Erectile dysfunction (ED) is a problem which afflicts upwards of 30 million men[1]. At some point in life, nearly every man will experience some degree of erectile dysfunction, but to be diagnosed as having ED the problem must be such that it is the rule, not the exception. What is erectile dysfunction, or ED? What are the causes, treatments, and costs?

More importantly, are there natural, non-medication methods to help sufferers of ED regain their erections? This is especially important for many who suffer from erectile dysfunction because aside from the mental and emotional stress caused by an inability to perform, ED medications can be dangerous for some men.

This book will consider not only what is and what causes ED, but also how it can be better managed using natural options such as massage therapy. We hope you find this information both encouraging and helpful as you embark on your journey to regain your manhood.

What is Erectile Dysfunction (ED)?

Erectile dysfunction normally occurs in most men, but for some, the problem is chronic. Put simply, ED is impotence, the inability of the penis to either become erect to maintain an erection. Naturally, the purpose of an erect penis is to engage in sexual intercourse. For many men (and their partners), this is a life-altering situation.

One of the key problems with ED is that many men are embarrassed to raise the issue with their doctor. However, sufferers of ED should be aware that aside from an inability to perform in the bedroom, erectile dysfunction could be a sign of a serious condition[2]. So, what causes erectile dysfunction?

What Causes Erectile Dysfunction?

Erectile dysfunction is caused by numerous factors, which may be physiological, psychological, or a combination. Researchers have isolated numerous conditions, both treatable and chronic which can result in ED. One of the more common is Prostatitis.

Prostatitis is inflammation of the prostate. The prostate is the quarter-sized gland positioned between the penis and bladder, in front of the rectum.[3] Those most at risk for Ed resulting from prostatitis are men under 50. Treatments for prostatitis include antibiotics if the underlying condition involved a bacterial infection. Sometimes, the cause remains unknown and the condition may go away on its own. At other times, prostatitis may be chronic, or recurring.

Although prostatitis is a common factor in developing ED, it is by no means exclusive. Researchers have identified several categories of lifestyles and conditions which increase the risk of developing erectile dysfunction[4]. These include:

  1. Certain medical conditions including heart conditions and diabetes
  2. Certain medical treatments including radiation therapy for cancer and prostate surgery
  3. Certain medications such as antidepressants, antihistamines, pain, prostate, and hypertension medications
  4. Drug and alcohol use; greatly-increased risk with abuse
  5. Injuries to nerves and arteries involved in controlling erections
  6. Obesity, including being moderately overweight
  7. Psychological conditions
  8. Use of Tobacco, which causes arterial and vein restrictions

Factors Contributing to ED

In addition to factors which increase the risk of developing erectile dysfunction, physicians approach the problem as being either psychological, physical, or a combination of the two. This allows the doctor examining a patient to quickly determine the best approach to treatment.

Given the risks associated with medications commonly used to treat ED, this approach makes sense. Some of the minor side-effects related to ED medications such as Viagra (sildenafil), Cialis (tadalafil), and Levitra (vardenafil) include:

  • Body aches/pain
  • Congestion/runny nose
  • Digestive problems
  • Dizziness
  • Headaches
  • Skin flushing
  • Vision problems

Major side effects from the use of ED medications[5] include:

  • Hearing loss
  • Priapism (erection lasting greater than four hours)
  • Vision loss
  • Death (especially when an underlying heart condition was unknown at the time of use)

For good reason, many men and their treating physicians carefully consider whether the use of medications to treat ED is right in their case.

Psychological Factors

When it comes to erectile dysfunction, the expression, “It’s all in your head” bears some truth. The fact is that when a person experiences…

  • Anxiety,
  • Communication issues,
  • Depression,
  • Relationship problems, or
  • Stress,

…the potential for ED is present. This is because, although sex is largely driven by an instinct for the perpetuation of the species, humans have complex mating rituals which originate in the brain. The neuroscience behind this is sound: Hormones such as testosterone and estrogen play a key role alongside the amygdala, ventral striatum, and orbitofrontal cortex[6] in stimulating sexual desire. These elements within the human brain can derail normal desire, especially when one is experiencing any of the former factors.

Yet, ED is not restricted to problems in the brain and mind. There could also be physical elements that hinder the ability to achieve an erection. Some are serious.

