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Your doctor may recommend antidepressants called selective serotonin reuptake inhibitors (SSRIs). Also, natural PMS remedies include yoga, exercise, and herbs such as black cohosh, chasteberry, dandelion and evening primrose oil.
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Q. Will someone who has undergone a nerve-sparing radical prostatectomy benefit from injection therapy?
These drugs, called selective phodiesterase type 5 (PDE5) inhibitors, treat erectile dysfunction by interfering with the action of the compound PDE5 in the blood vessels of the penis. But there are concerns that PDE5 inhibitors may also act on similar compounds in the retina, the part of the eye that receives and transmits images to the brain, according to background information in the study.
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Possible blindness due to nonarteritic anterior ischemic optic neuropathy and cilioretinal artery occlusion caused by PDE-5 inhibitors has been a concern. This is an extremely rare event, with only a handful of reported cases from the tens of millions of patients using PDE-5 inhibitor medications. This risk may be increased if the PDE-5 medication is misused or overdosed.
If you opt for using a number of the remedies reviewed in this text, create certain that you're taking them as directed and stick to the prescribed dosage. And above all - get pleasure from better and bigger sexual expertise!
is currently a staff family physician at Naval Hospital Guam. Dr. Viera graduated from the Medical University of South Carolina College of Medicine, Charleston, and completed a residency in family practice as co-chief resident at Naval Hospital Jacksonville in Jacksonville, Fla.
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Erectile dysfunction (ED) is the repeated inability to get or keep an erection firm enough for sexual intercourse.
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Muse® was another development of alprostadil that tried to reduce the psychological aspects of the Caverject® delivery method. In essence, alprostadil was produced in intraurethral pellets; tiny tablets that can be inserted down into the opening of the penis with the aid of a minute insertion stick. But once again, the prospect of the delivery method, is still too much for most men, to consider it to be a worthwhile regular method of treatment for ED.
Just over one-fifth (22 percent) of men who had coronary artery disease in one vessel had erectile dysfunction, compared to more than half (55 percent) of those with two-vessel disease, and nearly two-thirds (65 percent) in the group with chronic coronary syndrome.
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Lipid profile: This blood test measures the level of lipids (fats), like cholesterol. High levels may indicate atherosclerosis (hardening of the arteries), which can affect blood circulation in the penis.
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A number of specialized investigations exist for the evaluation of erectile dysfunction but need not be part of the routine evaluation. The penile brachial index involves measuring penile pressure and comparing it with arm pressure. It has limited clinical utility because the data are based on superficial and deep penile arterial pressure, whereas erectile function depends on the deep arteries exclusively. Duplex ultrasonography allows for refined assessment of the penile circulation. The information it provides, however, is operator dependent and rarely alters patient management. Selective pudendal arteriography combined with intracavernous injection of a vasoactive drug should be limited to the small group of patients who are candidates for penile revascularization surgery. These patients include nonsmoking men less than 40 years old with a history of pelvic trauma who have sustained a penile arterial disruption.30
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