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10 HEALTHY AND PORTABLE SNACKS

When a person goes outside home for work or picnic or gyming etc, the food-cravings takes the person to go for most convenient option to eat, and mostly preferred is junk food. Eating junk food obviously causes health problems. It is better to have other food choices which are healthy for body and can be prepared at home.

Healthy and portable snacks should be the primary option for a person while going outside home. The snacks should be opted on the basis of their nutrition, quality (in terms of taste as well as hygiene), sufficient quantity to make stomach full and snack which do not require refrigeration. Some of those easy to make healthy and portable snacks chosen by persons of every age group are:

  1. DRY FRUITS 1

The nutritional profile of dry fruits is very well known. They are a good option as a healthy as well as portable snack. If you crave for sweet and bit-salty food, they nourish you well with their qualities. It takes no hard work for dry fruits to be prepared or to be carried outside. They are very easy to store. Dry fruits are of good nutritional value as they are full of protein, fibre (makes you feel full) and healthy fat (provides you energy).

  1. HARD BOILED EGGS 2

Eggs contain ample amount of nutrition-rich compounds for the body and hard boiled eggs are perfect form of eggs to be carried with you outside. It might be small but it provides essential vitamins and minerals such as potassium, iron, zinc, vitamin E and folate. They properly fuel your body and help to control the hunger.

  1. ROASTED GRAMS 3

Roasted grams or salted chick peas are good option as a healthy snack to control craving. They are easy to make and easy to carry food option. Roasted grams are a full-fledged composition of minerals, vitamins and protein which is why they are considered in healthy foods. They are a preferred option for diabetic persons as they help to control blood sugar.

  1. BEVERAGES 4

While going outside, it is recommended to keep a water bottle. Coconut water is a good replacement for water which can cope-up with dehydration and it also provides coolness for body. Other recommendation under consumption of liquids is fruit juices. Fruit juices are very well known for their nutritional quality and they are also easy to be carried.

Tea bags & coffee sachets are also easy to be carried outside. Many people keep tea bags and coffee sachets in their bags to be consumed under requirement because of their easy usage. A new addition to coffee is Grecobe which is very popular and easy to be carried along outside.

  1. TRAIL MIX 5

Trail mix is a mixture of snacks including dry fruits, sweets, and nuts etc which provide great relief to the body during food cravings. It is a light weight, easy to prepare, easy to store and nutritious snack. It is regarded as a quick energy booster for the body.

  1. OATMEAL 6

Oatmeal is made from oat grains which are easily available in the market in the form of packets. It is a highly consumed snack even during the breakfast due to its nutritional quality. They are specifically helpful to lower bad cholesterol levels from body. Oatmeal contains dietary fibre, carbohydrates, required fat & minerals. It is a perfect blend to be carried as a healthy and tasty snack.

  1. FRUITS 7

Most recommended fruits to be carried outside are apple, banana and berries due to their easy portability and nutritional facts. Apple is highly recommended by doctors as it keeps a person away from diseases. It also controls hunger while doing activities. On the other hand, banana is also a good option. It is easy to carry, store and eat. Berries are carried by many people while touring outside. They are most easy to consume and digest. They provide high nutrition and energy to the body. They also help to deal with hunger.

  1. WHOLE-WHEAT MUFFINS 8

Whole-wheat muffins or cupcakes are a one of the choices under baked food product to be carried outside. They make you feel full due to their rich nutrients. Their preparation needs little hard work and can be differently made for diabetic as well as non-diabetic persons at home.  

  1. PROTEIN-RICH BARS 9

Protein-rich bars are chocolate-shaped bars which are prepared from fruits, nuts and dry fruits. They are rich in proteins, fibre and healthy fats which greatly help to deal with hunger and make you feel full. They greatly fuel you up before and after workout. They are available in the market and they can also be prepared at home with the help of honey and peanut butter. 

  1. SANDWICHES 10

Sandwiches are most preferred by people, especially children, while on vacation. They are so-loving due to their taste and their quality to make you feel full. Their best quality is that you can make these at home according to the flavor you want to add and of high nutritional value. For example, vegetable sandwich is full of green and boiled vegetables which are necessary for providing energy to the body. According to their ingredients, they contain vitamins, minerals, healthy fats etc.

REFERENCES

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10 FACTS WE NEVER KNEW ABOUT MALE BODY

Human body is composed of many different kinds of cells which combine to form various body parts. These cells are different for men and women. It is very well known that these different cells are responsible for the different body structures of both genders.

Besides the visual differences such as physique, reproductive organs, etc, there are some facts about male body, which are very rarely known. These facts about male body are:

  1. Larger brain size than women 1

You will be amazed to know that the size of brain of males and females vary. The brain size of males is slightly larger than the females. It has been observed that the average weight of male brain is 1345 grams whereas that of females is 1222 grams.

But men use only one side of their brain whereas females have the capability to use both the sides of the brain simultaneously. Due to this, females are considered as multi-tasking and males are considered to be doing one single activity at one time with complete focus.

  1. Female in womb during first six weeks 2

It has been scientifically proved that each baby in the womb is a female during first 6 weeks of the pregnancy. The gender of a baby is decided on the basis of chromosomes it is receiving. A baby will be female if she receives both XX chromosomes and will be a male if baby has one X chromosome and one Y chromosome. But during the first 6 weeks inside womb, the Y chromosome is completely inactive. Due to this, the body structure is prepared in the form of a female. When Y chromosome becomes active after 6 weeks, then, the baby starts to be developed into male body.

  1. Slow ageing process 3

Another fact about male body is that they have slow aging process. All the credit goes to higher collagen density in skin. Men have high amount of collagen in their skin layers i.e. dermis & epidermis layers. This higher collagen density in men inhibits the ageing process. It contributes in more firmness and elasticity of male skin. It takes long time for the development of wrinkles and ageing lines in men.

  1. Milk-producing capability 4

It will be surprising to know that males also have milk ducts required for lactation. The hormone responsible for producing milk i.e. prolactin is also present in male bodies. If this hormone exceeds the required amount, it causes side effects in males. The increase in prolactin in male bodies is due to the consumption of some medications such as antipsychotic medication, medication for heart disease, etc.

