But the most terrible idea surely was the radium cure. After Marie and Pierre Curie isolated the element in 1898, it was soon used to cure malignant tumors. It quickly became a cure-all, delivered to the populace in tonics, spas, pillows and even cigarette holders. It only made sense, then, that radium could cure impotence. In the late 1920s, the Home Product Company of Denver, Colorado sold a product known as “Vita Radium Suppositories.” From the box: Take Care of Your Teeth How common is impotence? According to findings from several studies, including “The Massachusetts Male Aging Study,” overall prevalence for men between 40–70 years old is around 52 percent (or around 30 percent of all men between 18–60 years old). That’s right — nearly half of all men over 40 experience erectile dysfunction symptoms at some point. Not surprisingly, research demonstrates that impotence is increasingly prevalent with age. Around 40 percent of men in their 40s experience sexual dysfunction. Up to 70 percent of men in their 70s experience ED. (1) Every year more than 617,000 new cases of impotence occur in the United States alone. Gift Shop Impotence: A Cultural History Drug abuse Sexual stimulation causes the release of neurotransmitters from cavernosal nerve endings and relaxation factors from endothelial cells lining the sinusoids. NOS produces NO from L-arginine, and this, in turn, produces other muscle-relaxing chemicals, such as cGMP and cyclic adenosine monophosphate (cAMP), which work via calcium channel and protein kinase mechanisms (see the image below). This results in the relaxation of smooth muscle in the arteries and arterioles that supply the erectile tissue, producing a dramatic increase in penile blood flow. Orders placed before 4pm will be dispatched (or ready to collect in store) the same day. Wall Street Journal Peyronie disease may result in fibrosis and curvature of the penis. Men with severe Peyronie disease may have enough scar tissue in the corpora to impede blood flow. Evolution Oral medications Costabile RA. Optimizing treatment for diabetes mellitus induced erectile dysfunction. J Urol. 2003 Aug. 170(2 Pt 2):S35-8; discussion S39. [Medline]. PubMed Central (PMC) Mikel Gray, Ph.D., CURN Radical prostatectomy Am I Having a Heart Attack? Diagnosing Erectile Dysfunction Ayurvedic Medicine Psychological ED Quiz: 5 Questions and Answers About ED Firstly, a doctor will ensure that the individual is receiving the correct treatments for any other health conditions they may have. It may be that these conditions are causing the ED, or making it worse, so they must be treated properly. Subject Pages American Academy of Family Physicians. Priapism Jan. 13, 2016 — Flavonoid-rich foods are associated with a reduced risk of erectile dysfunction, according to a new study. Of all the different flavonoids, Anthocyanins (found in blueberries, cherries, blackberries, ... read more Organ Donation & Transplantation U.S. Department of Health and Human Services What is Prostate Cancer Get the Facts About Herpes Kaiser Permanente Definition of Impotence "There's an incredibly important link between a man's health and sexual performance," Lamm, an assistant professor of medicine at New York University, tells WebMD. Hematoma/complications Shows Men's Health Resources Cystectomy 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 test is conducted on several nights to obtain an accurate indication of erections that normally occur during the alpha phase of sleep. Neurological conditions including or arising from dementia, multiple sclerosis, stroke, or spinal cord or back injury; National Institute of Neurological Disorders and Stroke All Literature Resources... Oral Health Press room Causes contributing to erectile dysfunction can be broadly classified into two categories: organic and psychologic. In reality, while the majority of patients with erectile dysfunction are thought to demonstrate an organic component, psychological aspects of self-confidence, anxiety, and partner communication and conflict are often important contributing factors. Young men can also increase their risk of ED through activities such as bike riding, which can damage the arteries that carry blood to the penis – so men need to be mindful of physical trauma to the area. File Testosterone replacement therapy. Testosterone can be replaced through injections, skin patches, gels, or tablets placed between the cheek and gums A-Z Can you cure ED? Health Benefits of Sex Lin CS, Ho HC, Chen KC, Lin G, Nunes L, Lue TF. Intracavernosal injection of vascular endothelial growth factor induces nitric oxide synthase isoforms. BJU Int. 2002 Jun. 89(9):955-60. [Medline]. Assessment Get Help for Migraine Relief Senior Health Nurse Residency Program Though it can sometimes be difficult to pin down the specific cause for your erectile dysfunction, it is always worth the effort. Left