var searchBox = setup(window, document, "script", "sajari", ""); Accessibility Connect With Us MedicineNet does not provide medical advice, diagnosis or treatment. See additional information. Join Our Talent Network U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 U.S. Department of Health and Human Services National Institutes of Health Additional studies of the mechanisms by which risk factors may produce erectile dysfunction. Depression and stress; What are the symptoms of erectile dysfunction? Can I do anything to prevent erectile dysfunction? Quick Links PSA levels: PSA (prostate specific antigen) blood levels and prostate examination to exclude prostate cancer is important before starting testosterone treatment since testosterone can aggravate prostate cancer. Genitoplasty People with intellectual disability can express their sexuality in satisfying ways... Hypogonadism (the testicles are not making hormones the way they should) This site complies with the HONcode standard for trustworthy health information: verify here. Nikoobakht M, Motamedi M, Orandi A, Meysamie A, Emamzadeh A: Sexual dysfunction in epileptic men. Urol J 2007;4:111-117. Header Text:  Back and Neck Pain 8. Resources ED & Cardiovascular Health Development of a symptom score sheet to aid in the standardization of patient assessment and treatment outcome. Frequent Questions hypertension (high blood pressure) All Nearly 100 cops are sex pests - but most have been allowed to KEEP their jobs Limit or avoid the use of alcohol  What are erectile dysfunction risk factors? 3. Andersson KE, Wagner G. Physiology of penile erection. Physiol Rev. 1995;75:191–236. sj.src = ''; Pastoral Care 7 of 11 Arduca P. Erectile dysfunction: A guide to diagnosis and management. Aust Fam Physician. 2003; 32(6): 414-20. Geriatrics Multicampus Program of Geriatric Medicine and Gerontology Your doctor may prescribe an injectable medication called alprostadil—known by the brands Caverject or Edex. These drugs work by relaxing the smooth muscles of your penis, opening up blood vessels and increasing blood flow, says Dr. Williams. Find Your Local Office drugs that act on the central nervous system, including some sleeping pills and amphetamines Computing Services Diabetes Stops Here Blog Penile Curvature (Peyronie's Disease) Penile Implants (Mayo Foundation for Medical Education and Research) Also in Spanish In It Together celebrates the steps you take Linthicum, MD 21090 Testosterone Therapy Improves Sexual Interest, Function in Older Men New to MyKarger? Click here to sign up. This web site is managed and authorised by the Department of Health & Human Services, State Government of Victoria, Australia FRANÇAIS Jim C. Hu, M.D., M.P.H. Ultrasound Next Article What to consider when lifestyle changes and medication don’t work. Your doctor may not be able to give you a specific reason why you have impotence. But many of the treatments work well no matter what caused the problem. So extensive testing may not be necessary. There are also a number of psychological causes for impotence. These are the most common psychological causes: Medical University of South Carolina, Charleston Midwest Center for Psychotherapy and Sex Therapy 3:55 Consensus Development Panel Rare side effects of all PDE5 inhibitors include a sudden loss of vision in one or both eyes (nonarteritic anterior ischemic optic neuropathy [NAION]) and sudden loss of hearing. Patients have reported these rare side effects with all of the PDE5 inhibitors. Seek immediate medical care if you develop loss of vision or hearing. Pediatric Procedural Sedation and Pain Control in the ED Diabetes–interferes with nerve signals There are many treatments for erectile dysfunction. These include: Football Z Heart disease Type 2 èdè Yorùbá Antihypertensive medications Older age with gradual onset Sign Up To The Sun Licensing Website Disclaimer Jump up ^ Bujdos, Brian. "New Topical Erectile Dysfunction Drug Vitaros Approved in Canada; Approved Topical Drug Testim Proves Helpful for Erectile Dysfunction". Retrieved 15 April 2011. 20-29 years: 9.2%; 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. 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