Erectile dysfunction (ED), also known as impotence, is the inability to achieve or sustain an erection for satisfactory sexual activity. Erectile dysfunction is different from other conditions that interfere with sexual intercourse, such as lack of sexual desire and problems with ejaculation and orgasm.

While erectile dysfunction can occur at any age, it is uncommon among young men and more common in the elderly. By age 45, most men have experienced erectile dysfunction at least some of the time.

How does erection occur?

The shaft has two chambers that fill up with blood during sexual arousal. These are known as the corpora cavernosa. When a man has sexual thoughts or feelings, the brain communicates this sexual excitement through the nerves and these eventually reach the genitals. In turn, the nerves bring about a relaxation of the muscle cells in the walls of the blood vessels entering the penis. This increased flow of blood fills up the two corpora cavernosa resulting in an erection.

Causes of Impotence / Erectile Dysfunction:

There are many underlying physical and psychological causes of erectile dysfunction. They include: Aging, diabetes, smoking, obesity, excessive drinking, cadiovascular diseases, nerve damage, medications and depression and anxiety.

Impotence / Erectile Dysfunction Cure / Treatment:

Oral medications such as Kohinoor Gold helps to improve blood flow to the penis. For most men, Kohinoor Gold is a logical first step to treat erectile dysfunction as it is herbal and safe. It heps to increase blood flow to the penis to allow an erection.

Penile Implants: This is an irreversible surgical intervention. Two inflatable balloons are implanted into the penis, a pump into the scrotum, and a reservoir near the bladder. When inflated by the pump, fluid from the reservoir flows into the inflatable balloons, creating an erection.

Common Side Effects: Swelling, potential infection/malfunction 

Penile Injections: The patient or his partner uses a small needle to inject a powerful muscle relaxant into the base. The relaxation of muscle tissue allows blood to flow into the erection chambers, creating an erection.

Common Side Effects: Pain, bleeding, scarring, and rarely, prolonged erection 

Vacuum Therapy: By placing a cylinder over the penis and withdrawing air, a vacuum is created, mechanically enhancing the flow of blood into the penis. A rubber ring placed on the base of the erect penis traps the blood inside it and maintains the erection.

Common Side Effects: Bruising, pain, diminished ejaculation.