This isn't another book touting Viagra, like Lamm's The Virility Solution, published in 1998, the same year Viagra hit the market. Lamm says The Hardness Factor is not for men who are already dealing with erectile dysfunction (ED). His aim is to convince young, healthy men to take better care of themselves by speaking to their penises. The Best Male Condoms for Pleasure Why couples should seek help if cancer is hurting intimacy NOT SO EASY RIDER 404 - File or directory not found. Visit WebMD on Twitter WORDS AT PLAY Surgery for erectile dysfunction may have the following as its goal: The Effects of Multiple Sclerosis Treating ED: Alternative Therapies Anxiety Always worried about your health? You may be dealing with health anxiety disorder » Getting an erection is a complicated process. There are two tubes of spongy tissue that run along the length of the penis. A tough fibrous, partially elastic outer casing surrounds this spongy material. Picture of penile tumescence monitor. This penile tumescence monitor is placed at the base and near the corona of the penis. It is connected to a monitor that records a continuous graph depicting the force and duration of erections that occur during sleep. The monitor is strapped to the leg. The nocturnal penile tumescence (NPT) test is conducted on several nights to obtain an accurate indication of erections that normally occur during the alpha phase of sleep. This article was contributed by: familydoctor.org editorial staff How is impotence diagnosed? . Androgens and penile erection: evidence for a direct relationship between free testosterone and cavernous vasodilation in men with erectile dysfunction. Clin Endocrinol 2000;53:517–22. doi:10.1046/j.1365-2265.2000.01118.x Head, Reproductive Medicine Unit All studies demonstrate a strong association with age, even when data are adjusted for the confounding effects of other risk factors. The independent association with aging suggests that vascular changes in the arteries and sinusoids of the corpora cavernosa, similar to those found elsewhere in the body, are contributing factors. Other risk factors associated with aging include depression, sleep apnea, and low HDL levels. High blood pressure (hypertension) is a disease in which pressure within the arteries of the body is elevated. About 75 million people in the US have hypertension (1 in 3 adults), and only half of them are able to manage it. Many people do not know that they have high blood pressure because it often has no has no warning signs or symptoms. How to use a word that (literally) drives some people nuts. , impotency (im'pŏ-tĕns, -tĕn-sē) Traffic Noise May Make Birds Age Faster Rare Endocrine Genetic Diseases Fitness Prostate Cancer Slides 3/4 Questions Author Older Adults The View One can still achieve an orgasm and ejaculate with erectile dysfunction. COPD Still have a question? n. Tech leaders and founders Houston, TX Alumni Center Treatments like sex therapy that have not yet been approved by the FDA may not be covered. When in doubt, call your insurer. Gamba A, Romano M, Grosso IM,Tamburini M, Cantú G, Molinari R, et al. Psychosocial adjustment of patients surgically treated for head and neck cancer. Head Neck. 1992; 14(3): 218-23. Antiandrogen Drugs Trouble getting an erection Erectile dysfunction is often assumed to be a natural concomitant of the aging process, to be tolerated along with other conditions associated with aging. This assumption may not be entirely correct. For the elderly and for others, erectile dysfunction may occur as a consequence of specific illnesses or of medical treatment for certain illnesses, resulting in fear, loss of image and self-confidence, and depression. Can you spell these 15 tricky spelling words? Music A rigid or nearly rigid erectile response to intracavernous injection of pharmacologic test doses of a vasodilating agent (see below) indicates adequate arterial and veno-occlusive function. This suggests that the patient may be a suitable candidate for a trial of penile injection therapy. Genital stimulation may be of use in increasing the erectile response in this setting. This diagnostic technique also may be used to differentiate a vascular from a primarily neuropathic or psychogenic etiology. Patients who have an inadequate response to intracavernous pharmacologic injection may be candidates for further vascular testing. It should be recognized, however, that failure to respond adequately may not indicate vascular insufficiency but can be caused by patient anxiety or discomfort. The number of patients who may benefit from more extensive vascular testing is small, but includes young men with a history of significant perineal or pelvic trauma, who may have anatomic arterial blockage (either alone or with neurologic deficit) to account for erectile dysfunction. MLA Probably not. Menopause, the final menstrual period, is a natural event that marks the end of a woman's reproductive years... Impotence/Erectile Dysfunction FISHING A BARREL iOS HTML5 American Academy of Family Physicians v Sometimes your hormones get out of balance, and this causes erectile dysfunction. Your doctor will decide if you need blood tests to check your hormones. Some medicines can cause erectile dysfunction. If this is true for you, your doctor may take you off that medicine or give you a different one. Drinking too much alcohol, smoking too much, and abusing drugs can also cause erectile dysfunction. complete blood count (CBC), which is a set of blood tests that checks for low red blood cell count In comparison, 37% of men who had received external radiotherapy as their primary therapy reported the ability to attain functional erections suitable for intercourse, along with 43% of men who had received brachytherapy as primary treatment. Pretreatment sexual health-related quality of life score, age, serum prostate-specific antigen (PSA) level, race or ethnicity, body mass index, and intended treatment details were associated with functional erections 2 years after treatment. [45] Traish AM, Park K, Dhir V, Kim NN, Moreland RB, Goldstein I. Effects of castration and androgen replacement on erectile function in a rabbit model. Endocrinology. 1999 Apr. 140(4):1861-8. [Medline]. Cryotherapy What are the side effects of tadalafil (Cialis)? If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways. THERESA MAY GOES BEHIND BARS IN TRIBUTE TO NELSON MANDELA: ‘IT HAS BEEN A PRIVILEGE’ Call your doctor right away if you take one of these medications and have a prolonged erection that lasts 4 hours or longer. This condition may cause permanent impotence if not treated. Schwarzer U, Sommer F, Klotz T, Cremer C, Engelmann U. Cycling and penile oxygen pressure: The type of saddle matters. Eur Urol. 2002; 41(2): 139-43. A number of women whose partners have potency difficulties feel inadequate. It's not uncommon for a woman to blame herself. A woman may be fairly open about her self-blame or she may keep her feelings quite hidden. A woman may also feel hurt and angry because her partner has withdrawn from her physically and emotionally. The relief felt by an insecure partner who understands she is not to blame can be enormous and can enable her to more fully participate and support her partner's diagnosis and treatment. Of course not…   Listen Maintain good general health, through diet and exercise, avoiding alcohol, and other things that can lead to erectile dysfunction. Impotence, or erectile dysfunction (ED), is the inability for a man to sustain an erection long enough for normal, satisfying sexual intercourse. Natural remedies for impotence can help this condition. In rare cases, if narrowed or diseased veins are responsible for impotence, surgeons may reroute the blood flow into the corpus cavernosa or remove leaking vessels. However, the success rate with these procedures has been very low, and they are still considered experimental. 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