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Diseases (e.g., diabetes, kidney disease, alcoholism, atherosclerosis) account for as many as 70% of chronic ED cases and psychological factors (e.g., stress, anxiety, depression) may account for 1020% of cases. Between 35 and 50% of men with diabetes experience ED.
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Additional Homeopathic Treatments for Erectile Dysfunction (ED)
"The best thing to do is to discuss things outside of the bedroom -- not right after it happens, but days or even weeks later," says sex expert Jennifer Downey, MD, a psychiatrist at New York State Psychiatric Institute and a professor at Columbia University. During this talk, Downey says make certain that your man is aware of the health problems that can be the cause of his ED, and gently suggest he talk to his doctor.
Healthfacts, March, 1999 by Maryann Napoli
If unsuccessful, does not interfere with other treatments
Attention has recently been focused on the chemical mediators of erection. These include prostaglandin E, acetylcholine, vasoactive intestinal peptide and nitric oxide. The most physiologically important mediator is nitric oxide.2 This substance is released from nerve endings and vascular endothelium and functions by activating guanylate cyclase, which converts guanosine triphosphate to cyclic guanosine monophosphate (cGMP).3 cGMP becomes the secondary messenger that causes smooth muscle relaxation, resulting in venous engorgement and penile tumescence.
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For some patients, a surgically-placed penile implant (prosthesis) may also be recommended or needed.
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Because as many as 25 percent of cases of erectile dysfunction are due to medication side effects,4 the patient's drug therapy should be reviewed. Common pharmacologic causes of this disorder include antihypertensive drugs, most notably the centrally acting agents, beta blockers and diuretics. Antipsychotic and antidepressant drugs are also frequently implicated. Other drugs that can cause erectile dysfunction include spironolactone (Aldactone), cimetidine (Tagamet) and finasteride (Proscar).5,7 Excessive alcohol intake, heroin use and cigarette smoking are also known causes (Table 2).4,7,8
Documented hypersensitivity; concurrent or intermittent use of alpha-blockers (eg, doxazosin, terazosin, prazosin), with the exception of tamsulosin (Flomax) 0.4 mg/d
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Experiment with alternative sexual techniques: Learn new sexual techniques that can bring pleasure without intercourse. Many bookstores carry books on alternative sexual practices.
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How severe is my ED? Urologists have tools that help determine whether ED is mild, moderate, or severe, and what can be done about it.
Self-Assessment: High-Anxiety About Low Testosterone?
ANTHONY J. VIERA, LT, MC, USNR,
Addressing Erectile Dysfunction and Anxiety
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