The causes of erectile dysfunction are multiple and can be age-related issues, health-related issues or psychological problems – such as stress and chronic tiredness.

Specific steps take place to produce and sustain an erection. If something affects any of these factors or the delicate balance among them, erectile dysfunction is the likely outcome.

– Arousal. The first step is sexual arousal, which men obtain from the senses of sight, touch, hearing and smell, and from thoughts.
– Nervous progress response. The brain communicates the sexual excitation to the body’s nervous progress, which activates increased blood flow to the penis.
– Blood vessels’ response. The blood vessels that supply the penis relax, allowing more blood to flow into the shafts, which produces the erection.

Nonphysical causes may account for impotence. They may include:

1. Psychological problems. The most common nonphysical causes are stress, anxiety and fatigue. Impotence is also an occasional side effect of psychological problems such as depression.
2. Negative feelings. Feelings that you express toward your sexual partner — or that are expressed by your sexual partner — such as resentment, hostility or lack of interest also can be a factor in erectile dysfunction.

Physical causes account for many cases of erectile dysfunction and may include:

– Nerve damage from longstanding diabetes (diabetic neuropathy)
– Cardiovascular disorders affecting the blood supply to the pelvis
– Certain prescription medications
– Operations for cancer of the prostate
– Injuries of the spinal cord
– Multiple sclerosis
– Hormonal disorders
– Alcoholism, a long history of tobacco consumption and other forms of drug abuse

In fact, erectile dysfunction may be one of the first signs of an underlying medical problem.

The physical and nonphysical causes of erectile dysfunction commonly interact. This is why it is very hard to tell what has originated the condition.

Of course we are all expecting straight answers to our problems and we won’t settle for less! But what can you do aside of going to your family physician and getting tested for as many things as possible until he or she is satisfied that you are in good health? What can you do if you want a better sex life, a bigger penis, more control over your erections and just to be a better lover all-round?

Fortunately there are a few ways to go about penis enlargement:
A. Surgery.
You can try surgery, but this is both expensive and unsafe. Nobody in their right mind would spend $4,000+ only to be left with a scared penis and a lifetime of regrets.

B. Penis enlargement pills, patches, creams, lotions, supplements.
They don’t work. Just as simple as that, all these natural substances won’t do anything at all for the length and girth of your penis. If you think you can get as big as 9 inches or more just by taking a pill and rubbing some oil into your penis, then think again. And again, and again until you decide against spending hundreds or thousands of dollars on scams.

C. Penis enlargement pumps.
Dangerous! It is than surgery if you ask me. Penis pumps are dangerous systems even for people who want to achieve an erection, let alone trying to increase the size of your penis using one. The vacuum they create will help you get an erection, but you need to check, double-check and triple-check to make sure you are doing everything right or you’ll damage your penile tissue for life. And no, they won’t increase the size of your penis.

D. Jelqing and penis stretchers
Penis extenders and jelqing exercises represent the safest male enhancement method you can find. Penis extenders work by forcing the connective tissue that makes up the body of your penis to produce more cells, thus helping you achieve a longer, fuller penis in both flaccid and erect state.

They won’t deliver results overnight. You won’t buy anything today and get a 10 inches penis by tomorrow. And there is no promise that you will achieve the desired results with absolutely no effort whatsoever on your side. You have to understand that you will need to dedicate time and effort to see results, but boy what results will you see! This is no miracle cure, no snake oil, this is the safest male enhancement you can find and as such you will have to work to get there. But you will get there! And you will be more than pleased with the results, believe me!

The Internet is full of wonderful stories of men who’ve tried (and succeeded, of course) to enhance their sexual experiences without any medication at all. What can be more exciting than to believe there is a wonder cure somewhere out there and some people have found it and they are now ready to sell it to everybody?

Natural male enhancement products are often regarded with a degree of skepticism – and understandably so. Who would think you can increase size, volume and sexual pleasure by taking a natural pill, with ingredients taken straight form nature? It seems too good to be true. And many times, it is. Some companies make outrageous claims of increasing actual size by inches, and giving you “hours” of sexual stamina.

