Daily Health Tip Health Tools Baby Due Date CalculatorBasal Metabolic Rate CalculatorBody Mass Index (BMI) CalculatorCalories Burned CalculatorChild Energy Requirements CalculatorDaily Calcium Requirements CalculatorDaily Fibre Requirements CalculatorIdeal Weight CalculatorInfectious Diseases Exclusion Periods ToolOvulation CalculatorSmoking Cost CalculatorTarget Heart Rate CalculatorWaist-to-hip Ratio Calculator Risk Tests Depression Self-AssessmentErectile Dysfunction ToolMacular Degeneration ToolOsteoporosis Risk TestProstate Symptoms Self-AssessmentFind a GP Burnett AL, Lowenstein CJ, Bret D, Chang TS, Snyder SH. Nitric oxide synthase: A physiologic mediator of penile erection. Science. 1992; 257: 401-3. You may be sent to a doctor, called a urologist, who treats problems of the urinary system. To find out if you have impotence, the doctor will take a medical history, do a complete physical examination, evaluate your emotional state and interview your sexual partner. Other tests that may be ordered for you are: CPR Resource Center » Pornography can affect the expectation patients have of their partner or of intercourse Emphasize the desirability for an interdisciplinary approach to the diagnosis and treatment of erectile dysfunction. An integrated medical and psychosocial effort with continuing contact with the patient and partner may enhance their motivation and compliance with treatment during the period of sexual rehabilitation. Urology / Nephrology Suria Urinary Diversion Readers Comments 11 Infectious Disease Pregnancy and Transplant Exercise and maintain a healthy weight. Medically Reviewed by a Doctor on 4/27/2018 H Parenting Guide Neurokinetic Therapy For more information, see the following related content on ScienceDaily: St. Mark's Hospital Cardiovascular Surgery Call St. Mark's Hospital Cardiovascular Surgery at (801) 743-4750 Liver failure Psychotherapy and Behavioral Therapy Marceau L, Kleinman K, Goldstein I, McKinlay J. Does bicycling contribute to the risk of erectile dysfunction? Results from the Massachusetts Male Aging Study (MMAS). Int J Impot Res. 2001 Oct. 13(5):298-302. [Medline]. 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. View more podcasts 16)  Photo Inc/Age Fotostock Medications used to treat high blood pressure (hypertension), including diuretics and beta-blockers, may cause ED. Not all blood pressure medications are associated with ED; alpha-blockers, ACE inhibitors, calcium channel blockers, and angiotensin II receptor blockers don't appear to cause ED. If you are on a blood pressure medication, have an ED talk with your doctor about whether or not your medication may be contributing to your ED and if there is an alternative blood pressure medication that is safe for you to try. Rare Endocrine Genetic Diseases All news topics Neurovascular Function CBS Local Kurt Evans, M.D. Fitness & Exercise Medical factors (eg, an existing medical condition or the effects of drugs or medications) Supportive Care Vascular diseases account for nearly 50% of all cases of ED in men older than 50 years. These diseases include atherosclerosis, peripheral vascular disease, myocardial infarction (MI), and arterial hypertension. PubChem Structure Search Eat right. In the Massachusetts Male Aging Study, eating a diet rich in natural foods like fruit, vegetables, whole grains, and fish — with fewer red and processed meat and refined grains — decreased the likelihood of ED. Search The Right Track: precision resources/treatment some diuretics used to treat high blood pressure, heart failure and kidney disease noun sterility MyChart Testosterone Too Low? How to Tell Next: Definition & Facts Before & After Chemotherapy Bain CL, Guay AT. Reproducibility in monitoring nocturnal penile tumescence and rigidity. J Urol. 1992; 148(3): 811-4. Three parts of a man's body work together to produce the sperm-containing fluid that's released when he ejaculates: the prostate, the seminal vesicles and the testicles. Each of these parts needs a good supply of testosterone to produce a normal ejulatory volume of 1.5 to 5 cubic centimeters. A man with waning testosterone may notice a sharp decline in his "volume." Seattle Veterans' Affairs Medical Center Your information is kept in the strictest of confidence. The hypothalamic and limbic pathways play an important role in the integration and control of reproductive and sexual functions. The medial preoptic center, paraventricular nucleus, and anterior hypothalamic regions modulate erections and coordinate autonomic events associated with sexual responses. HPV/Genital Warts Coming Soon! Get the Latest on the Health is Power Initiative Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). To understand what causes erectile dysfunction (ED) or impotence, it is important to first review how an erection occurs. For a man to have an erection, a complex process takes place within the body. Erectile dysfunction is a term related to male sexual dysfunction and will be the only subject covered in this article. Eating Well Coauthor(s) Ultrasonography of the testes (to help disclose abnormalities in the testes and epididymides; rarely indicated) EMLA Cream Antipsychotics (for psychological illness) Madden quivered at his impotence to put his hand on the thief in the crowd. Let's Talk About Your Sexual Health Penis Health Lifestyle What's New Health Solutions From Our Sponsors Thompson, I. Journal of the American Medical Association, Dec. 21, 2005. Viagra Connect Vs Viagra Vs Sildenafil Public interfaces See Me Same Day Appointments some types of antibiotics, such as clarithromycin (Biaxin),
telithromycin (Ketek), or erythromycin Hyperthyroidism Xi Jinping Classifieds ​ Having ED doesn’t mean that you’re infertile. The majority of guys with erectile dysfunction are still physically capable of having an orgasm and fathering a child. It’s just that these things are difficult to do when you can’t consistently achieve and maintain an erection. Research Triangle Institute Insulin anticonvulsants used to treat epilepsy Cookie Policy Christian Hospital 2020 Precision Therapies for Prostate Cancer Prolonged tobacco use (smoking) is considered a common health risk factor for erectile dysfunction because it is associated with poor circulation and its impact on cavernosal function. Also called: ED, Impotence Supplements Drugs & Supplements "Partner Issues in Diagnosis and Treatment" Google Protein Leaderonomics Migraine or HeadacheWhat's the Difference? Scleroderma Medically Reviewed by a Doctor on 4/27/2018 Recreational ED drug use Web Baby Gallery Does Herbal Viagra Work? For Caregivers iOS HTML5 Arnold Melman, M.D. Northwest Healthcare Ed-South Carolina Spartanburg Cowpens 29330 SC Ed-South Carolina Spartanburg Cross Anchor 29331 SC Ed-South Carolina Laurens Cross Hill 29332 SC
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