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What about being sterilized?
Is erectile dysfunction due to psychological or physical factors? Healthy men have involuntary erections in the early morning and during REM sleep (a stage in the sleep cycle with rapid eye movements). Men with psychogenic erectile dysfunction (erectile dysfunction due to psychological factors such as stress and anxiety rather than physical factors) usually maintain these involuntary erections. Men with physical causes of erectile dysfunction (for example; atherosclerosis, smoking, and diabetes) usually do not have these involuntary erections.
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Who Is Eligible for This Procedure?
The recommended starting dose of vardenafil is 10 mg taken orally approximately 1 hour before sexual activity. The dose may be adjusted higher or lower depending on efficacy and side effects. The maximum recommended dose is 20 mg, and the maximum recommended dosing frequency is no more than once per day. Vardenafil can be taken with or without food.
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The team focused on a form of radiation therapy called intensity-modulated radiation therapy (IMRT). According to the American Cancer Society, IMRT is a cutting-edge, 3-D form of high-dose radiation therapy. The treatment is delivered by a computer-controlled machine that moves around the patient to target diseased tissue while avoiding healthy tissue, thereby allowing for the safer use of higher doses of radiation.
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"We do need more effective therapies for jet lag and for sleep difficulties that occur as a consequence of shift work," said Dr. Robert Vorona, an associate professor at Eastern Virginia Medical School who's familiar with the study findings.
About any prescription or nonprescription medications you are currently taking, including herbal and dietary supplements.
Nocturnal penile tumescence (NPT)
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A. 90 percent pick the inflatable prothesis. Even though it's more expensive and the complications and risk of breakage greater, they choose it simply because it provides a more natural result. Because they have to live with it every day, they want something that looks and feels more natural. Obese men often choose the malleable device and feel less self-conscious about it. Because of their girth, they can have their penis pointing out all day long and no one will know.
Following completion of this phase, the physician should be able to determine the medical status of the patient, to identify and characterize the type of dysfunction, and to determine the need for additional testing such as penile or pelvic blood flow studies, nocturnal penile tumescence testing, or other blood tests. The patient's needs, expectations, and priorities should be discussed in order to decide about further management or referral.
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"The term has expanded greatly in its use. Today, it is used more in connection with the actions of pharmaceutical companies, and we need to understand its effects better," he said.
Dr. Bartolome R. Celli, chief of pulmonary care at St. Elizabeth's Medical Center in Boston, applauded the Dutch study but called for more research.