So what’s the truth about all natural male enhancement products and programs? Is it any of them worth spending your money on or are they all just scams?

Natural male enhancement without medical attention is something we are all looking for. What to buy and how much should you spend? What’s the best product – a patch, a cream a pill, a Male Extra system? Or maybe you need a combination of all?

The truth about natural patches, pills and creams is pretty much straightforward: don’t waste your money. No patch or cream or pill can help you increase the length and girth of your penis, it never happened and never will. So what are they good for? Why? Just to make somebody rich? Of course!

Natural products, as long as they stay “all natural” are not subject to any laws or regulations when it comes to test them for being effective or even safe for human use. You may discover that a marketer simply buys herbal extracts, packs them and sells them under different names for anything and everything that may ailing you: you can grow taller, smarter, hairier, become a better lover, a better golf player, a person who’s never afraid to talk in public etc. You name it and they have a natural pill for it!

On the bright side, these pills will rarely cause you any harm. If the marketers are honest enough, they’ve packed just dried herbs and maybe some vitamins and there’s nothing to worry about.

But what else could you do if doctor prescribed pills are also harmful for your health? The best idea is to find support groups, networks or forums. There are an incredible number of men in exactly the same situation as you are. It’s always wise to see what others have tried, what works, what doesn’t and how you can make the most of any systems or chemicals available on the market at any given time.

All natural male enhancement products may come in different shapes than you might have expected. They could be stretching systems or they could be DVDs with exercises you can do in the privacy of your home. They can enable you to achieve a better control on your body and have more satisfying sexual experiences.

Of course you will need to put some effort into it to achieve results. But if that doesn’t scare you away and you are tired of pills that do nothing more than part you from your money, this is something you can try.

Erectile dysfunction doesn’t have to be a part of getting older. It’s true that as you get older, you may need more stimulation (such as stroking and touching) to get an erection. You might also need more time between erections. But there’s no reason why older men should not be able to get an erection and enjoy sex.

Erectile dysfunction is very common. Although it tends to be more common in the over 40-year-old age group, it can affect men of all ages. Studies have shown that:

– 52% of all men between the ages of 40 and 70 have some degree of erectile dysfunction.
– At least one in ten men cannot get an erection at all (referred to as “complete erectile dysfunction”).
– The majority of causes of erectile dysfunction are physical in nature.
– There is a strong association between age and ED: 39% of men at the age of 40 and 67% at the age of 70 are affected by minimal, moderate or complete ED.

The most common physical causes of old age erectile dysfunctions are:

– Alcohol, tobacco and drug use
– Fatigue
– Brain or spinal-cord injuries
– Hypogonadism (which leads to lower testosterone levels)
– Liver or kidney failure
– Multiple sclerosis
– Parkinson’s disease
– Radiation therapy to the testicles
– Stroke
– Some types of prostate or bladder surgery
– High blood pressure
– High blood sugar
– Hardening of the arteries

There is also the possibility that your erectile problems are cause by some medicine you are using. In this case your physician may be able to change your medication.

Psychological issues that can lead to erectile dysfunction:

– Feeling nervous about sex, perhaps because of a bad experience or because of a previous episode of impotence
– Feeling stressed, including stress from work or family situations
– Being troubled by problems in your relationship with your sex partner
– Feeling depressed
– Feeling so self-conscious that you can’t enjoy sex
– Thinking that your partner is reacting negatively to you

If you decide to seek therapy, it will probably be most effective if your sex partner is included. Couples can learn new ways to please one another and to show affection. This can reduce anxiety about having erections.

Today you have the option of a host of new erectile dysfunction treatments, so seek help right away. You can start by talking to your doctor or your therapist or you can seek alternative treatments for penile impotence.

You can find a lot of educational and support web sites on the Internet where you can learn a lot about your condition and what’s causing it and you can talk and find support from people just like you. The Internet is the place to start your research into alternative treatments.