untreated, ED can contribute to worsened stress and anxiety as well as low self-esteem, relationship problems, and impotence. Keep reading to learn about treatment options. Reynolds CF III, Frank E, Thase ME, Houck PR, Jennings JR, Howell JR, et al. Assessment of sexual function in depressed, impotent, and healthy men: Factor analysis of a brief sexual function questionnaire for men. Psychiatry Res. 1988; 24(3): 231-50. Beauty & Balance Physicians Portal Vacuum device. An external plastic cylinder and vacuum pump pulls blood into the penis and causes an erection. Sometimes, men need to place an elastic ring around the base of the penis to prevent blood from flowing back into the body Radium suppositories and other wonders of the Industrial Age Dr Joe: Skin By Martin Downs, MPH AFFILIATE PROGRAM Etiology The following foods may make symptoms of impotence worse by increasing emotional stress or anxiety, raising inflammation and even causing gut trouble that interferes with nutrient absorption: , Hiroyuki Konaka Condiments & Natural Sweeteners Usually patients will try less invasive alternatives to treat impotence before opting for surgery. These alternatives may include supplements, herbs, lifestyle changes and even medications. In cases where other treatments do not work to resolve ED, surgery might be a last-resort option. Surgery involves implanting a penile prosthesis. This is a saline-filled silicone device or a malleable device. Although the likelihood of serious side effects is considered to be low, certain risks are associated with surgery to correct erectile dysfunction. These side effects may include: anesthetic risk, device infection, and device malfunction or mechanical failure. Some studies have found that five years following surgery around 10–20 percent of men experience device malfunction and failure. Infection rates are low. Around one percent of men who opt for this type of surgery get an infection. Smoking Cessation The primary NIH organization for research on Erectile Dysfunction is the National Institute of Diabetes and Digestive and Kidney Diseases Dr Joe: Stress Management Watch Live Smoking and Alcohol SIGN UP FOR OUR EMAIL NEWSLETTER A common sexual problem that typically has a physical cause, but can also be the result of psychological issues or a side effect of medication. Libido (sex drive) is most commonly affected by hormone therapy, or treatment that decreases your testosterone. You can have a low libido and still obtain an erection, but it is usually more difficult for men who have less interest in sex. This will return once your testosterone returns to normal after completing hormone therapy. Loss of libido can be a major concern for some patients and/or their partner and much less of an issue for others. Couples counseling should be considered if there is a possibility of causing stress in a relationship. Earthquakes Tennis iPad App Office of Disease Prevention and Technology Transfer How do doctors find the cause of erectile dysfunction? Truth About ED Ear Wax Removal Cialis Side Effects 10 Erectile Dysfunction Dos and Don't's ED becomes more common as men age, but aging itself is not the cause. "We never expect a healthy man to develop ED as a result of aging alone," Montague says. Keto Diet Erectile dysfunction in young men From ancient Roman mosaics to ‘Silicon Valley,’ people have always laughed at penisesmelmagazine.com Reprints & permissions GenBank More On: Colon and Rectal Fellowship Program Impotence, also known as erectile dysfunction or ED, is a condition in which a man is unable to get or hold an erection long enough to have a satisfactory sex life. Impotence is a common problem, affecting up to half of Australian men between the ages of 40 and 70 years. The risk of developing erectile dysfunction increases as you get older.In the past, doctors considered impotence to be a mainly psychological problem, caused by performance anxiety or stress. Now, doctors know that many cases of impotence have a physical cause, which usually can be treated. Often, a combination of physical and psychological factors contributes to erectile dysfunction.Physical causes of impotencePhysical causes of impotence can include:problems with blood to flow into and out of the penis;damage to the nerves that send signals from the body’s central nervous system to the penis; and, more rarely,a deficiency in testosterone or other hormones.Some medicines can contribute to impotence, as can some types of surgery and radiotherapy treatments.Blocked blood vessels to the penisA very common cause of impotence is when blood flow into the penis is reduced. This can be due to atherosclerosis, also known as hardening of the arteries. In atherosclerosis, the arteries are clogged and narrowed, resulting in reduced blood flow.Risk factors for atherosclerosis include:high cholesterol;high blood pressure;obesity;sleep