Erectile dysfunction definition
Erectile dysfunction (ED) is a condition in which a man is unable to obtain or maintain an erection adequate for his sexual needs or those of his partner. Erectile dysfunction is occasionally referred to as “impotence.”
The term “erectile dysfunction” refers to an inability to obtain an erection, an inconsistency in obtaining one, or the ability to obtain only brief erections.
According to Ayurveda, erectile dysfunction, or ED, is expressed in the form.
na yaathi lingashaithilyaath kadaachidyaathi vaa yadi | Shwaasaarthaha swinnagaatrshcha moghasankalpacheshtitaha || mlaanashishnashcha nirbeejaha syodetat klaibyalaxanam |
This means that even if a man has a strong desire to engage in sexual activity with a cooperative partner, he is unable to do so due to the looseness (absence of erection) of his phallus ( penis). Even if he makes determined efforts to perform sexual acts, he is unable to obtain an erection and is plagued by fatigue, perspiration, and frustration when attempting to perform sex.
The organ’s two chambers (corpora cavernosa) are lined with spongy tissue. A membrane called the tunica albuginea surrounds the corpora cavernosa. Smooth muscles, fibrous tissues, spaces, veins, and arteries are all found in the spongy tissue. The urethra, which serves as a conduit for urine and sperm, is located on the underside of the corpora cavernosa.
The erection begins as a result of sensory or mental stimulation, or both. The muscles of the corpora cavernosa relax in response to brain and local nerve impulses, allowing blood to flow into and fill the spaces of spongy tissue.
Blood flow generates pressure in the corpora cavernosa, which causes the penis to expand. The tunica albuginea helps maintain erection by trapping blood in the chambers. Erections recede when the penis muscles contract to block blood flow and open outflow channels.
In Ayurveda, the erection and ejaculation physiology are described as follows:
naabhyuuru vankshnow gudam| Apaanasthaanamantrasthaha shukra mootra shakrunti cha|
The testicles, urinary bladder, phallus, umbilicus, thighs, groin, anus, and colon are all home to the “apaanavayu,” one of the five types of vayu. Its functions include sperm ejaculation, urine voiding, and stool ejaculation”.
Shushruta describes the erection and ejaculation process as follows: “When a man has desire (iccha) for sex, his response to touch increases” ( Vayu located in skin causes flow of signals from skin to brain, thus causing sensation of touch). This results in arousal, or “harsha.” Arousal or Harsha intensifies vayu’s actions, and at this point, the highly active vayu releases the “teja” or pitta’s heat. As a result, tejas and vayu raise the body temperature, heart rate, and blood flow, resulting in erection.
Erection necessitates a series of events. Erectile dysfunction can occur as a result of any of the above-mentioned events being disrupted. This sequence of events is comprised of nerve impulses in the brain, spinal column, and around the penis, as well as responses in muscles, fibrous tissues, veins, and arteries in and around the corpora cavernosa. Any of the components of this sequence ( nerves, arteries, smooth muscles, fibrous tissue ) can be injured, resulting in ED.
Reduced testosterone hormone levels:
Testosterone is the primary male hormone. After the age of 40, a man’s testosterone level begins to decline gradually. Approximately 5% of men seen by physicians for erectile dysfunction have low testosterone levels. Low testosterone is frequently the cause of decreased sexual interest, not erectile dysfunction.
Testosterone affects the entire male body.
Susruta, too, has illustrated this body’s response to the element “Shukra.” He stated
“yatha payasi sarpistu goodashchekshow raso yatha shareereshu tatha shukram nrinaam vidyaadhbishagwara” “yatha payasi sarpistu goodashchekshow raso yatha shareereshu tatha shukram nrinaam vidy
This means that the shukra (the reproductive element) is present throughout the body.
The following examples demonstrate this.
1. Ghee is an invisible component of milk. This is extracted from milk in a variety of ways.
2. Sugar is present throughout the sugarcane. It is extracted through a series of processes on sugarcane.
Similarly, shukra is distributed throughout the body. However, the cream of shukra (semen) is expelled from the body only during the ejaculatory process. However, this ejaculatory process requires a joyful union of mind and body.
Erectile dysfunction is caused by a decrease in “Shukra” production.
