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A prospective study by researchers from the Harvard School of Public Health (HSPH) has found that obesity and smoking are strongly associated with a greater risk of erectile dysfunction (ED). Meanwhile, regular physical activity appeared to have a significant impact on lowering the risk of ED. This is the first large-scale prospective study to examine the links between ED and smoking, obesity, alcohol and a sedentary lifestyle. The study will appear in the July 2006 issue of The Journal of Urology.
The laboratory investigation depends on information gathered during the interview. Laboratory testing is necessary for most patients, although some may not require any laboratory work.
The bottom line: Whatever it takes, experts say don't shut down the line of emotional communication, even if you have to put your physical relationship on hold. And most importantly, listen to your heart.
Main outcome measures: Erectile dysfunction was identified in men who reported having had trouble keeping an erection when they wanted to, a problem which persisted for at least one month over the previous year. Variables examined in multivariate logistic regression analyses included age, education, presence of cardiovascular disease and diabetes, and current alcohol and tobacco consumption.
The vaginal contraceptive ring (brand name: NuvaRing) is a thin, flexible ring that is inserted into the vagina. It releases hormones that keep you from getting pregnant. These hormones are the same ones used in most birth control pills. The ring is left in the vagina for 3 weeks. It doesn't have to be in a specific position in the vagina. You remove the ring after 3 weeks and your period will start. After 7 days, you insert a new ring.
The most common form of management in current practice is the use of one of the oral PDE-5 inhibitors. If one agent does not work adequately at its maximum dosage, another agent should be tried. Trying these medications 3-4 times is sometimes necessary before concluding that the therapy is ineffective. Men who have a vascular-leak (venous leak) phenomenon may need a constriction device placed at the base of the penis to maintain the erection, which may be effective by itself or in combination with a PDE-5 inhibitor. In selected cases, combination therapy with one of the PDE-5 inhibitors plus Yohimbine, MUSE, or intracavernosal injections can be tried. Although some men have taken two different PDE-5 inhibitors simultaneously, no evidence suggests any benefit and the risk of significant adverse effects is greatly enhanced. However, the use of both a shorter-acting agent and a longer-acting agent is not unreasonable at appropriate times and intervals as long as they are not taken together.
In addition, many common medicinesóblood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (an ulcer drug)ócan produce ED as a side effect.
How Effective Is Vascular Reconstructive Surgery?
If you can't keep your blood sugar or your blood pressure under control, you can get erectile dysfunction. It's important that you take your medicines for these problems just the way your doctor tells you.
A. This device consists of two silicone rods that can easily be bent or straightened. Once surgically implanted in the corpora cavernosa, a man will have a permanent erection. Bending the rods so that the penis is close to the body conceals it, while straightening the organ with one or two fingers immediately readies it for intercourse.
"However, obstacles to effective action include the lack of a clear worldwide consensus on what constitutes a counterfeit drug and the fact that activities that are illegal in one country may be legal in another" says Dr Jackson.
Severe heart disease, such as unstable angina, a recent heart attack, or arrhythmia
Eat whole, fresh, unrefined, and unprocessed foods. Include fruits (lots of richly pigmented berries to support vascular integrity), vegetables, whole grains, soy, beans, seeds, nuts, olive oil, and cold-water fish (salmon, tuna, sardines, halibut, and mackerel).
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