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Your Fullname Your Email Address 1. Erectile dysfunction is defined as follows: premature ejaculation a more precise term for impotence inability to achieve or sustain an erection loss of manhood answers b and c 2. In the United States, erectile dysfunction affects approximately 100,000 to 500,000 500,000 to 1 million 1 million to 5 million 5 million to 10 million 10 million to 30 million men between the ages of 40 and 70. 3. Erectile dysfunction can be caused by: emotional conflict injury diabetes side effects of prescription drugs all of the above 4. Erectile dysfunction can be a symptom of one of the following health problems: high blood pressure high colesterol heart disease all of the above 5. As many as percent of cases of erectile dysfunction are the result of physical conditions. 6. Treatment options for erectile dysfunction include: counseling penile implants injectible drugs surgery vacuum devices intraurethral devices all of the above 7. Successful resolution of erectile dysfunction can be best achieved by: going it alone the man working with a knowledgeable physician the man and his partner working with a knowledgeable physician percent of cases of erectile dysfunction are the result of physical conditions.

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Home What's a Urologist? Medical Conditions Emergencies ... Search Search: search tips sitemap Urologist, Dr. Gene Rajaratnam answers your medical questions. Call Click here to listen We would like to introduce you to the first "Virtual Talking Urologist" , Dr. Raj., MD (we have nicknamed him, DrRajMD For a demonstration, press the play button brlow. The information contained within this website is intended for general reference purposes only. It is not a substitute for professional medical advice or a medical exam. Always seek the advice of your physician or other qualified health professional before starting any new treatment. Medical information changes rapidly and while DrRajMD.com and its content providers make efforts to update the content on the site, some information may be out of date. No health information on DrRajMD.com, including information about herbal therapies and other dietary supplements, is regulated or evaluated by the Food and Drug Administration and therefore the information should not be used to diagnose, treat, cure or prevent any disease without the supervision of a medical doctor. Your use of this site constitutes agreement with the above terms and conditions.

23. Endocrinology And Impotence (Erectile Dysfunction) Endocrinology and Impotence (erectile dysfunction). Why is impotencean important concern? Impotence and other sexual dysfunction http://www.endo-society.org/pubrelations/patientInfo/impotence.htm

Endocrinology and Impotence (Erectile Dysfunction) Why is impotence an important concern? Impotence and other sexual dysfunction seriously reduce men's quality of life and may indicate underlying disease as well. Impotence affects a couplesmost intimate relationships, causing relationship discord, reduced self-esteem, and loss of energy. Impotence may also lead to social isolation. In addition, it can be an early sign of cardiovascular disease or diabetes mellitus. What is impotence? Impotence-more commonly called erectile dysfunction-is the inability to attain an erection with sufficient rigidity for vaginal penetration half or more of the times attempted. Impotence that occurs after a period of normal sexual function is called secondary impotence. Men with impotence often cease to attempt sexual intercourse. Three other problems may occur separately or together with impotence: Loss of libido is reduced or lost sexual interest or initiative. Reduced libido may also result partly from illnesses, medications, psychiatric problems, and reduced levels of male sex hormones. Ejaculatory insufficiency is a reduction or absence of seminal emission, impaired ejaculatory contractions, or decreased or absent sensation during orgasm.

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25. InteliHealth: Impotence Impotence, also known as erectile dysfunction, is a common medicalproblem that affects approximately 30 million American men. A http://www.intelihealth.com/IH/ihtIH/WSIHW000/8316/8316.html

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27. About Viagra & Erectile Dysfunction ABOUT ED (erectile dysfunction). And if your like most men, erectile dysfunctionis probably a difficult subject between you and your partner. http://www.viagra.ac/erectile-dysfunction.htm

ABOUT ED (erectile dysfunction) Most men will have an isolated erection problem at some time in their lives, but for others it happens more frequently. If the inability to respond to your partner has become a recurring problem, you may be suffering from a treatable medical condition called erectile dysfunction, also known as impotence. And if your like most men, erectile dysfunction is probably a difficult subject between you and your partner. But you must understand that it really isn't your fault. It is not "all in your mind" as some men may think. It is a medical condition, just like the common cold, that is treatable with the advancement of today's medicines. One proven effective form of treatment is Viagra ® (sildenafil citrate). If you suspect you have erectile dysfunction (ED), there's no need to suffer any longer. You are not alone. It's estimated that about half of all men age 45 to 75 years old in the United States are affected with ED to some degree. Most cases of ED are associated with common medical conditions, some medications used to treat these conditions, and certain lifestyle factors like smoking or excessive alcohol consumption. The good news is that erection problems can almost always be treated.

