Responder_complete 59 38.83% 3.40% 85.60% For specialty practices when the presenting issue is ED, a more detailed instrument such as the full form of the International Index of Erectile Function (IIEF) may be more useful.59,60 Multi-component surveys (e.g. the IIEF) permit a brief but nuanced assessment of sexual function in men. The IIEF consists of 15 questions that quantify 5 domains (sexual desire, erectile function, intercourse satisfaction, ejaculatory/orgasmic function, overall sexual satisfaction). The erectile function (EF) domain quantifies ED severity on a scale of 5-30; scores of 26-30 are consistent with normal erectile function, 18-25 consistent with mild ED, 11-17 consistent with moderate ED, and ≤10 consistent with severe ED.60 Note that the SHIM is sometimes referred to as the IIEF-5 because it uses five of the six questions that comprise the IIEF-EF subscale, but the interpretation of scoring ranges is different. Clinicians should be aware that clinically significant degrees of erectile function improvement depend on initial symptom severity, with greater improvements necessary for satisfactory results in men with more severe symptoms at baseline.61 The Male Sexual Health Questionnaire also provides a more in-depth assessment of sexual function.62 This instrument has 25 questions that constitute subscales for Erection, Ejaculation, and Satisfaction. A four-question version of the Ejaculation subscale also is available to measure ejaculatory dysfunction.63
Scroll MedShadow Blog End-of-Life Issues Home / Learn More / Erectile Dysfunction / Causes of E.D. Doctor
Need more information on male health issues? More from WebMD Erection Problems Stress - for example, due to a difficult work or home situation.
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You can work with your doctor in managing heart disease, diabetes or other chronic health conditions associated with ED.
Libido Affiliate Disclosure Erectile dysfunction can be caused by: ^ "Erectile Dysfunction Causes". Erectile Dysfunction. Healthcommunities.com. 1998. Retrieved 2007-10-07.
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Topic Index - Diabetes WebMD Magazine Mean IIEF-EF Post-Treatment 65 10.11 22.40 15.41 If ED is caused by a blockage in an artery leading to the penis, surgery can often restore blood flow. Good candidates are typically younger men whose blockage stems from an injury to the crotch or pelvis. The procedure is not recommended for older men with widespread narrowing of the arteries.
385. McVary KT, Monnig W, Camps JL, Jr. et al: Sildenafil citrate improves erectile function and urinary symptoms in men with erectile dysfunction and lower urinary tract symptoms associated with benign prostatic hyperplasia: a randomized, double-blind trial. J Urol 2007; 177: 1071.
850. Mulhall JP, Ahmed A, Branch J et al: Serial assessment of efficacy and satisfaction profiles following penile prosthesis surgery. J Urol 2003; 169: 1429. Brain Games Hair
There are also injectable drugs for erectile dysfunction. Some men sustain stronger erections by injecting these medications directly into the penis. These drugs work by widening the blood vessels, causing the penis to become engorged with blood. Another option is a medicated pellet that is inserted into the urethra and can trigger an erection within 10 minutes. Patients should discuss the use of these injections in detail with their doctor before use.
Parents & Family MEMBER STORIES Perelman MA; Erectile dysfunction and depression: screening and treatment. Urol Clin North Am. 2011 May38(2):125-39. doi: 10.1016/j.ucl.2011.03.004.
3. Get Needled Health Central The Food and Drug Administration (FDA) has issued warnings about several types of "herbal viagra" because they contain potentially harmful drugs not listed on the label. The dosages might also be unknown, or they might have been contaminated during formulation.
• Hypertension (high blood pressure) HomeAbout Us TV for Grownups 159. Gittelman M, McMahon CG, Rodriguez-Rivera JA et al: The POTENT II randomised trial: efficacy and safety of an orodispersible vardenafil formulation for the treatment of erectile dysfunction. Int J Clin Pract 2010; 64: 594.
low self-esteem There may be more specific testing required based on the results of the physical exam and screening tests. ED can be associated with heart disease. If this is the case for you, your doctor might recommend that you see a cardiologist for an evaluation.
EllaOne The primary symptom of ED is not being able to get or keep an erection in order to have sex. Donate now
Valaciclovir Trazodone. This is an antidepressant. It’s still uncertain whether it works for ED. It’s not recommended.
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Kessler, T. M. et al (2004). Attempted nerve sparing surgery and age have a significant effect on urinary continence and erectile function after radical cystoprostatectomy and ileal orthotopic bladder substitution. The Journal of Urology, Oct; 4(1): 1323-1327.
A man must orchestrate sex. Go for the joe Dennis July 3, 2017 at 11:52 am ^ a b c d e f Wespes E (chair), et al. Guidelines on Male Sexual Dysfunction: Erectile dysfunction and premature ejaculation. European Association of Urology 2013
Vascular reconstruction surgery can: Everyday Health » Erectile Dysfunction » Tags: adult, elderly, erectile dysfunction, male, Men's Health, older adults, senior
Liver Health Who really buys over the counter sexual enhancement drugs? Many of you do. They are advertised as dietary supplements that promote sexual enhancement and here is what you need to know:
You are here 180. Huang ST: Use of sildenafil citrate in treatment of Taiwanese men with erectile dysfunction: a single center experience. Chang Gung Med J 2001; 24: 91. Drug Side Effects
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Urologists CR medical consultants say that erection problems can be an early warning sign of heart disease, high blood pressure, or diabetes. Depression and relationship problems can also cause or worsen ED. CR Best Buy Drugs recommends you review your medications with your doctor or pharmacist because antidepressants, blood pressure medicines, heartburn drugs, common pain relievers, and many other drugs can cause ED as a side effect.
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568. al-Juburi AZ and O'Donnell PD: Synergist erection system: clinical experience. Urology 1990; 35: 304. schedule
Telegraph 787. Carson CC 3rd, Mulcahy JJ and Harsch MR: Long-term infection outcomes after original antibiotic impregnated inflatable penile prosthesis implants: up to 7.7 years of followup. J Urol 2011; 185: 614.
An elastic ring that is placed around the base of the penis after an erection is obtained. It’s like a rubber band. It helps maintain firmness by preventing blood from draining out of the penis. If you have venous leak syndrome, this may help you.
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