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Abstract

EFFICACY OF KSHEERBALA TAILA MATRABASTI IN THE MANAGEMENT OF ERECTILE DYSFUNCTION

*Vd. Subhash G. Marlewar and Vd. Pushkaraj S. Valvi

ABSTRACT

Erectile dysfunction also known as impotence, is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. Erectile dysfunction can have psychological consequences as it can be tied to relationship difficulties and self-image. Psychological causes are performance anxiety, stress, and mental disorders. It is four times more common in men aged in their 60s than those in their 40s. Smoking is a key cause of erectile dysfunction. Smoking causes impotence because it promotes arterial narrowing. Erectile dysfunction is characterized by the regular or repeated inability to obtain or maintain an erection. Penile erection is managed by two mechanisms: the reflex erection, which is achieved by directly touching the penile shaft, and the psychogenic erection, which is achieved by erotic or emotional stimuli. The former uses the peripheral nerves and the lower parts of the spinal cord, whereas the latter uses the limbic system of the brain. In both cases, an intact neural system is required for a successful and complete erection. Stimulation of the penile shaft by the nervous system leads to the secretion of nitric oxide, which causes the relaxation of smooth muscles of corpora cavernosa, and subsequently penile erection. Additionally, adequate levels of testosterone and an intact pituitary gland are required for the development of a healthy erectile system. As can be understood from the mechanisms of a normal erection, impotence may develop due to hormonal deficiency, disorders of the neural system, lack of adequate penile blood supply or psychological problems.

Keywords: Psychological causes are performance anxiety, stress, and mental disorders.


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