  1. Adam’s apple for higher tone voice 5

Another fact about male body is the Adam’s apple, which is situated above the thyroid gland. This Adam’s apple is also present in females but in much smaller size which is not even noticeable. The increase in the size of Adam’s apple in men is due to the increase in testosterone levels after puberty. Due to this, the Adam’s apple is completely visible in men through the front neck. This contributes to the heaviness in male voice too.  

  1. Colour identification capability 6

Males and females look at colours differently. Women have more capability of differentiating various shades of colours than men do. This has also been proven by neuroscientists. The amount of testosterone in the body is responsible for this colour perception. Men have more testosterone receptors in brain than women, especially in the visual region of the cerebral cortex (part of the brain that processes information from the senses). Different numbers of receptors result in differences in visual perception.

  1. Strong body odour 7

Body odour is the outcome of sweat. The bacteria on men’s body that breaks down our sweat decide whether the odour will be good or bad. In case of males, the body odour is much stronger. The high production of testosterone is responsible for high sweat production and the more breakdown of more sweat by bacteria results in strong body odour.

  1. Baldness 8

Another fact about male body is this that they are more susceptible to pattern hair loss than women. The hormone responsible for pattern hair loss is Dihydrotestosterone which is converted from testosterone inside body. As testosterone is majorly present in males, it is clear that more DHT will be produced and more pattern hair loss will occur.

  1. Estrogen hormone 

Estrogen, which is a female hormone, is surprisingly present in male body too. Generally, it is present in normal amount that is not even identifiable in male body. During the excess in fat cells, estrogen starts to increase and testosterone starts to decrease which results in heart problems and prostate cancer. It also contributes to the decrease in muscle mass, fatigue, low libido, etc.

  1. Thicker skin 9

Lesser known fact about male body is that, they have much thicker skin than females. Thicker skin is also a contributor to slow aging process of male skin. The reason behind the thicker skin is testosterone. This hormone has much higher levels in men than women. Due to this, male skin is 25% much thicker and tends to thin as men age because male body face fall in testosterone levels as they age. To maintain the thickness of skin to longer time, it is suggested to increase testosterone levels in male body. Testosterone can be increased by consuming herbal supplements such as Chemforce which are clinically-proven to increase the testosterone levels in male body with complete safety. 6

REFERENCES

https://www.bodylogicmd.com/hormones-for-men/estrogen

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HOW TESTOSTERONE AND CHOLESTEROL ARE CONNECTED?

Testosterone: The Elixir of Manhood is a sex hormone made in large amounts in the testes of men and in smaller amounts in women’s ovaries while Cholesterol is the part of every cell’s outer membrane, responsible for its fluid nature and helping determine which molecules can enter the cell. To understand the connection between these two it’s important to know them individually first.

What is Cholesterol?

Cholesterol is a type of fat or lipid found in the bloodstream. We need some cholesterol for healthy cell productions. It is present in all of our cells, being especially present in the membrane where it gives the cells the ability to send messages between each other. 

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This lipid molecule has several crucial roles all around the body, and cholesterol is so important that if you’re not getting enough from your diet; your liver will synthesize it to keep you alive.

Cholesterol is a precursor for all sex hormones and this also includes the principal male hormone i.e. testosterone.

Cholesterol is of two types:

  1. Low density lipoprotein, or LDL, is called “bad” cholesterol because its high levels can deposit potentially dangerous fats in the blood vessels causing heart disease e. arthrosclerosis.
  2. High density lipoprotein, or HDL, is called “good” cholesterol because it carries excess blood cholesterol from blood vessels back to the liver for removal. It is protective in nature.

What is testosterone2

Testosterone is a sex hormone made in large amounts in the testes of men and in smaller amounts in women’s ovaries. It stimulates sperm production and sexual function   in men and may support a normal libido in women.

Testosterone is a type of androgen produced primarily by the testes/testicles in cells called the Leydig cells. Without adequate testosterone, men are infertile. This is because the process of spermatogenesis (development of mature sperm) requires testosterone.

In men, testosterone is thought to regulate a number of functions in addition to sperm production. These include:

  • Libido
  • Bone mass
  • Fat distribution
  • Muscle size and strength
  • Red blood cell production

The two most commonly known effects of testosterone are sexual virility and increased muscle mass – so this means that lower testosterone can also lead to sexual dysfunction and/or lowered muscle mass (with a corresponding increase in body fat).  But low testosterone can also manifest as depression, low bone mineral density, low energy and anemia.

The Two Essential Compounds – The Two Way Connection: 

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Now you probably know that testosterone is a male sex hormone and cholesterol is a substance that travels in your blood. But you may be unaware that the two compounds are chemically related because they share a similar chemical structure. Understanding how the two compounds relate to each other is an area of current research with potential implications for maintaining good health.

HOW CHOLESTEROL LEVELS AFFECT TESTOSTERONE?

Cholesterol is a precursor for all your sex hormones and this includes the principal male hormone: testosterone. 

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The final part of the whole testosterone synthesis is simply when luteinizing hormone (LH) triggers the testicular leydig cells to convert cholesterol into testosterone. Meaning that cholesterol, the actual lipid molecule, is like pre-testosterone.

And it comes not as a surprise that several studies have found out how increased cholesterol intake correlates with elevated testosterone production.

HOW TESTOSTERONE LEVELS AFFECT CHOLESTEROL? 

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Testosterone levels influence the amount and type of cholesterol your body produces. Testosterone therapy is usually given for a condition known as hypogonadism. Testosterone levels start to decline in men after age 30, but the decline is gradual. That decrease in testosterone is the second reason a man may be given testosterone therapy. Some men want to make up for the lost muscle mass and sex drive that results from this natural decrease in testosterone.

Scientists have observed that men who take testosterone medications may have decreases in their HDL levels. HDL is GOOD cholesterol and if it decreases, it poses a great risk for Cardiac diseases. However the effect of testosterone on HDL cholesterol appears to vary depending on the person. Age may be a factor. The type or dose of testosterone medication may also influence its effect on cholesterol.

6Research suggests that extra testosterone might affect blood levels of total cholesterol and HDL. For example, a study published in the March 2012 issue of “Substance Abuse Treatment, Prevention and Policy” reported that a single dose of extra testosterone in male subjects caused an increase in both total cholesterol and the liver enzyme that makes cholesterol. A review published in the September 2005 issue of “Clinical Endocrinology (Oxford)” concluded that testosterone might reduce HDL in some middle-aged men and increase LDL. A buildup of too much LDL cholesterol, however, leads to the formation of plaques in the arteries. This is known as atherosclerosis.

