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Impotence


Presentation

  • Erectile dysfunction was presented as a medical epidemic that deserved to be treated, even for the few cases of psychogenic ED, with medical technology.[quod.lib.umich.edu]
  • Erectile dysfunction may present in different ways. Some men are completely unable to develop an erection. Some may develop an erection that does not remain rigid enough to allow satisfactory intercourse.[healthengine.com.au]
  • […] issues, if any, are less present), tends to suggest that the physical structures are functionally working. [20] [21] Similarly, performance with manual stimulation, as well as any performance anxiety or acute situational ED, may indicate a psychogenic[en.wikipedia.org]
Fatigue
  • Beta-blocker therapy and symptoms of depression, fatigue, and sexual dysfunction. JAMA. 2002; 288(3): 351-7. Smith DE, Wesson DR, Apter-Marsh M. Cocaine and alcohol induced sexual dysfunction in patients with addictive disorders.[healthengine.com.au]
Headache
  • Side effects may include headaches, indigestion, vasodilation, diarrhoea and blue tinge to vision. Other treatments such as penile injections may cause pain at the injection site, or an erection that will not go down.[healthengine.com.au]

Workup

  • Note that the cavernous artery flow remains below the expected levels (at least 25-35 cm/s), which indicates ED due to arterial insufficiency. [22] Other workup methods Penile nerves function Tests such as the bulbocavernosus reflex test are used to determine[en.wikipedia.org]

Treatment

  • Effective treatment for erectile dysfunction is available, and for most men will allow the return to a fulfilling sex life. The side effects of the treatment for erectile dysfunction vary depending on the treatment that is used.[healthengine.com.au]
  • Of Impotence : Firstly, a doctor will ensure that the individual is receiving the correct treatments for any other health conditions they may have.[house.fandom.com]
  • .— Drs Swartz and Todd 1 discuss the safety of intracavernous papaverine for the treatment of impotence in patients who have glaucoma. I wish to add a further note about the coexistence of these two common conditions.[jamanetwork.com]
  • […] pharmacological treatments for hair loss.[quod.lib.umich.edu]
  • Single Maximal Dose PDE5i Unknown status NCT00498680 Phase 4 Sildenafil, Vardenafil;Sildenafil;Vardenafil;Sildenafil & Vardenafil 8 Evaluation of Safety and Effectiveness of 2 Lower Dose Combined PDE5i's Versus Single Maximal Dose PDE5i Treatment Unknown[malacards.org]

Etiology

  • A shift to psychological etiology The understanding of impotence as a medical problem resulting from inappropriate sexual behavior was supplanted by a psychological etiology in the first decades of the 1900s.[quod.lib.umich.edu]

Epidemiology

  • "Epidemiology of erectile dysfunction". Endocrine. 23 (2–3): 87–91. doi : 10.1385/ENDO:23:2-3:087. PMID 15146084. Kendirci M, Nowfar S, Hellstrom WJ (2005). "The impact of vascular risk factors on erectile function".[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • Physiology of penile erection and pathophysiology of erectile dysfunction. Urol Clin North Am. 2005; 32(4): 379-v. Burnett AL, Lowenstein CJ, Bret D, Chang TS, Snyder SH. Nitric oxide synthase: A physiologic mediator of penile erection.[healthengine.com.au]
  • […] and vascular problems due to compression. [15] The increase risk appears to be about 1.7-fold. [16] Concerns that use of pornography can cause ED [17] have not been substantiated in epidemiological studies according to a 2015 literature review. [18] Pathophysiology[en.wikipedia.org]

Prevention

  • This is true for β-adrenergic blocking eye drops, such as timolol, levobunolol, and betaxolol, 2 as well as for oral carbonic anhydrase inhibitors. 3 A change of glaucoma medication may relieve impotence, thereby preventing the morbidity of medical or[jamanetwork.com]
  • Levitra (Vardenafil, BAY38-9456);Placebo 32 Study of Vardenafil in Patients Suffering From Erectile Dysfunction and Metabolic Syndrome Completed NCT00738400 Phase 4 Vardenafil (Levitra, BAY38-9456);Placebo 33 A Safety and Efficacy Study of Prograf in the Prevention[malacards.org]
  • In general, exercise, particularly of the aerobic type, is effective for preventing ED during midlife.[en.wikipedia.org]

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