88% of America Adults have “insulin resistance” that causes obesity and diabetes (Diabesity). In fact, half the world is now fat, diabetic and sick. Until recently erectile dysfunction (ED) clients were led to believe it was an inevitable consequence of advancing age or was brought on by emotional problems.
We now know that ED, in most cases, is due to vascular and neurogenic changes brought on by diabesity in the large majority of men with ED. In fact, the onset of ED occurs 15-20 years earlier in men with diabetes compared to men without diabetes.
A sexually competent male must have a series of events occur and multiple mechanisms intact for normal erectile function. He must 1) have desire for his sexual partner 2) be able to divert blood from the iliac artery into the corpora cavernosa to achieve penile tumescence and rigidity (erection) adequate for penetration, 3) discharge sperm and prostatic/seminal fluid through his urethra (ejaculation), and 4) experience a sense of pleasure (orgasm). A man is considered to have ED if he cannot achieve or sustain an erection of sufficient rigidity for sexual intercourse. Most men, one time or another during their life, experience periodic or isolated sexual failures. However, the term “impotence” is reserved for those men who experience erectile failure during attempted intercourse more than 75% or the time.