Ismail is only a hypothetical name (bukan nama sebenar) of a person who has the disease of the male genital organ, who came to me about a year ago, complaining of not having sensation during ejaculation. He has no problem with erection of the genital organ but during ejaculation he lost the sexual sensation that makes sexual intercourse a pleasant experience. He said to me that he did not have the pleasure whenever he had sexual intercourse with his wife. When I examined his eyes CLICK, I noticed that the problem of Ismail is not with the testicles but with the nerves innervating the glands. Testicles are males’ sexual glands which upon being excited by the brain will release the hormones testosterone into the blood. Once the hormones testosterone released into the blood, it causes the expansion of the capillaries in the penis. Once the blood capillaries in the penis are expanded, more blood will flow into the penis and the sudden increase in blood volumes causes the penis to erect. When the amount of testosterone is not sufficient in the blood or not at all, many men failed to have penis erection. In Malay culture the condition is known as mati pucuk. Mati pucuk is sexual disorders most men suffered. This sexual disorder is most fearful by most men but few among men are brave enough to consult a doctor and have treatment. Currently there is the drug named Viagra which can be used by men who suffered from poor penis erection and in traditional Malay medicines, there is the herb known as tongkat Ali which can help men to have erection. Without having erection of the penis, sexual relationship between men and women are meaningless. Many Malay men think that this medical disorder can be treated simply by having a massage or worst still some Malay think that this disorder can be treated by visiting the bomoh because some Malay believe that the disorders is due to the work of evil jin or men.

In order to understand why we have the problems of erectile dysfunction, we have to understand first the science on how our genital organ (penis) becomes erect. When we are looking at or thinking about anything stimulating to our sexually impulse area of the brain, a neurotransmitter is released by that part of the brain, which will excite the testis which in turn will release a hormone known as testosterone. Hormone testosterones cause the expansion of the blood capillaries supplying the penis and with more blood flowing into the penis causes the penis to erect. Anything that can cause expansions to the capillaries will causes an erection. When less or no testosterone is released into the blood, then less blood flow into the capillaries of the penis and the penis in turn will experience less erection. When the part of the brain that are known as sexually impulse areas is damaged, then there will be no stimulation to the brain and no secretion of sexually related neurotransmitter and no secretion of testosterone and no increase of blood flow into the penis capillaries and no erection. When the nerves innervating the testes are damaged, then there will be no or less stimulation of the testis and less or no biological process of testosterone and less erection of the penis. Any damages to any part of the pathways from the brain to the penis can cause the penis to suffer from erectile dysfunction. Many men are worried about the health of their sexual organs particularly those with more than one wives and they started taking anything peoples suggest that can make the genital organ to become strong and sting. Many Malay believes that once they acquire the disorder of erectile dysfunction, they will lose their masculinity. Malay men are very afraid of this disorder but they are very ashamed of informing anyone including doctors about this disorder. In order to solve their problems they will resort to taking all types of herbs.

When we take certain type of herbs and it lead to an erection of our penis that does not mean we have cured our problem or erectile dysfunction. Certain herbs contain a drug that has effect of increasing the blood circulation in the penis and thus can cause erection. Erectile dysfunction still remains and it has not been cured by taking the herbs. In order to cure the problem of erectile dysfunction we have to cure the whole body system starting from curing the digestion, absorption and elimination system. Once the digestion, absorption and elimination passage are in place, the blood will become good and clean. With good and clean blood and good nutrition, we can cure all the organs related to erection of the genital organ. In older men, the blood capillaries in the penis may undergo arteriosclerosis or hardening of the blood capillaries which causes lessen amount of blood to get in the penis and less erection. If there is any blockage in the capillaries of the penis then blood circulation in the penis will also be poor leading to poor erection at all times. As there are clot of blood in the capillaries of the brain, similarly there are also clots in the capillaries of the penis. Once blood stop circulating in the penis, the penis will finally become very weak and not able to erect at any time. Tongkat Ali is the most famous herb use in Malaysia to temporarily solve the problem of erectile dysfunction. Tongkat Ali contain the chemicals that can cause increase blood circulation in the penis upon sexual stimulation, tongkat Ali is asymptomatic treatment for erectile dysfunction and certainly not the cure for erectile dysfunction. Panadol is asymptomatic treatment to headache and certainly Panadol is not the cure of headache. There are multiple factors that can cause headache and by only taking Panadol will not cure the body from headache but will remove the symptoms of headache temporarily from the body. Similar case with tongkat Ali and viagra and both these medicines do not cure erectile dysfunction but it removes the symptoms of erectile dysfunction temporarily from the body.

