Erectile dysfunction

“ There is doubtless a disposition on the part of the erectile tissue to grow in the direction of the least resistance, and thus to occupy, by a process of compensative hypertrophy, the spaces left as the result of variations or defects in development in the bones composing the framework of the nasal chambers. The greater development of the erectile tissue may in this way be found on the side answering to the larger respiratory tract, which may therefore be more apt to suffer from changes in the conditions of nasal breathing than the chamber having the smaller tract. ”

“ In this condition, they may be brought to resemble, in some degree, what is termed, by anatomists, the erectile tissue, which structure has sufficient contractility to prevent the admission of more than an ordinary amount of blood on common occasions, but when excited in any way, it yields with great ease, and admits of enormous dilatation. Erectile tumors are dangerous, from their tendency, ultimately, to bleed spontaneously. They are sometimes formed in the throat. ”

“ The hunger for fatigue, too, can become a veritable passion and is quite distinct from either the impulse for activity for its own sake or the desire of achievement. To shout and put forth the utmost possible strength in crude ways is erethic intoxication at a stage when every tissue can become erectile and seems, like the crying of infants, to have a legitimate function in causing tension and flushing, enlarging the caliber of blood vessels, and forcing the blood perhaps even to the point of extravasation to irrigate newly growing fibers, cells, and organs which atrophy if not thus fed. ”

“ In addition to mental influences, all forms of local irritation of the sensory nerves of the female genital organs and adjacent parts, by internal processes or external friction, serve to increase the strength of the sexual impulse. Among internal processes which stimulate the erectile centre by centripetal impulses must be included, the stimulus of the enlarged graafian follicle, stasis in various vascular areas of the genital organs in consequence of a sedentary mode of life, abdominal plethora from excessive consumption of food and stimulating drinks, and habitual constipation. ”

“ This erectile apparatus, when the supply of arterial blood is greatly accelerated and at the same time the outflow of venous blood is diminished, becomes distended with blood, enlarged and stiffened; the process of erection plays an important part, as we shall explain more fully later, in the production of sexual excitement and sexual pleasure during the act of copulation. ”

“ How useless—worse than useless, even hurtful—are the usual remedies. The Prostate Gland must be softened, cooled and robbed of its inflammation before Anti-Impotency remedies can be of the slightest service. And here it is where the great success of the Civiale Crayons is best shown: The Prostatic Crayons melt, run down upon, soothe, quiet and allay the inflammatory and hardened gland, while the Impotence Crayons are re-toning, strengthening and re-vitalizing the Sexual Nerves, and strengthening the erectile and ejaculatory muscles. ”

“ By atonic impotence we mean a failure in satisfactory coitus, whether such failure manifests itself in precipitate emission, delayed emission, incomplete erection or absence of sexual desire. The disturbance with emission and erection are principal types of the disease for which we are most consulted, the last named condition, absence of sexual desire, being usually an advanced or later stage of complete exhaustion of this disease. ”

“ If the veins can empty themselves, as they naturally do when the nervous excitement which constricted them locally passes, the erection will subside without any loss of semen, by the mere passing back of the locally excessive blood into the ordinary circulatory system. ”

“ If this weakness is allowed to go on unchecked, the mind will become diseased, the eye-sight will be impaired, and the vital forces consumed—thereby causing partial and complete impotency. Should you desire greater certainty in testing, either send on a sample of your urine, or test it with our powder.
The characteristic symptoms of partial impotency are: an imperfect erection, or, if the erection is sufficiently vigorous, it is of too short a duration, and the vital fluid is discharged prematurely.
The erector muscles become paralyzed, and the organ remains inactive at the call of the will. ”

“ We know, too, that even in the adult, non-sexual erections may occur. The clearest instances of this are met with in the form of171 priapism, the principal characteristic of this condition being the occurrence of permanent erection which has nothing at all to do with the sexual impulse. The same is true for the most part of matutinal erections, the precise cause of which is not yet determined. They are commonly referred to distension of the bladder, which is supposed by reflex action to lead to distension of the corpora cavernosa of the penis. ”

“ As the disorder advances, the pain, heat of the urine, and running, increase, while fresh symptoms daily ensue. In men the erections become painful and involuntary, and are more frequent and lasting than when natural. This symptom is most troublesome when the patient is warm in bed.
The pain which was at first only perceived towards the extremity, now begins to reach up all the urinary passage, and is more intense just after the patient has done making water. The running gradually recedes from the colour of semen, grows yellow, and at length puts on the appearance of mucus. ”

“ Retention of urine and retention or incontinence of fæces are constant symptoms. In young men priapism is common—the corpus cavernosum penis is filled with blood without actual erection. There is other evidence of vaso-motor paralysis in the form of dilatation of the subcutaneous vessels, and local elevation of temperature in the paralysed parts. The deep reflexes, including the tendon reflexes, are permanently lost. ”

“ In normal conditions, however, much more powerful stimuli are needed to cause ejaculation than those which are competent to give rise to erection. For this reason, erections often occur without leading to ejaculation, whereas in normal conditions ejaculation hardly ever occurs without erection. In fact, ejaculation in the absence of erection is almost peculiar to pathological states, and may occur, for instance, in many forms of impotence, in which the ejaculation centre still remains susceptible to stimulation, whilst the erection centre is exhausted. ”

“ Erections occur during childhood; they have been observed even in infancy. They sometimes result from external stimuli, especially of a pathological nature, such as a strictured prepuce, or inflammatory states of the penis. Occasionally in the child, as normally in the adult male, distension of the bladder with urine leads to erection of the penis. Although in these cases the erection is not induced by sexual processes, it is nevertheless not devoid of significance in relation to the sexual life. ”

