Spranger MAG, Te Velde A, Aaronson NK, Taal BG. Quality of life following surgery for colorectal cancer: A literature review. Psychooncology. 1993; 2(4): 247-59. William J. Bremner, M.D., Ph.D. About Drugs.com In almost all or all (75-100%) sexual activity, the experience of at least one of the following three3 symptoms: (1) marked difficulty in obtaining an erection during sexual activity, (2) marked difficulty in maintaining an erection until the completion of sexual activity, or (3) marked decrease in erectile rigidity In prescribing sildenafil, a doctor considers the age, general health status, and other medication(s) the patient is taking. The usual starting dose for most men is 50 mg, however, the doctor may increase or decrease the dose depending on side effects and effectiveness. The maximum recommended dose is 100 mg every 24 hours. However, many men will need 100 mg of sildenafil for optimal effectiveness, and some doctors are recommending 100 mg as the starting dose. Anderson P. Opioid use linked to erectile dysfunction. Medscape Medical News. May 17, 2013. [Full Text]. Your information is kept in the strictest of confidence. Teenagers - sexual knowledge What to Read Next on Medscape Newsletters Sign Up to Receive Our Free Newsletters Erectile dysfunction (impotence). (2014, September 23). Retrieved from http://www.nhs.uk/conditions/Erectile-dysfunction/Pages/Introduction.aspx Impotence/Erectile Dysfunction Protect Your EyesightWarning Signs of Common Eye Conditions The general medical history is important in identifying specific risk factors that may account for or contribute to the patient's erectile dysfunction. These include vascular risk factors such as hypertension, diabetes, smoking, coronary artery disease, peripheral vascular disorders, pelvic trauma or surgery, and blood lipid abnormalities. Decreased sexual desire or history suggesting a hypogonadal state could indicate a primary endocrine disorder. Neurologic causes may include a history of diabetes mellitus or alcoholism with associated peripheral neuropathy. Neurologic disorders such as multiple sclerosis, spinal injury, or cerebrovascular accidents are often obvious or well defined prior to presentation. It is essential to obtain a detailed medication and illicit drug history since an estimated 25 percent of cases of erectile dysfunction may be attributable to medications for other conditions. Past medical history can reveal important causes of erectile dysfunction, including radical pelvic surgery, radiation therapy, Peyronie's disease, penile or pelvic trauma, prostatitis, priapism, or voiding dysfunction. Information regarding prior evaluation or treatment for "impotence" should be obtained. A detailed sexual history, including current sexual techniques, is important in the general history obtained. It is also important to determine if there have been previous psychiatric illnesses such as depression or neuroses. What Meningitis Does to Your Body See, Play and Learn Slideshow Tips to Help You Stop Wasting Time Surgery is a last resort and will only be used in the most extreme cases. Recovery time varies, but success rates are high. Seftel AD, Strohl KP, Loye TL, Bayard D, Kress J, Netzer NC. Erectile dysfunction and symptoms of sleep disorders. Sleep. 2002 Sep 15. 25(6):643-7. [Medline]. 404 - File or directory not found. VIPPS-accredited pharmacies list. (n.d.). Retrieved from https://nabp.pharmacy/programs/vipps/vipps-accredited-pharmacies-list/ Classes & Events From Wikipedia, the free encyclopedia Sun Gifts Try to avoid feeling stressed. 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]. 212.746.5470 That signing's top attribute had better be goal-scoring, because the Sounders simply can't sustain with this level of attacking impotence. : the quality or state of being impotent: such as Sell Your Story If you are experiencing urinary leakage during intercourse Talking to pre-schoolers about sex Your MNT 1000 Corporate Blvd. Epigenetics Quality CareFind out why Mayo Clinic is the right place for your health care. Make an appointment. OpenAthens/Shibboleth chronic kidney disease Vacuum constriction devices, or penis pumps, may be useful in the treatment of erectile dysfunction (impotence). A penis pump is an acrylic cylinder with a pump that can be attached to the end of the penis. The pump then creates a vacuum to help the penis become erect, while a constriction ring maintains the erection. Examples of Medications for Impotence Phosphodiesterase-5 Enzyme Inhibitors Alemozaffar M, Regan MM, Cooperberg MR, et al. Prediction of erectile function following treatment for prostate cancer. JAMA. 2011 Sep 21. 306(11):1205-14. [Medline]. Think of it like survival of the fittest. “If you block an artery, you start getting damage to the organ that it supplies,” Dr. Khera says. He points out that the arteries which feed the penis get blocked first because they are smaller. Dr. Khera also says that between 20 and 30 percent of men who have ED have some form of hidden heart disease or blockage in their blood vessels if they also have at least two other risk factors for developing heart disease. So if you are a smoker with ED and high cholesterol, for example, you might want to ask your doctor to check out your heart, too.  high blood pressure jim sisco Topics Cleveland Clinic: Sexual Dysfunction in Males. Get Started Midwest Center for Psychotherapy and Sex Therapy Prostate / Prostate Cancer International Patients Browse the Legal Dictionary Expectations for the course of the disease of songs Amazon Drive Social stressors Erectile dysfunction is an important public health problem deserving of increased support for basic science investigation and applied research. Tablets should usually be taken at least one hour before sexual contact. With Cialis® tablets, taking a lower dose on a daily basis can allow more spontaneous sexual activity. Fatty meals and large amounts of alcohol can interfere with the body’s absorption of some of these medications. Media Kit Foreskin problems and care Topic Index - Prostate Health Interaction Basic Facts Back to Health A-Z If you have symptoms like needing to pee more often, your doctor may also need to examine your prostate. They might have to examine your bottom (rectal examination). 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