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Extractions: Public Health Service 5600 Fishers Lane Rockville, MD 20857 FDA Talk Papers are prepared by the Press Office to guide FDA personnel in responding with consistency and accuracy to questions from the public on subjects of current interest. Talk Papers are subject to change as more information becomes available. T98-14 Print Media: 301-827-6242 March 27, 1998 Broadcast Media: 301-827-3434 Consumer Inquiries: 800-532-4440 FDA APPROVES IMPOTENCE PILL, VIAGRA The Food and Drug Administration today announced the approval of Viagra (sildenafil citrate), the first oral pill to treat impotence, a dysfunction that affects millions of men in the United States. Unlike previously approved treatments for impotence, Viagra does not directly cause penile erections, but affects the response to sexual stimulation. The drug acts by enhancing the smooth muscle relaxant effects of nitric oxide, a chemical that is normally released in response to sexual stimulation. This smooth muscle relaxation allows increased blood flow into certain areas of the penis leading to an erection. Viagra was evaluated in numerous randomized, placebo controlled trials involving more than 3000 men with varying degrees of impotence associated with diabetes, spinal cord injury, history of prostate surgery, and no identifiable organic cause of impotence. Patients also had a wide range of other concomitant illnesses including hypertension and coronary artery disease.
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Male impotence information and links from PenisResearch.Com. Includescauses, treatment and medication. impotence. What is impotence?
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Extractions: IMPOTENCE What is Impotence? Impotence or erectile dysfunction is a very common problem that affects 20 million (approximately 1 out of 5) American Men. Erectile dysfunction is the result of a single, or more commonly a combination of multiple factors. At one time impotence was thought to be the result of psychological problems but we now know that 90% of the cases are organic in nature. Some of the many causes of impotence include, diabetes, high blood pressure, heart and vascular disease, stress, hormone problems, pelvic surgery, trauma, venous leak, and side effects of frequently prescribed medications. No matter what the cause, most men have a secondary psychological reaction that can worsen the situation. Feelings of performance anxiety, guilt, and low self-esteem are common. For many years impotence was a problem that was not talked about because of its personal nature. Men suffering from this condition often do not know about the various treatment options availible to them and do not seek help. TREATMENT Treatment options for erectile dysfunction can be divided into four broad categories, pharmacological, mechanical, surgical, and psychological.
Impotence: A Woman's Perspective
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Extractions: Impotence: A Woman's Perspective by J. Douglas Trapp, M.D. After the initial concern that something is going wrong with the relationship, a woman may turn her frustration and disappointment into anger at her mate-especially if they don't communicate well. More likely, though, the reaction is self-blame. The woman may feel that she's no longer attractive or that her partner doesn't love her any more. She worries that he may be having an affair and that she'll be rejected or abandoned. Another strong emotion the partners of impotent men often feel is the fear that he may be physically ill. After all, it's generally known that about 85-90 percent of erectile problems are caused by an existing medical condition. Despite their worry, many women are reluctant to suggest that their partner see a doctor. Sometimes, both partners see a doctor. Sometimes, both partners avoid the issue entirely and pretend that everything is fine. This attitude can intensify anger or depression. A woman's emotions regarding the impotence of her partner can be complex. And don't forget that the male partner is going through similar strong emotions. If you've had some of these feelings, remember that such emotions are normal and that most women dealing with impotence will experience them. Acknowledge them. Understand you're not alone and you're not unusual. There are 30 million partners of impotent men!
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Extractions: Cialis, being developed by Lilly, is currently undergoing approval and is competing with Levitra to be the next major treatment for ED on the market. Where can I get Cialis? It is not possible to obtain genuine Cialis yet or buy Cialis online, as it is still under its approval phase and won't be scheduled for release until early 2003. The delay in Levitra puts Cialis on equal or better competitive footing meaning that Cialis could reach the market first. Activemed, the UK's leading online source for safe and genuine prescription medicines, is keeping a close eye on developments of this new impotency treatment, and will be the first to offer this medicine online once it is available. Check this information page for latest updates and information on Cialis. How effective is Cialis in treating Erectile Dysfunction? Cialis has seen major interest worldwide following the results of a recent clinical study on nearly 400 men with ED. The study was designed to evaluate the efficiency of Cialis at specific time points after dosing (24 or 36 hours). The case studies for Cialis showed that::
About Erectile Dysfunction
Introduces the topic of erectile dysfunction, or impotence, and itimpacts a man's sex life and selfesteem. Explains that aging
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Extractions: Erectile dysfunction, or impotence, is the inability to maintain an erection long enough for sexual intercourse. It's not a topic most men are comfortable talking about: impotence has long been associated with growing old and a loss of manhood. The disorder can wreak havoc on self-esteem and damage relationships. Many men suffering from erection problems avoid sex, fearing embarrassment. Ten to twenty million American males are believed to be suffering from some degree of erectile dysfunction. In fact, erection problems have little to do with growing old, nor do they somehow indicate a fault with one's manhood. Ninety percent of erectile dysfunction cases are caused by other health problems. Diabetes, heart disease, hypertension and other medical conditions often cause erection problems. So do many prescription medications, certain types of surgery, and psychological factors such as depression and stress.
