Discovery's Edge Magazine 10 / 11 Although many view ED as "just" a sexual health problem, ED is often associated with other co-morbid conditions including cardiovascular disease, hypertension, diabetes, prostate diseases and depression, many of which have a number of the same vascular risk factors. Study has even proven that ED is a strong indicator of premature mortality, and precursors to cardiovascular events such as heart attacks and strokes. Bones / Orthopedics Related information on other websites Tibolone Thesaurus.com Blood tests Therapy or counselling. High Blood Pressure Injection of vasodilator substances into the corpora of the penis has provided a new therapeutic technique for a variety of causes of erectile dysfunction. The most effective and well-studied agents are papaverine, phentolamine, and prostaglandin E[sub 1]. These have been used either singly or in combination. Use of these agents occasionally causes priapism (inappropriately persistent erections). This appears to have been seen most commonly with papaverine. Priapism is treated with adrenergic agents, which can cause life-threatening hypertension in patients receiving monoamine oxidase inhibitors. Use of the penile vasodilators also can be problematic in patients who cannot tolerate transient hypotension, those with severe psychiatric disease, those with poor manual dexterity, those with poor vision, and those receiving anticoagulant therapy. Liver function tests should be obtained in those being treated with papaverine alone. Prostaglandin E[sub 1] can be used together with papaverine and phentolamine to decrease the incidence of side effects such as pain, penile corporal fibrosis, fibrotic nodules, hypotension, and priapism. Further study of the efficacy of multitherapy versus monotherapy and of the relative complications and safety of each approach is indicated. Although these agents have not received FDA approval for this indication, they are in widespread clinical use. Patients treated with these agents should give full informed consent. There is a high rate of patient dropout, often early in the treatment. Whether this is related to side effects, lack of spontaneity in sexual relations, or general loss of interest is unclear. Patient education and followup support might improve compliance and lessen the dropout rate. However, the reasons for the high dropout rate need to be determined and quantified. Type 2 Advertising for drugs for the treatment of impotence has greatly popularized the problem better known in the ads by its other name, erectile dysfunction. Drugs & Diseases > Urology 4. Dementia Choose a language Is counselling important for treating erectile dysfunction? Elevated blood pressure, evidence of peripheral vascular disease (bruits, decreased pulses, skin and hair changes consistent with arterial insufficiency) Basic Facts CRISPR Halts Duchenne Muscular Dystrophy Lamm thinks men want harder erections, even if they don't have ED. The rigidometer can show a patient objectively how hard his penis is -- hard enough for penetration, maybe, but not as hard as it could be. The number might be an incentive for him to improve his overall health in order to make his penis harder. Apply for Admission Stress creeps into everyone's life at one time or another, while some people will suffer from poorly managed chronic stress. If... Alcoholism: Chronic alcoholism can produce erectile dysfunction, even if there is no alcohol in the blood at the time of sex. “A lot of guys know their lifestyle is harming their health, but it isn’t until it begins to affect their sex life that they start to listen,” says Charles Walker, M.D., assistant professor of urology and cofounder of the Cardiovascular and Sexual Health clinic at Yale University. Getting Started Diseases of Pigment You should be able to notice an improvement after 6 weeks. Eye Complications Living Security Hearing Loss Vitamin D deficiency has been linked with rickets, cancer, cardiovascular disease, severe asthma in children and cognitive... Toll-Free: (800) 828-7866 Use of prescription, over-the-counter, or recreational drugs Metabolic syndrome Men's Health Message Board Men's Health Message Board s.parentNode.insertBefore(sj, s); *All medications have both common (generic) and brand names. The brand name is what a specific manufacturer calls the product (e.g., Tylenol®). The common name is the medical name for the medication (e.g., acetaminophen). A medication may have many brand names, but only one common name. This article lists medications by their common names. For information on a given medication, check our Drug Information database. For more information on brand names, speak with your doctor or pharmacist. Browse the Thesaurus $22.00 Technology Advancement & Transfer Every situation is different, so your doctor will focus on the specific condition that could be causing your ED. Your treatment could include: Kegel Exercises for Your Pelvic Muscles FEBRUARY 14, 2018   Search Sign in AfterPill Emergency Contraceptive Pill, 1 Unit Performance anxiety. This is most often caused by stress. Side effects may include facial flushing, nasal congestion, headaches and indigestion. Although these medications act in a similar way, there are important differences between them, such as the period of time for which they are active. First Aid Vacuum pumps Althof SE, Corty EW, Levine SB, Levine F, Burnett AL, McVary K, et al. EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction. Urology. 