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Cooking Salts Explained Salt, also known as Sodium Chloride or (NaCl) is a vital component of the healthy and balanced human diet. Over half of the human body contains fluids that contain salt. Our blood, tears and saliva all contain salt. In addition we daily lose salt in our perspiration and urine. Muscles need salt in order to function, nerves require salt to carry messages and the digestive system cannot function without salt. So as you can see salt is very important to us humans. Table Salt Table salt is your everyday white granular salt found in most kitchens. It is most commonly mined from salt mines and then refined to remove other minerals until it is pure or close to pure sodium chloride. Often you will find table salt referred to as 'iodized', this term refers to the fact that the manufacturer has added iodine. This practice began in the earlier part of the last century in co-operation with the government to minimise the incidence of thyroid problems such as Goiter; an enlargement of the thyroid gland caused by an iodine deficiency. Taste: Slightly metallic, uninteresting and can easily become overpowering. Rock Salt Rock salt is coarse and is usually mined from ancient salt deposits that are the result of very large bodies of water evaporating and leaving behind huge deposits of rock salt. Rock salt is much less refined than everyday table salt and contains more minerals and often more impurities. Rock salt is good for cooking with and ideal to use in salt grinders. I tend to use rock salt in blanching water as adding salt to water increases its boiling temperature and thus decreases the cooking time. I also use rock salt for presentation purposes such underneath oysters to keep them from falling over and visual appeal. Taste: Rock salt can vary in taste depending on the region it is mined from and can possess interesting characteristics. Sea Salt Sea salt comes in many forms; granules, large crystals and flakes. Sea salt is cultivated from filtered high salt content sea water using a process of evaporation. As the water evaporates salt crystals begin to form, the crystals are then allowed to settle, then removed, drained, dried and ready to use. Sea salt (as well as seafood for that matter) naturally contains iodine and supplementing, as often found in ordinary table salt is not required if sufficient amounts of either constitute part of your diet. I tend not to use salt at the table as I believe if the Chef has done his job there should be no need for the addition of salt. However should a guest request salt I will serve them only pure sea salt flakes. My personal preference for sea salt is that of the English east coast, a region that has been producing beautiful flaky white soft crystals for centuries. Taste: When used in cooking it blends seamlessly with the food. When used at the table it imparts a slight saltiness without the brackishness or lip cringing effect of other salts. A few flakes on the tongue and its oceanic origins become very apparent. Is sea salt worth the extra cost? In my professional and personal opinion, definitely. truth about penis enargement natural penis enhancement and lengthening free natural penis enlargement penis enlagement video penis enlargment doctor penis enlarement surgery picture guide to penis enlagement do penis enlarement pills work

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Many visitors to our website Potty Training and Bedwetting Solutions wonder what the different treatment options are between bedwetting and potty training. This article explores the causes and some treatment options for bedwetting. Causes of bedwetting The most common reasons for a child suffering from bedwetting are as follows: developmental delays (as mentioned earlier), genetics (same here), sleep disorder (such as sleeping too deeply), behavior and psychological disorders, anatomy, antidiuretic hormone levels. The most commonly accepted, but also hardest to prove, cause of primary nocturnal enuresis is maturational delay of the central nervous system. Basically meaning that the child’s nervous system doesn’t sense that the bladder needs to be held, and the urine is released during sleep. Sleeping disorders make up a very large percentage of children who suffer from bedwetting, and there has been extensive research done on the subject, but there have been such varying results, that it is hard for researchers to determine a primary sleep disorder that can be determined as the main cause for bedwetting. Some people believe that bedwetting is mainly caused behaviorally, which leads to the issue of psychological consideration- some studies have shown that psychologically children who suffer from nocturnal enuresis have essentially the same behaviors as children who don’t, while other studies have concluded the opposite. In those studies that show psychological differences between the two groups, the differences have mainly been that a child who has a bedwetting problem is