Impotence
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Extractions: Premature Ejaculation Peyronie's Disease Control Premature Ejaculation Questionnaire ... Penis Stretchers One of the most common sexual problems is premature ejaculation. Premature ejaculation is the inability to delay ejaculation to when it is mutually desirable for both partners. For this reason it is hard to define a case of premature ejaculation. Some have trouble controlling their orgasm after entry and others consider 5-10 minutes of intercourse too little time. How long someone is able to last is not the important factor in diagnosing premature ejaculation. Premature ejaculation is a problem that most men have experienced at some point in their life. It was believed that drugs or certain infections such as urethritis caused premature ejaculation, but it is more psychological in nature. The exact cause of the condition still remains a mystery. Premature ejaculation often occurs during the first experience with intercourse due to anxiety. The majority of men learn to control their orgasm and have no lasting effect. Some will develop a long-term anxiety toward sex, which causes a prolonged experience with premature ejaculation.
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Extractions: The Top 10 PULSE Articles Ginseng Impotence Menopause Resource Sweet Tooth, Food Cravings, Weight Loss ... Attention Deficit/ Hyperactive Disorder Resource Impotence and Oriental Medicine by Lynda Harvey, OMD, Malinda Gibbons, and Brian Benjamin Carter I mpotence affects about 20 million men in the U.S. alone. Because of the broader implications of the word impotence, the National Institute of Health has suggested the term Erectile Dysfunction (ED) instead. It is defined as the inability to achieve and maintain penile erection sufficient to complete satisfactory intercourse; ejaculation may or may not be affected. Biomedical Causes of Sexual Dysfunction
Impotence And Erectile Dysfunction Due To Smoking, Age, Psychological Problems,
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NIH Consensus Statements: 91. Impotence
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http://odp.od.nih.gov/consensus/cons/091/091_statement.htm

Extractions: This statement was published as: Impotence. NIH Consens Statement 1992 Dec 7-9;10(4):1-31. For making bibliographic reference to the statement in the electronic form displayed here, it is recommended that the following format be used: Impotence. NIH Consens Statement Online 1992 Dec 7-9 [cited year month day];10(4):1-31. NIH Consensus Statements are prepared by a nonadvocate, non-Federal panel of experts, based on (1) presentations by investigators working in areas relevant to the consensus questions during a 2-day public session; (2) questions and statements from conference attendees during open discussion periods that are part of the public session; and (3) closed deliberations by the panel during the remainder of the second day and morning of the third. This statement is an independent report of the panel and is not a policy statement of the NIH or the Federal Government. The statement reflects the panelís assessment of medical knowledge available at the time the statement was written. Thus, it provides a "snapshot in time" of the state of knowledge on the conference topic. When reading the statement, keep in mind that new knowledge is inevitably accumulating through medical research.
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Extractions: This emotional reaction is further strengthened by the lack of knowledge on the part of patients, their partners, and health care professionals. Most people were never taught about the erection process in school, let alone given accurate information from other sources. Much of the knowledge about penile anatomy and physiology has only become available in the last five years. Ignorance, fear, a lack of information, embarrassment, and anxiety provide a fertile breeding ground for sexual problems. While some problems related to the ability of the penis to become hard and ready for sex are tied to physical problems, some cases of impotence are linked to psychological issues. Even when impotence is tied to physical problems, there can be psychological underpinnings that must be addressed with successful treatment of the physical causes. For example, many couples have serious emotional reactions to the loss of erectile ability and to what they believe it represents, and have adjusted their relationships to explain and compensate for their emotional problems. When treatment of the impotence is successful, there still are the underlying relationship problems that need attention.
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Extractions: Are there any prescription treatments for impotence? Three prescription medications have been proven to help with impotence, a condition in which men have difficulty getting or keeping an erection. These medications are sildenafil (brand name Viagra ), and alprostadil ( Caverject Edex and Muse According to reports, Viagra increases sexual ability in 65 percent to 88 percent of men who use it. Typically, you take a 50-mg dose one hour before sexual activity. Sometimes, doses have to be adjusted to improve Viagra's effectiveness or avoid side effects. People with heart conditions, bleeding disorders, or stomach ulcers should not take Viagra. Also, Viagra can interact with medications for chest pain, such as nitroglycerin (Nitrostat) or isosorbide mononitrate (ISMO). Edex, Muse and Caverject are prescription medications with the same active ingredient, alprostadil. Edex and Caverject are liquid medications that you self-inject into the penis using a syringe and needle. Muse is a suppository that you insert into the opening in the tip of the penis. Use Muse or Caverject approximately ten minutes before sexual activity to help achieve an erection. Reports claim that Muse works in approximately 65 percent of men, Edex works in about 75% of men, and Caverject works in up to 87 percent of men. The effects of these medications generally last 30 to 60 minutes. The actual time will vary from person to person, though. You should take only one of these two drugs in any 24-hour period.