When a person has atherosclerosis, the excess plaque can narrow the arteries enough to stop blood flow. When that happens in an artery of the heart called a “coronary artery” the result is a heart attack.

CONCLUSION 7

 By using a natural testosterone supplement, you can enjoy all of the positive benefits that you would experience if you underwent testosterone replacement therapy. The major benefit of using a natural testosterone supplement is that you would not expose yourself to some of the potentially dangerous side-effects like increased LDL levels and decreased HDL levels associated with testosterone replacement therapy.

You can expect to experience incredible energy levels, enhanced libido, firmer erections, an increased ability to maintain concentration, more drive, less body fat and much improved lean muscle mass, amongst other things.

6CHEMFORCE is a natural and promising dietary supplement comprising Furosap® containing Protodioscin as the major fraction. It is reported to improve sperm count, sperm morphology and has a protective effect on male reproductive system.

It also helps to increase the level of testosterone. Importantly, regular use of Protodioscin has been shown to increase the duration of penile erection and improve ejaculation in males.

References

http://www.healthline.com/health/high-cholesterol/testosterone-and-cholesterol#1

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TESTOSTERONE BOOSTING Vs TESTOSTERONE REPLACEMENT THERAPY: WHAT TO CHOOSE?

Testosterone is the primary male hormone, which plays key role in the development of male reproductive organs. It also promotes secondary sexual characteristics such as increased muscle and bone mass and the growth of body hair. Insufficient levels of testosterone in men may lead to abnormalities including weakness and bone loss.

Testosterone deficiency involves the decline in serum testosterone levels in men, which results in depression, low libido, erectile dysfunction, low ejaculation volume, impaired memory and poor concentration. It has been observed that testosterone levels gradually decrease as men age due to which it is most prevalent in men above 40-50 years of age. When men start diagnosing this problem, they look for solutions to this problem in the form of testosterone boosters or replacement therapy.

Natural testosterone boosting supplements simply induce the body to produce more testosterone. On the other hand, testosterone replacement therapy has been created in a laboratory environment and is prescribed by physicians to try and counter a number of health-related issues. Testosterone replacement therapy is the pumping of actual testosterone into the body.

TESTOSTERONE REPLACEMENT THERAPY

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 Testosterone replacement therapy is available in a number of forms, all of which are designed to improve the testosterone levels:

  • Injections and Implants involve testosterone being injected directly into the muscles, or implanted in the form of pellets within the soft tissue. The body slowly absorbs the testosterone into the bloodstream.
  • Mouth Patch is a tablet that sticks to the upper gums above the incisors. It is applied twice a day and continuously releases testosterone into the bloodstream through the oral tissues.
  • Skin Patch is worn on the arm of the upper body and is applied once daily.
  • Testosterone replacement therapy can also come in the form of a gel. This gel is absolved directly through the skin when it is applied once a day. This gel pumps testosterone into the body in intermittent stages, usually dictated by the prescribing physician.

Benefits of testosterone replacement therapy

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The benefits of testosterone replacement therapy are different in different kinds of men. Some men don’t even notice any improvement. Overall, the benefits of this therapy include:

  • Improved energy levels
  • Enhanced sex drive
  • A better quality of erections
  • The extra testosterone is bound to assist in increasing bone density, muscle mass and insulin sensitivity
  • Improvement in the mood

Disadvantages of testosterone replacement therapy 3

Testosterone replacement therapy comes with a number of serious side-effects. Typical side-effects include:

  • Benign prostatic hyperplasia: Abnormal prostate growing as a result of the stimulation of testosterone
  • Urinary tube rupture: Abnormal prostate growth squeezing of the tube carrying the urine, disrupting urinary flow
  • Prostate cancer
  • Sleep apnea
  • Erythrocytosis: Abnormal increase in a red blood cell count, causing the blood to become thicker and more prone to clotting
  • Cognitive heart failure: This condition has been observed in many patients after undergoing testosterone replacement therapy

The main reason testosterone replacement therapy causes so many problems is you are literally injecting synthetic testosterone into your body. In other words, you are ingesting a substance that is not natural (and actually harmful) on a regular basis.

NATURAL TESTOSTERONE BOOSTING SUPPLEMENTS 4

The body’s testosterone production can be positively impacted by certain nutrients including, zinc aspartate, calcium and fenugreek.  Natural testosterone supplements are created from these natural ingredients, which include bio active components that target the mechanism synthesising testosterone naturally inside body. They provide a safe and natural way to boost testosterone levels without the potential of increasing prostate cancer risk.

 Benefits of natural testosterone supplements

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You can expect to experience following benefits by consuming testosterone boosters:

  • Incredible energy levels
  • Enhanced libido
  • Firmer erections
  • An increased ability to maintain concentration
  • More drive
  • Less body fat
  • Much improved lean muscle mass

The major benefit of using a natural testosterone supplement is that you would not expose yourself to some of the potentially dangerous side-effects associated with testosterone replacement therapy.

The only downfall associated with testosterone booster is that you may not experience any benefit but you will not develop any complication after using testosterone booster, which always develop in case of using testosterone replacement therapy.

If testosterone supplements don’t contain any testosterone, then how are they able to produce results?

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Effective testosterone boosters work because they contain natural ingredients that stimulate the body to produce its own testosterone. This is the key because the synthetic testosterone is what causes all of the side effects. The body does not recognise synthetic testosterone, so it responds negatively to it. However, if you can get your body to produce testosterone on its own, then you will be able to prevent the body from having a negative reaction to it. Now, your body will be able to properly utilise all of the testosterone that is being produced along with all the benefits.

Taking natural testosterone boosters solves all four of the problems associated with testosterone replacement therapy.

  • First, testosterone supplements are comparatively inexpensive.
  • Second, these supplements contain all natural ingredients and thereby stimulate the body to produce testosterone in a natural way.
  • Third, since your body is producing testosterone on its own in a natural way, you will not experience any of the side effects that come with injecting synthetic testosterone (testosterone replacement therapy).
  • Fourth, the testosterone being produced is natural and recognized by your body, therefore allowing your body to actually utilize it. Your body will only fully utilize testosterone if it was produced within the body rather than directly ingested.

Chemforce – A natural testosterone-boosting supplement 6

Chemforce is a natural and promising dietary supplement comprising Furosap® (fenugreek seed extract) as a major ingredient which is patented and clinically proven to manage testosterone deficiency. It is reported to improve sperm count, sperm morphology and has a protective effect on male reproductive system.

