Top News 4 / 25 Diabetes sufferers can experience problems 10 to 15 years earlier than other people, says the community website Diabetes.co.uk, and have a much increased likelihood of the condition in old age. Everyday Health Send us your feedback Spike in STD Rates Planning Committee All Homology Resources... Now Reading Related Institutes & Services Your Health Mayo Clinic College of Medicine and Science Backache Neil H. Bander, M.D. Consensus Development Panel Black Holes EIN #95-4418411 Living With ED drug-resistant bacteria are a virulent indicator of the growing impotence of antibiotics We'll discuss causes and symptoms of erectile dysfunction, and look at the results of a study aimed at determining whether weight loss affects this… Springer Verlag, 1997 PRESS It is normal to have mixed feelings about having sex with someone else... Important Safety Information . A study of sexuality and health among older adults in the United States. N Engl J Med 2007;357:762–74. doi:10.1056/NEJMoa067423 Wein AJ, Van Arsdalen KA. Drug-induced male sexual dysfunction. Urol Clin North Am. 1988; 15(1): 23-31. • Medicines used to treat: Research and Trials Privacy policy Although impotence is not a necessary consequence of aging, its incidence increases with age because the condition is often a side effect of other medical problems that come with age, such as vascular disease or diabetes. Recently it has been recognized that women may also experience sexual dysfunction, but problems regarding diagnosis remain, and the field is in its infancy. Only male impotence is addressed here. There are many causes and treatments, and the listings below, organized alphabetically, do not necessarily cover all of them. If you think you suffer from impotence, you should seek medical advice from a primary care physician or a urologist. It is estimated that 30 million men in the United States suffer from impotence, and that 95% of those cases can be treated. Surgery – One of the more invasive treatments for erectile dysfunction, surgical options exist as well. Inflatable devices or malleable rods can be surgically implanted on either side of the penis to help achieve an erection. Discuss this in the bedroom. Instead, choose a neutral place to talk and approach the subject in a calm manner, away from the heightened emotions of the bedroom. Recent advances in the treatment of erectile dysfunction Neurological conditions including or arising from dementia, multiple sclerosis, stroke, or spinal cord or back injury; Savoir Faire "Partner Issues in Diagnosis and Treatment" Testicular Torsion Pathophysiology some types of antibiotics, such as clarithromycin (Biaxin),
telithromycin (Ketek), or erythromycin Brain tumors Members of various family practice departments develop articles for “Problem-Oriented Diagnosis.” This article is one in a series coordinated by the Department of Family Medicine at the Uniformed Services University of the Health Sciences, Bethesda, Md. Guest editors of the series are Francis G. O'Connor, LTC, MC, USA, and Jeannette E. South-Paul, COL, MC, USA. Exercise has been shown to have a protective effect. 2. Symptoms If you decide you want to try yohimbe, be sure to talk to your doctor beforehand. Are there any medical conditions that may affect sexual intimacy? Recent Activity Testosterone treatment usually isn’t helpful for ED. Robotics What's New MICE Biz Play the Challenge In patients who either fail to respond to first or second-line therapy, or are not interested in the conservative therapies, penile prosthesis implantation is available. Malleable and rigid implants were available for many years, but in 1973 the world of penile prosthetics took a giant leap forward with the advent of the inflatable penile implant. Most implants done nowadays are of the inflatable variety. Adverse events including malfunction and infection are rare, and patient satisfaction is very high.45 Relatively high relapse rate Physical Activity The appropriate evaluation of all men with erectile dysfunction should include a medical and detailed sexual history (including practices and techniques), a physical examination, a psycho-social evaluation, and basic laboratory studies. When available, a multidisciplinary approach to this evaluation may be desirable. In selected patients, further physiologic or invasive studies may be indicated. A sensitive sexual history, including expectations and motivations, should be obtained from the patient (and sexual partner whenever possible) in an interview conducted by an interested physician or another specially trained professional. A written patient questionnaire may be helpful but is not a substitute for the interview. The sexual history is needed to accurately define the patient's specific complaint and to distinguish between true erectile dysfunction, changes in sexual desire, and orgasmic or ejaculatory disturbances. The patient should be asked specifically about perceptions of his erectile dysfunction, including the nature of onset, frequency, quality, and duration of erections; the presence of nocturnal or morning erections; and his ability to achieve sexual satisfaction. Psychosocial factors related to erectile dysfunction should be probed, including specific situational circumstances, performance anxiety, the nature of sexual relationships, details of current sexual techniques, expectations, motivation for treatment, and the presence of specific discord in the patient's relationship with his sexual partner. The sexual partner's own expectations and perceptions should also be sought since they may have important bearing on diagnosis and treatment recommendations. What’s good for the soul (cycle) may not be good for your member. The research is somewhat controversial, but the link between cycling and ED is getting stronger. In fact, anything that places pressure on the pudendal artery can result in penile numbness and impotence. For those of you who don’t remember these from anatomy class, this is the area commonly referred to as the “undercarriage.” Etiology. Causes of impotence are usually classified as either physiological (organic impotence) or psychological (psychogenic impotence, officially called male erectile disorder). var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; "When men who are otherwise healthy ask what they can do to prevent ED, certainly the very things we recommend for cardiovascular fitness are exactly the same things they should be doing," Drogo Montague, MD, a urologist at the Cleveland Clinic, tells WebMD. More in AFP What treatments are there for erectile dysfunction? Alteration of NO levels is the focus of several approaches to the treatment of ED. Inhibitors of phosphodiesterase, which primarily hydrolyze cGMP type 5, provided the basis for the development of the PDE5 inhibitors. Chen et al administered oral L-arginine and reported subjective improvement in 50 men with ED. [14] These supplements are readily available commercially. Reported adverse effects include nausea, diarrhea, headache, flushing, numbness, and hypotension. Erectile dysfunction medicines-Florida Orange Orlando 32897 FL Erectile dysfunction medicines-Florida Orange Orlando 32898 FL Erectile dysfunction medicines-Florida Brevard Orlando 32899 FL
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