28. Yohimbine For Erectile Dysfunction Update Page provides a comparison of ten clinical trials in which yohimbine had been used as treatment for erectile dysfunction. http://www.jr2.ox.ac.uk/bandolier/booth/SexHlth/Youp.html

Bandolier Bandolier Library search Yohimbine for erectile dysfunction update Clinical bottom line Yohimbine has been tested against placebo in 10 randomised trials with 659 men. Yohimbine provided satisfactory erections in 30% of men compared with 14% with placebo. The NNT compared with placebo for one man to achieve satisfactory erections was 6.4 (4.6 to 11). Adverse events were generally mild, though some men withdrew from treatment because of them. Study It was decided to update the review by Ernst and colleagues , because there were more trials that could be added and in order to calculate NNTs. Additional searching was done using PubMed, Medline and the Cochrane Library, up to end 2000. Randomised trials in which yohimbine was compared with placebo were sought. Details of the trials were abstracted and quality scoring done with a 5 point scale. For crossover or partial crossover designs, details of the first phase were used (as a parallel group trial) where possible, and where this was not possible the full crossover data was used. The outcome sought was patient/partner judgement of satisfactory erections suitable for intercourse, or actual intercourse, at home. Ideally this was on a patient basis, rather than on event basis, which was a secondary outcome. Relative risk and NNT were calculated using standard methods.

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Alternative Treatments Please consult your physician before experimenting with any form of E.D. treatment. In addition to Viagra, there are a few other traditional methods that men have used to treat E.D. Alternative treatment of E.D. depends first on whether the causes are mainly psychological or physical. For example, if a someone has normal erections during sleep and his physical examination and lab tests do not indicate a problem, and if he is generally in good health, the cause is likely to be psychological. In such a case, the most effective treatment may be sexual counseling with a psychologist who specializes in sex therapy. The therapist may recommend that the patient's sexual partner be included in counseling sessions. For erectile dysfunction with mainly physical causes, the treatment may depend on the particular problem. For example, in some men with erectile dysfunction due to pelvic, or hip injuries, surgery may be recommended. For some men with very low testosterone levels, testosterone replacement therapy may be useful. For the majority of men whose erectile dysfunction has mainly physical causes, there are three generally accepted treatment options in addition to Viagra: vacuum constriction devices, penile injection therapy, and penile prostheses. These treatments cannot correct the causes of erectile dysfunction, but they can help achieve a penis sufficient for intercourse.

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ORIGINAL ARTICLES Erectile Dysfunction Under Age 40 : Etiology and Role of Contributing Factors Tahir Karadeniz, M.D. Medih Topsakal, M.D. Ahmet Aydogmus, M.D. Dogan Basak, M.D. Okmeydani Training Hospital Istanbul, Turkey ABSTRACT The aim of this study was to evaluate the etiology of erectile dysfunction (ED) in patients under the age of 40 years. Eighty one patients were included in this study. All patients underwent a multidisciplinary diagnostic approach by color Doppler ultrasonography, dynamic pharmacocavernosometry (optional), selective pudendal pharmaco-arteriography (optional) and nocturnal penile tumescence monitoring by a Rigi-Scan (optional). Mean age of the population was 32 years. Psychogenic impotence was diagnosed in 50% of the patients and organic impotence was diagnosed in 45%. After the 3rd decade of life, a vasculogenic etiology was the most common cause of impotence. Smoking and hypertension played a major role as chronic contributing factors in the overall study population. Primary impotence was diagnosed in 11 patients who were unmarried. The rate of organic causes was 45% in this group (all vasculogenic in nature). Erectile dysfunction in younger patients and in patients with primary impotence is due mainly to organic causes, usually vascular in origin.

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Archive Webcast of Healthcare Conference Listen to Doug Kohrs' speech at the Banc of America Securities Healthcare Conference March 26, 2003 Press Release Feb. 5 AMS Reports Record Sales and Income for Fourth Quarter and Full Year Archive of Feb. 5 Conference Call Fourth Quarter and Year-End Earnings Conference Call Archive Webcast of Healthcare Conference Listen to Doug Kohrs' speech at the US Bancorp Jaffray Healthcare Conference January 28 Press Release American Medical Systems Completes Acquisition of CryoGen. Press Release December 16 American Medical Systems Expands Commitment to Gynecology Market with Acquisition of CryoGen. Archive December 16 Conference call of AMS CryoGen Acquisition Press Release On Nov. 25, 2002, American Medical Systems Announces European Approval of Infection-Control Drug-Coated Implant.