apnoea;diabetes; andsmoking.If your erection problems are caused by atherosclerosis, there is a chance that the arteries in other parts of your body (e.g. the coronary arteries that supply your heart) are also affected by atherosclerosis. In fact, erection problems may be the first sign that you are at risk of coronary heart disease.Because the arteries to the penis are narrower than those to the heart, you may develop symptoms of erectile dysfunction before you experience any symptoms of heart disease, such as angina. So seeing your doctor about erection problems may be important for your overall physical health.Impotence can also be caused by a blood clot that prevents enough blood from flowing into the penis to cause an erection.Venous leakageIn some men, blood can flow in to the penis easily, but the problem is that it leaks out again, so an erection cannot be sustained. This is called venous leakage. Doctors aren’t certain of the cause of venous leakage, but they can perform surgery to help repair it.Medicines that can cause impotenceMany medicines can cause erection problems as a side effect, including:diuretics (sometimes known as ‘water tablets’ - often used for high blood pressure);high blood pressure medications;cholesterol-lowering medicines (including statins);some types of antipsychotics;antidepressants;cancer treatments;some medicines used to treat heartburn and stomach ulcers;antihistamines;some pain medicines; andcertain epilepsy medications.If you experience impotence after starting a new medication, tell your doctor, who may be able to prescribe a different medicine for you. Don’t stop taking a medicine without first consulting your doctor. You should also tell your doctor about any over-the-counter medicines or complementary remedies you may be taking.The following table contains a list of specific medicines that may cause or contribute to erectile dysfunction. This list may not cover all types of medicines that can cause erectile dysfunction, so always ask your doctor if you are in doubt. Also, for some of these medicines ED is a very rare side effect. Most men taking these medicines do not experience erectile dysfunction.Medicines that may cause erectile dysfunctionType of medicineExamplesACE inhibitorscaptopril (Capoten), enalapril (Renitec), perindopril (Perindo), ramipril (Tritace), and othersAntidepressantsamitriptyline (Endep), clomipramine (Anafranil), desvenlafaxine (Pristiq), fluoxetine (Prozac), paroxetine (Aropax), sertraline (Zoloft), venlafaxine (Altven, Efexor), and othersAnti-epilepticsclonazepam (Rivotril), pregabalin (Lyrica)Antifungalsitraconazole (Sporanox)Anti-ulcer drugscimetidine (Magicul), nizatidine (Tazac), ranitidine (Zantac), and othersBeta-blockerspropranolol (Inderal), metoprolol (Betaloc, Lopresor), and othersOther blood pressure-lowering medicinesclonidine (Catapres), lercanidipine/enalapril (Zan-Extra), losartan (Cozaar), perindopril/amlodipine (Coveram), olmesartan/amlodipine (Sevikar), telmisartan/amlodipine (Twynsta), valsartan/hydrochlorothiazide (Co-Diovan)Calcium-channel blockersdiltiazem (Cardizem), felodipine (Plendil), nifedipine (Adalat)Cholesterol-lowering drugsatorvastatin (Lipitor), ezetimibe/simvastatin (Vytorin), fluvastatin (Lescol, Vastin), gemfibrozil (Ausgem), pravastatin (Pravachol), simvastatin (APO-simvastatin, Lipex, Zocor), and othersDiuretics ('water tablets')bumetanide (Burinex), chlorthalidone (Hygroton), spironolactone (Aldactone), and othersSchizophrenia drugsamisulpride (Solian, Sulprix), haloperidol (Haldol, Serenace), olanzapine (Lanzek, Ozin, Zypine, Zyprexa), paliperidone (Invega), risperidone (Rispa, Risperdal), ziprasidone (Zeldox)Combination cholesterol-lowering and anti-hypertensiveamlodipine/atorvastatin (Caduet, Cadatin)Pain medicinesfentanyl (Denpax, Durogesic), hydromorphone (Jurnista), morphine (Momex SR, MS Contin), oxycodone (OxyContin, OxyNorm, Targin), tramadolMiscellaneousoestrogens, antiandrogens, anticancer drugs and some chemotherapy treatments, baclofen (Clofen, Lioresal); cyproterone (Androcur, Cyprohexal, Cyprostat), degarelix (Firmagon), etoricoxib (Arcoxia), finasteride (Proscar and Propecia), flutamide (Flutamin), rotigotine (Neupro), triptorelin (Diphereline)*The names in brackets are just some examples of the trade names each specific medicine is marketed under in Australia. The medicine may also be known by other trade names.Diabetes and erectile dysfunctionMen who have diabetes have a higher risk of developing impotence than other men. Diabetes contributes to impotence because it can damage blood vessels and cause a type of nerve damage known as peripheral neuropathy.Hormones and impotenceLow levels of the male hormone, testosterone, are more commonly linked to a lowered sex drive, rather than impotence itself. Only a small percentage of cases of impotence are caused by hormone deficiency.Low testosterone levels may