Question 1: What is erectile dysfunction and how many of you have found this problem in Nepali men?
Answer: Erection is the process of increasing the thickness, length, and stiffness of the penis by increasing the blood circulation in the muscles in the penis due to any physical or mental stimulation. Erectile dysfunction is when the penis cannot be stimulated to have sexual intercourse. Formerly known as Impotence, it is now called Erectile Dysfunction.
This can happen for many reasons. Sexual excitement naturally decreases with age. Excessive obesity can lead to heart disease, diabetes, hypertension, kidney problems, and erectile dysfunction. It can also be caused by a disturbance of testosterone or other hormones in the body or by mental causes such as stress, tension, or depression. Alcohol, cigarettes, or alcohol can reduce excitement. Erectile dysfunction can also be caused by medications for chronic diseases such as Parkinsonism.
Even in Nepali guys, there are many examples of sexual excitement deficiency. The number of people visiting the doctor decreases due to social and other factors. Patients only mention erectile problems when discussing other diseases affecting men. Even though women are blamed for living in a patriarchal culture, it has been discovered that males with infertility have erectile dysfunction.
Question 2: Is lack of sexual excitement a common sign of aging? Which age group does it most affect?
Answer: As you grow older, the number of hormones in your body becomes disturbed—the amount of testosterone, which is essential in excitement, decreases, which naturally decreases sexual excitement. Similarly, as other diseases appear and mental stress increases, sexual excitement decreases with age. Regardless of the age group, about 20% of people at the age of 40 may have some form of erectile dysfunction, and 50% by the age of 70.
Question 3: Can arousal be prevented?
Answer: As I said above, there may not be many reasons for excitement. Some may have more than one cause. Although natural erectile dysfunction, which usually occurs with age, cannot be prevented, erectile dysfunction in young people can be prevented by finding the cause of mental or physical reasons and treating it.
Question 4: Is it a sign of something serious about not having sexual excitement?
Answer: Erectile Dysfunction can be caused by a variety of factors, as previously stated. During times of stress, most men have experienced a loss of sexual excitement. However, if this problem begins to reoccur frequently or in children, it should be examined to see if it is a symptom of another disease. It can be a sign of a mental or emotional relationship going wrong.
Question 5: What is the difference between not having sexual excitement and ejaculation?
Answer: Sexual intercourse usually begins with sexual desire and ends with ejaculation. The first stage of ejaculation occurs when semen enters the ejaculatory duct at the base of the bladder, near the prostate gland, and the second occurs when semen is driven out of the penis. The initial step is not complete ejaculation. Various inherited or chronic disorders can cause situational ejaculation, but mental or physical stress can also be generated. Retrograde ejaculation occurs when semen passes into the bladder instead of coming out due to some prostate drugs or even the first stage following prostate surgery. Even if the penis is excited, ejaculation may not be due to anejaculation or retrograde ejaculation.
Question 6: Is a state of non-sexual excitement permanent or is it only temporary?
Answer: As I previously stated, there are various reasons why sexual attraction does not exist. Some people try to have sex with someone for mental or emotional reasons, but they may or may not be pleased. Stress or sickness might cause sexual excitement for a short period. It progressively becomes permanent as people get older.
Question 7: How to treat lack of sexual excitement? What are the treatment options for this?
Answer: Depending on the cause, there are a variety of treatment options. You may need to use more than one option. In times of stress, a psychiatrist or counselor might offer advice. Yoga and exercise are also beneficial. Yarsagumba and Yohimbine, two biological medicines, have been used. Prostate massage and acupuncture are also used. Vacuum pumps, for example, can be used to improve blood flow to the penis. Hormones, such as medications that boost blood flow to the penis may be required. Vascular surgery also plays a role in increasing blood flow to the penis. Currently, artificial penile implant surgery is also gaining popularity.
Question 8: How effective are drugs like Viagra in the absence of excitement?
Answer: Sildenafil is the main ingredient in Viagra. It helps in the circulation of blood in the penis. It’s important to note that it does not affect sexual excitement or the diagnosis of erectile dysfunction. It can cause headaches and ringworm since it lowers blood pressure. It can be harmful to persons taking nitrate drugs or who have heart disease. Only a doctor’s prescription should be followed when taking Viagra.