“ The essential condition for the man is sufficient erection. Anjel (Arch. für Psych., viii, H. 2) calls attention to the fact that in sexual excitement the erection centre is not alone influenced,—the nervous excitement is distributed to the entire vasomotor system of nerves. ”

“ Erection ensues independently of the will or imagination, as instanced on awaking in the morning—the cause is most probably a distended bladder; the phenomena may be a sympathetic irritability of the muscles of the perinœum, especially the erectores; there is a general pelvic disturbance, the nervous excitement is increased, and the rush of blood (obedient to that excitement) is sent to the penis: such, I believe, is the sympathy between all these structures. The will exercises the same, and the results of the imagination do not materially differ ”

“ Stimulation of the centre leads to distension of the penis with blood, and thus to erection of that organ. The stimulation of the centre can be effected in either of two ways.
In the first place, by psychical processes. Thus, in a man, the sight of a woman exercises such a stimulus, the stimulation proceeding from the brain along the spinal cord to reach the centre. The psychical stimulus may also consist of reminiscences. In this way the memory of an attractive woman may be just as effective in causing erection as if she were actually visible at the moment ”

“ When the disorder has arrived at its height, all the symptoms are more intense; the heat of urine is so great, that the patient dreads the making water; and though he feels a constant inclination this way, yet it is rendered with the greatest difficulty, and often only by drops: the involuntary erections now become extremely painful and frequent; there is also a pain, heat, and sense of fulness about the seat, and the running is plentiful and sharp, of a brown, greenish, and sometimes of a bloody colour. ”

“ The numerous small blood vessels, with which the penis is supplied, under the influence of sexual excitement, flood the organ with blood, causing it to become erect or rigid. This condition is known as an erection. ”

“ The second type of Impotence, irritative, is the most frequent of all. In this condition the power of erection may or may not be affected, but the main distressing feature is a premature ejaculation of seminal fluid, which may take place even before a man approaches the woman. This condition is caused by over-stimulation and over-irritation of the sexual nervous apparatus, and is mostly the result either of an old habit of masturbation (self-abuse) or a chronic inflammation in the deep urethra left after previous Gonorrhea. ”

“ If erections of his little penis occur during sleep, or if he cannot urinate promptly on rising in the morning, because of an erection, let these conditions beget an anxiety for his welfare and at once seek a judicious physician, who will be able to prescribe a medicament to arrest all further development of sexual precocity—an affliction so baneful to the young. ”

“ Now priapism is a permanent and chronic state of erection of the member.—This complaint attacks a patient, when a hot and heavy spirit descends into the member, which not being suffered to readily escape, violently erects the penis. Such patients ejaculate little or no semen, yet feel that the spirit is voided along with it, and so far as there is any emission, appear to be relieved thereby; but they are again attacked afresh by the same evil, until the cause of the tension has been removed. ”

“ A man thus affected has a powerful erection of the penis, preparatory to coitus, but at the moment of contact with the female genital organs, before there has been time for penetration to occur, ejaculation takes place, and is immediately followed by relaxation of the penis. Such irritative impotence is often met with in young men at the outset of their sexual career, in beginners, whose sexual passion is very readily excited, whose imagination shoots forward to the goal, and who are unable to restrain themselves. ”

“ Men’s shoes and boots no longer affect the patient; and he never in the slightest degree feels himself attracted to men sexually.
Yet the patient has erections very easily. When he takes a child in his lap, when he pats a dog or horse for some time, when he travels on the cars, or when he rides,—erections occur. In the latter case he thinks it is due to the shaking. He has erections every morning; and he can induce erection in a very short time by thinking of the act with boots that is so pleasing to him. Pollutions formerly occurred frequently at night—about every three or four weeks ”

“ Any disease which renders the circulation in the prostate gland languid and feeble interferes with the nutrition of that organ and impairs its function.
Impotency (Loss of Sexual Power) . Masturbation prevents the excitability of the nervous system and sexual organs and causes debility, which is indicated by the premature discharge of semen during sexual intercourse. These premature emissions indicate not only partial impotency, but also that the nerve-centres have become morbidly sensitive by the practice of solitary vice, or marital excesses. ”

“ The gait is unsteady; the hands and feet are habitually cold; he is subject to wandering neuralgic and rheumatoid pains; passes restless nights; loses flesh and color; shuns society; imagines that every one recognizes his condition, and fears to look one in the face; and is utterly incapacitated for mental or physical exertion. With the still further increase of the irritable weakness of the genitalia and nervous centres the semen flows continuously out of the urethra, and its discharge is augmented during defecation and micturition. ”

“ Hypertrophy of the prostate generally arises from causes which operate in a slow and permanent manner. Whatever has a tendency to produce a determination of blood to, and an engorgement of, this organ, is capable of producing the affection, an augmented flow of blood to the the part having the effect to increase the nutrition. Among the most frequent causes of this affection, are excessive venery, masturbation, disease of the bladder, stricture of the urethra, horseback exercise, gonorrhea, and the employment of strong, stimulating diuretics. ”

“ The remembrance of such a failure and the distress and shame attached to it, even efforts to produce erection indirectly for another attempt, constitute further causes of inhibition of the cerebro-spinal activity; they temporarily extinguish the sexual appetite, and prevent by their interference the automatic mechanism of erection which they strive to produce. The greater the fear of failure, the more the psychic impotence increases. This phenomenon may be limited to a certain woman, but it is more often general. Sometimes an incomplete erection is produced, which is insufficient. ”