By taking one simple herb or drug will not cure any diseases. Drugs or herbs may relieve the body from the symptoms of the disease but diseases are only cured by adopting good life styles and to cure any diseases we have to take the holistic approach of treating not only the body but also the mind and the soul. Treatment of body will start with the stomach, good food, good way of eating and cooking and treatment of soul and mind will start with positive mind and talking positive and good words and to always forgive and forget. When we have fear while we are doing sexual intercourse we will get the problem of erectile dysfunction. Some peoples are having fear of having more children and while they are having sexual intercourse, the fear will lead to the hardening of the small capillaries in the penis which causes poor blood flow and circulation in the penis and leading to poor erection. Fear is the disease of the mind and until the fear is conquered, the problem of erectile dysfunction will not be cured. Stress lifestyle is the main cause of erectile dysfunction in many men. Stress lead to poor digestion, absorption and elimination of wastes from the body. Because of poor blood quality in the blood and hardening of the capillaries in the penis leads to erectile dysfunction. We cannot treat stress with only drugs, exercises or good food but we have also to include the treatment on believes and mind set. Because of wrong believe and negative mental outlook many people are living with fear, hatred, frustration and restlessness. Holistic treatment of health which includes the treatment of body, mind and soul is the answer to the treatment of erectile dysfunction.

I have a patient who was reluctant to get married even after strong persuasion from his parent because he had erectile dysfunction. I gave my assurance to him that his sickness can be cured provided he follows strictly whatever I have asked him to do. He was treated by me nearly about six months and he even had to take the therapy on his wrong believes that this disorder cannot be cured. I told him your sickness will not be cured unless you have believes that it can be cured. I told him, until and unless you believe it can be cured with the permission of Allah, Allah will not cure your sickness. After about six months of treatment using herbal medicines and mental therapy and good daily diets, his erectile problems is cured. Now he is married with a teacher and live in Penang, Malaysia. The last time I called him, he told me that his wife was pregnant and he also told me personally that he is having normal sexual intercourse with his wife and his previous sickness of erectile dysfunction is now completely cured. He does not need to use either tongkat Ali or Viagra to have an erection. The problem of this patient was with the testis. When I look at his iris, it showed to me that his right testis was damaged due to infection. On questioning he did admit to me that he used to visit the prostitutes for his sexual needs and at one time he did get an infection of his testis. Once the testis is damaged it will not be producing sufficient testosterone upon sexual stimulation and because of that there will be no erection. I was happy to be able to treat him and to be able to know that he is now married and having children. I thank Allah for using me to cure the patient. One of the many happiest moments of my life is to know that the patient that I am treating has been cured by Allah. We could not imagine the frustration and the feeling of a young adult male who is suffering from the disorder of erectile dysfunction. I was determined to help him, although the patient himself was not having the confidence that he can be cured. I still remember telling him to be patient and to continue with the treatment. At last we managed to complete the treatment and the patient is cured. I am sure that the patient is happier than me. He has not call me since for a very long time and I hope he still remember the doctor that has treated him from the most feared disorder by all men, erectile dysfunction.

Ismail on the other hand has no problem of erectile dysfunction but he experiences no sensation of “nikmat” upon ejaculation. Ismail has complete erection but during ejaculation Ismail failed to experience the nikmat sensation. Ismail told me that, he is tired and frustrated and he thinks he is wasting his time. I told him if you do sexual intercourse with your wife because it is an order of Allah and to please Allah, it is also a form of worship and you should not be frustrated only because you do not experienced the sensation of “sedap” when you are ejaculating. Ismail was treated by me for about 3 months and he was also finally cured from the sickness. I asked him to complete the treatment with mental therapy but he declined to take the treatment and after some months the condition recurred but is not as severe as it was before the treatment. I told Ismail that your disorder has relationship with your bad behaviours and until and unless you treat your bad behaviours, the condition will occurred again. True to what I have told him, the condition occurred when he did not take the treatment of behaviours. In the case of Ismail, the problem was not related with the testis but with the nerves that stimulated the testis. When the nerves stimulating the testes was unhealthy, upon stimulation, it cannot give the sensation of “sedap” that normally felt by persons without an unhealthy nerve. In order to treat the nerves we still have to start the treatments with the bowel and when we have achieved a good bowel movement then only we can treat the nerves.

Prof Dr Nasoha Saabin
May 2011
Integrative Holistic Wellness Centre