As Chemforce increases testosterone levels inside body, it also contributes to the increase in sexual functions and it increases unbound free testosterone levels, which improves muscle mass, fat loss, strength and endurance.

Thus, Chemforce can be chosen as a natural testosterone-boosting supplement over testosterone therapy to improve testosterone deficiency.

REFERENCES

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HEALTHY LIFESTYLE CHANGES FOR IMPROVING ERECTILE DYSFUNCTION!

ERECTILE DYSFUNCTION (ED) is a common medical disorder which decreases the quality of life in men. Its prevalence is increasing worldwide with estimated 322 million cases by the year 2025.

Risk factors associated with erectile dysfunction which are modifiable include

  • Smoking
  • Lack of physical activity
  • Poor diet
  • Overweight or obesity
  • Metabolic syndrome such as diabetes, cardiovascular disease, etc
  • Excessive alcohol consumption
  • Stress
  • Psychological issues

Medical conditions are a frequent cause of erectile dysfunction. But sometimes, the cause may be related to lifestyle choices. It has been suggested that lifestyle habits have a critical role in reducing the burden of sexual dysfunction.

Both basic and clinical studies have shown that targeting several lifestyle factors commonly associated with ED, such as smoking, alcohol consumption, obesity and limited physical activity can have significant effects on improvement of erectile function as well as testosterone levels.

HOW UNHEALTHY LIFESTYLE COULD BE A CONTRIBUTOR IN WORSENING ED?

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Lifestyle and nutrition have been recognized as central factors influencing both vascular nitric oxide (NO) production and erectile function. Unhealthy lifestyle is strongly associated with conditions that result in endothelial dysfunction by decreasing the availability of nitric oxide (NO), which is mandatory for the genital blood flow. Changes in lifestyle and nutrition can influence vascular NO production, testosterone levels and thus, erectile function. Therefore, maximal attention should have to be paid on measures known to increase vascular NO production. The promotion of healthy lifestyle would yield great benefits in reducing the burden of sexual dysfunction by increasing vascular NO production.

PREVENTION & TREATMENT OF ERECTILE DYSFUNCTION

As with many other medical diseases, prevention may be the most effective approach to alleviate the consequences of ED. Despite the increasing evidence that unhealthy lifestyles lead to metabolic diseases, including sexual dysfunction, the majority of adults fail to meet physical activity and nutritional guidelines. There are some approaches related to lifestyle changes which have been given below to improve erectile dysfunction:

  • Physical activity     2

How is it effective? 

The mechanisms by which physical activity ameliorates ED include improved cardiovascular fitness and endothelial dysfunction, increase in endothelial-derived NO, decrease in oxidative stress and increase in regenerative cells. Moreover, physical exercise showed beneficial effects on self-esteem and mental health, with a positive impact on psychological issues associated with sexual dysfunction.

Recommendation: It is recommended that adults following 30 minutes of moderate to intense aerobic physical activity on most days of the week will benefit greatly from erectile dysfunction. Exercise helps to reduce stress and increase energy levels. It also improves circulation and helps to keep the arteries and heart healthy.

  • Weight loss       3

How is it effective?

Increased abdominal fat and related risk factors are associated with decrease in the availability and activity of NO. The reduced testosterone levels associated with obesity and the metabolic syndrome may worsen both insulin resistance and endothelial function, thereby contributing to ED. Body weight loss is associated with decline in estrogen levels and rise in gonadotropins and testosterone (hormones), which increases consecutively with weight loss.

Recommendation: Weight loss of 5%–10% in overweight or obese non-diabetic or diabetic men can result in effective improvement in erectile function in a short period. Regular exercise without any gap can result in effective weight loss and thus, improving erectile dysfunction.

How is it effective?

The abundant consumption of vegetables, fruit and whole grain and the dietary patterns rich in these foods produce a markedly lower risk of coronary disease. The beneficial effect of the Mediterranean diet on atherosclerosis and ED can be mediated through multiple biological pathways, including the reduction of oxidative stress and subclinical inflammation, amelioration of endothelial dysfunction and insulin sensitivity, which in turn may increase NO release in the penile arteries.

Recommendation: Mediterranean diet has been proposed as a healthy dietary pattern based on the evidence that greater adherence to this diet is associated with lower all-cause and disease-specific survival. Diet rich in fruits & vegetables but devoid of high sugar as well as fat can be effective in improving erectile dysfunction.

  • Smoking        5

How is it a contributor?

Both the direct use of tobacco and second-hand exposure seems to be a risk factor for ED due to the effects of cigarette chemicals on the blood vessels in the penis.

Recommendation: Quitting smoking can improve ED symptoms. If it seems to be difficult to quit smoking, seek help from medical practitioners.

How is it effective?

Alcohol is a depressant and using it heavily can dampen mood, decrease sexual desire and make it difficult for a man to achieve erections while under the influence.

Recommendation: Most experts say moderation is the key. According to the U.S. Centers for Disease Control and Prevention (CDC), moderate drinking, no more than two drinks a day for men, will not give rise to erectile dysfunction.

NATURAL REMEDIES FOR ED

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Along with lifestyle changes, there are natural remedies available for the treatment of ED. The following are some supplements that have been studied and shown to be safe. They may also be effective in the treatment of ED.

 

WHEN SHOULD YOU SEE A DOCTOR FOR ERECTILE DYSFUNCTION SYMPTOMS? 8

Erectile dysfunction can be troubling and affect sexual and psychological health. If you are experiencing erectile dysfunction symptoms, you should examine your diet, try to work towards a healthy weight and seek the guidance of a doctor before starting any medical or supplement treatment. You should especially see a doctor if you have known heart disease, or other vascular disease (such as in the legs) because ED can be a sign of worsening vascular disease.

REFERENCES

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ERECTILE DYSFUNCTION: QUITTING ALCOHOL IS TOUGH BUT WORTH

UNHEALTHY LIFESTYLE factors such as alcohol consumption have major impact on the severity of erectile dysfunction in men. It is long regarded as a risk factor for erectile dysfunction. Alcohol consumption leads to marked distress and interpersonal difficulty in erectile deficient men. It has been found that 61% of patients dependent on alcohol suffer from sexual dysfunction, the most common being erectile dysfunction followed by reduced sexual desire. Erectile dysfunction and reduced sexual desire are frequently co-exist.

