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What causes ED?

ED usually has a physical cause, such as disease, injury, or side effects of drugs. Any disorder that causes injury to the nerves or impairs blood flow in the penis has the potential to cause ED.

Because an erection requires a precise sequence of events, ED can occur when any of the events is disrupted. The sequence includes nerve impulses in the brain, spinal column, and area around the penis, and response in muscles, fibrous tissues, veins, and arteries in and near the corpora cavernosa.

Damage to nerves, arteries, smooth muscles, and fibrous tissues, often as a result of disease, is the most common cause of ED. Diseases-such as diabetes, high blood pressure, nerve disease or nerve damage, multiple sclerosis, atherosclerosis, and heart disease-account for the majority of ED cases. Patients should be thoroughly evaluated for these conditions before they begin any form of treatment for ED.

Lifestyle choices that contribute to heart disease and vascular problems also raise the risk of ED. Smoking, drinking alcohol excessively, being overweight, and not exercising are possible causes of ED.

Surgery-especially radical prostate and bladder surgery for cancer-can also injure nerves and arteries near the penis, causing ED. Injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to ED by harming nerves, smooth muscles, arteries, and the fibrous tissues of the corpora cavernosa.

In addition, ED can be a side effect of many common medicines such as blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine, an ulcer drug.

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Psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure can also cause ED. Even when ED has a physical cause, psychological factors may make the condition worse.

Hormonal abnormalities, such as low levels of testosterone, are a less frequent cause of ED.

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The leading sexual enhancement pill works. Sildenafil is Viagra is used to treat erectile dysfunction is impotence; inability to get or keep an erection in men. Sildenafil is Revatio is used to improve the ability to exercise in people with pulmonary arterial hypertension is PAH; high blood pressure in the vessels carrying blood to the lungs, causing shortness of breath, dizziness, and tiredness. Sildenafil is in a class of medications called phosphodiesterase is PDE inhibitors. Sildenafil treats erectile dysfunction by increasing blood flow to the penis during sexual stimulation. This increased blood flow can cause an erection. Sildenafil treats PAH by relaxing the blood vessels in the lungs to allow blood to flow easily. Sildenafil's popularity with young adults has increased over the years. Sildenafil's trade name Viagra is widely recognized in popular culture, and the drug's association with treating erectile dysfunction has led to its recreational use. The reasons behind such use include the belief that the drug increases libido, improves sexual performance, or permanently increases penis size. Studies on the effects of viagra when used recreationally are limited, but suggest that it has little effect when used by those not suffering from erectile dysfunction. In one study, a 25 mg dose was shown to cause no significant change in erectile quality, but did reduce the post-ejaculatory refractory time.

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A pornographic actor or a porn star is a person who appears in pornographic films. Most actors appear nude in films. Most genres have specialists who achieve most of their recognition in a specific niche market such as lesbian sex, bondage, strap-on sex, anal sex, double penetration, semen swallowing, teenage women, interracial sex. The girls could be graded like A, B and C. The A is the chick on the box cover. She has the power. Less successful actors are more likely to perform more extreme acts such as double anal. If an actor is willing to perform more extreme acts, she will receive more offers of work. Older or less attractive actors are more likely to perform such acts in order to get work. Some girls not fresh in nine months or a year.

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Erotic literature comprises fictional and factual stories and accounts of human sexual relationships. These intend to arouse the reader sexually. The Internet and digital revolution in the history of erotic depictions, has blurred older forms of representing scenes of a sexual nature, although research indicates erotic literature was available among the poor and performed at public readings in 18th century Britain.

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Online bookstores purvey a range of professional, commercial and non-commercial erotic writing. Whereas once access to online erotic fiction was largely restricted to membership or pay sites, in recent years a marked increase in the number of community based, not-for-profit or free access websites has led to an explosion in the level of popularity of this genre.

Increased interactivity and anonymity allows casual or hobby writers the opportunity not only to author their own stories, but also to share them with a worldwide audience.

Many authors adopt colorful pseudonyms and can develop cult followings within their genre, though a small number use their real names. Among transgendered or gender queer authors, it is a common practice to adopt a feminine or masculine alter ego, although it is not unheard of for a writer to use his or her own given name. Such erotica takes the form of novels, short stories, poetry, true-life memoirs, and sex manuals. Transgressive sexual fantasies are a common feature of the genre, on such themes as prostitution, orgies, homosexuality, sado-masochism, cross-dressing, incest and many other taboo subjects and fetishes. The stories may or may express in explicit language. Satire and social criticism are other common elements.



 
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