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Q. Do you recommend MUSE?
The following conditions make vascular disease worse and likely contribute to ED:
However, "The distance between biomedical specialties that might once have been bridged mainly by researchers and specialized clinicians now is negotiated mainly by the patients themselves, since their knowledge sets expand and intertwine over time," she wrote.
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Stroke Some types of prostate or bladder surgery
Pfizer, which manufactures Viagra, analysed 2,383 suspected counterfeit samples forwarded to the company by law enforcement agencies between 2005 and 2009. It found that that a Hungarian sample contained amphetamine, a UK sample contained caffeine and bulk lactose and that printer ink had been used to colour some samples blue. Other samples contained metronidazole, which can have significant adverse effects when combined with alcohol."
stress, anxiety, depression, and relationship problems.
Danial E Baker, PharmD
Hormone disorders account for fewer than 5% of cases of impotence. Testosterone deficiency, which occurs rarely, can result in a loss of libido (sexual desire) and loss of erection. Among other conditions, an excess of the hormone prolactin, caused by pituitary gland tumor, reduces levels of testosterone. Hormone imbalances can also result from kidney or liver disease.
In addition to using a behavioral method, you may want to try thought distractions. For example, while you’re being sexually stimulated, think about the names of players on your favorite sports team.
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Men might want to remember a new rhyme: a drink a day keeps erectile dysfunction away.
Patients who express a loss of libido, depression, or any signs of diminished secondary sexual characteristics should have an endocrine evaluation that consists of at least measuring morning serum testosterone levels. The relative merits of measuring total, free, and bioavailable testosterone levels and serum hormone–binding globulin are controversial. At this time, measuring total and free testosterone levels is recommended and should be performed when screening for hypogonadism. These hormone levels are generally higher in the morning than later in the day; therefore, a morning level should be checked whenever possible. Free or bioavailable testosterone is an important component because this is the testosterone that is usable. That portion attached to other proteins, the serum hormone–binding globulins, store testosterone.
Although many women -- and men as well -- continue to view ED as a sexual issue, in truth, the most common causes are undiagnosed physical conditions such as diabetes, high cholesterol, or even the earliest stages of heart disease. Even more often, it can be the result of certain medications used to treat these conditions, particularly some high blood pressure drugs.
Erection problems are common in adult men. In fact, almost all men experience occasional difficulty getting or maintaining an erection. In many cases, it is a temporary condition that will go away with little or no treatment. In other cases, it can be an ongoing problem that can damage a man's self esteem and harm his relationship with his partner, and thus requires treatment.
Dr. Hugh Taylor, director of the division of reproductive endocrinology and infertility at Yale University School of Medicine, said the findings are "very suggestive" but do not prove cause and effect.
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