radiation therapy to the pelvic region Erection problems - aftercare (Medical Encyclopedia) Also in Spanish The causes of ED can be physical, psychological, or a combination of the two. Physical causes of ED are more common in older men. They occur because of disorders that can affect the nerves and blood vessels responsible for causing an erection. Suffering from restless leg syndrome. Some studies have found that as frequency of restless legs syndrome symptoms increases, so do the risk for erectile dysfunction. Some research has found that men who experienced RLS symptoms up to 14 times monthly have an estimated 68 percent higher chance of dealing with erectile dysfunction symptoms. Editorial Advisory Board Home Health LibraryView Content If you’re having difficulty getting (and keeping) a strong enough erection for you and your partner to have the kind of sex you want, that’s erectile dysfunction. Don’t put off getting your “engine” checked out until it’s too late. premium newsletter D Third Trimester Pediatric Urology What are erectile dysfunction symptoms and signs? How fatty diets stop the brain from saying 'no' to food phenomena . Erectile Dysfunction is associated with a high prevalence of hyperlipidemia and coronary Heart Disease Risk European Urology.44:355–9. Sign Up Free Standard delivery is included and next day delivery starts at just £3.99. Exercise Kloner RA, Mullin SH, Shook T, Matthews R, Mayeda G, Burstein S, et al. Erectile dysfunction in the cardiac patient: how common and should we treat?. J Urol. 2003 Aug. 170(2 Pt 2):S46-50; discussion S50. [Medline]. has a licensed pharmacist to answer questions. Get Directions List Builder effectiveness, effectualness, efficaciousness, efficiency; Leaving a gift to BPAS in your will Kupelian V , et al In both the spongy tissue and blood vessels, muscle cells react to chemicals in the body; some make an erection happen and some make the penis flaccid (soft). The balance of these chemicals controls whether the penis is hard or soft. Your doctor Make a Gift FREE standard delivery or collect from a local store after just 3 hours Horny goat weed. Psychogenic erectile dysfunction on the other hand, is described by one study as that largely caused by psychological or interpersonal determinants. Sexual functioning involves a complex interaction among biologic, sociocultural, and psychological factors, and the complexity of this interaction makes it difficult to ascertain the clinical etiology of sexual dysfunction. Before any diagnosis of sexual dysfunction is made, problems that are explained by a nonsexual mental disorder or other stressors must first be addressed. Thus, in addition to the criteria for erectile disorder, the following must be considered: SOURCES: Michel T, Feron O. Nitric oxide synthases: which, where, how, and why?. J Clin Invest. 1997 Nov 1. 100(9):2146-52. [Medline]. [Full Text]. Do not take Sildenafil (sildenafil citrate) if you: For press Sign up sexual dysfunction Preventative Health Meet the Director How Noise Sensitivity May Be a Sign of Multiple Sclerosis It’s important to tell your doctor about all the drugs you take, so he can determine if any of your meds could be to blame for your symptoms. Causes of impotence are many and include heart disease, high cholesterol, high blood pressure, obesity, metabolic syndrome, Parkinson's disease, Peyronie's disease, substance abuse, sleep disorders, BPH treatments, relationship problems, blood vessel diseases (such as peripheral vascular disease and others), systemic disease, hormonal imbalance, and medications (such as blood pressure and heart medications). If a relationship or an emotional problem is the cause of your ED, your doctor may suggest that you and your partner see a sex therapist About NIDDK While it may be taboo to talk about erectile dysfunction, a large proportion of men will suffer it at some point in their lives. Help & Contact Register Help & Contact All Homology Resources... What We Fund Just In: You should talk to your doctor about possible treatments. You may want to talk to other patients who have had the treatment planned for you. You also may want to seek a second doctor's opinion about surgery before making your decision. You may find it difficult to talk to your doctor about impotence. You will want to find a doctor who treats this condition and will help you feel comfortable talking about the problem and choosing the best treatment. You can also get more information by contacting your local National Kidney Foundation affiliate. Join the fight against prostate cancer today. Donate "Nomenclature" Follow: Text relationship conflicts BLOG Diagnosing Erectile Dysfunction William J. Bremner, M.D., Ph.D. American Academy of Family Physicians DiMeo PJ. Psychosocial and relationship issues in men with erectile dysfunction. Urol Nurs. 2006; 26(6): 442-6, 453; quiz 447. Research  Herbal supplements Asthma /im·po·tence/ (im´po-tens) French Impotence Trials Patient Stories The laboratory results should be discussed with the patient and, if possible, with his sexual partner. This educational process allows a review of the basic aspects of the anatomy and physiology of the sexual response and an explanation of the possible etiology and associated risk factors (eg, smoking and the use of various medications). Treatment options and their benefits and risks should be discussed. This type of dialogue allows the patient and physician to cooperate in developing an optimal management strategy. duplex ultrasound, which uses high-frequency sound waves to take pictures of the body’s tissues John Avlon DHEA If surgery or injury is involved, the sufferer may already know what's causing the erectile dysfunction. A doctor should be consulted about possible solutions. stroke, In men of all ages, erectile failure may diminish willingness to initiate sexual relationships because of fear of inadequate sexual performance or rejection. Because males, especially older males, are particularly sensitive to the social support of intimate relationships, withdrawal from these relationships because of such fears may have a negative effect on their overall health. Usually doctors assess erectile function by the International Index of Erectile Function, a set of five questions such as, "How do you rate your confidence that you could get and keep an erection?" A patient's answers are scored, and that score determines whether or not he has ED. Property Phillip Gorden, M.D. Sex therapy is talking therapy where an individual or couple work with an experienced therapist to assess and treat their sexual and/or relationship problems. Together they will identify factors that trigger the problems and design a specific treatment programme to resolve or reduce their impact. 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