madman
Super Moderator
ABSTRACT
The authors review and discuss numerous factors that influence erectile function and their interactions, based on the published literature. Of critical importance are vascular nitric oxide; nutrition; exercise; weight control and maintaining insulin sensitivity; early treatment of hypertension with attention to effects on erectile function; avoiding sources of oxidative stress such as obesity and smoking; reducing inflammation (e.g. from gingivitis); improving pelvic floor muscle strength; and inhibiting cyclic GMP break-down. The described interventions act on different aspects of erectile biochemistry and physiology. Therefore, combining multiple therapeutic approaches will yield maximum benefits for erectile and vascular and general health.
The limits of male penile aging Presumably, “all good things must come to an end”. However, on the Greek island of Ikaria, one of the “Blue Zones” where an unusual proportion of individuals live to over 90 years of age, a preliminary study of Ikarian men between 65 and 100 years old found that 80% of them claimed to have sexual relations on a regular basis; about 25% of them reported “good duration” and “achievement” [72]. Their responses were subjective, but the IIEF, on which the majority of ED studies are based, is also entirely subjective. On that hilly island, vigorous exercise is just part of daily life, stress is minimal, the men remain normal in weight and inhabitants enjoy a healthful, Mediterranean diet. It should hardly be surprising that the mechanisms of erectile function are so resilient and redundant, as the very survival of our species depends on it. Fortunately, that allows sufficiently motivated men to forestall this “normal” consequence of aging.
The authors review and discuss numerous factors that influence erectile function and their interactions, based on the published literature. Of critical importance are vascular nitric oxide; nutrition; exercise; weight control and maintaining insulin sensitivity; early treatment of hypertension with attention to effects on erectile function; avoiding sources of oxidative stress such as obesity and smoking; reducing inflammation (e.g. from gingivitis); improving pelvic floor muscle strength; and inhibiting cyclic GMP break-down. The described interventions act on different aspects of erectile biochemistry and physiology. Therefore, combining multiple therapeutic approaches will yield maximum benefits for erectile and vascular and general health.
The limits of male penile aging Presumably, “all good things must come to an end”. However, on the Greek island of Ikaria, one of the “Blue Zones” where an unusual proportion of individuals live to over 90 years of age, a preliminary study of Ikarian men between 65 and 100 years old found that 80% of them claimed to have sexual relations on a regular basis; about 25% of them reported “good duration” and “achievement” [72]. Their responses were subjective, but the IIEF, on which the majority of ED studies are based, is also entirely subjective. On that hilly island, vigorous exercise is just part of daily life, stress is minimal, the men remain normal in weight and inhabitants enjoy a healthful, Mediterranean diet. It should hardly be surprising that the mechanisms of erectile function are so resilient and redundant, as the very survival of our species depends on it. Fortunately, that allows sufficiently motivated men to forestall this “normal” consequence of aging.
