Male Sexual Dysfunction:
1. Psychological / mental — The causes of psychological sexual dysfunction and low libido are numerous, and it is difficult to list them all, but most often low libido is related to depression, performance anxiety, marital stress or relationship problems, life crisis, financial difficulties, religious repression, or some type of mental illness. Sexual enhancement is possible through various forms of therapy, stress release, vacation, etc.
2. Hormonal influence on male and female sexual enhancement — Androgens, such as testosterone, are a major component of libido. Testosterone levels decline about 1 percent each year in men, which may contribute to lower male libido with aging. Testosterone also declines with age in women leading to a decrease in female libido. Women who have had surgical removal of the ovaries notice a drop in sexual interest. Sexual enhancement through replacement of androgens can be helpful in those with age related sexual dysfunction. Testosterone is available by prescription only. An over the counter hormones, such as DHEA, converts into testosterone and thus has a positive influence on libido. Pregnenolone is another over the counter hormone that may increase testosterone levels and thus lead to sexual enhancement. However, hormones may not be safe to use for sexual enhancement, therefore aphrodisiac herbs are a great alternative.
3. Vascular — Alterations in the flow of blood to and from the penis are thought to be a common cause of male erectile dysfunction. For instance, medical conditions such as atherosclerosis (hardening of the arteries), high cholesterol, hypertension, or diabetes reduce blood flow to the penis and genital organs thus leading to difficulty with erection or genital swelling. Proper diet and exercise can reduce the risk. Additional factors that can impede blood flow include penile injury, surgery in the pelvic or abdominal area, and sitting on a bicycle too long. Men who log several thousand miles a year on their mountain bikes suffer scrotal damage that could reduce their fertility. Some of these health problems, if treated appropriately, can lead to sexual enhancement.
4. Neural — Nerve damage from disorders such as diabetes, multiple sclerosis, Parkinson’s disease, and stroke affect the brain’s ability to respond to sexual stimulation. In women, abdominal or pelvic operations can occasionally lead to nerve damage. Sexual dysfunction is common in men undergoing surgical treatment for prostate enlargement or cancer.
5. Chemical influence on female and male sexual enhancement — Some chemicals involved in the human sexual response and libido include dopamine, acetylcholine, and nitric oxide. Sexual enhancement is quite likely through manipulation of these brain chemicals by using natural herbs and supplements.
Certain medical conditions reduce libido, performance, or enjoyment. These include hypertension, diabetes, high cholesterol, cardiovascular disease, peripheral vascular disease, and neurologic disorders, and insomnia.
Drugs that interfere with libido or sexual function include some anti-hypertensives, SSRIs, sedatives, sleeping pills, and beta-blockers. Alcohol’s negative affect on libido increases with age. Smoking can reduce genital blood flow.
There are several sexual enhancement drugs including Viagra, Cialis, and Levitra. These drugs work very well in dilating blood vessels leading to a strong erection, however they do little else for sexual enhancement, such as libido, sensation, and sexual stamina. Plus, they have side effects. It has been reported that Viagra in rare cases can cause permanent blindness. Sexual enhancement supplements are, as a rule, much safer. Which is the best sexual enhancement drug? This is difficult to say since each person has their own preference.
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