be the result of a condition called hypogonadism, in which the testicles don’t produce enough testosterone. More rarely, low testosterone can be caused by the pituitary (a small gland at the base of the brain) not secreting sufficient hormones to stimulate the testes to produce testosterone. The pituitary is also sometimes affected by small benign (non-cancerous) tumours that secrete prolactin, another hormone that can cause impotence.Mildly decreased levels of testosterone are often not due to specific testicular or pituitary problems, but rather stress or depression. In this situation, testosterone replacement is rarely of any benefit.Other hormone problems, including thyroid disease, can also cause impotence.Prostate cancer and erectile dysfunctionThe advanced stages of prostate cancer can affect the nerves and arteries that are vital for an erection.Radiation treatment for prostate cancer can harm the erectile tissues of the penis, and prostate cancer surgery can cause nerve or artery damage to the penis.Treatment for advanced prostate cancer often includes medicines that counteract testosterone, and commonly cause erectile dysfunction as well as loss of sexual interest.Peyronie’s diseasePeyronie’s disease is an uncommon condition that affects a man’s sex life because his penis curves abnormally and causes pain when he has an erection. He might also be unable to have a hard erection. The curvature of the penis is caused by a scar, called a plaque, that forms in the penis.Other physical causes of impotenceSeveral other factors and conditions can contribute to erectile dysfunction, including the following.Depression. Many men find that when they’re suffering from depression, they lose interest in sex and can’t get or keep an erection. Asking your doctor for treatments for depression may help alleviate your erection problems as well.Smoking contributes to vascular disease (disease of the blood vessels), so it can contribute to erectile dysfunction by affecting blood flow to the penis. Giving up smoking often has a beneficial effect on erectile function.Excessive alcohol use. Alcoholism can cause permanent nerve damage, resulting in impotence. This nerve damage is called peripheral neuropathy. Long-term alcohol use can impair the liver’s ability to function, resulting in a hormone imbalance in which a man has too much of the female sex hormone, oestrogen. On a day-to-day level, alcohol dulls the central nervous system, adversely affecting sexual response.Illicit drug use. Illicit drugs such as marijuana, cocaine, heroin, barbiturates, and amphetamines act on the central nervous system, impairing the body’s ability to respond sexually.Certain exercises. Nerve and artery damage can be caused by prolonged cycling, rodeo riding, or use of a rowing machine, resulting in the inability to get an erection. Often, minimising the use of hard bicycle seats and exercise machine seats, as well as correct positioning of the seat, will help restore sexual function.Surgery to organs near the nerve pathways of the penis, such as the bladder, rectum and prostate, can cause nerve or artery damage to the penis, resulting in the inability to have an erection.Injuries. Impotence can be caused by spinal cord injury; injury to your sex organs; or a pelvic fracture, which can cause damage to the nerves of the penis, or damage the blood vessels, resulting in reduced blood flow to the penis.Conditions affecting the nervous system. Multiple sclerosis (MS) and other degenerative diseases of the nervous system, such as Parkinson’s disease, can damage the nerves involved in erections.Psychological causes of impotenceMost cases of impotence have physical causes, but, in some men, psychological factors are the main contributors to impotence.Impotence that’s triggered by psychological factors is more common in men who are sexually inexperienced. Psychological erectile dysfunction may only occur when you’re with just one particular person. You’re also more likely to have morning erections, and be able to have an erection when you masturbate, than men whose impotence has a physical cause.Here are some psychological factors that can have an impact on your erections.Stress and anxietyWhen you’re stressed and focusing on other issues apart from sex, you might find that you don’t want to have sex as often and there might be a drop in your ability to perform when you do try. You might find that tackling the source of your stress can have benefits in the bedroom as well.Fear of failureAnxiety about your sexual prowess (commonly called performance anxiety) can, in itself, contribute to failure. By putting pressure on yourself, you become too anxious to get an adequate erection.Most men experience isolated episodes of erectile failure. Even when the transient physical cause has passed, anxiety that it may recur is sufficient to prevent erection. Anxiety, whether about