penis enargement
Erectile dysfunction (ED), also called "impotence", is one of the most common health problems affecting men. Erectile dysfunction can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. Causes Erectile dysfunction has many underlying physical and psychological causes. Most men with physical causes usually have an associated psychological component. Underlying conditions of erectile dysfunction include the following: Physical health conditions Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. This occurs in conditions including multiple sclerosis, spinal cord injury and Parkinson's disease. The nerves involved in sexual arousal can also be damaged in surgery to the pelvic area, such as removal of the prostate. Vascular diseases account for nearly half of all cases of erectile dysfunction in men older than 50 years. These include atherosclerosis, veno-occlusive disease, peripheral vascular disease, arterial hypertension, history of heart attacks, blood vessel trauma, high cholesterol levels. Systemic diseases associated with erectile dysfunction: Diabetes mellitus is a major cause of erection problems (about 60% of men with diabetes experience erectile dysfunction), scleroderma, kidney failure, liver cirrhosis, hemachromatosis, dyslipidemia, hypertension. Neurologic diseases. Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. Diseases that affect the nervous system and are commonly associated with erectile dysfunction include: multiple sclerosis, spinal cord and brain injuries, parkinson's disease, alzheimer's disease, epilepsy, Guillain-Barre syndrome. Respiratory disease associated with erectile dysfunction include: chronic obstructive pulmonary disease, sleep apnea Conditions of the penis: Peyronie's disease (a rare inflammatory condition that causes scarring of erectile tissue), epispadias, priapism, Infections. Traumatic Causes. Trauma or injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to erectile dysfunction by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. Bicycle riding for long periods has also been implicated as a cause of erectile dysfunction. Some types of prostate or bladder surgery. Surgery of the colon, prostate, bladder, or rectum may damage the nerves and blood vessels involved in erection. Medications. A great variety of prescription medication are known to cause or contribute to erectile dysfunction: blood pressure medication (especially beta-blockers) heart medication antihistamines antidepressants tranquilizers antipsychotics anticonvulsants appetite suppressants anti-ulcer medications sleeping pills Psychological conditions. Experts believe that psychological factors cause 10 to 20 % of erectile dysfunction cases. Anxiety and guilt are the most common psychological causes of erectile dysfunction. Depression, worry, stress, low self-esteem, and fear of sexual failure all contribute to loss of libido and erectile dysfunction. Substance abuse. Alcoholism. Drinking too much alcohol interferes with the production of the male hormone testosterone, which can reduce libido. Smoking is considered an important risk factor for erectile dysfunction because it is associated with poor blood circulation and its impact on cavernosal function. Hormone Disorders account for fewer than 5% of cases of erectile dysfunction. An imbalance in hormones, such as testosterone, prolactin, or thyroid, can cause erectile dysfunction. Age. Erection problems tend to become more common with age, but it can affect men at any age and at any time in their lives. Physical causes are more common in older men, while psychological causes are more common in younger men. Treatment options Erectile dysfunction is treatable at any age. In around 95% of the cases, a suitable treatment can be found. There are three oral medications approved for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All three medications belong to a class of drugs called phosphodiesterase (PDE) inhibitors. They block the enzyme phosphodiesterase-5 (PDE-5) and this helps maintain the levels of cyclic guanosine monophosphate (GMP), a chemical produced in the penis during sexual arousal. Balanced levels of GMP causes the smooth muscles of the penis to relax and increases blood flow. This allows a natural sequence to occur - an erection in response to sexual stimulation. These medications don't automatically produce an erection. Instead they allow an erection to occur after physical and psychological stimulation. Viagra, Levitra, and Cialis vary in dosage, duration of effectiveness and possible side effects. All three drugs are generally well tolerated. They are a good choice for men at any age and in any ethnic group who are in good health and who do not have conditions that preclude taking it (such as the use of nitrates or alpha-blockers). The success rates of all three drugs vary between 70% and 90%.