less social and has more self-esteem issues than the other group. This begs a question though: do the low self-esteem and social issues go hand in hand with bedwetting children, or does the bedwetting lead to these types of psychological situations in these children? Family history is also very important, and many studies have shown results that deem it almost conclusive that if a parent suffered from bedwetting as a child, there is a very strong chance that their child will. In fact, one study showed that in a family where both parents suffered from this condition, there was a 77 percent chance that their child would do the same. This is a helpful finding, because it helps dispel the theory that enuresis is a behavioral problem. In turn, this makes it more acceptable, and causes slightly less frustration and guilt, which can lead the way for a better outcome following therapy. Treating bedwetting In the beginning of trying to deal with a bedwetting situation, you may opt to try different methods of battling it without the interference of doctor or medical care. Whether or not medical intervention will be necessary depends largely on many factors, including such issues as the child’s age, how often they actually wet the bed, and the perceived severity of the problem by the child’s family, and most children actually do outgrow bedwetting, never needing treatment for it by a physician at all. Many parents use night time diapers to battle bedwetting, and while these work great in preventing the bed from getting wet due to the accident, they actually do very little in the way of helping resolve the issue. Although it is obviously very important to focus on this part of bedwetting, it is also very important to try to prevent future occurrences. This is why is a good idea to try and step in as early as possible to use many basic methods of prevention. Then, when these don’t work, you may decide to take your child to the doctor. You should know, though, that children younger than six years of age are usually not treated by doctors if bedwetting is the only problem. Once you have decided to take your child to a physician concerning bedwetting, it is important to know that it may take a long time to actually reach the ultimate goal of completely accident-free nights. It is a long process in which both the parent and the child must remain dedicated. There are two methods which doctors utilize to deal with bedwetting problems: behavioral therapy and medicine. It is extremely important that the parent and child be as cooperative as possible, and be willing to try the doctor’s suggestions. If anyone has a bad attitude about the situation, it can make solving the problem a whole lot harder, if not impossible. When you first take your child to the doctor, they will most likely want to rule out any medical conditions in the very beginning. While most of the children who are seen by physicians regarding bedwetting are perfectly healthy, some actually do have a medical condition. So, before a doctor will approach it as if they don’t, they will want to make sure that this really is the case. The evaluation the doctor does on your child should be geared toward ruling out anatomic abnormalities of the urinary tract or bladder. These can include such situations as posterior urethral valves, an ectopic ureter, or an epispadiac urethra, which is a urethral opening on the dorsum of the penis. When the doctor does a thorough exam, which will include gathering family medical history, a physical exam, and a urine evaluation, they are usually able to determine whether or not there is a medical condition and, if there is, what that condition might be. When, and even before, your child is being medically treated for enuresis, it is an excellent idea to keep a diary of bedwetting episodes. Along with this diary, if the child’s bedwetting does not occur repetitively on a nightly basis, it is a good idea to write down anything that might have occurred that day to upset your child’s normal psychological balance. Once the doctor has determined whether there is, or is not, a medical condition contributing to your child’s bedwetting situation, they can determine which methods of treatment will best help them. Again, it is important to remember that consistent follow-up can be a key to improvement in bedwetting (it is also good to know that improvement is usually defined by most doctors as a 50 percent decrease in the frequency of bedwetting episodes). Your doctor may decide to use just one method of treatment or both in conjunction with one another. The behavioral methods can, and usually do, include the following: an alarm system, a reward system, asking your child to change the sheets, and bladder training. An alarm system Bedwetting Alarms can be an excellent tool for helping by retraining your child’s sleeping patterns so that they sleep more lightly, and wake up more often during the night, allowing less time for an accident to occur. You can set these for a certain amount of time and have