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Smoking isn't the only cause of impotence problems -- other lifestyle habits can have a big impact on men's sexual health. Obesity, heavy alcohol consumption and recreational drug use can all cause erectile dysfunction. And a sedentary lifestyle can also contribute to erectile problems, Lipshultz added.
BPA workers were also more likely to report reduced sexual function within one year of beginning employment at the factory, the researchers found.
Information from references 5, 6 and 7.
Poor blood flow to the penis
If you are allergic to any drugs, including Viagra or other ED medications.
Penile Injection Therapy Backgrounder - Penile injection therapy was discovered fortuitously. In 1980, the French physician Ronald Virag reported that during penile surgery, he inadvertently injected an anesthetized patient in the wrong part of the penis with papaverine - a substance derived from the opium poppy. The resulting relaxation of the smooth muscle of the penile arterial walls created an unexpected two-hour erection. This mistake prompted serious research into the use of injectable medications to relieve ED. Around the same time, Giles Brindley, a British physiologist and research scientist, discovered that injecting the drug phenoxybenzamine into the corpora cavernosa of the penis could produce an erection within minutes. At a meeting in Paris in 1984, New York urologist Dr. Adrian Zorgniotti presented his first case studies of self-injection utilizing a combination of papaverine and phentolamine. The latter drug blocks the action of neurotransmitters that cause vasoconstriction, causing the smooth muscles of the penis to relax. Two years later, Japanese researchers presented evidence that injecting the drug prostaglandin E-1 produced powerful erections. Slowly, news of the favorable results with the injectable medication began to spread within the small international community of urologists who were treating ED. Most began utilizing all three (papaverine, phentolamine, and prostaglandin E-1) in what was referred to as "trimix."
Patients taking nitrate drugs (used to treat chest pain) and those taking alpha-blockers (used to treat high blood pressure and benign prostatic hyperplasia) should not take selective enzyme inhibitors.
Condoms offer the most protection against STIs of all the barrier method options. Using a spermicide with condoms can offer better protection against pregnancy, but it does not increase your protection against STIs . Spermicides containing nonoxynol-9 can cause genital irritation and can actually increase your risk of catching an STI.
Have there been any recent changes in your life?
Pulmonary hypertension is caused by high blood pressure in the arteries that supply the lungs with blood. People who suffer from the condition can become tired, dizzy and short of breath, because the arteries feeding the lungs constrict and reduce the supply of oxygenated blood being circulating throughout the body.
During the physical examination, signs of hypogonadism, such as gynecomastia or the loss of axillary and pubic hair, should be noted.4 The genital examination should include an evaluation of the size and consistency of the testes. The penis should be examined for any fibrosis and plaques indicative of Peyronie's disease.8 Finally, the bulbocavernosus and cremasteric reflexes should be assessed to eliminate a neurologic cause of the erectile dysfunction. The bulbocavernosus reflex is elicited by squeezing the glans penis while observing for contraction of the external anal sphincter. This may be visualized or felt during a digital rectal examination.
Replacement androgens are available in oral, injectable, gels and transdermal preparations. Oral therapy is the least effective and the most likely to be associated with hepatotoxicity, even though this is a relatively small risk. Parenteral therapy is most likely to restore androgen levels to the reference range, but this therapy requires periodic injections, usually every 2 weeks, to sustain an effective level. Peak and trough levels are suggested when using injectable agents to avoid symptomatic troughs and supernormal peak levels. Weekly injections using lower doses can be used to minimize the wide swings in blood levels with less frequent dosing. Skin patches deliver a sustained dose and are generally accepted by patients. Androgen creams (AndroGel and Testim) are now available for daily topical use for male hypogonadism and have the advantage of minimizing the peaks and troughs of injectable agents. However, they require daily dosing and are relatively expensive.
Participants were questioned in 2002 about RLS diagnosis and severity based on the International RLS study group criteria. RLS was defined as having unpleasant leg sensations combined with restlessness and an urge to move; with symptoms appearing only at rest, improving with movement, worsening in the evening or at night compared with the morning, and occurring five or more times per month.
Restless Leg Syndrome Linked to Erectile Dysfunction in Older Men
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