Erectile dysfunction (man’s impotence)

Erectile dysfunction is a disability of the man to reach or support an erection, sufficient for introduction of a sexual member in a vagina and sexual intercourse fulfilment. Such often meeting sex disorders do not concern erectile dysfunction, as a fast ejaculation, depression of a sexual inclination and man’s sterility. Erectile dysfunction – a serious problem in a modern society, it is essentially reflected in quality of a life of men suffering by it.

Offensive of erectile dysfunction is in direct dependence on age and a way of life. For men at the age from 20 till 40 years it averages 3 – 7 %, at the age from 40 till 60 years – 15 – 40 %, more than 70 years – to 50 % from total of men. The in itself age the reason of occurrence of erectile dysfunction is not. Nevertheless with the years there are various diseases (an atherosclerosis of vessels, a diabetes mellitus, etc.) which can be an impotence immediate cause is more often. Generic Cialis helps to overcome difficulties bound to erectile dysfunction.

To understand the reasons of occurrence of an impotence, it is useful to know, how physically there is an erection. The strain of a sexual member or an erection arises at the expense of cavernous (cavernous) bodies which settle down in a sexual member and have a structure of a cellular sponge. In the course of sex excitation of the man, the brain through a spinal cord and on peripheric nerves submits further signals to the cavernous bodies starting allocation in them of vasodilating substances. As a result of it inflow of arterial blood to cavernous bodies considerably amplifies. Simultaneously there is a narrowing of veins in a sexual member at the expense of what outflow of blood from it decreases. The combination of augmentation of inflow of blood to a member with reduction of its outflow leads to a full erection.

Disorders of an erection can be usually caused in men two groups of the reasons: psychological (psychogenic) and somatic (organic). Researches of last years have shown, that erectile dysfunction seldom enough happens is caused by purely psychological reasons (stresses, depressions, features of behaviour etc.) . At the same time about 80 % of all cases of disorders of an erection are caused any physical (somatic, organic) by statuses. Such illnesses concern them as: the raised arterial pressure, a diabetes mellitus, an atherosclerosis of vessels, renal and hepatic insufficiency, thyroid gland diseases, hormonal disorders, consequences of operations upon a prostate and a rectum, traumas and diseases spinal and a brain, a consequence of traumas of a basin etc. erection Disorders can be caused also reception of some medicines. The impotence can develop owing to such bad habits, as smoking, the alcohol use, a drug taking. All medicines against erectile dysfunction, including a Cialis Soft tabs cannot cause a casual erection as medicine of the given group not on it. The Cialis Soft causes an erection of a sexual member, only when there is a sex stimulation. Extended among the population and even doctors the opinion that sexual infections and a chronic prostatitis as have shown last researches can be the impotence reasons, is erroneous. Simple expectation of improvement of an erection after treatment of a chronic prostatitis in what concrete does not result.

Whether the impotence is curable?

For last years the modern medicine has reached impressing successes in impotence treatment. Therefore, if you suffer erection disorders, it is not necessary to be reconciled with this problem and to do nothing. Address to the qualified doctors-urologists of clinic “Family«, we are experts in diagnostics and treatment of erectile dysfunction. After careful inspection, taking into account your specific features, to you the optimum method of treatment which will return all pleasures of high-grade sex during your life will be picked up. Risk factors of erectile dysfunction that will allow to improve own erection essentially will be modified. For the decision of your problem we have the advanced methods of treatment of an impotence or the erectile dysfunction, including:

· medicinal treatment tablets preparations,

· vacuum-erektornuju therapy,

· injections of preparations stimulating an erection in a sexual member,

· therapy by a method of a biological feedback.

Back pain treatment could solve erection problems

Men who experience back pain and lower spine problems could also experience problems with erections. Irwin Goldstein, M.D., medical director of Alvarado Hospital’s Sexual Medicine Program—the first hospital-based sexual medicine program in the U.S.—and editor-in-chief of The Journal of Sexual Medicine, recently discovered that treating one patient’s back pain also cured his erection problems.

The patient had experienced a car accident, and complained of leg numbness, back pain and erectile dysfunction. “After completing the initial workup, we determined the problem was the patient’s pelvic floor muscles,” Dr. Goldstein said. “We referred him to one of the hospital’s physical therapist who had advanced training in pelvic floor rehabilitation.” Treating the back pain resulted in improvement in erectile dysfunction.

Erectile dysfunction drugs may not always be needed. Back pain treatment could improve erectile dysfunction long-term. Back injuries can cause trapping of blood. Men with back pain may be experiencing blood flow difficulties in the pelvis as the cause of erection problems. According to Dr. Goldstein, pelvic muscles can become weak and spasm from back injuries, resulting in decreased sexual function from limited blood flow to the penis when muscles spasm.

