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67. Chen, J., Wollman, Y., Chernichovsky, T., Iaina, A., Sofer, M. and Matzkin, H.: Effect of oral administration of high-dose nitric oxide donor L-arginine in men with organic erectile dysfunction:Â results of a double-blind, randomized, placebo- controlled study. Br J Urol, 83: 269, 1999
68. Choi, Y.D., Choi, Y.J., Kim, J.H. and Choi, H.K.: Mechanical reliability of the AMS 700CXM inflatable penile prosthesis for the treatment of male erectile dysfunction. J Urol, 165: 822, 2001
66. Choi, H.K., Seong, D.H. and Rha, K.H.: Clinical efficacy of Korean red ginseng for erectile dysfunction. Int J Impot Res, 7: 181, 1995
Standard: The management of erectile dysfunction begins with the identification of organic comorbidities and psychosexual dysfunctions; both should be appropriately treated or their care triaged. The currently available therapies that should be considered for the treatment of erectile dysfunction include the following:Â oral phosphodiesterase type 5 [PDE5] inhibitors, intra-urethral alprostadil, intracavernous vasoactive drug injection, vacuum constriction devices, and penile prosthesis implantation. These appropriate treatment options should be applied in a stepwise fashion with increasing invasiveness and risk balanced against the likelihood of efficacy.
A focused physical examination evaluating the abdomen, penis, testicles, secondary sexual characteristics and lower extremity pulses is usually performed. Established patients with a new complaint of ED typically are not re-examined. Prostate-specific antigen measurement and rectal examination may assume additional significance when considering the use of testosterone in the management of male sexual dysfunctions. Additional testing, such as testosterone level measurement, vascular and/or neurological assessment, and monitoring of nocturnal erections, may be indicated in select patients.
Biological causes of male erectile dysfunction include hormonal imbalances, vascular problems, “damage to the nervous system as a result of diabetes, spinal cord injuries, multiple sclerosis, kidney failure, or treatment by dialysis” (Comer, 2013, p....
" which means that erectile dysfunction or Impotence occurs due to grief, fear, anxiety and terror.
Strained relationship with sexual partner: Erectile dysfunction also occurs when there is a disliking towards sexual partner.
Diseases that cause Erectile dysfunction: Neurological disorders, hypothyroidism, Parkinson's disease, anemia, depression, arthritis, endocrine disorders,diabetes, diseases related to cardiovascular system also become reasons for erectile dysfunction..
According to Infertility the diseases which cause erectile dysfunction are:
Heart diseases , anemia , asthma , liver disorders , tiredness .Apart from these the imbalance in tridoshas also cause impotence or erectile dysfunction.
Consumption of medicines, drugs and tobacco:
Using antidepressants, tranquilizers and antihypertensive medicines for a long time, addiction to tobacco especially smoking, excessive consumption of alcohol, addiction to cocaine, heroin and marijuana cause erectile dysfunction.
In Infertility texts these causes have been said in brief as - "dry food , drinks and medicines" cause impotence or erectile dysfunction.
Trauma to pelvic region: accidental injury to pelvic region and surgeries for the conditions of prostate, bladder, colon, or rectal area may lead to erectile dysfunction.
These causes are mentioned as trauma, injury from weapons, teeth and nail.) in Infertility.
Other reasons: Obesity, prolonged bicycle riding, past history of sexual abuse and old age also cause Erectile dysfunction.
Home Remedies for ED:
Cut down on smoking, alcohol, and illegal drugs.
Get plenty of rest and take time to relax.
Exercise and eat a healthy diet to maintain good circulation.
Use safe sex practices, which reduces fear of HIV and STDs.
Talk openly to your partner about sex and your relationship.
Some common sexual dysfunctions are: hypoactive desire disorder (low sex drive), hyperactive sexual disorder (high sex drive), sexual aversion disorder, lack of lubrication (females), impotence (male erectile disorder), premature ejaculation, vaginismus (prolonged contractions of the vaginal wall that cause painful intercourse), or failure to orgasm during sex (8)....
Standard: Oral phosphodiesterase type 5 inhibitors, unless contraindicated, should be offered as a first-line of therapy for erectile dysfunction.
Alprostadil, a synthetic vasodilator identical to PGE1, has been formulated for transurethral delivery as a suppository for the treatment of ED. Despite the significantly greater efficacy of alprostadil intra-urethral suppositories in producing erections when compared to placebo in randomized controlled trials,31 their use has produced less successful results in postmarketing studies.32,33 Because hypotension has been reported to occur in approximately 3% of patients after the first dose,31 it is recommended that the first dose be administered under supervision of a healthcare provider. The efficacy of alprostadil suppositories in combination with other treatment modalities recently has been evaluated. Studies assessing the combination of alprostadil suppositories with either a penile constriction device or oral PDE5 inhibitors have shown increased efficacy over alprostadil alone.34,35 Although not as effective, alprostadil intra-urethral suppositories are a less invasive treatment option than penile injection and may be considered for select patients such as men who are either not candidates for or have failed therapy with oral PDE5 inhibitors. The combination of intra-urethral alprostadil suppositories with other pharmacotherapies or a penile constriction device holds some promise, but additional studies are needed to assess dosing, efficacy, and safety.