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Diabetes mellitus also causes erectile dysfunction by damaging both sensory and autonomic nerves, a condition called diabetic neuropathy. Smoking cigarettes, obesity, poor control of blood glucose levels, and having diabetes mellitus for a long time further increases the risk of erectile dysfunction in diabetes. In addition to atherosclerosis and/or neuropathy causing ED in diabetes, many diabetic men develop a myopathy (muscle disease) as their cause of ED in which the compliance of the muscle in the corpora cavernosa is decreased and clinically this presents as an inability to maintain the erection. For additional information, please read the Diabetes article.
Surgical intervention for a number of different conditions may remove anatomical structures necessary to erection, damage nerves, or impair blood supply. Complete removal of the prostate gland or external beam radiotherapy of the gland are common causes of impotence; both are treatments for prostate cancer. Some studies have shown that male circumcision may result in an increased risk of impotence, while others have found no such effect, and another found the opposite.
What are the specifics of the circumstances under which ED first occurred?
In the new study, published Jan. 1 in the journal Sleep, Gao and colleagues examined responses from 23,119 medical professionals, including physicians, veterinarians and pharmacists, who were asked questions about restless leg syndrome in 2002.
If your erection problem is occasional, there is no reason to call your health professional. If it occurs frequently but does not bother you or your partner, you may or may not choose to call your doctor.
Myth #1: Erectile dysfunction is strictly a physical problem.
Exhibits deep emotions
When you use the birth control patch you're exposed to 60 percent more estrogen than you would be if you're taking a birth control pill that contains 35 micrograms of estrogen. According to ACOG, the birth control patch has many of the same side effects as the birth control pill, including the risk of blood clots, headaches, and nausea.
Even someone who is a healthy individual might suffer from erectile dysfunction anxiety or impotence anxiety. Medical drugs specifically targeting your condition will greatly scale back the problem, generally however it may not necessarily eliminate it.
Commercially, Caverject is available in doses of 10-20 mcg, but a number of pharmacists and physicians prepare PGE1 in doses appropriate to the individual patient.
NERI Research Findings Show That Erectile Dysfunction May Be Early Warning Of Future Cardiovascular Disease
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Yohimbine improves erections for a small percentage of men. It stimulates the parasympathetic nervous system, which is linked to erection, and may increase libido. It is necessary to take the medication for 6 to 8 weeks before determining whether it will work or not.
A physical examination can give clues to systemic problems. For example, if the penis is not sensitive to touching, a problem in the nervous system may be the cause. Abnormal secondary sex characteristics, such as hair pattern or breast enlargement, can point to hormonal problems, which would mean that the endocrine system is involved. The examiner might discover a circulatory problem by observing decreased pulses in the wrist or ankles. And unusual characteristics of the penis itself could suggest the source of the problem—for example, a penis that bends or curves when erect could be the result of Peyronie's disease.
If you have erectile dysfunction (ED), you may experience many emotions, including anger and resentment. While this is understandable, you shouldn't "shut out" your partner while dealing with the problem. Your partner is also affected by your condition. Not only is good communication essential to successful diagnosis and treatment, it can help your partner understand what you are going through.
Over time, high blood pressure damages your blood vessels, which can lead to erectile dysfunction. While it’s critical to get high blood pressure under control, ED is a side effect of some blood pressure control medications for some men.
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