Diabetes sexual dysfunction treatment exercises,how to grow food for your chickens,communication skills are best understood you - PDF 2016

Men with long-standing diabetes are at risk of developing Erectile Dysfunction (ED), but it is imperative to understand that these complications can be avoided as well as managed with adequate precautions, treatment modifications and supplemental support. ED can be defined as the inability to sustain an erection adequate enough to successfully complete the act of sexual intercourse. Needless to say that poorly addressed erectile dysfunction may lead to deleterious effects on the relationships, mental health and physical wellbeing. Talking about erectile difficulty and sexual dysfunction is understandably a very cumbersome issue for some males, but it is highly recommended to share your concerns and any recent changes in the quality of your sex life with your primary care provider. Patient Education: The risk of diabetic complications can be significantly reduced with patient education and training. Counseling regarding the cause of erectile dysfunction and treatment options: Healthcare providers also helps in ascertaining the cause of ED in your case and may offer relevant information regarding different treatment modalities. Therapeutic and Pharmacological Options: In a number of cases, erectile dysfunction is due to side-effect of one or more pharmacological agents.
Ask your physician to prescribe you a suitable medicine from a very wide range of available medications. Other medicines. If oral tablet is contraindicated in your case, then your doctor may prescribe a suppository to be placed in the cleft at the summit of the penis prior to intercourse or an injectable to be injected into the bottom of the penis.
Vacuum-constriction appliance: In case if the oral formulations fail to deliver required results, a hollow tube like device is often used which lures the blood into the penis to create a normal erection.
Penile implants. If drugs and the pump both fail, then a synthetic penile implant can be surgically implanted. Psychotherapy: Normal erection is the product of optimal physical stimulation as well as psychological excitation.
Other causes of psychological stress; such as marital discord, neglect from the partner, hatred for the partner etc.
Lifestyle choices: Try to modify your lifestyle and try not to underrate the importance of these modifications. Quit smoking. The usage of tobacco in any form can lead to thinning of the lumen of your blood vessels.
Daily workout.It makes the over-all blood flow better alleviating temper, gives energy boost and shed off stress. Combat weariness.Adequate sleep and justified intercourse is going to help with prolong erection. Colorado Springs ED TreatmentLow T Medical Clinic offers premium erectile dysfunction treatment programs. At the Colorado Springs Low T Medical Clinic, we understand that erectile dysfunction can be the result of numerous reasons.  We are dedicated to finding what is causing your erectile dysfunction, and seek to offer a private and effective way to treat it. The sooner you can treat erectile dysfunction, the less impact it can have on your life.  Our doctors at the Colorado Springs Low T Medical Clinic understand how difficult it can be to admit to having issues like erectile dysfunction, and strive to provide a safe, private environment where you can speak freely with your doctor. There are many different reasons that could be the cause of erectile dysfunction, but there are also a large variety of possible solutions to it.  Our doctors understand that there is no single treatment that will work for all men who experience erectile dysfunction, and will work with you to identify the cause and create a treatment plan designed specifically for you. Enter your e-mail below to sign up for our newsletter to receive monthly health tips and news. In compliance with the Americans with Disabilities Act, qualified interpreters and other auxiliary aids and services are available free of charge to people who are deaf or hard-of-hearing.
Even if you are young, diabetes is likely to increase your chances of developing erectile dysfunction compared to men who do not have diabetes.
Men having heart related problems can find it difficult to take certain medications as they can be inappropriate and potentially dangerous. The vacuum constriction device uses a cylinder (acrylic) placed over the penis with the help of a lubricant. Hard Rock - Erectile Dysfunction TreatmentHard Rock Shocks the Medical Community With Better and Longer Lasting results Compared To Other ED Products In The Pharmaceutical Industry.Did You KnowImpotence, or the medical condition described as erectile dysfunction and often referred to as male dysfunction, affects 90% of men at some point in their lives.