Unfortunately, it is also the place where you will find an amazing number of web sites chocked-full with unsupported claims for wonder cures that can treat your penile dysfunctions in 30 days or less. Herbal remedies for erectile dysfunctions have been around for a number of years and they will still be around for a long time.

Herbal remedies do not have to pass any clinical tests and the marketers can make any claims whatsoever. They do nothing more than to publish their opinions and their customers’ opinions on the products they market.

Just make sure you won’t be suckered into spending hundreds of dollars on worthless vitamins and plant extracts that you can buy at any drug store for a couple of bucks.

Penis size is a sensitive issue for many men and penis enlargement is a big business. But, before you try the numerous products on the market promising to make your penis bigger, you should know the facts and beware of false techniques.

Always beware of advertised miracle pills, especially the ones that promise to make your penis bigger. Since there is no FDA-approved medication for penis enhancement, advertised penis enlargement pills are not checked by a federal official. As a result, there is no guarantee as to what ingredients or substances the supposed penis enhancement pill contains. These meds can pose serious health risks. Not to mention that the pill may be a placebo or simply filled with sawdust.

And few customer complaints ever occur because no one wants to be the plaintiff in a case against companies that offer these bogus products, which is a shame really. It would put a lot more pressure on government bodies to regulate this very lucrative industry.

What are penis pills all about? These pills usually contain vitamins, minerals, herbs or hormones such as testosterone. Although topical testosterone is sometimes used on adolescent boys to accelerate puberty, there’s no evidence that it or any other substance can increase penis size in adult men. And, of course, the same is true for male enhancement oil or patches or lotions etc.

The question for many men is whether or not you can make your penis larger without pills. The answer is yes, you can get there, but as pills and ointments don’t help you will have a lot of work to do. Penis exercises, accompanied or not by penis enlargement systems, are a really safe way of increasing the length and girth of your penis.

Penis size is an obsession shared across generations and cultures and this obsession will not go away any time soon. It is very probable that your penis size is the perfect size and there is nothing you have to worry about. Research shows that more than 70 percent of men have penises that measure between 5 and 7 inches when erect.

A penis is considered abnormally small only if it measures less than 3 inches when erect. Researchers have documented many cases in which men with so-called micro penises have been fully capable of having sex and fathering children. But of course, nobody could be happy with just having sex in order to father children, will you? You want to be sure you can please your partner and comes the anxiety about penis size, about what’s normal and what’s not.

But in case you do feel the need for a longer, thicker penis, then penis enlargement exercises is the simplest, safest way to go about it. You can find a lot of dedicated web sites on the Internet and you can learn everything from basic stretching and jelqing techniques to what kind of diet you should try and what underwear to buy.

And keep in mind that penis exercises can help you have a lot more control on your erections and on your ejaculation and this is really a lot more important than the size of your penis.

Penis enlargement systems can help any men regain confidence in his powers of being a great lover and this is what it’s all about. They can help you get more dates with more beautiful women (or men, as it is the case), because a high confidence level is the sexiest thing in the world, so I say you should go for it!

Male enhancement is a billion dollar industry and it’s only set to increase – this speaks volumes about how much men value their sexuality. So the merchants and surgeons are making a lot of money. Good for them!

But what do we know about consumer satisfaction and safety measures?

Let’s see what the most hyped products today and how they score on usability, safety and effectiveness. And here there are a few male enhancement products reviews to help you decide what the best thing for you to do:

1. The number one method of choice for people with money in their pockets must be Surgery.
There are a number of techniques used to enlarge the penis starting with the cutting of the ligaments that attach the penis to the body and ending with the injecting of body fat under the penis skin.

Following various types of cosmetic penile enhancement surgery, some men have had to undergo additional operations to correct deformities caused by the initial enlargement procedure. The side effects include scarring, shorter penises instead of longer, pubic hair extending on the base of the penis, low-hanging penis, loss of sensitivity, and bumps, lumps, and clumps of fat. Other complaints include impotence, urinary incontinence and persistent pain.