The scientific explanation is that alcohol is a central nervous system depressant. This causes impotence and other disturbances in sexual dysfunction. Erectile failure in alcoholic men is fairly a routine which is found to be higher in men consuming more than three standard units of alcohol (12 g ethanol) daily and in subjects smoking more than 10 cigarettes/day.

SYMPTOMS OF ALCOHOL-INDUCED ED                      

The symptoms of erectile dysfunction originated from alcohol consumption appeared accordingly with the amount of alcoholic beverage consumed. The chance of developing sexual dysfunction appears to increase with increasing quantity of alcohol consumed.

Higher levels of alcohol intake may result in greater neurotoxic effects. Heavy use of alcohol is also known to alter gonadal hormones (testosterone & follicle-stimulating hormone).

MECHANISM – BY WHICH ALCOHOL CAUSES ERECTILE DYSFUNCTION

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In addition to the effect of alcohol on central nervous system receptors (as given above), alcohol also suppresses the release of gonadotropin and anti-diuretic hormone from the pituitary that may be associated with hypogonadism and hypovolemic shock in alcohol abusers. The chronic abuse of alcohol may cause testicular atrophy, inhibition of testosterone production and impairment of spermatogenesis, apart from its direct oxidative toxicity. These effects of alcohol cause erectile dysfunction because it directly affects the production of hormones responsible for erectile mechanism in males.

All this alcoholism effects are found to cause men to suffer from problems achieving and maintaining an erection, because alcohol can also prevent blood vessels in the penis from closing, inhibiting the ability of penis to remain erect. In a healthy, non-alcoholic man, the penis becomes erect when aroused because it fills with blood and the vessels close, preventing back-flow. Chronic consumption of alcohol damages blood vessels which cause problems in the heart and also in the penis.

EXAMINATION

  • Physical examination  2
  • Genitourinary examination
  • Attention to any endocrine (including testicular size and secondary sexual characteristics), neurological or vascular causes as appropriate, especially if indicated by the history.
  • Pulse (including peripheral pulses) and blood pressure. Because ED shares risk factors with CVD, a full cardiovascular assessment should be performed.
  • Rectal examination in patients over the age of 50 years.
  • Psychological counseling involving queries regarding stress, depression or alcohol consumption

 

  • Laboratory examination     3
  • Fasting glucose
  • HbA1c
  • lipid profile
  • Total testosterone
  • Follicle-stimulating hormone (FSH), luteinising hormone (LH), and prolactin when low testosterone is detected

MANAGEMENT OF ERECTILE DYSFUNCTION

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When you drink heavily and frequently, your body becomes physically dependent on alcohol and goes through withdrawal if you suddenly stop drinking. The symptoms of alcohol withdrawal range from mild to severe, and include:

  • Headache
  • Shaking
  • Sweating
  • Nausea or vomiting
  • Anxiety and restlessness
  • Stomach cramps and diarrhea
  • Trouble sleeping or concentrating
  • Elevated heart rate and blood pressure

 

  • How to quit alcohol?  5

As mentioned here, alcohol consumption is the reason behind the risk of erectile dysfunction. Thus, primary treatment involves the inhibition of alcohol consumption which involves various strategies such as:

  • Avoid the things that trigger your urge to drink
  • Practice saying “no” to alcohol in social situations
  • Remind yourself of your reasons for not drinking
  • Evaluate the costs and benefits of drinking
  • Quit alcohol by diminishing the requirement day by day. Keep a “diary” of your drinking
  • Pick a day or two each week when you will not drink at all
  • When you’re struggling with alcohol cravings, try strategies such as talking to someone you trust, distracting yourself until the urge passes, accepting the urge and ride it out, instead of trying to fight it, etc.
  • Try to have exercise as more as possible and as much scheduled as possible.

 

  • Prescription for erectile dysfunction 6Phosphodiesterase inhibitors (sildenafil, tadalafil, vardenafil and avanafil) improve the relaxation of smooth muscle. Phosphodiesterase inhibitors are also contra-indicated in patients in whom vasodilation or sexual activity are inadvisable, and where there is previous history of non-arteritic anterior ischaemic optic neuropathy, hypotension.

Try herbal remedies which are devoid of side effects. These herbal remedies include ginseng, DHEA (Dehydroepiandrosterone), L-arginine, fenugreek, etc. Any prescription to be taken for erectile dysfunction should be after consultation with doctor because the dose and schedule of medicine depends upon the severity of the disease which can only be interpreted by the doctor specializing in that particular field.

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REFERENCES

http://www.healthline.com/health/erectile-dysfunction/ed-natural-treatments#Acupuncture9

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SNORING IS NOT A SIGN OF DEEP SLEEP, BUT MAY INDICATE ERECTILE DYSFUNCTION

ERECTILE DYSFUNCTION (ED) is known widely as ‘impotence’ and is defined as the inability to get and keep penile erection firm enough for sexual relationship. It can make sexual intercourse difficult if not treated appropriately. It is reported that 1 in 5 men affected by this problem and this number increases with age.

Prevalence: In India, the prevalence of erectile dysfunction is increasing drastically and found to be about 6% in the age group 20-29 years and 50-70% in the age group 40-79 years. It has been estimated that this number will get increased over 320 million by the year 2025.

OBSTRUCTIVE SLEEP APNEA (OSA) is defined as the recurrent complete (apnea) or partial (hypopnea) episodes of upper airway obstruction during sleep. In other words, it occurs when tissue at the back of the throat collapses and blocks a person’s airway. This results in a start-stop breathing pattern, making it difficult to sleep soundly.

Prevalence: This is the one of the most common sleep disorder. In men, the prevalence of OSA was found to be 1-5%. This prevalence rate keeps on increasing with age. In clinical studies, it has been reported that 69% of male study participants with obstructive sleep apnea also had ED.

 RISK FACTORS FOR OSA

  • Sleeping flat on the back
  • Obesity
  • Chronic sinusitis
  • Large neck circumference
  • Recent weight gain
  • Menopause
  • Large tonsils or adenoids
  • Down syndrome
  • Smoking
  • Family history of sleep apnea
  • Recessed chin or large overbite

SYMPTOMS OF OSA  1RELATION BETWEEN ERECTILE DYSFUNCTION AND OBSTRUCTIVE SLEEP APNEA

OSA induces a variety of abnormalities in neural, hormonal and vascular regulation which contribute to the development of ED (erectile dysfunction).

