erectile health

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L0rne — Tue, 21 Apr 2009 13:22:37 -0600

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Self-Esteem, Confidence and Relationship Satisfaction of Men With Erectile Dysfunction Treated With Sildenafil Citrate

admin — Wed, 21 May 2008 00:56:48 -0600

O'leary MP, Althof SE, Cappelleri JC, Crowley A, Sherman N, Duttagupta S; The United States Self-Esteem and Relationship Questionnaire Study Group.

Department of Surgery, Harvard Medical School, and Division of Urology, Brigham and Women's Hospital, Boston, Massachusetts.

PURPOSE: We assessed the change in confidence, relationships and self-esteem, and its correlation with erectile function in men with ED treated with sildenafil citrate in the first United States based, double-blind, placebo controlled, randomized trial assessed by the validated SEAR. MATERIALS AND METHODS: This 12-week flexible dose (25, 50 or 100 mg) trial determined change scores from baseline to end of treatment for the 5 SEAR components (Sexual Relationship domain, Confidence domain, Self-Esteem subscale [prespecified as the primary end point], Overall Relationship subscale and Overall score), and their correlations with the IIEF and event log data, as well as correlations between SEAR components and a general efficacy question at the end of treatment. RESULTS: Compared with the placebo group (125 patients, mean age +/- SD 55 +/- 13 years, mean years ED 3.8 +/- 4.2), the sildenafil group (128 patients, mean age +/- SD 56 +/- 12, mean years ED 4.6 +/- 4.3) had significantly greater improvements in all 5 SEAR components (p less than 0.0001) and all sexual function measures. SEAR component scores showed significant correlations with IIEF Erectile Function domain scores (r range 0.34 to 0.69, p less than 0.0001), other IIEF domain scores (p less than 0.0001), percentage of successful intercourse attempts (p less than 0.0001) and frequency of erection that allowed satisfactory intercourse (p less than 0.0001).

CONCLUSIONS:
In this study of men with ED, sildenafil produced substantial improvements in self-esteem, confidence and relationship satisfaction as measured by SEAR scores, which showed moderate to high positive correlations with IIEF scores.

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Traditional Chinese Medicine & Acupuncture

admin — Tue, 13 May 2008 00:33:19 -0600

Traditional Chinese Medicine & Acupuncture
Treatment for erectile dysfunction has been a successful part of Acupuncture and Chinese herbal medicine for hundreds of years. If you are experiencing any of the conditions related to erectile dysfunction traditional Chinese medicine and acupuncture can help. Private and confidential, male reproductive health at Acubalance Wellness Centre.

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Prevention

admin — Tue, 13 May 2008 00:32:03 -0600

Prevention
Although most men experience episodes of erectile dysfunction from time to time, you can take these steps to decrease the likelihood of occurrences:

Limit or avoid the use of alcohol and other similar drugs.

Stop smoking.

Exercise regularly.

Reduce stress.

Get enough sleep.

Deal with anxiety or depression.

See your doctor for regular checkups and medical screening tests.

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What are the common conditions that adversely affect erectile health?

L0rne — Tue, 13 May 2008 00:31:16 -0600

What are the common conditions that adversely affect erectile health?

Atherosclerosis and Hypertension (high blood pressure)
Two very common conditions. The narrowing and hardening of arteries (atherosclerosis) reduces blood flow to the reproductive organs. When coronary arteries (arteries that supply blood to the heart muscle) are narrowed by atherosclerosis, heart attacks and angina occur. When cerebral arteries (arteries that supply blood to the brain) are narrowed by atherosclerosis, strokes occur. Similarly, when arteries to the penis and the pelvic organs are narrowed by atherosclerosis, insufficient blood is delivered to the penis to achieve an erection. It is not clearly known how essential hypertension causes erectile dysfunction, however, it is thought to decrease the levels of nitric oxide produced by the arteries in the penis.

Low Testosterone Levels
Testosterone is necessary for sex drive (libido), sperm production, and maintaining nitric oxide levels in the penis. Therefore men with hypogonadism (poor function of the testes which results in lowered testosterone production) may display low sex drive, poor sperm production, and erectile dysfunction. This is a routine test that can be ordered by your doctor.

Mental-Emotional Conditions
Psychological factors may be responsible for erectile dysfunction. Some common afflictions include anxiety, depression, guilt, low self-esteem, and performance fears. Negative feelings that you express toward your sexual partner — or that are expressed by your sexual partner — such as resentment, hostility or lack of interest also can be a factor in erectile dysfunction.

Habitual Substance Use
Alcohol can cause nerve damage and atrophy (shrink) the testicles leading to lowered testosterone production. Marijuana, heroin, cocaine, ecstasy, methamphetamines, and other recreational substances can also contribute to erectile dysfunction.

Medications
Erectile dysfunction can be caused by many common medications. Some of these include drugs for hypertension, allergies and congestion, depression and anxiety, as well as some tranquilizers, and appetite suppressants.

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Conditions that adversely affect erectile health?

admin — Tue, 13 May 2008 00:29:27 -0600

Specific steps take place to produce and sustain an erection:

Arousal. The first step is sexual arousal, which men obtain from the senses of sight, touch, hearing and smell, and from thoughts.

Nervous system response. The brain communicates the sexual excitation to the body's nervous system, which activates increased blood flow to the penis.

Blood vessel response. A relaxing action occurs in the blood vessels that supply the penis, allowing more blood to flow into the shafts that produce the erection.

If something affects any of these factors or the delicate balance among them, erectile dysfunction can result.

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Steps to Produce and Sustain an Erection

admin — Tue, 13 May 2008 00:28:07 -0600

What are the 4 physiological needs necessary for erectile health?
1. healthy muscles (corpora cavernosa) in the penis
2. healthy nerves that send messages to the brain, spine, and penis
3. healthy blood flow toward, within, and away from the penis
4. healthy levels of nitric oxide in the penis

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Erectile Dysfunction

admin — Tue, 13 May 2008 00:25:07 -0600

The term erectile dysfunction covers a range of disorders, including curvature of the penis during erection (Peyronie's disease), prolonged painful erection not associated with sexual desire (priapism) and premature ejaculation. But usually it refers to the inability to obtain an adequate erection for satisfactory sexual activity (impotence).

When erectile dysfunction proves to be a pattern or a persistent problem, however, it can interfere with a man's self-image as well as his sexual life. It may also be a sign of a physical or emotional problem that requires treatment.

Erectile dysfunction, formerly called impotence, was once a taboo subject. But attitudes are changing. More men are seeking help for the problem, and healthcare professionals are gaining a better understanding of what causes erectile dysfunction and are finding new and better ways to treat it such as acupuncture and herbal therapies.

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