Then there’s the cost: anywhere from $4,000 to about $10,000 for a typical penis enlargement surgery that doesn’t require additional corrective surgery. Because cosmetic surgery is seldom covered by insurance, you’ll likely have to pay for everything yourself.

It doesn’t really sound like fun.

2. Penis pills, penis patches, creams, lotions, ointments etc
Don’t even bother thinking about them. It’s true that there are a lot of plants out there that can help in case you have an erection issue, but they won’t make your penis longer or thicker. Not to mention that in some cases I would not advise you to use these all-natural products even if you simply want a fuller erection.

It’s almost impossible to go out in the fields, pick up some herbs, dry them out, grind them and then expect to have the same quality every time you do that. Any farmer can tell you that even the same patch of soil won’t yield the same crop quality two years in a row.

Do yourself a favor and don’t waste your money on this kind of stuff but if you do feel the need to try them out, at least try to pay by wire transfer or by check. This way you can be sure your credit card is forever safe from dishonest marketers who may try to bill you for products you’ve never ordered and you don’t want to try.

3. Penis pumps, penis extenders and other Male Extra systems.
Penis pumps are trying to break into a pretty exclusive market of systems that have a proven safety history. The fact that the same web site may offer several male enhancement products and mix penis pump and penis extenders or jelqing systems all in one page can be extremely confusing.

Penis pumps are far from safe, unlike “classic” penis extenders, they cost too much and they don’t deliver results. Just like the pills and ointments, you can use a penis vacuum pump every now and then to achieve erection. But they are really tricky to use – too much vacuum and you can permanently damage fine blood vessels that run through the penile tissue. And you really don’t want that.

Penis Male Extra systems (or penis extenders) and jelqing exercises are really great tools to use to achieve more length and girth in your penis. You will have to be careful of course not to get over-zealous and try to accomplish too much within a too short period of time. But you should be safe as long as you stick to the program and to the exercises that accompany the products you’ve bought.

Of course some products are better than others and some manufacturers put a lot more money and time into developing new and improved models of their systems. It’s just a question of finding the perfect product for your needs.

And this is pretty much a complete male enhancement products review, or at least as complete as my own experience allows it to be. Enjoy and stay safe!

Since you are reading this article, it’s pretty safe for me to assume that you are not only interested in penis enlargement, but also in finding ways of increasing the effectiveness of your chosen approach and of blending this still unusual pastime in with your current life. Any man starting on a penis enlargement program has to make some choices and to think certain things over. Those who live alone have fewer integration problems because there is no obstacle to performing exercises or wearing a Male Extra system at home. Married men or those living with relatives or friends have to be more careful.

But there is one thing that married men should consider even though it may sound strange at first: how about talking your wife into giving you a hand? Puns and shock aside, you should admit that while this idea may indeed seem farfetched, it’s actually pretty cool. You can start by being very straightforward and sweet to your wife or girlfriend and let her know that you really like it when you do things together as a couple. And, since penis enlargement is really important to you and likely to be just as important to her, suggest that maybe she could help you a little.

Women are caring and nurturing by nature and so you have a good chance that she would consent to help you with this, especially if you make it sound like a game or a secret that only you two share. They are also going to be intrigued by the idea of penis enlargement exercises and will probably want to see what these exercises are all about and maybe a live demonstration. From a live demonstration it’s really a small step to getting her to see what a hands-on session feels like. People are curious by nature and always ready to try new things.

The one thing that you have to remember is to avoid being pushy. If she doesn’t like the idea at the start, don’t try to force her because you’re going to make her hate penis enlargement. Don’t try lame sentimental blackmail schemes (If you really love me, you have to help me) because it’s more likely that she’ll dump you ultra fast rather than to give in to your wishes. So try to be slick instead and to make her think this can be a special thing that you share. If you’re really nice to her, you might be surprised when she agrees to help you.