Apnea occurring during the sleep causes hypoxia (oxygen deprivation) and oxidative stress which result in impairment in hypothalamic-gonadal axis and lead to psychological depression, decreased libido, fatigue, decrease in rapid eye movement (REM) sleep period and neurogenic dysfunction and all these factors results in decline in the testosterone (male hormone) levels which ultimately worsens the quality of erection.

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Another reason associated with these co-morbidities is that men produce a large amount of testosterone during night. A disturbed sleep pattern due to sleep apnea reduces the testosterone production resulting in poor erections and decreased libido.

TREATMENT STRATEGIES

Prevention and treatment of erectile dysfunction associated with OSA includes either the treatment of OSA or the direct treatment of erectile dysfunction.

Treatment of OSA

OSA can be treated with

  • Lifestyle changes: 3Majorly including weight loss because excess weight is a primary risk factor for sleep apnea in both men and women.
  • Medical treatment: Including oral cavity tools and Continuous Positive Airway Pressure (CPAP) therapy
  • Surgical treatment: 4Surgery is preferred when other treatments have failed or when treatment is needed right away. It includes Uvulopalatopharyngoplasty (UPPP), Tonsillectomy, Tracheostomy, etc.

The above given treatments have shown to improve associated ED also. Currently, CPAP therapy is regarded as the gold standard treatment for OSA. It is a device which is worn while sleeping and keeps the airway from closing. It can diminish or alleviate sleep apnea.

Men with OSA and moderate to severe ED were shown to be improved greatly with the regular use of CPAP. It has been found in a human clinical study that CPAP users experienced an improvement in overall sexual function compared with patients who did not use CPAP.

Treatment of erectile dysfunction

Overcome anxiety & stress: 5It has been proved that anxiety and stress worsens the erectile dysfunction. Talking about these things with a therapist can ease sexual anxiety and help to generate more confidence. Anti-stress activities should be chosen such as playing, daily exercise, yoga, keeping yourself busy, etc. This will help to lose stress and manage erectile dysfunction.

Medications: 6The doctors usually prescribe drugs such as Avanafil, Sildenafil, Tadalafil and Vardenafil. These drugs should be taken after careful prescription and complete guidance because they could cause side effects such as headache, stuffy nose, muscle ache and temporary blue-green shade of the vision in some cases.

Surgery: If all other ED treatments have failed, your doctor may recommend surgery. The operations are:

  • Placement of an implant (prosthesis) in the penis
  • Vascular reconstruction surgery to improve blood flow to or reduce blood leakage from the penis and surrounding structures. This procedure works in very few cases.

Natural treatment: Even though all the above given methods may help some men, natural alternatives can be just as effective, but they remain free of side effects.

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The various plants which are clinically proven to manage ED are:

REFERENCES

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ERECTILE DYSFUNCTION: SILENT MARKER OF CORONARY ARTERY DISEASE

INTRODUCTION

Erectile dysfunction (ED) is a serious health problem these days which is prevalent in men. It is reported that 1 in 10 adult men suffer from erectile dysfunction. It originates due to various reasons such as stress, depression, hormonal deficiency, etc. Under severe conditions, erectile dysfunction causes many health co-morbidities. In some cases, it has been seen that erectile dysfunction is one of the indicator of other health consequences such as endothelial dysfunction.

Recent studies suggest that there is a very strong link between erectile dysfunction and coronary artery disease (CAD). Due to this, doctors should look more closely at the overall health of erectile deficient men to check if it is an outcome of some other disease.

LINK BETWEEN ERECTILE DYSFUNCTION AND CORONARY ARTERY DISEASE

It is known that the coronary artery disease is a heart disease in which the arteries that supply blood to the heart muscles become hardened & narrowed. This causes the disturbance in blood flow in the entire body. This occurs due to many causes such as the building-up of cholesterol or fat inside the inner walls of the blood vessels known as atherosclerosis.  1

Erection mechanism of the penis involves the extra blood flow towards the muscles of the penis. When CAD disrupts the ability of blood to flow freely, it also causes the disturbance in the blood flow towards penis. As a result, erectile dysfunction originates. Thus, CAD is one of the causes of erectile dysfunction. In turn, erectile dysfunction can be regarded as one of the symptoms of CAD.

RISK FACTORS OF ERECTILE DYSFUNCTION AND CAD 

 2As it has been told that erectile dysfunction & CAD share a common disease process, it should also be known that they also share many risk factors. These involve:

  • High blood pressure: When the blood pressure is high for an extended time, it can damage the lining of the arteries and interfere with the blood flow. This causes both CAD and erectile dysfunction due to disturbance in blood flow. It is also reported that certain high blood pressure medications such as thiazide diuretics also cause erectile dysfunction.
  • High blood cholesterol: low density lipoproteins (LDL) cholesterol can also damage the arteries. The buildup of this cholesterol in the arteries can clog them and restrict the blood flow. This can contribute to erectile dysfunction, as well as CAD.
  • Diabetes: People with diabetes are at higher risk of heart disease. They’re also more likely to develop ED than people without diabetes.
  • Obesity: Excess body weight and fat can worsen the condition of CAD and erectile dysfunction due to the condition of atherosclerosis.
  • Depression: Depression has been linked to both ED and heart disease. According to a research study, men with sexual dysfunction and severe symptoms of depression may have a higher risk of cardiovascular events.
  • Smoking: Smoking damages the arteries and increases the risk of atherosclerosis. Tobacco use has also been linked to erectile dysfunction.

TREATMENT OPTIONS FOR ERECTILE DYSFUNCTION CAUSED BY HEART DISEASE

If any man has erectile dysfunction originated from coronary artery disease, then, he should opt for following treatment plans. Some of them can trigger directly coronary artery disease to treat the whole scenario and some can treat or prevent erectile dysfunction stopping the further prevalence of coronary artery disease. These treatment plans are:

Lifestyle changes

Exercise 3 is recommended as part of a healthy lifestyle and helps to manage chronic diseases. Researchers recommended that daily aerobic exercise should be at least 30 minutes and that men should burn, on average, a minimum of 300 to 500 kcal to achieve the benefits of exercise for erectile dysfunction.