Home Remedies for Erectile Dysfunction (ED) Erectile dysfunction (ED), also known as impotence, is a very common health problem. Countless men suffer from erectile dysfunction (or ED), the inability to get or maintain an erection. Hashmi Dawakhana came into existance in 1929, foundations laid by Late Hakeem Mehtab-uddin Hashmi, having a clear vision towards bringing quality Natural Medicine for society at large. Same day appointments Monday – Saturday. Just text 949-954-8185 with name and time of visit or call 714-558-8033. By asking questions about VIAGRA (sildenafil citrate) and ED, you can help make the most out of your VIAGRA Talk. But an equally important reason for talking with your doctor about ED is that it can be related to more serious health conditions such as high blood pressure,atherosclerosis, or diabetes. If there is a psychological cause of ED, the doctor can help you find a professional to address psychological issues. Our physicians, and medical staff work together with you to assure you of the best outcomes. Without sexual stimulation to trigger the release of nitric oxide, the erection process will not be able to occur.
The Doctors at Steady Care Medical take as much time as necessary to assess your needs and provide you with medical advice with recommended treatment.
The goals of patient evaluation, are to assess the likely cause of the erectile dysfunction and identify medical or psychologic conditions that may be contributing to the dysfunction or that may influence treatment options. Often one can get an excellent clue to the etiology by the history and physical examination which can then be tested by precise laboratory tests.
History and Clinical ExaminationAnatomic, psychogenic, endocrinologic, neurologic, and vascular abnormalities may all contribute to impotence.
A thorough history is the most important factor in the evaluation of the patient with erectile dysfunction.
Psychogenic disorders may occasionally be primary factors contributing to erectile dysfunction.
Once a concern with the patient's sexual function is identified, the next step is to differentiate erectile dysfunction from other sexual problems, such as loss of libido or ejaculatory problems. The full 15 question IIEF which helps in distinguishing what type of sexual dysfunction is present can be accessed here. The shortened 5 question IIEF which helps in judging the severity of true erectile dysfunction can be accessed here.



Early recognition of psychogenic disturbances allows the physician to avoid costly and confusing evaluation for other etiologies of impotence. Because impotence is known to be associated with many common medical conditions and medications, a careful medical history may yield insights into the etiology of impotence.
Careful physical examination with particular attention to sexual and genital development may occasionally reveal an obvious cause of impotence.
The cardiovascular examination should include assessment of vital signs (especially blood pressure and pulse) and signs of hypertensive or ischemic heart disease. In many cases, a careful history and physical exam will direct the physician to the most expedient cost-effective evaluation and eliminate the need for unnecessary diagnostic tests. Based on the statistics reported by Thorve (1) and colleagues, the prevalence of ED in diabetic males is more than 50%.
In cases of severe involvement, this may presents with moderate to severe erectile dysfunction.
However, in males over 50 years, more than 55% diabetic males report some degree of sexual dysfunction. However, experts suggest that timely measures can be taken to taper of these negative effects and regain vitality.
Learning more about your disease status can help in devising functional strategies to obtain glycemic control. For example, research reported in American Journal of Therapeutics (3) suggested that erectile dysfunction is strongly related to some hypoglycemic agents, insulin therapy, anti-hypertensive drugs, cholesterol lowering drugs and anti-psychotics.
Common names of these medicines are Sidlenafil (revatio or Viagra), Vardenafil (staxyn or levitra) or tadalafil (adcirca or cialis).
Both these medicines work the same way as oral medicines and potentiate blood perfusion to the penile tissue for a sustained erection. The device is battery or manually operated and has a pump to be placed over the penis (also referred to as a penile pump, vacuum pump or penis-constriction vacuum device). Partially stiff or an expandable implant are commonly used because of their safety and efficacy in patients with ED. These changes can bring drastic improvement in erectile dysfunction and general well-being, both. Toxins and chemicals in cigarette smoke also interferes with the vascular system and depletion of nitrous oxide. Rescheduling and arranging your chores and setting an achievable target can help reduce the stress build up. The better you have rested, better will be the chances of effortless and sustained erection. It is evident to look for treatment options for a problem as ED which (can) affect up to 75% of men having diabetics and an astounding 95% of men above 70 years of age. Depending upon your health, tolerance and need, you can decide what treatment can best suit your situation.
