Encore Tabs To Enhance Male Sexual Performance - Dysfunction
Erectile dysfunction (ED) can be the total inability to achieve erection, an inconsistent ability to do so, or the tendency to sustain only brief erections. These variations make estimating the incidence of ED difficult. Depending on the definition, an estimated 15 to 30 million men suffer from ED. According to the National Ambulatory Medical Care Survey (NAMCS), for every 1,000 men in the United States, 7.7 physician office visits were made for ED in 1985. By 1999, the rate had nearly tripled to 22.3 visits for every 1,000 men.
Any disorder that causes nerve injury or impairs blood flow to the penis has the potential to cause ED. In older men, ED usually has a physical cause such as disease or injury, or results as a side effect of medications. Incidence increases with age: About 5% of 40 year-old men and between 15 and 25% of 65 year-old men experience ED. Men of all ages who have used Encore Tabs have been EXTREMELY satisfied with increased potency they’ve achieved.
The penis contains two chambers called the corpora cavernosa, which run the length of the organ (see figure 1). A spongy tissue fills the chambers. A membrane, called the tunica albuginea, surrounds the corpora cavernosa. The spongy tissue contains smooth muscles, fibrous tissues, spaces, veins, and arteries. The urethra, which is the channel for urine and ejaculate, runs along the underside of the corpora cavernosa and is surrounded by the corpus spongiosum.
Erection begins with sensory and/or mental stimulation. Impulses from the brain and local nerves cause the muscles of the corpora cavernosa to relax, allowing blood to flow in and fill the spaces. The blood creates pressure in the corpora cavernosa, making the penis expand. The tunica albuginea helps trap the blood in the corpora cavernosa, thereby sustaining erection. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection is reversed.
Since an erection requires a precise sequence of events, ED can occur when any of the events is disrupted. The sequence of events includes nerve impulses in the brain, spinal column, and area around the penis, and responses 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, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular and neurological disease—account for about 70% of ED cases.
Surgery (especially radical prostate and bladder surgery for cancer) can 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 fibrous tissues of the corpora cavernosa.
In addition, many common medications—blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (an ulcer drug)—can produce ED as a side effect.
Experts believe that psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause 10 to 20% of ED cases. Men with a physical cause of ED frequently experience the same sort of psychological reactions (stress, anxiety, guilt, depression).
Other possible causes are smoking, which affects blood flow in veins and arteries, and hormonal abnormalities, such as not enough testosterone.