Dietary interventions 4 to improve erectile dysfunction originated from coronary artery disease involves eating a diet high in fruits and vegetables, limiting intake of refined sugars and processed foods, consuming more whole grains, legumes, nuts and seeds, replacing butter with healthful fats such as olive oil, decreasing sodium intake by using more herbs and spices and limiting red meat consumption.

The suggested mechanisms by which weight loss, healthy diet and physical exercise can improve erectile function include the improvement of endothelial dysfunction, insulin-resistance and low-grade inflammatory state associated with diabetes and metabolic diseases – all of which are risk factors for ED. The resulting improved inflammatory status may help contribute to reduce the burden of sexual dysfunction in men.

  • Stop smoking & drinking alcohol

5Both the direct use of tobacco and second-hand exposure seem a consolidated risk factor for ED. The moderate consumption of alcohol may exert a protective effect on ED in both the general population and in diabetic men. When the alcohol intake becomes excess then, it causes reverse effect on the body causing depressed mood and low libido increasing erectile dysfunction.

  • Clinical implications
    • Phosphodiesterase 5 (PDE5) inhibitors: 6 They are very effective for the treatment of erectile dysfunction in patients with CAD. Numerous studies have shown that this class of drugs is safe in patients with stable CAD. Other drugs which can be beneficial include angiotensin and statins, etc.
    • Androgens: Men who present with diminished libido and erectile dysfunction may be found to have low serum testosterone levels. Hormone administration may benefit men with severe hypogonadism and may be useful as adjunctive therapy when other treatments are unsuccessful by themselves. Libido and an overall sense of well-being are likely to improve when serum testosterone levels are restored to the reference range.
    • Supplements: Beside medications, it has been seen that food supplements or herbal supplements have been shown to improve the condition of erectile dysfunction in men. These involve Korean Red Ginseng, L-Citruline/L-Arginine, Yohimbe, etc.

One such herbal supplement originated from fenugreek seed extract, Chemforce is an innovative product rich in protodioscin, which plays significant role in maintaining and improving testosterone levels, which further contributes in muscle mass building and safe sports supplement. It’s a unique blend of highly powerful ingredients, Furosap® which is a patent protected and clinically evaluated fenugreek seed extract and Alpha Yohimbine which is a known aphrodisiac. Furosap® has been proven safe and effective for maintaining overall energy and vitality in men.

Angioplasty:

Balloon angioplasty has been studied as treatment for erectile dysfunction in men with focal atherosclerotic narrowing of the penile artery.

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REFERENCES

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EXPLORING LINK BETWEEN ERECTILE DYSFUNCTION & URINARY TRACT INFECTION

ERECTILE DYSFUNCTION,inability to maintain stable erection for sexual intercourse, is known to have high prevalence worldwide. It was estimated that there were over 152 million men suffering from erectile dysfunction worldwide. It is also predicted that there will be an increase of nearly 170 million men with erectile dysfunction till 2025, thus, the prevalence rate will hike to approximately 322 million men. According to Aytac IA et al., this prevalence rate has been observed to be high in Africa, Asia and South America.

As we look at URINARY TRACT INFECTION (UTI), then, it is one of its outcomes of erectile dysfunction. UTI is an infection that occurs within the urinary tract system, which consists of the urethra, bladder, ureter, and kidneys, as well as the prostate and testicles. It has been observed by Schaeffer A J et al. that the urinary tract infection is uncommon in men younger than 60 years of age (0.9 – 2.4% per 1000 men). The men older than 60 years of age have seen to be more prone to UTIs (7.7% per 1000 men).

Erectile dysfunction and urinary tract infection are correlated conditions. It is recommended that patients seeking consultation for one condition should always be screened for the other condition. Both erectile dysfunction and UTI affect sexual function and hence quality of life of men. In a large epidemiological study, 28.8% of men were reported to have a fall in sexual enjoyment and 24.8% had decreased or stopped sexual activity due to the disorders of prostate or bladder.

UTI is a strong enhancer of erectile dysfunction. Any patient with confirmed erectile dysfunction is always tested for urinary infection. Mild to moderate or moderate to severe UTIs, have a greater impact on erectile dysfunction.

1

Infection of the prostate (prostatitis) can also lead to erectile problems. Prostatitis can be caused by a sexually transmitted disease or from the bacteria common in the feces (E. coli, etc.). Younger patients are more likely to get a sexually transmitted disease than a very old patient. Patients may get the infection from incomplete bladder emptying and the residual urine serves to propagate the bacteria. This condition can cause

  • Severe burning with urination
  • Painful ejaculation
  • Blood in the urine
  • Fever
  • Chills
  • Need to strain or push to get the urine out

None of these symptoms make sexual relationship a very attractive activity, which can ultimately lead to erectile dysfunction.

HOW CAN IT BE PREVENTED OR TREATED?

2

It is truly said, “Prevention is better than cure”. Prevention of urinary tract infection is more important than its development and treatment. Following are some of the tips, which can be acquired to prevent urinary tract infection in men:

  • Drink a lot of fluids especially water. This can help flush the bacteria out of the urinary tract, and in mild infections can even help treat it completely.
  • Urinate as more as possible. Don’t hold your urine when you feel the urge to go.
  • Empty your bladder as much as possible when urinating.
  • Cleaning of the area is important, so that bacteria doesn’t get trapped and enter the urinary tract.

Other treatment strategies for UTI and erectile dysfunction include:

Lifestyle modification

  • Simple lifestyle changes, such as termination of smoking, weight loss and even modest but regular exercise, very often improve and can often resolve erectile dysfunction symptoms. Improvement in these domains serves to improve blood flow, tissue health and nerve function of penile tissues.
  • Diabetes also can be a risk factor for erectile dysfunction. Uncontrolled diabetes leads to poor long-term blood sugar control, and when blood sugar remains uncontrolled, this can cause nerve and blood vessel damage, negatively affecting the blood supply to the penis. Thus, blood glucose levels should be regularly monitored and managed accordingly.

