Research is mixed on the effectiveness of acupuncture as an erectile dysfunction cure, but one study published in November 2013 in the Journal of Alternative and Complementary Medicine found that acupuncture can be beneficial for men experiencing erectile dysfunction as a side effect of antidepressants, including selective serotonin reuptake inhibitors (SSRIs) and serotonin noradrenaline reuptake inhibitors (SNRIs).
Phosphodiesterase-5 (PDE-5) inhibitors, such as sildenafil, tadalafil and vardenafil, are among the most widely used and effective drugs for the treatment of ED. They work by temporarily increasing the blood supply to the penis (Table 4).
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35-90% of diabetic men also experience ED. Hyperglycemia can have a negative impact on several aspects of erectile function. Complications and changes associated with diabetes can compromise macrovascular and microvascular structures, the nervous system, and blood vessel linings.
A sedentary lifestyle can have detrimental effects on erectile function as well as testosterone levels.
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A meta-analysis of 36 744 men with ED in 12 prospective cohort studies found that the presence of ED significantly increased the risk of CVD, CAD, stroke and all-cause mortality, and the presence of ED was an independent risk factor for CVD. Ponholzer et al found that men with moderate to severe ED had a 65% increased relative risk for developing symptomatic CAD compared with men who did not have ED.26
Another astounding finding came from a 2014 study in which Canadian adolescents reported that 53 percent of males between the ages of 16 and 21 had symptoms of sexual dysfunction, with erectile dysfunction being the most common. Although lifestyle factors, like obesity, substance abuse and smoking, may cause sexual dysfunction in young adults, researchers found that high exposure to pornography videos resulted in “lower responsivity and an increased need for more extreme, specialized or ‘kinky’ material to become aroused.” (5)
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Benign Prostatic Hyperplasia/BPH, Erectile Dysfunction, Extra Corporeal Shock Wave Lithotripsy (ESWL), General Urology, High-Intensity Focused Ultrasound (HIFU), Prostate Cancer, Stone Disease, Vasectomy
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The bark of the African evergreen yohimbe tree contains a compound called yohimbine, which has been traditionally used as an aphrodisiac.
The patient considering prosthesis implantation, should be aware of the different types of prosthesis, risks of infection and erosion, mechanical failure and resulting re-operations, differences from the normal flaccid and erect penis including the possibility of penile shortening, and the potential reduction in the effectiveness of other therapies if the device is subsequently removed.
Instead, Espinosa suggests taking L-citrulline, which helps your body make more arginine. But, he warns, high doses can lower your blood pressure.
Urology, Male Infertility & Reproductive Health, Reconstructive Urologic Surgery & Trauma
Early detection is easier to treat and more likely to be cured, but PSA testing isn’t always accurate and…
• The inability to achieve or maintain an erection sufficient for sexual intercourse •Symptoms include erection problems, decreased desire, and psychological distress •Treatments include medications, injection therapy, a vacuum erection device, and penile implant•Involves urology