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What Is Sex Like With the Prosthesis? Psychogenic impotence is relatively uncommon. It is characterized objectively by the presence of good nocturnal and morning erections and negative findings from all other tests. During the interview, a history of highly variable erections that can be totally absent one day but virtually normal the next suggests a psychogenic cause. Virtually 100% of men with severe depression have erectile dysfunction (ED). Sildenafil (Viagra) works well for psychogenic ED; other treatment modalities are also effective because the tissues, nerves, hormone levels, and vasculature are normal. The authors usually recommend a full psychological evaluation in these patients so that the underlying etiology can be identified and treated appropriately rather than just treating the symptom of ED. Therefore, the authors defer treatment of the patient's ED until he has begun psychological testing and therapy for the underlying problem. This test uses electromagnetic vibration to evaluate sensitivity and nerve function in the glans and shaft of the penis. A decreased perception of vibration may indicate nerve damage in the pelvic area, which can lead to impotence. buy generic cialis In trying to determine if a particular drug causes erectile dysfunction, it is difficult to sort out the effects of the drug from those of the disease for which the drug is taken, Dr. R. Shiri and colleagues note in the Journal of Urology. "It's an important message to get out," said Dr. Ira Sharlip, a spokesman for the American Urological Association. "There's an increasing body of knowledge that tells us that erectile dysfunction is a form of cardiovascular disease and often predates the onset of other forms of clinical cardiovascular disease, specifically coronary disease." Peyronie's disease is a rare inflammatory condition that causes scarring of erectile tissue. Scarring produces curvature of the penis that can interfere with sexual function and cause painful erections. Formerly referred to as impotence, erectile dysfunction (ED) can affect men of all ages. It is the inability to get or keep an erection for the purpose of completing sexual intercourse. The likelihood of developing ED increases with age; however, men as young as 18-20 years of age have sought treatment for this disorder. Homeopathy is a natural system of medicine that takes into consideration the root causes of erectile dysfunction. A homeopath will treat ED with remedies made from natural substances, thus avoiding the side effects of the popular pharmaceutical drugs. The guideline is published in the Oct. 20 issue of the journal Annals of Internal Medicine. Men with organic ED can be treated with one or more of the various available therapies. However, if they have lost confidence in their ability to obtain and maintain an erection suitable for penetration, a few words of encouragement from their physician can be of great help. Erectile dysfunction (ED) is the inability to get and maintain an erection that is sufficient for satisfactory sexual intercourse. ED is also known as impotence. Many things can cause testosterone levels to be low, such as problems with the pituitary gland, which regulates the production of the sex hormone; thyroid abnormalities; liver problems; and abnormalities within the testes themselves. So if you're unable to get an adequate erection, it's possible that something is causing trouble with your body's testosterone production. Might difficulty achieving an erection be related to the normal aging process? Erection problems tend to become more common as you age, but they can affect men at any age and at any time in their lives. Physical causes are more common in older men, while psychological causes are more common in younger men. Stopping smoking Return to top A measurement of luteinizing hormone (LH) and, in some instances, prolactin, may be helpful. A serum prolactin level is obtained if the patient has evidence of pituitary hyperfunction, a common endocrine cause of erectile dysfunction (ED), and in documented cases of low serum testosterone levels. LH levels vary according to the body's need for testosterone. The hypothalamus regulates testosterone levels by releasing or inhibiting LH-releasing hormone, which acts in the pituitary to produce LH. A high LH level associated with a low testosterone level implies primary testicular (Leydig cell) failure. Conversely, a low LH level associated with a low testosterone level suggests a central defect. How is erectile dysfunction diagnosed? Reviewed by the doctors at the Glickman Urological Institute at The Cleveland Clinic (2005). cGMP was measured on purified CD11b+, CD11c+, CD4+, or CD8+ cells using the Cyclic GMP EIA kit (Cayman Chemical). Data analysis was performed with the workbooks available at http://www.caymanchem.com/neptune/servlet/neptune/template/analysis%2CEIA.vm/a/z. Data are expressed as mean ± SE of quadruplicate wells. Wednesday, November 11, 2009