Things, thoughts and attitudes that had seemed strange a while ago turned out to be very popular in today’s world. Take for instance the new trend of shaving pubic hair. Not many people know that this trend was launched by the Japanese porn industry. Since the law said that the display of pubic hair in a magazine or movie was illegal, models were shown with shaved pubic areas. From Japan, the trend spread to American and European women and, more recently, to men.

It should be mentioned that shaving is quite a good option for any man who is involved in penis enlargement. First of all, getting rid of all that hair makes the penis stand out better than before and, second, there’s no more annoying hair to get in the way when performing your exercises. Think about it: just trim your bush a little and suddenly acquiring the elusive firm grip on the penis shaft is much easier. And there’s no more risk of pulling hairs, which we all know how unpleasant it can be.

The debate around which method for shaving is the best is still far from over. Some say that razors are the best way to go and they are right to a certain extent. The razor lets the user have full control over how much hair goes and which parts are left untouched. On the other hand, using a razor requires quite a lot of dexterity or the help of a third party, which is not always easy to come by.

Thus, you can either go with an old-fashioned razor blade, a modern safety razor, an electric razor or rotary epilators. As you can see, there are lots of products to choose from so go with the one that you’re comfortable with. Electric shavers are very easy to use, but hair will start growing back faster. Rotary epilators are even better at removing hair, but some people don’t like to use them anywhere near their sensitive parts. If you choose classic razors, keep in mind the fact that you need to apply some shaving foam first and some aftershave afterwards in order to keep the itchiness away.

Wax is also a good option, but some men are not that keen to pour hot wax on their most sensitive parts. It’s a matter of personal taste. Waxing is fast and inexpensive, but it can get messy and it’s not well suited to removing hair in a consistent fashion. If you don’t like the idea of hot wax, you could use depilatory creams or powders. The basic principle is to dissolve hair using a mixture of chemicals, which is very easy to handle. On the other hand, depilatory creams and powders may irritate your skin and you should keep in mind that hair is going to grow back very fast.

If you’re interested in getting rid of some hair, but you’re still not convinced that it’s a good idea, then you might wish to try trimming first. The bush will look better and at the same time you don’t have to get the blade close to the skin. Be sure to use some aftershave or soothing cream at the end in order to prevent the post-shave itchiness and the pimples that might rear their ugly heads. Having to explain to someone that those pimples on your private parts were caused by shaving and not by genital herpes is not the best way to start the evening.

Men are consulting their problems in the huge penis enlargement market widely known nowadays. With this come a lot of questions like do penis pumps and stretchers work? How? Do they give good results? What are the disadvantages in using it?

For treatment of impotence, vacuum systems are often recommended. They are also advertised for penis enlargement because the penis does increase in size for a time. Vacuum pumps are placed over the penis where air is then drawn from the tube that creates pressure. As a result, blood is forced rapidly into the penis, as happens in an erection. A ring is then applied temporarily to the base of the penis to stop the blood draining away too quickly. Penis enlargement will only work for about 24 hours.

Possible side effects might occur. Blood vessels can break causing swelling and pain. If you do want to try a vacuum system for erectile problems or you feel it might be a pleasant sensation, you do need to be aware of the probable dangers that it can bring and the fact that some systems available are poorly designed.

It does sound scary, so penis pumping should not be your priority in your list. Do penis pumps work? No, they don’t work. They can be really dangerous.

What about other male enhancement products, like penis stretchers? What are they? Do they work?

Penis stretcher systems or penis extenders are systems designed to apply continuous stretching force. Penis stretcher systems apply traction via bars between an anatomically curved base that fits at the root of the penis, and a band that slips off the head of the penis. There is absolutely no connection between penis pumps and penis stretchers.

Penis stretchers are safe to use if you buy the quality products and follow the instructions. They don’t harm your penis. There is no discomfort and you can achieve lasting results in perfect safety! A penis pump may look like a good and fast solution but it can really be hazardous. I know you don’t want to risk yourself and let your penis be damaged permanently.

The best thing with male enhancement products is using a penis stretcher. Choose a good medically-tested product that will help you rather than those cheap ones that will risk your health. Buy a safe system that delivers the results you want to achieve. Penis pumps can’t do that.