your child get up and try to use the restroom every time the alarm goes off. A reward system can also be a very successful method of behavior therapy, especially once the child has learned new sleep patterns and is having less frequent accidents. Giving them either a small reward each day after a dry night, or a large reward at the end of a certain length of time, such as an entire week of dry nights, can help give your child even more incentive to try to wake up at night. Having your child change the sheets is also an excellent way to help keep them from having as many bedwetting nights. While it is never good to punish a child for something they have little to know control over, this is not punishment, and is instead a way for them to learn that they have to be responsible for their actions, even if those actions occur while they are sleeping. This also works well because they are having to get up out of bed and be pulled from the deep sleep more often, which in turn can lead them to sleep more lightly on a regular basis. Bladder training is another form of behavioral therapy that can help limit bedwetting nights. This is defined by, during the day, having your child hold their bladder for longer and longer periods of time. They may always go to the restroom immediately when they feel the urge to go, and so when they are in a deep sleep, that is how their body reacts when that urge hits them. If you teach your child to hold it for as long as they can when the urge comes while they are awake, they are more likely to be able to hold it subconsciously while they are asleep. If behavioral therapies do not work, and only if the child is 7 years of age, or older, medicines may be prescribed. Medicines work best in conjunction with behavioral therapy, because they are not a cure for bedwetting. They also may have side effects. If you do decide to go with medicines as a treatment option for your child, there are two common kinds, one of which your doctor will likely prescribe. One of these helps the bladder hold more urine, and one helps the kidneys make less urine. Obviously, these are not the types of drugs you will want your child to have to take consistently for the rest of their life. Instead, they are best when used temporarily in conjunction with the behavior therapy mentioned earlier. Helping your child cope with bedwetting Not only should you try to help your child overcome their bedwetting problem, but you should also focus on helping them to understand it and not feel quite so bad about it, if at all possible. Your child likely feels very ashamed at being a bedwetter. They may also feel guilt for not being able to control their body in a way that they feel they should. This is very likely in older children. You should never punish your child for this problem. It is very important to remember that your child cannot help it. Again, the older the child is, the more this applies, and your child is likely even more irritated about it than you are. You should try to not make your child feel any more guilt about it than they already do. It may also help your child to know that no one really knows the exact cause of bedwetting, because there are too many factors that have to be considered in each case. Explain to them the many different causes that might be affecting their situation, and the fact that these reasons are not their fault, and that you will help them overcome it. Tell them as much information as is necessary to help them be able to deal with it without thinking less of themselves. For instance, if you wet the bed as a child, be sure and explain this, while also informing them that it can run in families. This might help take some of the pressure off and relieve some of their guilt. Just remember, this is a rough time on both you and your child, and you should use whatever methods necessary to dispel your bedwetting difficulties. Keeping the right no-fault attitude can definitely help, as well as having an open mind to suggestions for treatments, and being dedicated to whatever ways you decide to treat bedwetting and/or potty training. pnis enlargement program best penis enlargement enlargement penis pill vimax pnis enlargement device cheap penis elargement vimax pillss inch pro acne solution vimax penis enlargement picture penis enlarement device

