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In their experiments, the researchers used mice bred to mimic Duchenne muscular dystrophy. Then the scientists gave the rodents doses of Viagra comparable to those taken by men for erectile dysfunction.
Some authors advocate measuring prolactin and free testosterone levels as part of the initial evaluation.4,5 The value of this routine testing is uncertain, however, because the incidence of endocrinopathy presenting as erectile dysfunction is reportedly only 2 percent.8 A reasonable strategy is to obtain a free testosterone level in all men aged 50 and older and in those younger than 50 who have symptoms or signs of hypogonadism such as decreased libido, bilateral testicular atrophy or a reduced amount of body hair.9 The prolactin level should be measured if the free testosterone level is low, the patient has a substantial loss of libido or a prolactinoma is suspected on the basis of a history of headache with visual field cuts.10 Measurement of luteinizing hormone levels can be reserved for use in distinguishing primary from secondary hypogonadism in men with low testosterone levels.9
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Erectile dysfunction and coronary artery disease share many of the same risk factors, including diabetes, smoking, high blood pressure, high cholesterol, obesity, depression, and lack of physical activity.
Alprostadil can be injected into the penis or inserted using a special applicator - usually just before sexual intercourse.
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Tests that may be done include:
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"She then experiences this pulling back as a confirmation that she has done something wrong, and so she retreats even further," says Foley. As she does, increasing levels of anxiety or depression can set in, along with suspicions about what's going on with him, as well as a continued belief that there is something wrong with her.
Myth #1: Erectile dysfunction is strictly a physical problem.
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Hormone disorders account for fewer than 5% of cases of impotence. Testosterone deficiency, which occurs rarely, can result in a loss of libido (sexual desire) and loss of erection. Among other conditions, an excess of the hormone prolactin, caused by pituitary gland tumor, reduces levels of testosterone. Hormone imbalances can also result from kidney or liver disease.
Penile prosthesis: Pain medications and anti-inflammatory drugs are indicated.
The urethra, the channel in which urine and sperm flow, which runs along the underside of the corpora cavernosa.
Article Date: 21 Jan 2010 - 1:00 PST
One way to know if the cause is physical or psychologic is to determine if you are having nighttime erections. Normally, men have 3 to 5 erections per night, each lasting up to 30 minutes. Your doctor can explain a test to find out if you are having the normal number of nighttime erections.
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