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Erectile Sexual Dysfunction Buy Viagra Online Generic Viagra Online Erectile Sexual Dysfunction is about male impotency and 'modern-day dysfunction remedies'. For a surprising number of men, erectile dysfunction lies either their ears or in too much alcohol/drug consumption, particularly over a long period of time. Others causes of sexual disfunction are lack of self esteem, poor blood circulation and stress. Erectile dysfunction and poor sexual health can stem from lack of sleep and/or exercise. Sexual performance is affect by diet. Sexual health can suffer from a weakened love muscle. Penile sexual health might also be subdued by a simple lack of inspiration. (Most of you wouldn't be reading this page if Pamela Anderson were rubbing her booty on your mouse right now, but since you have a better chance of becoming President, let's look at more likely remedies.) Personal sexual health includes the absence of problem dysfunction and disorder. Sexual performance requires stimulants and enhancements. Penile stamina and female sexual health are of course enhanced by positive influences and restrained by mental, emotional and biological difficulties. Excerpts from Erectile Sexual Dysfunction The Sexual Dysfunction Problem Well, that's a no-brainer. 'The problem' is not enough lead in your pencil. If you're smoking, drinking, doing drugs (or some medications), working long hours, racking up AirMiles, if you're unhappy, depressed and/or stressed - there may be more than one thing in or your body that isn't up to par. Stress can kill you so imagine what it does before it gets around to it.

39. New Drug Levitra Shows Promise In Treatment Of Erectile Dysfunction New Drug Levitra Shows Promise in Treatment of erectile dysfunction.Journal of Andrology Study Demonstrates Drug Effectiveness. NewYork http://www.med.cornell.edu/news/press/2003/01_22_03.html

Advanced Search New Drug Levitra Shows Promise in Treatment of Erectile Dysfunction Journal of Andrology Study Demonstrates Drug Effectiveness NewYork Weill Cornell Physician Says Drug May Raise Awareness for Treatment of Disease New York, NY (January 22, 2003) A new drug shows promising results in the treatment of erectile dysfunction (ED), reports the December issue of The Journal of Andrology . A study investigator, Dr. John P. Mulhall, Director of the Sexual Medicine Program at Weill Cornell Medical Center of NewYork-Presbyterian Hospital, anticipates that the new drug will increase awareness of ED and its ability to be effectively treated. The Journal of Andrology is the official publication of the American Society of Andrology, and is overseen and edited by Weill Cornell Medical College and The Population Council at Rockefeller University. The new study, led by Dr. Wayne Hellstrom of Tulane University Medical Center, presents the most extensive information to date on Levitra, one of two new drugs pending FDA approval for treatment of ED. When compared to placebo, Levitra, also known by the generic name vardenafil, was shown to be effective, well-tolerated, and safe. At the highest dose, 80 percent of treated men experienced improved erections. Of men with mildly impaired erections, 89 percent returned to normal erectile function. The double-blind Phase III study involved 54 study centers and 805 patients. Dr. Mulhall Associate Professor of Urology at Weill Cornell Medical College and Director of the Sexual Medicine Program and Associate Attending Urologist at NewYork-Presbyterian Hospital Weill Cornell Medical Center was an investigator in the study through Loyola University Chicago Stritch School of Medicine. He also provided oversight and comment on the article.

40. Viagra Effects Side Effects Viagra Drug Interactions Sildenafil Citrate - RxList Exhaustive listing with links to full prescribing information on this oral drug used to treat erectile dysfunction in men. http://www.rxlist.com/cgi/generic/viagra_ad.htm

Sildenafil Citrate Health News Please, take our 1 second survey! SEASONAL DEPRESSION MENTAL HEALTH ... WEIGHT LOSS SIDE EFFECTS Pre-Marketing Experience Sildenafil citrate was administered to over 3700 patients (aged 19-87 years) during clinical trials worldwide. Over 550 patients were treated for longer than one year. In placebo-controlled clinical studies, the discontinuation rate due to adverse events for sildenafil citrate (2.5%) was not significantly different from placebo (2.3%). The adverse events were generally transient and mild to moderate in nature. In trials of all designs, adverse events reported by patients receiving sildenafil citrate were generally similar. In fixed-dose studies, the incidence of some adverse events increased with dose. The nature of the adverse events in flexible-dose studies, which more closely reflect the recommended dosage regimen, was similar to that for fixed-dose studies. When sildenafil citrate was taken as recommended (on an as-needed basis) in flexible-dose, placebo-controlled

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