Muscle energy, core and lumbar strengthening exercises to align the pelvis and relax the pelvic floor muscles, performed by Physical therapist and pelvic floor specialist Kerri Krebs, facilitated recovery. Following treatment, erectile function and leg numbness improved for the patient, who had seen several other physicians and also had been prescribed erectile dysfunction medication.

Orthopedic spine specialist Ramin Raiszadeh, M.D warns however that men with back or pelvic pain, or who experience urinary incontinence need to see a specialist as soon as possible. Erection problems can be caused by …”other medical conditions, including cardiovascular disease, diabetes, infection, inflammation and tumors can cause these symptoms as well.”

Other approaches to treat erectile dysfunction linked to back pain and injury include Yoga, acupuncture, steroid injections, or massage. Disc herniation, muscle spasm from inactivity and weakness, spinal stenosis, and traumatic back injuries can also cause erection difficulties. Keeping your back in shape, and getting treatment for back pain could lead to improved sexual function and less difficulty with erections, and should be explored after more serious causes of erectile dysfunction are ruled out. “If the sexual problem persists, the patient should see a sexual medicine specialist.”

Congressional Leaders And Men’s Health Network Emphasize The Importance Of Men’s Health

Congressional leaders and their staffers will set an example of health prevention by kicking off a week- long celebration of National Men’s Health Week.

The 10th annual Congressional screening event, hosted by the Men’s Health Network (MHN), is designed to stress how simple, pain-free diagnostic tests can save lives.

NMHW celebrated each year during the week ending on Father’s Day-sponsors activities across the country, bringing together corporations, government agencies, religious and fraternal organizations, as well as others committed to the prevention and treatment of men’s health issues. Hundreds of groups across the country host events during June to celebrate NMHW and help ensure a healthier future for our nation.

For the past nine years, health screenings have been offered on Capitol Hill during NMHW, with more than 700 Members, staffers and employees participating each year. “We’re pleased that Congress continues to take such an active role in emphasizing men’s health,” Scott Williams, Director of Professional Relations and Public Policy for MHN. “The purpose of National Men’s Health Week is to heighten awareness of health problems and encourage early detection and treatment of disease among men and their families. The support of Congress and NMHW participants nationwide has enabled awareness of men’s health issues in communities across the country.”

Additional support comes from the more than 45 governors who declare Men’s Health Week in their states. Copies of many Governor’s proclamations can be found at http://www.menshealthweek.org. Also, Senator Crapo and Congressman Cummings have sponsored resolutions recognizing NMHW, and the Congressional Men’s Health Caucus, founded and chaired by Congressmen Fossella and Hill, will also help to raise awareness.

Men’s Health Network is a non-profit educational organization comprised of physicians, researchers, public health workers, other health professionals, and individuals. MHN is committed to improving the health and wellness of men and their families through education campaigns, data collection and work with health care providers to provide better programs and funding on men’s health needs.

Aging Male Syndrome (AMS)

Rob was 42 when he divorced his first wife and married a woman 10 years younger than he. He was looking forward to starting a new life, with a new wife and a new job, in a new area. After twelve years of marriage, the dream was becoming a nightmare. He was 35 pounds overweight and feeling “fat and old.” He felt his career was stalled, and he didn’t feel any fire for what he might want to do in the future. He alternated between passive withdrawal and angry outbursts. He had difficulty sleeping and would get up four our five times a night to urinate. His sex life had greatly diminished and what remained, seemed more often, done out of habit than passion. He admitted he was having erection problems and told me, with terror in his voice, that for the first time in his life, it seemed that he was finding reasons not to have sex, even when his wife was interested. There was constant conflict at home with his wife and children. It seemed, he said, like his wife was critical of everything he did, and he felt more like one of the unruly kids than a husband and father. (From Male Menopause by Jed Diamond)

Rob fits the profile of a man with aging male syndrome (AMS), also called male menopause, andropause, viropause, male climacteric, and late onset hypogonadism . Men go through AMS between the ages of 35 and 65 (normally between 40 and 55) when their hormone levels (especially testosterone) go down. Testosterone is a hormone that helps maintain sex drive, sperm production, pubic and body hair, muscle, and bone. Testosterone levels decrease over time. This decline is normal in healthy males as they age. Unlike women who lose their fertility (ability to get pregnant) when they reach menopause, men do not lose their fertility. All men have different experiences� � � � � � � � some men’s hormone levels go down more than others, and some have more symptoms than other men.

