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পুরুষের সমস্যার সমাধান নিয়ে MediTalk Digital এ বলেছেন স্কিন স্পেশালিষ্ট ডা. মেহরান হোসেন সহকারী অধ্যাপক, ডার্মাটোলজি বিভাগ ইউ এস বাংলা মেডিকেল কলেজ চেম্বারঃ সিটি হসপিটাল লিঃ, লালমাটিয়া, ঢাকা চেম্বার ও অনলাইন এপয়েন্টমেন্ট - 01771463566, 01913672742 Erectile dysfunction Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex. Having erection trouble from time to time isn't necessarily a cause for concern. If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease. If you're concerned about erectile dysfunction, talk to your doctor — even if you're embarrassed. Sometimes, treating an underlying condition is enough to reverse erectile dysfunction. In other cases, medications or other direct treatments might be needed. Symptoms Erectile dysfunction symptoms might include persistent: Trouble getting an erection Trouble keeping an erection Reduced sexual desire When to see a doctor A family doctor is a good place to start when you have erectile problems. See your doctor if: You have concerns about your erections or you're experiencing other sexual problems such as premature or delayed ejaculation You have diabetes, heart disease or another known health condition that might be linked to erectile dysfunction You have other symptoms along with erectile dysfunction Causes Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction. Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction. Physical causes of erectile dysfunction In many cases, erectile dysfunction is caused by something physical. Common causes include: Heart disease Clogged blood vessels (atherosclerosis) High cholesterol High blood pressure Diabetes Obesity Metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol Parkinson's disease Multiple sclerosis Certain prescription medications Tobacco use Peyronie's disease — development of scar tissue inside the penis Alcoholism and other forms of substance abuse Sleep disorders Treatments for prostate cancer or enlarged prostate Surgeries or injuries that affect the pelvic area or spinal cord Low testosterone Psychological causes of erectile dysfunction The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include: Depression, anxiety or other mental health conditions Stress Relationship problems due to stress, poor communication or other concerns Risk factors As you get older, erections might take longer to develop and might not be as firm. You might need more direct touch to your penis to get and keep an erection. Various risk factors can contribute to erectile dysfunction, including: Medical conditions, particularly diabetes or heart conditions Tobacco use, which restricts blood flow to veins and arteries, can — over time — cause chronic health conditions that lead to erectile dysfunction Being overweight, especially if you're obese Certain medical treatments, such as prostate surgery or radiation treatment for cancer Injuries, particularly if they damage the nerves or arteries that control erections Medications, including antidepressants, antihistamines and medications to treat high blood pressure, pain or prostate conditions Psychological conditions, such as stress, anxiety or depression Drug and alcohol use, especially if you're a long-term drug user or heavy drinker Complications Complications resulting from erectile dysfunction can include: An unsatisfactory sex life Stress or anxiety Embarrassment or low self-esteem Relationship problems The inability to get your partner pregnant

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Low libido or sexual disorders are generally the results of a tired body, overloaded with toxins. Fresh and natural fruits and vegetable juices can constitute a perfect solution to get back on track. If you have been observing difficulty in getting or maintaining an erection, it could be a sign of erectile dysfunction. Occasional erection problems are generally not alarming, and there is no reason for concern. Boost Testosterone Naturally with Daily JoshChat with a Misters Expert on WhatsApp Chronic sexual impotence can, however, cause extreme anxiety and lead you to seek treatment. And before you move to desperate measures and treatment, a little help from nature wouldn’t harm.Beetroots are said to be one of the best foods to help men with erections. Research has shown that beet juice helps lower blood pressure. Beet juice works as effectively as some types of high blood pressure medication, with just one cup a day. Since, high blood pressure is one of the causes of erectile dysfunction, in theory, regular consumption of beet juice can improve symptoms of erectile dysfunction. Better Erections with Misters Bold For a natural product that supports healthy testosterone levels and pleasurable sex, click here. How do beetroots help? They work in a similar way to Viagra by increasing the levels of nitric oxide, which dilates blood vessels and increases blood flow to the penis. Beets are naturally rich in nitrates, which are transformed into nitrites in your mouth when you eat them. The stomach converts these to nitric oxide (NO), which dilates the blood vessels and improves circulation. Nitric oxide (NO) acts as a vasodilator to open blood vessels and helps maintain pressure in the corpora cavernosa in the penis to support a hard erection. Men have long experimented with remedies to treat erectile dysfunction and have had mixed results. Though research is still in its preliminary stages, some studies suggest that watermelon may be a viable substitute for Viagra. The advent of Viagra and other erectile dysfunction (ED) treatments revolutionized the world of sexual medicine. No longer did men with certain medical conditions or age-related ED have to resign themselves to unsatisfying sex lives. However, ED drugs do not work for every man. Some men experience side effects, while the drug is unsuitable for othersTrusted Source, such as men with certain types of chest pain and heart disease. For men who cannot take Viagra, watermelon is a safe alternative that is unlikely to cause serious side effects. Learn more with this article Watermelon is a natural source of citrulline. Citrulline is an amino acid that may support better erections. Viagra works by increasing blood flow to the penis, allowing a man to more easily get an erection when he is aroused. Citrulline may do the same thing, although it works in a different way to Viagra. Preliminary researchTrusted Source suggests that the body may convert citrulline to another amino acid, called arginine. Arginine converts to nitric oxide. Nitric oxide opens the blood vessels wider, increasing blood flow to the penis and improving erections. Because watermelon is mostly water, the highest concentrations of citrulline come from concentrated watermelon juice. Men who want to try watermelon as a natural Viagra may find better results with watermelon juice.

