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WEDNESDAY, Jan. 24 (HealthDay News) -- Three drugs used to treat erectile dysfunction -- Cialis, Levitra and Viagra -- are safe and effective for men with diabetes, concludes a research review in the current issue of the Cochrane Library journal.
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Treatment Oral therapy
Your doctor will perform a physical examination, which will likely include:
All these mechanical methods are based on simple principles of hydraulics and mechanics and are quite reliable, but have their disadvantages.
Men who present with diminished libido and ED may be found to have low serum testosterone levels. Hormone replacement may be of benefit to those with severe hypogonadism and possibly as adjunctive therapy when other treatments are unsuccessful by themselves. Libido and an overall sense of well-being are likely to improve when serum testosterone levels are restored to the reference range.
The physical examination can reveal clues for physical causes of erectile dysfunction. For example, if the penis does not respond as expected to touching, a problem in the nervous system may be the cause. Small testicles, lack of facial hair and enlarged breasts can point to hormonal problems such as hypogonadism with low testosterone levels. A reduced flow of blood as a result of atherosclerosis can sometimes be diagnosed by finding diminished arterial pulses in the legs or listening with a stethoscope for bruits (the sound of blood flowing through narrowed arteries). Unusual characteristics of the penis itself could suggest the root of the erectile dysfunction, for example, bending of the penis during erection could be the result of Peyronie's disease.
Malleable implants usually consist of paired rods, which are inserted surgically into the corpora cavernosa, the twin chambers running the length of the penis. The user manually adjusts the position of the penis and, therefore, the rods. Adjustment does not affect the width or length of the penis.
Stuart N. Seidman, M.D., Steven P. Roose, M.D., Matthew A. Menza, M.D., Ridwan Shabsigh, M.D., and Raymond C. Rosen, Ph.D.
It triggers the release of an important substance called Vascular Endothelial Growth Factor, or VEGF, which sends out a signal for new blood vessels to start growing.
Vacuum devices As a relatively inexpensive method for producing an erection, vacuum devices to draw blood into the penis have been used for many years. These are plastic cylinders that are placed over the penis. Air is pumped out, causing a partial vacuum. Releasing the vacuum after a few minutes and then reapplying the vacuum sometimes gives a better result. After an erection is obtained, a constricting band is placed at the base of the penis. This technique is effective in 60-90% of patients and maintains the erection for up to 30 minutes. (The erection would last until the constricting band is released, but longer than 30 min is not recommended.)
Relationship Between Erectile Dysfunction and Silent Myocardial Ischemia in Apparently Uncomplicated Type 2 Diabetic Patients
Might these medications interact with other medicines, dietary supplements, or foods? If so, which ones and what are the signs of this type of reaction?
Many common medications for treating hypertension, depression, and high blood lipids can contribute to erectile dysfunction (see above). Treatment of hypertension is an example. There are many different types (classes) of anti-hypertensive medications (medications that lower blood pressure); these include beta-blockers, calcium channel blockers, diuretics (medications that increase urine volume), angiotensin converting enzyme inhibitors (ACE inhibitors), and angiotensin receptor blockers (ARBs). Anti-hypertensives may be used alone or in combination(s) to control blood pressure. Different classes of anti-hypertensives have different effects on erectile function. Inderal (a beta blocker) and hydrochlorothiazide (a diuretic) are known to cause erectile dysfunction, while calcium channel blockers and ACE inhibitors do not seem to affect erectile function. On the other hand, angiotensin receptor blockers (ARBs) such as losartan (Cozaar) and valsartan (Diovan), may actually increase sexual appetite, improve sexual performance, and decrease erectile dysfunction. Therefore, choosing an optimal anti-hypertensive combination is an important part of treating erectile dysfunction
Goldstein, whose patients included a number of cyclists with sexual dysfunction, performed a study at Boston University Medical Center to investigate the connection. His 1997 study showed that cyclists experienced more sexual dysfunction than athletes who didn't bike. Cyclists' complaints included erectile dysfunction, groin and penile numbness, and problems urinating.
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Barrier methods include the diaphragm, the cervical cap, contraceptive sponges and condoms. These methods prevent pregnancy by blocking sperm from getting into the uterus. Barrier methods must be used every time you have sex.
Similarly, DTC antidepressant ads that depict depressed women as unable to fulfill their roles in the family have medicalized that issue, Metzl said.
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