Cialis, Staxyn, Levitra, Stendra and Viagra have been implemented successfully in treating ED among diabetes men. You may need some training in the second case (which your doctor can provide). Alprostadil can be your treatment option when you are responsive to other treatments or not inclined to implement vacuum pump therapy oral medications.
The intracavernous injection therapy is one such non-oral treatment method for dealing with ED. Psychotherapy is another treatment option for men experiencing erectile dysfunction.
The sex therapist implements ‘assignments’ with the patients which may help healthy men having normal erection while sleeping.  Sex therapy is likely to help men experiencing erectile dysfunction due to stress as financial worries and relationship conflicts. It helps your doctor get the information he needs to find out if you have ED and to decide if VIAGRA is right for you. There could be any number of reasons for it, ranging from fatigue, stress, or even side effects of a new medication.
Unfortunately, some men are reluctant or embarrassed to discuss sexual matters with their doctor. Once an underlying condition is identified, treating it may also resolve the problem with erections.
During your initial visit our doctors will speak with you and evaluate you, and your medical history and other relevant information. The most effective and most thorough evaluations, diagnosis, counseling and treatment planning for psychiatric disorders are done by licensed physicians or psychiatrists with special medical training. At the same time, some have multiple causes, such as a person with diabetes who is also on certain antihypertensive medications. Therefore, the evaluation of impotence begins with a comprehensive history and physical examination. Recognition of these patient characteristics should lead the clinician to entertain the possibility of a primary psychogenic etiology of impotence.
The physician should use appropriate vocabulary, avoiding slang or excessively technical terminology. Moreover, many patients complain of erectile dysfunction when they mean something lese such as premature ejaculation etc., and again this needs to be recognized before embarking on the detailed evaluation. Particular attention should be given to the cardiovascular, neurologic and genitourinary systems, as these systems are directly involved with erectile function. Careful examination of the penis may reveal an anatomic abnormality such as a micropenis, the presence of chordee, or a Peyronie's plaque. Abdominal or femoral artery bruits and asymmetric or absent lower extremity pulses are indicative of vascular disease. Patients with diabetes or neurodegenerative disorders may show evidence of peripheral neuropathy.
Erectile dysfunction (ED) shares several modifiable risk factors with cardiovascular disease, including atherosclerosis, hypertension, hyperlipidemia (high cholesterol, elevated triglycerides, and other blood lipid markers), diabetes, smoking, obesity, and sedentary lifestyle.
According to another study, published in The Journal of Sexual Medicine (2), the risk of ED can be as high as 90% in males who have 2 or more positive risk factors (discussed under the following section).
Optimal regulation of blood sugar levels can decrease the risk of nerve damage and may help in reversing ED. If you are experiencing sexual dysfunction, it is highly recommended to speak to your doctor regarding dose modification, drug adjustment or other alternative options. Evaluation of erectile dysfunction therapy in patients previously nonadherent to long-term medications: a retrospective analysis of prescription claims.


Choice can depend upon various factors which can be ascertained after due consultation with a doctor. It can be administered as intracavernosal injection (given as injection into penis) or intraurethral application (given as a pellet into the urethra). However, men intending to opt for this treatment should have well controlled diabetes in order to undergo surgery. At times psychological impotence is a problem, but physical factors are dominating too often.You are not alone. ED may also be the result of prostate surgery or other treatments, such asradiation therapy for cancer. But as long as it’s temporary and only happens occasionally, an erection problem is not generally a cause for concern. In nearly 75% of cases of erectile dysfunction there is a physical reason for the erection problem. As a result, they miss an opportunity to get the help that could resolve their problem with ED, or even worse, miss the opportunity to discover and address a potentially serious health issue that may be causing ED.
