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Oral medications include neuropharmacologic agents that are adrenergic receptor antagonists (eg, phentolamine, yohimbine, delequamine), dopamine receptor antagonists (eg, apomorphine, bromocriptine), serotoninergic receptor activators (eg, trazodone), oxytocinergic receptor stimulators (eg, oxytocin), androgens, and PDE inhibitors.
From a purely physiological standpoint, the health of your heart and the functioning of your penis are intimately related.
Both partners and men with ED need to try to remember that ED is most often a treatable physical condition. The first step to treatment, however, is trust and a willingness on the part of both partners to discuss the situation with each other, and with a physician.
Couples who cannot talk to each other are likely to have problems with sexual intimacy. Men who have trouble communicating their feelings may find it difficult to share with their partner any anxieties about their sexual performance. In these circumstances, counseling can be very helpful for both you and your partner.
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High cholesterol Vascular diseases such as arteriosclerosis
Almost all antihypertensive medications have been implicated in erectile dysfunction.23 The mechanisms vary from central-acting sympatholytics, depression of libido as well as higher blood pressure requirement to achieve erection in atherosclerotic patients taking diuretics and vasodilators. The role of smoking in causing erectile dysfunction remains a source of controversy. A recent consensus group analysis failed to document a direct link to erectile dysfunction. However, smoking seems to amplify other risk factors, such as hypertension and coronary artery disease.24 Martin-Morales and colleagues25 have shown an increased risk of erectile dysfunction among smokers (odds ratio [OR] 2.5). Systemic diseases are also associated with erectile dysfunction. This is often multifactorial, as in diabetes and renal failure.26 Given the role of androgens in the physiology of erections, it is not surprising that many hypogonadal men do not experience erectile dysfunction per se. Low serum testosterone levels may be primary or secondary to another condition, such as hyperprolactinemia or hypothyroidism. Regardless of the mechanism, the result is primarily a loss of libido, although many hypogonadal men retain their ability to obtain erections.27
However, because people with diabetes also tend to have problems with their heart, these medications may not be appropriate and cause dangerous interactions with your heart medicine. Talk to your doctor to determine what treatment is best.
In patients with hypogonadism, testosterone treatment can improve libido and erectile dysfunction, but the response of erectile dysfunction in men with hypogonadism to testosterone is not complete; many men still may need additional oral medications such as sildenafil, vardenafil or tadalafil.
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Whether the cause is physiological or psychological, homeopathic remedies can help resolve the problem of erectile dysfunction. According to the Law of Similars at the core of homeopathic medicine, “like cures like”—that is, small amounts of a substance that would cause a symptom will also cure that symptom in a patient. The natural substances, usually derived from a plant or herb, are diluted many times so that they are nearly harmless. Homeopaths believe that this dilution makes them a very potent remedy.
The spider venom also works to increase nitric oxide levels but through a different mechanism, Nunes said. Scientists are a long way from using the venom as the basis of a new erectile dysfunction medication, but they are hopeful, said Nunes.
Examples of medicines that may cause ED are listed below. The list of possible offenders is long, however, so check with your doctor about all medications you are taking to rule out any as a cause of, or contributor to, your ED.
The study involved 285 patients with coronary artery disease who were divided into four groups: those with acute coronary syndrome and disease in one vessel; those with acute coronary syndrome and disease in two or three vessels; those with chronic coronary syndrome; and a control group of patients with suspected coronary artery disease but who were found by angiography to have normal coronary arteries.
Aging: There are two reasons why older men are more likely to experience erectile dysfunction than younger men. First, older men are more likely to develop diseases (such as heart attacks, angina, strokes, diabetes mellitus, and high blood pressure) that are associated with erectile dysfunction. Second, the aging process alone can cause erectile dysfunction in some men; primarily by decreasing the compliance of the tissues in the corpora cavernosa, although it has been suggested, but not proven, that there is also decreased production of nitric oxide in the nerves that innervate the corporal smooth muscle within the penis.
Sexual power of a person is everlasting and a person can enjoy sex to the best at any age be it as young as 16 or as old as 75. All you need is a desire, equally hungry partner, relaxed mind and reasonable good health. In fact when you are old you are more likely to enjoy your sex life because you have rich experience as far as indulging in sex is concerned.
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To inflate the prosthesis, the man presses on the pump. The pump transfers fluid from the reservoir to the cylinders in the penis, inflating them and causing an erection. Pressing on a deflation valve at the base of the pump returns the fluid to the reservoir, deflating the penis and returning it to the normal flaccid state.
Design A multicenter, randomized, double-blind, placebo-controlled, flexible dose-escalation study conducted May through November 1996.
"Taken together, these studies show that erectile dysfunction in patients with mild to moderate chronic heart failure can be safely and effectively treated with sildenafil, provided that patients are appropriately screened before therapy," say the authors.
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