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Extractions: The text presented on these pages is for informational purposes only. It is not a substitute for professional medical advice. The information presented may not be appropriate or applicable to your individual medical situation. Do not use this information to diagnose or treat a health problem or disease without first consulting a qualified healthcare provider. The information may not be representative of benefits covered under your PacifiCare health plan. You must consult your Evidence of Coverage for information regarding the benefits, exclusions and limitations applicable to your PacifiCare health plan. Please consult PacifiCare or your healthcare provider if you have any questions or concerns in connection with the information presented on these pages. PacifiCare products and services are offered by one or more of the following PacifiCare family of companies: Health plan products and services are offered by PacifiCare of Arizona, Inc., PacifiCare of California, PacifiCare of Colorado, Inc., PacifiCare of Nevada, Inc., PacifiCare of Oklahoma, Inc., PacifiCare of Oregon, Inc., PacifiCare of Texas, Inc., PacifiCare of Washington, Inc., PacifiCare Dental of Colorado, Inc., PacifiCare Behavioral Health of California, Inc., and PacifiCare Dental (in California).
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Extractions: Buy Reductil NOW! ... Buy Zyban NOW! Further Information on Viagra. If you're one of the millions of men who suffer from erectile dysfunction or ED (also called impotence), now is the time to find a new start with the breakthrough oral treatment: VIAGRA® (sildenafil citrate). VIAGRA works by improving a man's response to sexual stimulation. So with VIAGRA, a touch or a glance from your partner can again lead to something more. VIAGRA is by far the most widely used treatment for ED. In the United States, more than 7 million men have turned to VIAGRA to improve their sexual function. Doctors in the United States have prescribed VIAGRA more than 22 million times. And VIAGRA is available in more than 90 countries worldwide. VIAGRA works in up to 82% of patients who take VIAGRA experience an improvement in their erections. That means more than 4 out of every 5 couples who try VIAGRA benefit from it. VIAGRA improves erections in most men regardless of how long they have had ED, what caused it, or how old they are. And the effectiveness of VIAGRA has been proven in clinical studies of thousands of patients.
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Extractions: Impotence, also known as erectile dysfunction, describes a continuing inability to achieve and/or maintain an erection adequate for sexual intercourse, or the inability to ejaculate, or both. Impotence may be total or intermittent. Overview Treatment and Diagnosis The materials in this section have been chosen to provide a solid introduction to your health condition. Anatomy and Physiology Anatomy of the Penis
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Extractions: For over 3000 years, ayurveda, the Ancient Indian Science Of Living has addressed itself to the fundamental principles of good health and longevity. It has developed a tradition of medicine and a system of treatment based on the inherent ability of the human body to rejuvenate, to heal and to restore it's natural balance.Modern Medicines have harmful side effects, but ayurvedic therapies, do not as a rule have any harmful side effects, but they have their properties.
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The term impotence is used when a man is unable to achieve and maintain an erectionuntil he ejaculates. UNDERSTANDING impotence. PHYSICAL CAUSES OF impotence.
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Extractions: Weight Control UNDERSTANDING IMPOTENCE The term impotence is used when a man is unable to achieve and maintain an erection until he ejaculates. When the flow of blood to the penis is restricted, it prevents an erection from occurring. Most men have experienced an occasional bout of impotence, this is completely normal. Impotence can be caused by a number of physical and psychological conditions and factors. Over half of all impotence episodes are caused by psychological problems. When impotence occurs frequently, it may cause a man to question his masculinity and to feel inadequate. Frustration, embarrassment and questions about virility are as common as the condition itself. Many men are afraid of discussing the issue and miss the support they need. PHYSICAL CAUSES OF IMPOTENCE Diabetes High Blood Pressure Heart Disease Prostate Cancer Surgery Damage to the Spinal Cord Multiple Sclerosis Hormone Disorders Excessive Alcohol Consumption Tobacco Use Some Prescription Medicines Use of Illegal Drugs PSYCHOLOGICAL CAUSES OF IMPOTENCE depression stress anxiety about sexual performance a poor relationship with a sexual partner WHEN TO SEE A DOCTOR If impotence becomes a chronic problem, see your doctor for treatment. After interviewing and examining you, your doctor will determine if your impotence is being caused by physical or psychological factors and will then recommend a method of treatment.

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