Erectile Dysfunction

Erectile Dysfunction (ED) Overview:

Erectile dysfunction is defined as the inability to achieve and/or maintain erection for long enough to allow sexual intercourse. This condition is common in men over 50 (about 30%), affecting an estimated 150 million men worldwide.


Aetiology:

An erection is a neurovascular process involving the autonomic nervous system and somatic nervous system that works through the pudenal nerve, vascular system, and sinusoidal spaces of the corpora cavernosa. 

Parasympathetic innervation through the pelvic nerves initiates relaxation of the trabecular smooth muscle of the corpora cavernosa through the action of nitric oxide, resulting in the inflow of arterial blood, and cessation of venous outflow.

The causes of erectile dysfunction can be the result of psychological, neurological, metabolic, cardiovascular, drug-related, hormonal, or thyroid conditions.  

+ Psycogenic Causes (Libido):

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+ Organic Causes:

Includes neurogenic, hormonal, vascular, drug-induced, and penile-related etiologies.

Neurogenic

  • penile arterial insufficiency
    • Can be caused by hypertension, hyperlipidemia, cigarette smoking, diabetes mellitus, and pelvic irradiation or prostate surgery.

Symptoms:

Inability to produce or maintain erection.

Symptom

Symptom

Symptom

Symptom

Symptom

Symptom


Diagnostic Considerations:


Therapeutic Aims:

1. Treat Anxiety or Depression Symptomatically

...

  • Nervines ()
  • Anxiolytics ()
  • Thymoleptics ()

2. Support Circulation

Address any hypertension or cardiovascular disease to slow or reverse any cardiovascular causes for this condition.

  • Circulatory stimulants ()
  • Vascular Tonics ()
  • Hypotensives ()
  • Cardiotonics ()
  • Antioxidants ()

3. Address Potential hormone Dysfunctions

...

  • Male Tonics (Ptychopetalum olacoides, Trichilia catigua, Panax ginseng, Tribulus terrestris)
  • Prolactin Inhibitors (Panax spp., Serenoa repens, Vitex agnus-castus)
  • Dopaminergics (Trichilia catigua)

4. Improve Energy Levels And Homeostatic Controls

...

  • Adaptogens (Panax ginseng, Rhodiola rosea)
  • Adrenal tonics (Rehmannia glutinosa, Glycyrrhiza glabra)

5. Consider Side Effects Of Medications

...

  • Hepatics (Silybum marianum, Schisandra chinensis, Cynara scolymus)

6. Identify And Treat Other Underlying Causes

...

  • Thyroid modulators ()
  • Aldose reductase inhibitors ()
  • Blood Glucose Regulators (Stevia rebaudiana)
 

Comorbidities:

  • Erectile dysfunction is considered to be a risk factor for cardiovascular disease. 
  • Diabetes
  • Hypertension or Hypercholesterolemia
 

Differential Diagnosis:

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Cautions:

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Herbs For Erectile Dysfunction:

  • muira puama
  • Yohimbine
 

Erectile Dysfunction Formula

Herb Name Ratio Amount in mL
Zanthoxylum schinifolium 1:2 40 mL
Avena sativa 1:2 20 mL
Serenoa repens 1:2 20 mL
Panax ginseng 1:2 10 mL
Capsicum anuum 1:2 5 mL
Zingiber officinale 1:2 5 mL
Total 100 mL

5 mL 3 times/day


Author:

Justin Cooke

The Sunlight Experiment


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References:

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