A decline in testosterone can affect a man’s body. AMS has many signs:

• Feeling fat/weight gain
• Problems sleeping
• Less interest in sex
• Feeling irritable or angry
• Loss of motivation
• Loss of drive at work
• Erection problems
• Nervousness
• Problems with memory and concentration
• Indecisiveness
• Lower self-confidence
• Tiredness
• Muscle loss
• Increased urination
• Depression
• Mood swings
• Loss of energy
• Bone loss
• Hair loss

Male Impotence Myths

Impotence Information

Many of the myths and legends about impotence, borne out of ignorance thousands of years ago, still influence our sexual culture. Primitive cultures believed that male virility was intricately interwoven with power, wealth and domination.

It’s not surprising that beliefs still persist in a number of cultures that to lack virility, or worse still, to be impotent, is to lack the very essence of life. Manhood and the “ability to perform” are inextricably linked, so impotence is viewed as a “lack of manhood.”

Despite the fact that the twentieth century brought about radical changes in gender roles, on ethnic, economic, social and cultural levels, sexuality and impotence are still shrouded in mystery, secrecy and a good deal of confusion.

“Real men” don’t experience impotence

All men over the age of 30 experience impotence as least once in their lifetime. It’s estimated that over 150 million men worldwide have impotence; in fact, reports suggest this figure could be as high as 300 million or more. Estimating the numbers is difficult because less than 2 men in 10 seek treatment for impotence problems.

Impotence (or erectile dysfunction) is defined as the inability to produce and maintain an erection sufficient for sexual intercourse. Impotence is not considered to include lack of libido, inability to ejaculate or achieve orgasm, a lack of strength or the loss of “manhood”.

Impotence is “all in the mind”

Less than 20% of impotence cases have a primary psychological cause. The majority of men with impotence have an underlying physical condition such as diabetes, heart disease, high blood pressure or prostate cancer. Stress, anxiety and loss of self-esteem are often secondary psychological factors that occur if the impotence remains undiagnosed and untreated.

Impotence is a natural part of growing old

Although it’s evident that the chances of experiencing impotence increase with age, this is largely due to the increased risk of having an underlying physical condition such as diabetes, high blood pressure or heart disease. To compound this factor, a number of medications prescribed for these conditions can cause impotence.

There is no “cure” for impotence

Although medical science hasn’t come up with a permanent “cure” for impotence, a number of very effective therapies are available. Oral medications such as Viagra have revolutionized the treatment of impotence, however impotence pills don’t work for everyone. Other safe and effective treatments include vacuum pumps, injections and penile implants.

Once the impotence is effectively treated, most men go on to lead active, satisfying sex lives.

Impotence is a man’s problem

Both partners in a relationship can experience problems when impotence goes untreated. Often failure to communicate and denial of the problem lead to depression, anxiety, and lack of self-esteem for both partners. A tendency to avoid sexual contact can often leave the partner feeling unloved, unattractive and unwanted.

Impotence is too embarrassing to discuss with anyone

A number of men find it very difficult to discuss any problems they may be experiencing, particularly impotence. Impotence can often be the symptom of an underlying medical condition and won’t simply “go away” if it remains untreated.

Once the condition is diagnosed, suitable treatment can begin immediately and the problem can usually be alleviated.

Erectile Dysfunction Drugs Prove Effective, Safe for Men With Diabetes

Popular drugs used to treat erectile dysfunction � � � � � � � � Viagra, Levitra and Cialis � � � � � � � � are safe and effective for men with diabetes, a new review has found.

The introduction of the medications known as phosphodiesterase type 5 (PDE-5) inhibitors to the market has changed the way physicians manage their patients with erectile dysfunction. The drugs have been shown to be quite effective in treating the condition in the general population and the number of men requesting them has soared in recent years.

The aim of the systematic review, however, was to determine whether PDE-5 inhibitors such as sildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis) are also a safe and effective option for men with diabetes. Although diabetes can causes a variety of other chronic complications, such as heart disease and high blood pressure, PDE-5 inhibitors were shown not to cause many adverse reactions in this group.

At the end of the studies, men who took PDE-5 inhibitors showed improvements on all measures of erectile function, with an average difference of 26.7 percent more “successful intercourse attempts” compared to placebo groups.

The review appears in the current issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates research in all aspects of health care. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing trials on a topic.

“The results of our meta-analysis are not surprising, but give strength to the general notion that this class of drugs is efficient and safe for this specific wide population,” said lead author Moshe Vardi, M.D., with the internal medicine division at Lady Davis Carmel Medical Center in Israel.