Natural supplements

  • D-mannose is a naturally occurring sugar found in apple, blueberries and cranberries and is the most effective treatment for urinary tract infection. D-mannose sugar is effective because it attaches itself to the infection-causing bacteria and prevents them from sticking to the walls of the urinary tract, eliminating them while urinating.
  • One supplement popular among individuals with erectile dysfunction is Korean red ginseng, also called Panax. It’s thought that the ginsenoids found in ginseng are the active ingredient that improves sexual function. They are believed to have multiple potential health benefits, such as being antihypertensive, antidiabetic, antiatherosclerotic, and anti-inflammatory, as well as having positive effects on the central nervous system.
  • The body uses L-arginine to make nitric oxide, a gas that increases blood flow. Nitric oxide triggers the smooth muscle of the penis to relax, which then allows blood to flow into the penis, causing an erection.
  • Other natural supplements for the treatment of erectile dysfunction and raise overall energy and vitality in men include:
    • Yohimbine: It is believed to activate the penile nerves to release more NO, widen the blood vessels to increase blood flow in the penis, stimulate the pelvic nerve and boost adrenaline supply, increase sexual desire and prolong erections.
    • Fenugreek: Fenugreek has been known to boost testosterone levels to cure erectile dysfunction. Fenugreek-based supplement –CHEMFORCE is a natural dietary supplement for overall energy and vitality in men. Fenugreek extract, the major ingredient in Chemforce, has been known to boost testosterone levels to cure erectile dysfunction. It is a clinically proven and patented herbal supplement which helps to maintain overall health of men including healthy sexual function, healthy muscle development, maintenance of overall energy, etc.
    • Ginkgo: Ginkgo biloba may increase blood flow to the penis, thus, causing improvement in erectile dysfunction.
    • Mondia whitei: It is believed to increase libido and manage low sperm count in men. Studies suggest that this natural supplement increases human sperm motility, testosterone levels and NO production, thus, increases sexual desire.

REFERENCES

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HOW TO MANAGE BPH & ERECTILE DYSFUNCTION SIMULTANEOUSLY?

BENIGN PROSTATIC HYPERPLASIA (BPH) is the increase in size of the prostate gland of men. This prostate gland surrounds the urethra (tube that carries urine from bladder out of the body). When prostate gland size gets bigger, it squeezes the urine discharge tube which causes problem in urinating. This disease generally develops in men in older age.

SYMPTOMS OF BPH

  • Frequent urination (every one or two hours, especially at night)1
  • Feeling that bladder is full, even after urinating
  • Always feeling urge to urinate
  • Weak urine flow
  • Dribbling of urine
  • Need to stop & start urinating several times
  • Painful urination (Dysuria)
  • Need to push or strain to urinate

EFFECTS OF BPH2

If BPH is not treated for long time, it can cause several effects on the body. These include:

  • Bladder damage
  • Infection caused by residual urine in the bladder
  • Blood in the urine
  • Kidney damage

RELATION BETWEEN BPH AND ERECTILE DYSFUNCTION

3

Erectile dysfunction (ED) is the condition involving inability to maintain or get an erection of the penis. It can be caused by many reasons such as low testosterone, psychological issues, heart disease, diabetes, depression, etc.

BPH increases the risk of development of erectile dysfunction. It has been seen that nerve fibers in the sympathetic nervous system transmit signals that have an impact on stress and stress-related symptoms. An increase in these signals may lead to over activity in the sympathetic nervous system, which is associated with erectile problems.

Other reasons behind the development of ED under the effect of BPH include:

  • Untreated BPH causing many complications
  • Side effects of the medications which are used to treat BPH
  • Treatment of BPH with surgery

How BPH medication can lead to erectile dysfunction?

4

Two types of medicines i.e. α-blockers and 5-α-reductase inhibitors, have been used to treat BPH. Both are prone to cause erectile dysfunction.

  • If 5-α-reductase inhibitors are consumed, decrease in nitric oxide activity related to a decline in dihydrotestosterone (DHT) levels have been observed. This develops many side effects which cause erectile dysfunction. These side effects include:
  • Low libido
  • Reduced semen release
  • Patients who consume α-blockers may experience decreased ejaculation, 5which may contribute to develop erectile dysfunction. α-blockers also relax bladder and prostate muscle cells.

Men who take these medications may also experience lower sperm count, decreased sperm volume and lower sperm movement. Thus, sperm health is also affected due to these drugs, which ultimately cause ED.

How surgery for BPH can develop erectile dysfunction?

6

Surgery can help to reduce the BPH symptoms early, but it may lead to long-term sexual complications (erectile dysfunction). A common surgery called TURP (transurethral resection of the prostate) has been linked to ejaculation problems and erectile dysfunction. Many men who have this procedure often experience sexual side effects after surgery.

TREATMENT

  • Medications7

 

BPH and erectile dysfunction can be treated at the same time with erectile dysfunction medication. Pills for erectile dysfunction may also help to treat BPH. ED drugs sildenafil, vardenafil and tadalafil have been shown to reduce BPH symptoms. However, they aren’t currently approved to treat BPH.

Mechanism of action: These medications inhibit a protein that breaks down a chemical called cyclic guanosine monophosphate (cGMP); cGMP increases blood flow to the penis. By inhibiting the protein that breaks down cGMP, blood flow to the penis can be increased. The increased cGMP and blood flow may allow bladder and prostate cells to relax, leading to greater urinary flow, thus, improving BPH symptoms.

  • Lifestyle modification

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Many men with mild to moderate symptoms of BPH find that simple lifestyle adjustments are able to tackle BPH. If lifestyle modification can help with BPH, then, there is no requirement to consume medications, which develop side effects. Here are a few tips:

  • Reduce the intake of fluids, particularly after dinner.
  • Limit the intake of alcohol and caffeine and avoid them after mid-afternoon; both are diuretics that increase urine flow.
  • Avoid medications that stimulate muscles in the bladder neck and prostate. Pseudoephedrine and other decongestants are the major reasons.
  • Avoid medications such as antihistamines, antidepressants and antispasmodics with anti-cholinergic properties that weaken bladder contractions.
  • If diuretics are being consumed for high blood pressure or heart problems, ask the doctor to try to reduce the dose or substitute another medication that will work as well without increasing urine flow.
  • Take your time to empty your bladder as much as possible without any hesitation.

A natural dietary supplement PROSMAN is about to be launched in the market. It supports healthy prostate and has been clinically evaluated to be safe and effective in patients with BPH and is also a patented product.

CHEMFORCE is a natural dietary supplement for overall energy and vitality in men. Fenugreek extract, the major ingredient in Chemforce, has been known to boost testosterone levels to cure erectile dysfunction. It is a clinically proven and patented herbal supplement which helps to maintain overall health of men including healthy sexual function, healthy muscle development, maintenance of overall energy, etc.

REFERENCES

 

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