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Bivariate Pearson and analysis of variance (ANOVA) analyses were performed using SPSS (v 7.0). All experiments were repeated at least twice, and all p-values were two sided (t test) or one sided (ANOVA).
Practicing better sexual communication skills.
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Pavelka's conviction that biking had led to his problem was soon backed up by medical authority. Irwin Goldstein, MD, a specialist of erectile dysfunction with the Boston University Medical Center, was widely quoted in the press saying that all male cyclists risked erectile dysfunction, and that they should consider giving up the sport if they enjoyed sex.
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Causes An erection requires the interaction of your brain, nerves, hormones, and blood vessels. Anything that interferes with the normal process can lead to a problem.
About any prescription or nonprescription medications you are currently taking, including herbal and dietary supplements.
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Implantable devices, known as prostheses, can cause erections in many men with impotence.
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"Having an erection does not mean you are being sexual. Being sexual comes from inside your sense of yourself," Shaw says. "You can be sexual, you can feel sexual, you can behave sexually without an erection. A penis is not the only part of a man's body that can be used sexually."
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An innovative drug-delivery system nanoparticles encapsulating nitric oxide or prescription drugs shows promise for topical treatment of erectile dysfunction (ED), according to a new study by scientists at Albert Einstein College of Medicine of Yeshiva University.
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A useful and simple way to distinguish between physiological and psychological impotence is to determine whether the patient ever has an erection. If never, the problem is likely to be physiological; if sometimes (however rarely), it could be physiological or psychological. The current diagnostic and statistical manual of mental diseases (DSM-IV) has included a listing for impotence.
Penile blood flow is controlled by the autonomic erection centre, which provides parasympathetic (S2–S4) and sympathetic (T12–L2) input to the pelvic plexus,8 including the cavernous nerves that innervate the cavernosal arteries and trabecular smooth muscle. These nerves are responsible for the delivery of high local concentrations of nitric oxide to the trabecular smooth muscle, which results in relaxation (Fig. 2).9,10 Nitric oxide diffuses across the smooth-muscle membrane and activates guanylate cyclase to produce cyclic guanosine monophosphate (cGMP); the biochemical cascade that ensues results in altered potassium and calcium ion channel permeability; ultimately, the decrease in cytosolic calcium concentration causes smooth-muscle relaxation and increased regional blood flow.11,12 Phosphodiesterase enzymes (PDEs) regulate this pathway by inactivating cGMP, which results in elevated cytosolic calcium concentrations and smooth-muscle contraction. PDE type 5 is the most important isoenzyme in the corpora cavernosa.13,14,15
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