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To find out what’s causing erection problems, a doctor will begin by asking about other medical conditions the man might have, what medications he’s taking, when his erection problems occur, and what form they take.
related topics Picture of inflatable penile prosthesis. This inflatable penile prosthesis has fluid located at the base of the device. When the tip of the device is squeezed, the fluid is transferred into the cylinder.
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Smeltzer, S. Textbook of Medical-Surgical Nursing, Lippincott Williams & Wilkins, 2009. Abnormalities of the penis (eg, hypospadias, Peyronie plaques)
Arterial vascular diseases account for nearly half of all cases of ED in men older than 50 years of age. Arterial vascular disease includes atherosclerosis (fatty deposits on the walls of arteries, also called hardening of the arteries), which may affect the heart (history of heart attacks, angina, coronary artery disease, myocardial infarct) or blood vessels in the legs, peripheral vascular disease (problems with blood circulation to the legs), as well as other areas of the body including blood vessels supplying blood to the penis and high blood pressure. Prolonged tobacco use (smoking) is considered an important risk factor for ED because it is associated with poor circulation and reduced blood flow in the penis. This is related to microvascular damage (stiffening of the artery as well as smaller caliber vessel size secondary to endovascular atherosclerotic plaques).
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Other factors leading to erectile dysfunction are diabetes mellitus (causing neuropathy) or hypogonadism (decreased testosterone levels due to disease affecting the testicles or the pituitary gland).
Climate Intraurethral therapy (Medicated Urethral System for Erections, or MUSE): Alprostadil (PGE1) has been formulated into a small suppository that can be inserted into the urethra (the canal through which urine and semen are excreted). The suppository is preloaded into a small applicator and by placing the applicator into the tip of the penis and compressing the button at the other end of the applicator and wiggling the applicator, the suppository is released into the urethra. Gentle rubbing/massaging of the penis will cause the suppository to dissolve and the medication is absorbed through the urethra and passes into the penis where it stimulates the relaxation of the muscle in the arteries and increases blood flow to the penis. It takes 15 to 30 minutes for this to occur. Success rates in the clinical studies were noted to be about 65%, however lower rates were noted when it started being used in the real world setting. This drug may be effective in men with vascular disease, diabetes, and following prostate surgery. This is a useful alternative for men who do not want to use self-injections or for men in whom oral medications have failed. Few side effects occur. The most common side effect is penile pain, which can vary from minor to uncomfortable. MUSE use has been associated with lowering of the blood pressure and thus it is recommended that the first time using the MUSE be in the physician’s office so that you can be monitored. One cannot use lubricants of any type to help with the insertion of the applicator thus to make it easier to insert you should urinate immediately before using the MUSE system as this will lubricate the urethra. A temporary tourniquet is often helpful in allowing the medication to stay in the erectile tissue a little longer and seems to give a somewhat better response.
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Maybe you’re feeling tired and having trouble concentrating — or perhaps you’ve noticed changes in your hair or weight, or just feel blah. Cancel The blood vessels that keep the blood from leaving the penis may be injured or have disease. This can cause a leak in these vessels. Blood can escape through these leaks during an erection. This means that an erection cannot occur or may not last long.
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I had not then been a monument of impotence and misery for the world to gaze at. A Visual Guide to Erectile Dysfunction Slideshow Pictures
SPANISH CENTRAL Millions of men struggle with it but shockingly few ever seek treatment. Neurological Problems Marijuana Blood tests are often done to check glucose (sugar), cholesterol and testosterone levels.
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Want more? Shop our Bookstore Share Facebook Twitter Linkedin Email Print Could you be imagining your illness? The truth about psychosomatic disorders  What Is Curved Penis or Peyronie’s Disease?
Urinalysis (urine test, drug test) is a test performed on a patient’s urine sample to diagnose conditions and diseases such as urinary tract infection, kidney infection, kidney stones, inflammation of the kidneys, or screen for progression of conditions such as diabetes and high blood pressure.
Maca root (500 milligrams 3x daily) — Research shows this adaptogen herb may act like an aphrodisiac to help increase sexual desire and balance hormones.
Kasper, D.L., et al., eds. Harrison’s Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015. Educational Technology
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More Chou PS, Chou WP, Chen MC, Lai CL, Wen YC, et al. Newly diagnosed erectile dysfunction and risk of depression: a population-based 5-year follow-up study in Taiwan. J Sex Med. 2015 Mar. 12 (3):804-12. [Medline].
Diseases & Conditions Oral testosterone, if you have low testosterone levels Provider Relations Burchardt M, Burchardt T, Baer L, Kiss AJ, Pawar RV, Shabsigh A, et al. Hypertension is associated with severe erectile dysfunction. J Urol. 2000 Oct. 164(4):1188-91. [Medline].
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Mayo Medical Laboratories More than nine out of 10 over-50s had signs of impotence. : the quality or state of lacking power or strength LEARNER’S ESL DICTIONARY Antidepressants
Male infertility stress Qaseem, A., Snow, V., Denberg, T. D., Casey, D. E., Forciea, M. A., Owens, D. K., & Shekelle, P. (2009). Hormonal testing and pharmacologic treatment of erectile dysfunction: A clinical practice guideline from the American College of Physicians. Annals of internal medicine, 151(9), 639-649. Retrieved from http://annals.org/aim/article/745155/hormonal-testing-pharmacologic-treatment-erectile-dysfunction-clinical-practice-guideline-from
(5)    Fuse Mar. 10, 2016 — A signaling pathway in melanoma cells is affected by erectile dysfunction drug Sildenafil, biochemists have discovered. Sildenafil is used to treat erectile dysfunction and is the active ingredient … read more
Lifestyle changes, including quitting smoking, maintain a healthy weight, eating a healthy diet, and regular exercise, are important in improving erectile dysfunction. Maintaining control of underlying conditions, like diabetes or high blood pressure, will also help to decrease the occurrence of erectile dysfunction.
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