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"The concept that a venom can have an effect on erection is highly plausible," said Dr. Arnold Melman, chief of urology at Montefiore Medical Center in New York City. "This is very interesting and exciting, but also very early."
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Patient history A diagnosis of erectile dysfunction is made in men who have repeated inability to achieve and/or maintain an erection for satisfactory sexual performance for at least 3 months. Candid communication between the patient and the doctor is important in establishing the diagnosis of erectile dysfunction, assessing its severity, and determining the cause. During patient interviews, doctors try to answer the following questions:
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Shushruta explains the process of erection and ejaculation as “ When a man has desire (iccha) to have sex, his response to touch increases ( Vayu located in skin causes flow of signals from skin to brain, thus causing sensation of touch. Generally Vata controls the flow of signals in nervous system.). This causes arousal or “harsha” . Arousal or Harsha intensifies actions of vayu and at this moment highly active vayu liberates the “ teja “or heat of pitta. Thus tejas and vayu increase body temperature , heart beat and blood flow causing erection. “
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The researchers, led by Constance Bacon, a former post-doctoral fellow at HSPH, and Eric Rimm , associate professor of epidemiology and nutrition at HSPH, surveyed 22,086 healthy subjects between the ages of 40 and 75 from the Health Professionals Follow-up Study who reported good or very good erectile function and no major chronic disease before 1986. Among the participants, 17.7 percent (3,905) reported new onset of ED between 1986 and 2000. The researchers adjusted the results to take into account those with and without prostate cancer during the follow-up period, since prostate cancer treatments, such as radiation or surgery, may lead to ED.
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Incidence of the disorder increases with age. Chronic ED affects about 5% of men in their 40s and 15–25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70.
The pressure exerted by the incoming blood expands the penis, in so doing creating an erection.
Address correspondence to Anthony J. Viera, LT, MC, USNR, Family Practice Department, PSC 490, Box 9097, U.S. Naval Hospital, Guam, FPO AP 96538-1600. Reprints are not available from the authors.
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