Male impotence and sterility and female infertility and sterility are major problems and concerns today and are very widespread. Impotence, infertility, and sterility are sexual dysfunctions or dysfunctions of the reproductive system. They are degenerative diseases and are therefore caused by poor or improper diet and lifestyle and therefore can be reversed. They are also psychological (and mental) diseases as well, and again, they can be reversed. In traditional Djehuty fashion, I always begin with or like to begin by defining and breaking down a thing or word so that the meaning can be digested in the mind. What is impotence? Impotence derives from the Latin word impotentia [Lat: im “not,” and potentia power]. 1. weakness. 2. inability of the adult male to achieve penile erection or, less commonly, to ejaculate having achieved an erection. Several forms are recognized. Functional impotence has a psychological basis. Anatomic impotence results from physically defective genitalia. Atonic impotence involves disturbed neuromuscular function. Poor health, age, drugs, and fatigue can inhibit normal sexual function. SOURCE: Mosby’s Medical Dictionary, 3rd Edition (1990) Basically, impotence implies that a man lacks the power to achieve erection or cannot maintain an erection or cannot maintain an erection long enough to ejaculate. This is a very serious problem if a couple wants to conceive a child and start a family. A penis must be at a 90° angle (erect state) to help create and reproduce a life by penetrating the female vagina. Impotence renders the penis at 0° - 33° angle, which is just not going to get the job done. Numerology (study of numbers) bears witness that the number 9 is the number of life and the number 90 is: 9 + 0, which equals 90, for any number times (multiplied by) zero equals that particular or specific number. A woman normally carries a child in her womb for 9 months. Mathematically, number 9 is the number of reproduction for the number 9 is the only number that when you time (or multiply) it by another number, it will equate to number 9. Example: 9 X 2 = 18, which is 1 and 8, and 1 + 8 = 9 9 X 5 = 45, which is 4 and 5, and 4 +5 = 9 9 X 12 = 108, which is 1, 0, and 8, and 1 + 0 + 9 = 9 Try this yourself! Simply times (or multiply) any number by number 9 and see what the end result is when you add all those numbers together. Devout western religious brethren, contrary to what you believe or have been erroneously taught, especially my beloved Christian brethren, numerology is NOT of the devil or demonic in nature. Numerology deals with mathematics which is the language of God. We are in the Age of Aquarius and must get with the times metaphysically or perish because I think we can all bear witness that what we have is not working or working optimally and God is not a half-stepper. With God, it’s all or nothing. So you can’t be an embracer of God and be plagued by so many pathologies, diseases, and disorders and personal and social dramas of life to the point that they rob you of an abundance of life and optimal health, or in addition, that you cannot solve all of these dramas (problems) of life. Problems are solved (worked out). I don’t mean to make anyone feel bad or down, but I have a duty to incite people think in order to stimulate and galvanize them into action, for religious faith is borne witness by actions. Jesus himself instructed the Christian believer and follower to not be a hearer of the word, but a DOER of the word. The word “do” implies ACTION! So, men, in order to reproduce (in many cases, yourself via the birth of a son or male child), you cannot be impotent and must be able to achieve a 90° angle for penetration of the sacred cave of life (vagina, Yoni). The penis in an erect state at 90° vibrationally proclaims the secret password into the sacred cave of life, which password was “Open, sesame,” which was related to the Kemetic (Ancient Egyptian) word seshemu, which meant “sexual intercourse.” The hieroglyphic sign of seshemu was a penis inserted into an arched yoni-symbol. So, what causes impotence? The number one cause undoubtedly is poor diet and lifestyle. Excessive consumption of meat (dead animal’s flesh), dairy (liquefied cow snot or mucus), and starch plays a pivotal role in impotence. Starch by far would have to be the number one thing to leave alone in order to reverse impotence. Starch is that stuff used by dry cleaning services to STIFFEN your clothes. If starch stiffens your clothes, what do you think starch will do to your penis? So cut back or cut our starchy foods (white rice, yellow corn, white potatoes, etc.). Eat brown or wild (black) rice, blue corn, and the colored potatoes (red, purple). Meat and dairy will put animal fat and cholesterol into your body which will greatly impair circulation throughout the body including the male genitalia. The penis is a sponge (organ comprised of tissue) that becomes erect by the veins of the penis circulating oxygen and blood flow to it causing it to swell up and creating girth (roundness of the head of the penis) which is important in stimulating the vagina during coitus or lovemaking. American males would be wise to refrain from eating high fatty foods and fatty oils. Your sex life depends on it! I can’t forget about eating eggs (female chicken ova). Eggs create toxicity in the body and also cause hormonal imbalance in males. Protein? Unnatural sources of protein (meat, eggs, etc.) cause toxicity and excessive uric acid in the body. Protein malutilization is the number one cause of food-based development of cancer in the body. What are meat and dairy in technical terms? PROTEIN! As a street minister back in the day or in my embryonic conscious days, I used to warn young