The Cochrane reviewers analyzed eight studies that compared the effectiveness of the three PDE-5 medications to placebo. A total of 1,759 men were recruited � � � � � � � � with roughly half randomized to receive PDE-5 inhibitor therapy and the rest to the placebo group. Overall, 80 percent of the participants had type 2 diabetes and the others had type 1 diabetes.

Most of the studies lasted for 12 weeks, with no significant differences among treatment groups with regard to age, medical history, other prescribed medications or severity or duration of diabetes or erectile dysfunction.

Erectile dysfunction is defined as the repeated inability to get or maintain an erection firm enough for sexual intercourse. According to the National Institute of Diabetes and Digestive and Kidney Diseases, men who have diabetes are three times more likely to have erectile dysfunction than men who do not have diabetes.

Taken an hour before sexual activity, PDE-5 inhibitors work by enhancing the effects of nitric oxide, a chemical that relaxes smooth muscles in the penis during sexual stimulation and allows increased blood flow.

“PDE-5 inhibitors have been considered the mainstay of treatment for erectile dysfunction in the general population for many years,” said Vardi. “Diabetics are prone to this complication, and the etiology of their erectile dysfunction is multifactorial, thus making their treatment a special challenge for physicians and other health care professionals.”

No deaths were reported in any of the included trials; the most common side effects for men in the treatment groups were headache, flushing and upper respiratory tract complaints and flu-like symptoms. The overall risk for developing any adverse reaction was 4.8 times higher in the PDE-5 group than in the control group.

As with any drug therapy, the Cochrane reviewers caution that men should use PDE-5 inhibitors only as directed by their physicians.

“These drugs can be taken on an ‘as needed’ basis, as their half-life spans from several hours to 48 hours at most,” said Vardi. “Patients should also consult their physicians for drug-drug interactions and specific contraindications.”

While this review supports the short-term safety of these medications for men with diabetes, experts say as yet there is no concrete evidence whether these medications are safe for the long term.

“I prescribe PDE-5 inhibitors every day to people with diabetes,” said John Buse, M.D., director of the Diabetes Care Center at the University of North Carolina School of Medicine. “But whether they are safe [in the long term] is the essential quandary of all medical care. We make our best guesses based on imperfect information, hopes and fears. And then we monitor progress. I am impressed that patients with diabetes in my practice in 2006 are living much better lives and perhaps longer lives than they did 10 years ago.”

Men With ED Favor Treatment With Vardenafil

Vardenafil and Erectile Dysfunction Treatment

Research published in The Journal of Sexual Medicine and presented at the 12th World Congress of the International Society for Sexual Medicine in Cairo, Egypt is unique in that the data is from a head to head trial of PDE5 inhibitors used to treat patients with erectile dysfunction (ED), designed to minimize bias toward either study drug. The study was a randomized, double-blind, crossover, head-to-head clinical trial that compared vardenafil and sildenafil treatment in men with� � erectile dysfunction and diabetes, hypertension, and/or hyperlipidemia. The results demonstrated that vardenafil achieved nominal statistical superiority over sildenafil for several frequently used efficacy measures, and non-inferiority of vardenafil to sildenafil as measured by various assessments of patient satisfaction and patient preference.

A total of 1,057 men participated in the study, which involved treatment using each drug for four weeks, with a one-week washout period in between. Patients were asked: “Overall, which medication do you prefer?” along with 11 other preference questions relating to their� � erectile dysfunction treatment. Additional efficacy assessments using established scales were also used in analysis.

Data showed that 38.9% preferred vardenafil compared to 34.5% sildenafil (26.6% had no preference). Vardenafil was significantly superior to sildenafil in terms of erectile function, intercourse satisfaction and overall satisfaction. There were also a significant higher percentage of positive responses for vardenafil with regards to erection hardness for penetration, maintenance of erection, maintenance until completion, and erection confidence.

“This study represents an important step forward in our understanding of the clinical differences between PDE5 inhibitors, confirming the efficacy of vardenafil for men with erectile dysfunction,” explains Irwin Goldstein, study co-author and Editor-in-Chief of The Journal of Sexual Medicine.

There are currently three PDE5 inhibitors available to treat erectile dysfunction: sildenafil, tadalafil and vardenafil, all of which have previously demonstrated efficacy and tolerability in a range of patient populations, according to researchers.

Data from head-to-head clinical trials, like this one, are scarce. However, results from studies such as this should help clinicians to differentiate among sildenafil, vardenafil, and tadalafil and to select the most appropriate for individual patients.