1999 Apr. 53(4):793-9. [Medline]. Maintain good general health, through diet and exercise, avoiding alcohol, and other things that can lead to erectile dysfunction. 3. Are there physical causes of erectile dysfunction? Erectile dysfunction may be a symptom of underlying medical conditions, which if not detected may cause further medical problems. A prior history of cigarette smoking, heart attacks, strokes, and poor circulation in the extremities (for example, intermittent claudication or cramping in your leg[s] when you walk) suggest atherosclerosis as the cause of the erectile dysfunction. Loss of sexual desire and drive, lack of sexual fantasies, gynecomastia (enlargement of breasts), and diminished facial hair suggest low testosterone levels. A prior history of pelvic surgery or radiation and trauma to the penis/pelvis/perineum can cause problems with the nerves and blood vessels. Symptoms of intermittent claudication of the lower extremities with exercise may suggest a vascular problem as a cause of the erectile dysfunction. In this section Movement Control: How Our Brain Responds to Unexpected Situations Increases width of penis when activated Tadalafil should not be used with alpha-blockers (except Flomax), medicines used to treat high blood pressure, and benign prostate hypertrophy (BPH) because the combination of tadalafil and an alpha-blocker may lower the blood pressure greatly and lead to dizziness and fainting. Examples of alpha-blockers include tamsulosin (Flomax), terazosin (Hytrin), doxazosin (Cardura), alfuzosin (Uroxatral), and prazosin (Minipress). Tamsulosin (Flomax) is the only alpha-blocker that patients can use safely with tadalafil. When tadalafil (20 mg) was given to healthy men taking 0.4 mg of Flomax daily, there was no significant decrease in blood pressure and so patients on this dose of tamsulosin (Flomax) can be prescribed tadalafil. The only alpha-blocker not tested with tadalafil is alfuzosin (Uroxatral), and no recommendations can be made regarding the interaction between the two. Hardening of arteries Patient & Visitor Guides Email: info@UrologyCareFoundation.org Multiple Myeloma The physical side effects of chemotherapy are usually temporary and resolve within one to two weeks after stopping the chemotherapy. However, chemotherapy agents, such as Ciplatin or Vincristine, may interfere with the nerves that control erection leading to possible impotence. Make sure you discuss potential side effects of cancer chemotherapy with your doctor or healthcare provider. disqualification the Middle East Subscribe with Amazon How effective is alprostadil? Editorial Complaints Locations+ There are other similar medicines called tadalafil (Cialis), vardenafil (Levitra) and avanafil (Spedra) that work in a similar way. You will still need a prescription to get these medicines. • Psychiatric disorders frailty Pastoral Care and Spiritual Support to block veins that drain blood from the penis (currently not recommended). Multimedia Vitamin D: How Much is Enough? Causes & Risks MLA Subscriptions If erectile dysfunction is found to be caused by anxiety or depression, psychotherapy may be an effective treatment on its own or in combination with certain drugs (e.g. antidepressants). Sexual therapy counsellors specialise in this field. Symptoms of liver disease depends upon the cause; however, common symptoms may include Prostate cancer isn’t considered a cause of ED on its own, but radiation treatments, hormone therapy, and surgery to remove the entire prostate gland can lead to difficulty in getting or keeping an erection. Sometimes erectile dysfunction related to prostate cancer treatment is only temporary, but many guys experience ongoing difficulties that need to be addressed by other means. They're not always available on the NHS. Speak to your doctor about where to get one. Facts About Type 2 Know Your Rights WANDERLUST IS WONDERFUL Strategies for Improving Public Knowledge Decreased libido Nephrology Medical Management of Vascular Conditions 17. Lue TF, Broderick G. Evaluation and nonsurgical management of erectile dysfunction and priapism. In: Walsh PC, Retik AB, Vaughn ED, Wein AJ, eds. Campbell's Urology. 7th ed. Philadelphia: Saunders, 1998:1181–1214. Up Next Healthy Teens Call 111 Penile prostheses Impotence often has a negative affect on sex life, and can cause additional stress, depression, and low self-esteem. Burn the witches Printing With Sound Gleason JM, Slezak JM, Jung H, Reynolds K, Van den Eeden SK, Haque R, Quinn VP, Loo RK, Jacobsen SJ: Regular nonsteroidal anti-inflammatory drug use and erectile dysfunction. J Urol 2011;185:1388-1393. What is Chemotherapy? More women sexually active into old age Eating, Diet, & Nutrition Find Us On How do oral phosphodiesterase type 5 (PDE5) inhibitors work? There's a wide range of treatments for erectile dysfunction. Some are pills, and others are injections or devices that should be used just before sex. There are also treatments involving surgery. Resources for School Projects Sun Do Estrogen Therapies Affect Sexual Function in Early Postmenopause? Heart disease Physiological Older If your heart isn’t working properly then it can reduce the blood supply to your penis Viagra: The Ideal drug for Curing Impotence or Erectile Dysfunction, Increasing Sex Drive and Stamina and make you Unbeatable in Bed. Erectile dysfunction-Virginia Suffolk (city) Suffolk 23437 VA Erectile dysfunction-Virginia Suffolk (city) Suffolk 23438 VA Erectile dysfunction-Virginia Suffolk (city) Suffolk 23439 VA
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