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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.
The appropriate evaluation of all men with erectile dysfunction should include a medical and detailed sexual history (including practices and techniques), a physical examination, a psycho-social evaluation, and basic laboratory studies. When available, a multidisciplinary approach to this evaluation may be desirable. In selected patients, further physiologic or invasive studies may be indicated. A sensitive sexual history, including expectations and motivations, should be obtained from the patient (and sexual partner whenever possible) in an interview conducted by an interested physician or another specially trained professional. A written patient questionnaire may be helpful but is not a substitute for the interview. The sexual history is needed to accurately define the patient’s specific complaint and to distinguish between true erectile dysfunction, changes in sexual desire, and orgasmic or ejaculatory disturbances. The patient should be asked specifically about perceptions of his erectile dysfunction, including the nature of onset, frequency, quality, and duration of erections; the presence of nocturnal or morning erections; and his ability to achieve sexual satisfaction. Psychosocial factors related to erectile dysfunction should be probed, including specific situational circumstances, performance anxiety, the nature of sexual relationships, details of current sexual techniques, expectations, motivation for treatment, and the presence of specific discord in the patient’s relationship with his sexual partner. The sexual partner’s own expectations and perceptions should also be sought since they may have important bearing on diagnosis and treatment recommendations.
Therapy at Home? Gum disease can trigger inflammation that can result in erectile dysfunction. Research has found that treating the periodontal disease can remedy ED. In a 2017 study, men with gum disease who received treatment for it had significantly improved erectile function after three months.
else window.addEventListener(‘load’, loadDeferredStyles); Home van Basten JP, van Driel MF, Jonker-Pool G, Sleijfer DT, Schraffordt Koops H, van de Wiel HB, et al. Sexual functioning in testosterone-supplemented patients treated for bilateral testicular cancer. Br J Urol. 1997; 79(3): 461-7.
Experts have long observed that impotence is associated with poor cardiovascular health, but it was thought that obesity, high blood pressure and diabetes were some of the reasons why. This study found that impotence on its own is a significant risk factor.
Antonyms Expert Blog Dangers After Childbirth — What to Watch For High blood pressure (hypertension) “Hormonal Studies in the Evaluation of the Impotent Man”
Download disqualification, inaptitude; Home Diseases and Conditions Erectile Dysfunction (ED)
oral medication (tablets) such as Viagra®, Cialis® and Levitra® While medications like sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) can treat ED, they cannot cure it. However, Dr. Khera says,“stress reduction, diet, exercise, and sleep—those are all the pillars of success.” 
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Popular Articles You are not getting the pills but a BOOK ????? Published 22 days ago Some medications used to control nausea may affect a man’s hormone balance. Hypogonadism is a term used to describe what men are experiencing if they are deficient in certain male hormones, especially testosterone.
Igaku-Shoin Medical Publications, 1997 Register The most recent study to investigate this found that there was no link between riding a bike and ED, but it did find an association between longer hours of cycling and the risk of prostate cancer.
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Other illness or infection P.O. Box 9 Get involved Everything For It can happen because of diseases such as diabetes or kidney disease, which affect hormone levels, blood circulation, and overall strength and energy levels. Problems that affect nerve function, such as multiple sclerosis or a spinal cord injury, also can cause impotence.
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30-39 years: 8.4%; Sometimes a woman, raised on the myths of men as highly sexual and always ready, sees her partner’s erection as an emotional lie detector. A woman may view an erection as proof that a man loves or desires her. Therefore, she believes the absence of an erection means he doesn’t care, or doesn’t find her attractive.
Prostate Gland Comment Kuali What is Erectile Dysfunction Exactly? Next: Diagnosis Unproven claims for treating erectile dysfunction The reason, Foster argues, is that impotence implies a lack of virility, a lack of manliness.
{“error”:404} Vacuum devices are cylindrical tubes that are placed over the penis. As air is pumped out of the cylinder, the pressure build-up helps to draw blood into the penis, causing the penis to enlarge.
Promote the introduction of courses in human sexuality into the curricula of graduate schools for all health care professionals. Because sexual well-being is an integral part of general health, emphasis should be placed on the importance of obtaining a detailed sexual history as part of every medical history.
Overcoming sexual performance anxiety View all New York Times newsletters. Read this Article This shopping feature will continue to load items. In order to navigate out of this carousel please use your heading shortcut key to navigate to the next or previous heading.
From A mechanical device may be worth trying if medication and other interventions don’t work. Dear Dr. G, In Roman Catholic France, long before the revolution, human bodies were not quite considered private property. Intimate parts of the citizenry’s flesh could be policed and questioned, limbs and organs regulated by external forces. The procreative couple—married, of course—were required, not just or even to love each other, but to perform their conjugal duty by law, each submitting to intercourse at the other’s request. For the sexually impotent, it was an impossible task. In fact, the impotent husband, even if he’d entered into marriage unaware of his condition, was considered to have committed a larcenous act.
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Popular in: Erectile Dysfunction / Premature Ejaculation TV & Showbiz Pregnancy After 35 The erection being slightly less firm than when he was younger Urological problems
Eating, Diet, & Nutrition Featured Content or, sign in with email. powerlessness revealed by an inability to act
Join Our Mailing List Normally, a man’s penis is flaccid, or “limp”. With increased arousal, and increased blood flow to the penis, the man’s sexual organ should be erect. Upon orgasm, or completion of arousal, the penis becomes limp again.
The side effects of ED medications are mostly the same. Sildenafil and vardenafil can cause these side effects:
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