African-American males to leave certain beer brands (Old English, St. Ides, etc.) and fried chicken sold exclusively in black urban areas alone due to the chemical substance “potassium nitrate” being heavily laced in these products to curb birth rates or population growth of African-Americans who were deemed useless eaters, expendable, or undesirables by government eugenicists covertly working in the food industry. Potassium nitrate was once used in the food of the U.S. military apparatus. Potassium nitrate is commonly known as “salt peter” which makes the penis limp. The U.S. government allowed this substance in the food of male military members to help curb the high rape rate of foreign women by U.S. military men. Potassium nitrate makes for a very controversial subject with some people agreeing that it has an adverse effect on the male apparatus (penis) and others disagreeing. Based upon my research I agree that it does in fact have an adverse effect on the male apparatus. You can believe it or not, but impotence is very high amongst African-American men today. There are still a lot of studs and Mandingos out there, but there are also a lot of Willie Lump Lumps too. I know firsthand, because I’m an herbalist and get a lot of requests for help in this area from men, young and old alike. And yes, these men are very embarrassed about their situation, because subconsciously, they know it is a basic and primal function. While the impotence rates of African-American males are high these days, the impotence rates of white men or European males are even higher. Impotence was always a luxury disease for the most part because it was the wealthy males who could afford to eat steak, smoke the best cigars, snort the finest grade of cocaine, and drink the best wines on a daily basis. All of these played and plays and major role in impotence. Cigarette and marijuana smoking will hamper erection. The byproduct of smoking is carbon monoxide which has an affinity for the blood ten times greater than that of oxygen. Cigarettes and drugs cause degeneration of the sex gland and reproductive system. The result is impotence or low sperm count. Drinking alcoholic beverages causes weakness of the penis and also causes degeneration of the male reproductive system. Remember, American wine is processed with ether (sleeping gas) and formaldehyde (embalming fluid). So how is a man going to be aware and alive for the sex act if his eyes are bloodshot red and droopy (sleepiness) and his penis cannot become erect due to being stiff from being indirectly embalmed? Billboards, especially those in urban areas and communities, always promote alcohol consumption and sex. True, a lot of sex occurs when folks get drunk, but what is the quality of that sex, and God forbid, what type of child is conceived from such sex and mental state of mind? Over a long period of time, consumption of alcohol will greatly sabotage a man’s ability to perform in the sex act. It is already an established fact that alcohol impairs motor skills and coordination, two functions of the brain and I have always said that the most important sex organ is not between a man or woman’s leg, but between their ears – the brain! The brain is the motor or device that controls sexuality. Men should also refrain from wearing tight underwear (briefs) too, and start wearing boxers. Poor circulation due to smothering of the testicles leads to low sperm count and production in addition to penile weakness (impotence). And lastly on this note, excessive and meaningless sex will undoubtedly cause premature degeneration of the male reproductive system. penile enlargment doctor pnis enlargement tool penis enlagement pic penis enlagement surgery photo safe penis enhancement penile enlargment review truth about pnis enlargement enlargement penis pills vimax penis enlarement device

Modern medicine seems to be winning the war against infectious diseases and is good at repairing the body from trauma, these used to be the main causes of ill health and death in western societies. The major cause of ill health and death in the 21st century in the western world is now from degenerative diseases such as coronary artery disease, arthritis, osteoporosis, Alzheimer’s and cancer. Modern medicine is less effective against these degenerative diseases because it has a blinkered approach of using drugs to suppress the symptoms and does not to look at the bigger picture of why the disease has come about in the first place. Modern medicine uses drugs to stop a single step in the overall process leading to illness which is ineffectual and has a high risk of side effects. Many people are ill in hospitals from side effects caused by their drug therapy for their original illness, this is called iatrogenic illness. For example painkillers can cause ulcerations and gastrointestinal pain, anti-ulcer drugs can cause impotence and Viagra a treatment for impotence can cause structural damage to the penis. As illustrated with modern medicine you can start with one