If we believe we are not able to help with your situation effectively, we have a list of experienced referral clinics and psychiatrists. Ultimately, you can rest assured that your needs will be taken care of one way or another.
Since we are all in this together, we are fully committed to helping you and teaching you effective strategies that can last a lifetime. S Care does not take insurance which means that it deals and works directly with Patients and NOT with Insurance companies.
A careful sexual history and knowledge of concurrent illnesses and medications are essential. Having the patient define the terms in his own words will help the physician and patient communicate more effectively. Many common medications such as psychotropic drugs and antihypertensives have been associated with impotence. Your doctor will always advise you a peculiar model and brand permitted by Food & Drug Administration (FDA) in lieu of your condition. This device is not useful for men having bleeding disorder or consuming anticoagulants for some reason.
Some men, however, especially as they get older, experience a more frequent and longer lasting problem with erection known as erectile dysfunction or ED. If you are a man experiencing ED, here is information to help you talk about erectile dysfunction with your doctor. Next, we will work with you to customize a treatment plan together that is specifically tailored to your needs. At SCMC if the Doctors do not treat you, you pay nothing (applies only to non-opiate patients) which means our consultations are risk free.
The sexual history should include the duration of impotence, level of libido, and a complete inventory of sexual partners. The International Index of Erectile Function (IIEF) is a valuable tool for defining the area of sexual dysfunction.
Similarly, a patient's surgical history may also provide clues to the possible causes of impotence. Certain genetic syndromes such as Kallmann's or Klinefelter's syndrome may present with obvious physical signs of hypogonadism or distinctive body habitus.
The superficial anal reflex, indicative of normal somatic function of sacral cord levels S24, is assessed by touching the perianal skin and noting contraction of the external anal sphincter muscles. Testosterone supplementation in men with type 2 diabetes, visceral obesity and partial androgen deficiency. Hard Rock not only helps you combat erectile dysfunction or impotence but also increases your overall sexual performance and desire. Medications which act upon the nervous system, like antidepressants, are also notorious for reducing libido. The IIEF is designed to be a self-administered measure of erectile dysfunction, but it also assesses a patient's function in other phases of sexual function. Prior radical pelvic surgery (eg, prostatectomy, abdominoperineal resection), radiation, and pelvic trauma are known to be associated with impotence. Use it as a motivation to make necessary lifestyle changes, and make sure to have your heart evaluated by a doctor.
In addition, it enhances orgasm pleasure and provides faster results without compromising on your health or causing any harmful side effects.
The IIEF also establishes a reliable baseline that can be used to monitor changes related to treatment. It is performed by placing a finger in the rectum and noting contraction of the anal sphincter and bulbocavernosus muscle when the glans penis is squeezed.
Oral testosterone undecanoate reverses erectile dysfunction associated with diabetes mellitus in patients failing on sildenafil citrate therapy alone. This “natural Viagra” works by increasing Nitric Oxide in the blood, which leads to the vasodilatation of the penile arteries.
Respecting your privacy and keeping your medical records secure and intact is always our concern, and will always be upheld and observed in serving you. Consult with your pharmacist or doctor regarding substituting alternate medication without these effects.Limit alcohol consumption. Keep your heart and arteries in good condition by maintaining a healthy weight, and following a diet high in fruits, vegetables and whole grains. Regular aerobic exercise can both improve blood flow to the genitals and reduce the stress that can contribute to ED.Deal with anxiety, depression and stress. Talk with your partner openly and honestly about your needs – and their needs – to help ease relationship tensions and avoid resentment and misunderstandings.Don’t worry about your age. Sexual activity needn’t end because of age – that’s a myth you can discard.TRY HARD ROCK AT NO RISK TO YOU!



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