Physical Factors

Clinicians generally consider any factor which is not psychological to be physical. In fact, the first things to be considered are physical factors. This is because there are numerous diseases, conditions, and lifestyle choices which can easily result in erectile dysfunction. Among these are:

  • Atherosclerosis
  • Alcoholism and/or substance abuse
  • Certain prescription medications
  • Decreased testosterone levels (typically, if over 50)
  • Diabetes
  • Enlarged prostate treatments
  • Heart disease
  • High blood pressure
  • High cholesterol
  • Injuries to the pelvic region or spine
  • Metabolic syndrome
  • Multiple sclerosis
  • Obesity
  • Parkinson’s disease
  • Peyronie’s disease
  • Prostate cancer treatments
  • Sleep disorders
  • Surgeries that affect the spinal cord or pelvic area
  • Tobacco use

Note that although some of these conditions are chronic and incurable, others are related to lifestyle choices. This means that while in some cases, the best an ED sufferer can achieve is the occasional erection, many others are able to return to an active sex life once the aggravating factor is eliminated.

When Should Someone See a Doctor about ED?

If you are having difficulty obtaining an erection more often than not, it may be time to see a doctor to discuss options. Other related conditions include premature ejaculation or delayed ejaculation. Persons with diabetes, heart disease, and other conditions linked to ED who are experiencing difficulties getting or maintaining an erection would want to raise the subject during their next physician visit.

The simplest rule of thumb to consider is whether the problem is causing a problem in your relationship. If neither you nor your partner considers the lack of functionality to be an issue, then it is not. However, this is rarely the case; the fact that you are now reading this book means that lacking the ability to perform is troublesome to you.

That said, ED is not life-threatening. Still, failing to get an erection can take a toll. You may want to see a doctor if you are experiencing

  • an unsatisfactory sex life because of suspected ED,
  • if performance reviews are adding to your normal stress or anxiety load,
  • you are experiencing low self-esteem or relationship problems, or
  • are wanting to get your partner pregnant, but the lack of a firm solution prevents it.

Your doctor will consider all physical and psychological factors which may play a role. These include a physical exam, blood tests, urinalysis, ultrasound, and psychological exam[7]. Your doctor will then offer advice, solutions, and possibly pills.

What are ED Treatment Options and Costs?

Erectile dysfunction treatments can be simple or difficult; they may be slightly painful; they may carry unwanted risks, and they can be costly. Essentially, all ED treatments fall into one of four categories[8]:

  1. Surgery
  2. Medication
  3. Lifestyle changes
  4. Natural remedies

Surgeries for ED, recovery times, and costs

The three most common surgical remedies for erectile dysfunction include vacuum devices, penile implants, and vascular reconstructive surgery.

  • Vacuum Devices are not exactly surgical, but because they use a machine to pump up the volume of blood flow to the organ, these are generally listed as such. They operate much like a well which pumps water to the surface. A sealable cylinder is slipped onto the limp penis and an attached pump (which may be manual or electronic) is then activated. The pump removes air from the cylinder to draw blood into the porous membranes within the penis to force an erection. The VCD, or vacuum constriction device is best used with a constriction band (commonly known as a cock-ring), which is safe to leave in place for 30 minutes maximum. These devices range from about $90 USD to as high as $300.
  • Penile Implants are a form of prosthesis. Typically performed as an outpatient procedure, inserting the penile implant takes around an hour and is relatively painless. Without insurance, the price for penile implants is about $4500 USD[9], though most major medical plans cover the procedure.
  • Vascular Reconstructive Surgery involves actual surgery to repair damaged blood vessels in the penis. The cost for this surgery is difficult to pinpoint because in most cases, the total cost is associated with the findings of the surgeon once inside. Complicated surgeries can be costly.

Medications for ED

Every ED prescription medication works the same way: Each enhances how nitric oxide reacts with the body. As a naturally-occurring chemical in the body, nitric oxide relaxes the penis muscles allowing blood flow to increase – and blood flow to the corpus cavernosum (spongy tissue in the penis) is what causes erections. As the blood becomes trapped in the tissue, pressure builds resulting in a stiffening of the organ. Once orgasm is achieved, the blood flows out of this tissue, allowing the penis to return to its normal, relaxed position.

Prices for these medications tend to be high without insurance…$50 USD per pill in 2016! However, relief is in sight as generic forms of at least two, Viagra and Cialis will be reportedly made available soon[10].

Other medications include Alprostadil self-injection, Alprostadil urethral suppositories, and testosterone replacement therapy. Most of these options are reasonable in price ($30 – $50), but this is PER injection and a single injection is only good for a single sexual session of between 30 and 60 minutes.