symptom and end up with a multitude of health problems. This is most evident with the therapies to treat cancer - chemotherapy, radiotherapy and surgery are all debilitating, painful and disfiguring treatments which use a multitude of drugs to combat side effects. This is a typical approach of modern medicine in that it practices crisis management; it waits until the diagnosis then bombards the patient with drugs. This is all too late as by the time the symptoms of degenerative disease appear, the damage has already been done and drugs cannot address this. Modern medicine does not look at the overall picture and asks itself why are people getting these diseases in the first place and how can we prevent them. Degenerative diseases are the result of a mechanism within the body being tipped off balance causing slow deterioration into disease. For example, coronary artery disease happens when the speed of fats being oxidized and deposited in the artery walls is quicker than which the body can remove them. These problems arise when the body’s natural defense mechanisms are undernourished or overloaded. Even a slight imbalance if unchecked will lead to major problems many years down the line. The self-destructive ways that many people now live, tip their body’s scales from self-repair to self-destruction. Nutritional therapy recognizes that the body can self-repair itself over a period of time by increasing vital micro-nutrients, exercising and restricting the intake of harmful substances such as tobacco smoke, sugar, salt and alcohol. It recognizes that prevention is better than cure. A lot of people who look and feel healthy are in fact ‘pre-ill’ due to their self-destructive lifestyles, which in time will lead to a degenerative illness such as cancer and coronary artery disease. Nutritional therapy addresses the pre-ill problem and rectifies it before it becomes clinical. Most people in the developed world are depleted in most micro-nutrients which will over years develop into ill health; drugs cannot rectify this only good micro-nutrient repletion plan can. The main reasons for why we are depleted in micro-nutrients are: We don’t eat enough resulting in less micro-nutrients being consumed. We eat too much process foods that are depleted in micro-nutrients. The soil that animals and plant are raised on is depleted in key minerals which are due to use of intensive farming. Bad habits such as smoking, sunbathing and heaving drinking all deplete the body of anti-oxidants. As we get older we become more depleted in micro-nutrients this is because older digestive systems are less efficient in absorbing them. No one person’s nutritional requirements are the same, for example a 60 year old who has been a heavy smoker all his/her life would be different from a teenager who likes to eat junk food. A Nutritional Therapist would analyze each individual nutritional status and then tailor make a dietary plan specifically for him/her.? Nutritional therapy aims at reaching optimum nutritional levels which research shows will protect the body against degenerative diseases. A healthy diet which is rich in vegetables, fruits, soy, oily fish combine with moderate exercise plus cutting out smoking and heavy drinking and adding a good supplement plan will keep the body healthy.? In Dr Paul Clayton’s book ‘Health Defence’ he illustrates the complex subject of nutritional defence by visualizing a nine piece jigsaw which once put together will form the bigger picture of a nutritional plan which will defend against degenerative diseases and promote good health.? This is a concise version of his nutritional jigsaw. To protect your cells against free radicals by consuming anti-oxidants such as Vitamin C, Vitamin D, the flavonoids Q10 and the mineral Selenium. To consume Carotenoids such as beta carotene, lutein and lycopene which have anti-oxidant and anti-cancer properties. To take Flavoniods such as grapeseed extract, green tea extract and pycnogenol which are strong anti-inflammatory and anti-aging agents, these will also protect against heart disease, cancer, asthma and arthritis. To consume Omega 3 oils which are found on oily fish and certain plants, these defend against conditions such as asthma and arthritis. To protect against cancer and help with the menopause take Isoflavones (such as Genistein), they are found in Soy. To help against heart disease and Alzheimer’s take Betaine. Use pre-biotics such as FOS and inulin to help and protect the bowel against cancer. Take A-Z type multi-vitamin and mineral supplement. To protect the body’s cellular structures take the co-enzyme Q10 and glucosamine.? To conclude, modern medicine waits for something to go wrong then tries to suppress the symptoms by using chemicals that are alien to the body which intern normally causes more problems with side effects. Whereas Nutritional therapy uses compounds that the body is familiar with to repair, support and protect the body against disease and infection. natural penis elargement manual penile enlargement exercise penile enlargment excersizes cheap penis enlarement vig rx store free penile enlargment video penis enlargment tool free penis enlagement tip penis enlarement device