something specifically sexual or part of a wider anxiety syndrome, is never helpful to good sexual function.Problems with your relationship and impotenceImpotence may be a manifestation of a poor relationship, or a problematic time in a relationship. Sexual boredom, tension or anger among partners, and lack of intimacy and communication are all possible triggers of erectile dysfunction. In these cases, seeing a counsellor may help.It’s worth remembering that impotence is a complex medical condition, which may have more than one cause. For example, if impotence is the result of a side effect of medicine or an underlying disease, the anxiety caused by lack of performance may perpetuate the erectile dysfunction even after the physical cause has been dealt with.Almost any chronic (ongoing) physical or mental health disorder, including those with no direct effect on penile nerves or blood supply, can have a powerful effect on sexuality, sexual self-image and erectile function.If you’re worried about your sexual response or the quality of your erections, don’t be afraid to talk to your doctor, who has access to treatments that can help. Last Reviewed: 16 December 2016 Professor of Surgery (Urology) 'Herbal viagra': Is it safe? Prostate Cancer Risk Factors Next Slideshow Title Balanitis - What is it and who can get it? As distressing as ED is, there are many steps men can take to alleviate or eradicate the problem. Start with lifestyle changes and talk to your doctor. You won’t be the first person to have talked to him about it, and you won’t be the last. Show All Prostate Cancer Diet One persuasive piece of evidence appeared in the April 2004 issue of the Journal of the American College of Cardiology. Between 1972 and 1974, researchers in California surveyed 1,810 men about their risks for heart disease. In 1998, researchers contacted 844 of them who were still alive and asked them about their erectile function. The men who had risk factors for heart disease in the '70s were much more likely to have ED 25 years later. 6985 Union Park Center, Suite 500 Coffey – Holden Prostate Cancer Academy When pills don’t work, an ED implant offers hope. Penile implants are custom-fitted devices that are surgically implanted to allow you to obtain an erection when desired. They are undetectable to the naked eye, so no one will know you have one unless you tell them. The Titan® penile implant from Coloplast produces a totally natural, controlled and spontaneous erection that will restore your confidence, relationships and pleasure. Medical Resource Library Photo Assessment MEDLINE View All [Indexed for MEDLINE] , Masashi Iijima Regence WebMD Corporate Relationship factors (eg, communication problems, differing levels of desire for sexual activity, or partner violence) Symptoms A-Z The association between low testosterone and ED is not entirely clear. Although these 2 processes certainly overlap in some instances, they are distinct entities. Some 2-21% of men have both hypogonadism and ED; however, it is unclear to what degree treating the former will improve erectile function. [17] About 35-40% of men with low testosterone see an improvement in their erections with testosterone replacement; however, almost 65% of these men see no improvement. [15] Search cardiovascular disease Erectile dysfunction care at Mayo Clinic Schizophrenia Download PDFs   R.AGE Men Mary M. Harris E - G Freedom of Information Act Skin Care An inability to achieve erections. 5 ways to boost bone strength early Random Word Protein Clusters Sildenafil does not protect against sexually transmitted diseases, including HIV. other forms of substance abuse The Precision Medicine Revolution 2002 444220-overview Diseases & Conditions Penile implants. Penile implants (rigid or inflatable types) are used for the rare patient who does not respond well to other treatments Erectile dysfunction. Urology Care Foundation. http://www.urologyhealth.org/urologic-conditions/erectile-dysfunction. Accessed Nov. 26, 2016. Follow Subscribe Dr George Lee is a consultant Urologist and Clinical Associate Professor whose professional interest is in men’s health. The column “Putting Dr G on the spot” is a forum to help men debunk the myths and taboos on men’s issues that may be too “hard” to mention. You can send him questions at askdrg@thestar.com.my Professionals Pharmaceuticals Simple surgery Previous Competition Winners More Related Topics nature.com site map Living With Burnett AL. Erectile dysfunction. Journal of Urology. 2006; 175(3 Pt 2): S25-31. Radiation therapy to the pelvis for cancers such as prostate cancer can affect the blood vessels to the penis. Erectile dysfunction-South Carolina Charleston 29408 SC Erectile dysfunction-South Carolina Charleston Charleston 29409 SC Erectile dysfunction-South Carolina Berkeley Charleston 29410 SC
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