Excessive exertion –
physically and mentally : Long hours in the office, mental stress at work and at home, irritability, and insufficient sleep all contribute to erectile dysfunction.
Ayurveda refers to these causes as “shoka chintaa, bhaya, traasaat…. “, which translates as “erectile dysfunction or impotence occurs as a result of grief, fear, anxiety, and terror.
Erectile dysfunction can also occur when there is a dislike for the sexual partner.
This is referred to in Ayurveda as “naarinaamarasamjnatwaat…”, which translates as “dislike for women.”
Erectile dysfunction-causing diseases include the following:
Erectile dysfunction can also be caused by neurological disorders, hypothyroidism, Parkinson’s disease, anemia, depression, rheumatoid arthritis, endocrine disorders, diabetes, and diseases of the cardiovascular system.
According to Ayurveda, the diseases that cause erectile dysfunction are “Hritpaandurogatamakakaamalashrama…” – cardiovascular diseases, anemia, asthma, liver disorders, and fatigue.
Apart from these, a tridosha imbalance can result in impotence or erectile dysfunction.
Consumption of pharmaceuticals, controlled substances, and tobacco:
Prolonged use of antidepressants, tranquilizers, and antihypertensive medications, addiction to tobacco, particularly smoking, excessive alcohol consumption, and addiction to cocaine, heroin, and marijuana all contribute to erectile dysfunction.
These causes are summarized in ayurvedic texts as “rukshamannapaanam tathoushadham” – “dry food, beverages, and medicines” cause impotence or erectile dysfunction.
Pelvic region trauma:
Accidental pelvic region injury and surgeries for prostate, bladder, colon, or rectal area conditions may result in erectile dysfunction.
In Ayurveda, these causes are referred to as abhighata (trauma) and shastradantanakhakshataha (injury from weapons, teeth, and nails.)
Erectile dysfunction is also caused by obesity, prolonged bicycle riding, a history of sexual abuse, and advanced age.
According to Ayurveda, the following factors contribute to impotence or erectile dysfunction in old age. “decreased tissue elements, strength, energy, and lifespan, inability to consume nourishing food, and physical and mental fatigue all contribute to impotence.”
Treatments for Erectile Dysfunction
ED can be treated at any age. In Ayurveda, the total treatment for impotence is referred to as “Vajikarana therapy.” Because this therapy strengthens a man’s ability to perform sexual acts, similar to a horse, it is called ‘Vaajikarana’. (‘Vaaji’ means ‘Horse.)
• Happiness is the result of Vaajikarana therapy.
• Sufficient strength.
• The ability to produce healthy progeny.
• Increased erection duration.
Acceptance of vajikarana therapy.
1. The vajikarana therapy should be administered to individuals aged 18 to 70 years.
2. These therapies should be administered only to individuals who are capable of self-control. If this therapy is given to someone who lacks self-control, he becomes a nuisance to society due to his illegitimate sex acts.
Reduced anxiety associated with intercourse, combined with psychological treatment, aids in the cure of ED. The patient’s partner can assist with the techniques, which include gradual intimacy and stimulation development. Additionally, these techniques can assist in relieving anxiety associated with the treatment of ED due to physical causes.
Ayurveda demonstrates the same treatment. According to legend, “a woman who understands and is liked by a man, combined with an erotic environment, acts as the best aphrodisiac.”
Numerous herbal preparations are mentioned in Ayurveda for the treatment of erectile dysfunction (ED) or impotence. It has been stated that individuals with a strong sexual desire and a desire to enjoy sex on a regular basis must consume these preparations to replenish their energy, vigor, stamina, and strength. Additionally, these preparations provide the nutrients necessary for semen production.
Ayurvedic remedies for ED
1. Rejuvenating the reproductive organs through the use of herbal preparations.
2. Massage the body with a herbal oil that relieves physical exertion and acts as an aphrodisiac.
3. Practicing Yoga and Meditation to alleviate mental exhaustion and stress.
4. Get at least eight hours of sleep per day.
5. Avoiding the consumption of alcoholic beverages, tobacco, and heroin, among other substances.
6. Maintain a regular exercise regimen.
7. Avoid foods that are hot, spicy, or bitter.
8. Give preference to sweets, dairy products, nuts, and urad dal.
9. Include a small amount of ghee in your diet.
10. Allow a four-day interval between two consecutive intercourses.