Natural Remedies for ED

Throughout history, men have touted various products for ED. In medieval times to the present, men have used Horny Goat Weed, Yohimbe Bark, acupuncture, reindeer antlers, panex ginseng, Rhodiola Rosea, dehydroepiandrosterone (DHEA), L-arginine[11], and more. Some insist these work, some insist quite the opposite. Most are quite inexpensive and generally harmless, but their effectiveness is questionable.

Prostate Massage Therapy as Treatment for Erectile Dysfunction

Prostate massage therapy is not new. Eastern medicine has been using the method for centuries, mainly with wealthy, very sexually active patients. Although some men can do traditional prostate massage therapy on themselves, most cannot.

The procedure requires first inserting a lubricated finger into your anus. Feeling around, you should notice a small ball at the base of your perineum (taint). This is the prostate gland.

Next, apply light but alternating pressure. Press lightly, hold, release. Apply the pressure to various locations of the prostate, not just in one spot. If doing it right, a bit of prostatic fluid should be released at the tip of your penis.

Alternately, massaging the perineum externally may provide relief, but is less effective.

Another term for this procedure is prostate milking[12].

Prostate Massage Therapy with Sonic Massager

Prostate Massage Therapy for Erectile Dysfunction Although the benefit of prostate massage therapy is well-established, those who choose to use this technique to gain relief from ED often have limited options.

If a person has health insurance, they may find a doctor who will perform the treatment. However, many find that either their insurance plan does not cover the procedures (expect at least a dozen or so), or they are unable to locate a doctor in-network who does.

A simple alternative is to obtain the Sonic Massager.

The Sonic Massager provides a user with the ability to self-administer the needed massage therapy to their prostate. Not only can they perform the therapy on themselves, there is no need to leave home, wait in a doctor’s office for hours, then be subjected to what is often a humiliating ordeal.

Benefits of using the Sonic Massager for Erectile Dysfunction

When someone chooses to use the Sonic Massager rather than a medical doctor, they find first that the cost savings make it well worth their while. Most people have a copay when going to their doctor. Prostate massage therapy is not a one-and-done proposition. Numerous, frequent visits to the doctor are required. Even with small copays, this can quickly run into a large sum.

More importantly, having a Sonic Massager at home eliminates the need to the doctor other than for progress checkups. Too, it may be used with greater regularity which can provide relief for ED much sooner.

After the age of 30, there are four bodily variables which may be managed with prostate massage therapy. Each is critical to remaining sexually active as we age. These are:

  1. Fluid flow and pressure is maintained in the prostate gland
  2. Condition of the pubococcygeus (PC) muscle remains healthy
  3. Testosterone levels
  4. Thyroid-stimulating hormone levels

The Sonic Massager can help men properly maintain these variables so that their prostates remain healthy. The prostate is one of the most important factors affecting erectile dysfunction. Turning ED around requires taking proper care of the prostate.

How to Use the Sonic Massager for ED

Using the Sonic Massager for Ed is easy. The following steps describe how:

  • Lubricate the massage head
  • Keeping the head straight, insert slightly into the anus and keep in place for 15-20 seconds
  • Once the anus muscles are relaxed, push the massage head further into the lower colon for one to two minutes
  • Move the massage head towards the prostate (perineum or taint) and massage for one minute.
  • Remove the massage head and clean.

That is all which is needed because the Sonic Massager provides a unique vibrating wave technology which target the bodily functions needed for a healthy prostate. It activates metabolic processes, reduces inflammation, and stimulates muscle activity.

Will Prostate Massage Therapy for Erectile Dysfunction Work for Me?

Prevention, it has been said, is worth more than a cure. The prostate, like any other organ or bodily system, has needs. Some recommend a special diet to help prevent prostate issues such as cancer or prostatitis…or at least maintain a healthier prostate[13]. Yet for centuries, physicians in eastern lands have known of the positive effects of massage therapy to maintain both a healthy prostate and sexual prowess[14]. Western medicine is just catching up.

As with any treatment for erectile dysfunction, prostate massage therapy may have mixed results. No physician or researcher will tell a patient that any treatment is 100% guaranteed, because none are. Yet, compared to alternative treatments in cost, self-esteem, and convenience, the Sonic Massager is often the preferred choice.

According to the University of Texas’ MD Anderson Cancer Center, tight anal muscles are the cause of most unexplained testicular and prostate pain[15].

The best-known way to relax muscles it through massage therapy. The Sonic Massager, developed by the Advanced Canadian Engineering Group has found that in 97% of cases[16], users experienced relief from erectile dysfunction, especially when caused by prostatitis.