Erectile dysfunction (ED), also called "impotence", is one of the most common health problems affecting men. Erectile dysfunction can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. Causes Erectile dysfunction has many underlying physical and psychological causes. Most men with physical causes usually have an associated psychological component. Underlying conditions of erectile dysfunction include the following: Physical health conditions Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. This occurs in conditions including multiple sclerosis, spinal cord injury and Parkinson's disease. The nerves involved in sexual arousal can also be damaged in surgery to the pelvic area, such as removal of the prostate. Vascular diseases account for nearly half of all cases of erectile dysfunction in men older than 50 years. These include atherosclerosis, veno-occlusive disease, peripheral vascular disease, arterial hypertension, history of heart attacks, blood vessel trauma, high cholesterol levels. Systemic diseases associated with erectile dysfunction: Diabetes mellitus is a major cause of erection problems (about 60% of men with diabetes experience erectile dysfunction), scleroderma, kidney failure, liver cirrhosis, hemachromatosis, dyslipidemia, hypertension. Neurologic diseases. Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. Diseases that affect the nervous system and are commonly associated with erectile dysfunction include: multiple sclerosis, spinal cord and brain injuries, parkinson's disease, alzheimer's disease, epilepsy, Guillain-Barre syndrome. Respiratory disease associated with erectile dysfunction include: chronic obstructive pulmonary disease, sleep apnea Conditions of the penis: Peyronie's disease (a rare inflammatory condition that causes scarring of erectile tissue), epispadias, priapism, Infections. Traumatic Causes. Trauma or injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to erectile dysfunction by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. Bicycle riding for long periods has also been implicated as a cause of erectile dysfunction. Some types of prostate or bladder surgery. Surgery of the colon, prostate, bladder, or rectum may damage the nerves and blood vessels involved in erection. Medications. A great variety of prescription medication are known to cause or contribute to erectile dysfunction: blood pressure medication (especially beta-blockers) heart medication antihistamines antidepressants tranquilizers antipsychotics anticonvulsants appetite suppressants anti-ulcer medications sleeping pills Psychological conditions. Experts believe that psychological factors cause 10 to 20 % of erectile dysfunction cases. Anxiety and guilt are the most common psychological causes of erectile dysfunction. Depression, worry, stress, low self-esteem, and fear of sexual failure all contribute to loss of libido and erectile dysfunction. Substance abuse. Alcoholism. Drinking too much alcohol interferes with the production of the male hormone testosterone, which can reduce libido. Smoking is considered an important risk factor for erectile dysfunction because it is associated with poor blood circulation and its impact on cavernosal function. Hormone Disorders account for fewer than 5% of cases of erectile dysfunction. An imbalance in hormones, such as testosterone, prolactin, or thyroid, can cause erectile dysfunction. Age. Erection problems tend to become more common with age, but it can affect men at any age and at any time in their lives. Physical causes are more common in older men, while psychological causes are more common in younger men. Treatment options Erectile dysfunction is treatable at any age. In around 95% of the cases, a suitable treatment can be found. There are three oral medications approved for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All three medications belong to a class of drugs called phosphodiesterase (PDE) inhibitors. They block the enzyme phosphodiesterase-5 (PDE-5) and this helps maintain the levels of cyclic guanosine monophosphate (GMP), a chemical produced in the penis during sexual arousal. Balanced levels of GMP causes the smooth muscles of the penis to relax and increases blood flow. This allows a natural sequence to occur - an erection in response to sexual stimulation. These medications don't automatically produce an erection. Instead they allow an erection to occur after physical and psychological stimulation. Viagra, Levitra, and Cialis vary in dosage, duration of effectiveness and possible side effects. All three drugs are generally well tolerated. They are a good choice for men at any age and in any ethnic group who are in good health and who do not have conditions that preclude taking it (such as the use of nitrates or alpha-blockers). The success rates of all three drugs vary between 70% and 90%.