If you want more length and girth, you have to choose the safest possible way to achieve results. And if you will spend the money, why not spend them on something that will help you achieve long lasting results? Buy a quality penis stretcher that will give you the lifetime benefits you want!

Men give the highest importance on their penis size. For them, size does matter.

There are many methods of increasing the penis size – both the length and girth – which include surgery, pills and dietary supplements and penis Male Extra systems. What ate the pros and cons these methods? Are they worth are time and money?

– Surgery – Nowadays, many medical doctors are encouraging men to engage in penis enlargement by surgery. Surgery is permanent, of course, for good or for worse that is. Through surgery, the penis can be enlarged by an inch or so. The surgeon will cut the ligaments that hold the penis in its usual position to allow the penis to descend. Would you extend your fingers by cutting the ligaments loose? Would they still work as expected?

And after surgery, a penis enlargement system will be used for a few months to achieve a permanent increase in size. What’s the use of undergoing a surgery if a penis enlargement extender will be used afterwards? The procedure may produce a scar tissue, the erection will point down, and the base of the penis will be hairy.

Another surgical technique is known as a dermal implant. Girth and length can be increased by transplanting fat cells from other parts of the body to the penis. As the size of head of the penis cannot be increased the results can be visually rather odd.

Sometimes the distribution of the grafted cells results in clumping and a really nasty appearance!

– Wonder Pill – Some say that pills can make your penis larger in just a few short weeks! Do they really work?

Vitamins are good for you but there’s no pills that won’t increase your penis. Ads stating the amazing, and unbelievable results that can be achieved by using pills conveys an unbelievable thing. No need to waste your time and money. No pill on the market now has done a permanent effect on increasing penis size.

– Penis Stretchers for Penis Enlargement. So, do penis stretchers work?

Penis stretcher systems or penis extenders are systems designed to apply continuous stretching force.

Penis stretcher systems apply traction via bars between an anatomically curved base that fits at the root of the penis, and a band that slips off the head of the penis. If you follow all the instructions, they are definitely safe to use compared to surgery that leaves permanent scars and damaged tissue. Penis stretchers work gentler on your body.

penis stretchers work better than pills! Penis stretcher is an anatomically designed, safe to use, non-invasive system that can really add inches to your penis. You just have to follow the directions be surprise with the great results!

What makes you a REAL man? This is a question of manhood. For men, they have to be able and willing to perform all night long. I love to be intimate with my partner as long as I want but what about when I’m tired or had a rough day at work.

Having a lot of work to do in the office, every day is a stressful day. I just want to rest when I arrive in our house. I may want to be intimately involved with my wife but I know I couldn’t perform enough to satisfy her.

I consulted my doctor in my problem and he said that there are many ways to overcome impotence. So what are the keys to strong, lasting erections? Is there any option that I can do to help myself? I wouldn’t waste my time in taking pills and more pills that will not help me.

I’ve noticed that most authors refer you to different drugs and whether it’s safe or not. If you don’t want your progress to be harmed with all the chemicals, don’t be dependent to drugs alone. Why not giving other methods a try?

First, I acknowledge the problem you have to solve. I never thought that I’m having lack of erection. I just thought that maybe I was just tired. No man would admit that he’s having lack of erection! I just want work hard to feed my family that I didn’t give concern with my problem. In the end, however, things got worse and I knew I needed help.

Then, I searched for answers in penis health and men’s health in Google website. I’ve encountered millions of web pages offering products that will surely solve my problem.

After six months of wasting my money, I’ve finally discovered a program that really gives the results I was looking for at Male Extra. I tried it because they had their program undergoing a full, independent clinical trial. If they were willing to put their credibility on the line to get their program approved by the medical community, they must be pretty confident with the results that their products can offer!

It was so cheap and it worked for me. I’ve wasted time and money on the products I’ve used before this. Learn from my mistakes and help yourself avoid erectile dysfunction by choosing the effective penis enlargement product. I can assure you, with the product I chose, you made the right choice!