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In this episode, I interview Dr. Robert Sapolsky, Ph.D., Professor of Biology, Neurology & Neurosurgery at Stanford University. We discuss stress, what defines short-term versus long-term stress, and how stress can be beneficial or detrimental, depending on the context. We also discuss stress mitigation and how our sense of control over stress mitigation techniques, including exercise, determine health outcomes. Dr. Sapolsky explains some of the key effects of the hormone testosterone — how it can amplify pre-existing tendencies for aggression or sexual behavior, but that it does not produce those behaviors per se. He also explains how testosterone impacts our social hierarchies, sense of confidence, and willingness to embrace challenges of different kinds. He also explains how our behaviors and perceptions shape testosterone levels. And we discuss estrogen and the powerful role it plays in brain development, health and longevity. Finally, we discuss free will, what it means to have free will, and if we have any free will, including how knowledge alone might allow us to make better decisions for ourselves and society. Please visit our website for an updated list of our current sponsors, as the sponsors mentioned in this episode may no longer be affiliated with us: https://www.hubermanlab.com/sponsors Social & Website Instagram: https://www.instagram.com/hubermanlab Threads: https://www.threads.net/@hubermanlab Twitter: https://twitter.com/hubermanlab Facebook: https://www.facebook.com/hubermanlab TikTok: https://www.tiktok.com/@hubermanlab Website: https://www.hubermanlab.com Newsletter: https://www.hubermanlab.com/newsletter Apple Podcasts: https://apple.co/3thCToZ Spotify: https://spoti.fi/3PYzuFs Links Dr. Sapolsky's most recent book, "Behave: The Biology of Humans At Our Best & Worst": https://amzn.to/3yrZ6k7 Support Research in the Huberman Lab at Stanford on Stress, Sleep & Human Performance: https://hubermanlab.stanford.edu/giving Timestamps 00:00:00 Introduction: Dr. Robert Sapolsky 00:02:26 Sponsors: Roka, InsideTracker 00:06:30 Stress: Short & Long-Term, Good & Bad 00:09:11 Valence & Amygdala 00:11:00 Testosterone: Common Myths vs. Actual Truths 00:15:15 Behaviors that Affect Testosterone 00:17:20 Mindsets & Contexts that Affect Testosterone 00:20:28 How Finger Length Ratios Reflect Prenatal Hormone Levels 00:22:30 Aggression: Male-Female, Female-Male, & Female-Female 00:24:05 Testosterone: The Challenge Hypothesis 00:29:20 How Dopamine Impacts Testosterone & Motivation 00:32:32 Estrogen: Improves Brain & Longevity BUT TIMING IS KEY 00:39:40 Are Testosterone & Sperm Counts in Males Really Dropping? 00:42:15 Stress Mitigation & Our Sense of Control 00:51:35 How Best to Buffer Stress 00:57:04 Power of Perception, Choice & Individual Differences 01:00:32 Context-Setting, Prefrontal Cortex & Hierarchy 01:11:20 How Dr. Sapolsky Accomplishes Deep Thinking 01:13:17 Do We Have Free Will? 01:20:50 How to Apply Knowledge & Learning 01:23:44 Robert’s New Book: “Determined: The Science of Life Without Free Will” 01:28:27 Reflections, Support of Podcast, & Supporting Stress Research #HubermanLab #Testosterone #Stress Photo credit: Linda A. Cicero (used with permission from Stanford Medicine Media) Disclaimer: https://www.hubermanlab.com/disclaimer

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