Erectile dysfunction age 34 2014,what is the best puppy food for pomeranians,erectile dysfunction in patients with chronic renal failure - You Shoud Know

Objective: To determine the frequency of erectile dysfunction in married male Type-2 diabetic patients.
Methods: The cross-sectional observational study was carried out at the Endocrinology, Diabetes and Metabolic Diseases Unit Hayatabad Medical Complex, Peshawar, from July 2011 to Apr 2012, comprising 217 male married Type-2 diabetic patients.
Conclusion: Poor glycaemic control was associated with increased erectile dysfunction risk.
Chronic hyperglycaemia represents the major biochemical abnormality in the diabetic patient and it has a role in both micro-vascular and macro-vascular diabetic complications.8 However, there is still disagreement about the role of glycaemic control as a risk factor for ED in diabetic men. There is hardly any study regarding the prevalence of ED in Type 2 Diabetes Mellitus (T2DM) patients in northern Pakistan. The cross-sectional observational study was conducted at the Hyatabad Medical Complex, Peshawar, from July 2011 to April 2012. The study was approved by the institutional ethics committee, and all participants gave informed written consent. Height and weight were measured with participants wearing lightweight clothing and no shoes.
The sample size was calculated using 75%20 proportion of ED in DMT2, 95% confidence interval, 6.77% margin of error under the World Health Organisation (WHO) software for sample size determination.
A total of 217 men completed the questionnaire and their clinical characteristics were noted (Table-1). The contribution of Drugs like B blockers, age, duration of diabetes, HbA1c,body mass index , hypertension, Atherogenic dyslipidaemia and smoking status score to risk of ED, based on multivariate logistic regression, is shown in Table-3. In this study, 211 of the 217 diabetic men had some degree of ED; out of which 45 had severe ED. A study showed that high cholesterol level is associated with ED,25 as also shown in our study.
In terms of limitations, the cross sectional nature of our study did not allow us to make inference above cause and effect and potential for a residual confounder by uncontrolled co-variates. This journal is a member of and subscribes to the principles of the Committee on Publication Ethics. ABCD sponsors treatment for those in need regardless of gender, race or creed, helping them to reach their full potential, to live life with dignity and to take their rightful place in their community. ABCD works through local Palestinian partners, the Bethlehem Arab Society for Rehabilitation (BASR) based in Beit Jala, The Sheepfold in Beit Sahour and two UNWRA Refugee Camps in Jalazone and Nour Shams. Funding is constantly needed for new projects and to update and refurbish existing facilities. This slide presentation covers basic science and clinical advances in treatment of erectile dysfunction, with emphasis on the cardiovascular patient.



The editorial content of this program does not necessarily reflect the views or recommendations of the University of Florida College of Medicine, Pfizer Inc, or the publisher.
This program was prepared and produced by Medical Education Consultants Inc, Westport, Connecticut, on behalf of the University of Florida College of Medicine through an unrestricted educational grant provided by Pfizer Inc. The VBWG Core Curriculum 2002 slide lecture program, Impact of vascular biology in treatment of cardiovascular disease, covers basic science and clinical advances in vascular biology in a spectrum of disorders. Duration of diabetes, older age, increased body mass index are associated with increased incidence of the condition in patients with diabetes. In our population, people seek physician's consultation for ED, but generally, due to lack of awareness among the diabetics, the treatment is denied. Some observational studies have shown that a poor glycaemic control, as reflected by higher values of glycated hemoglobin A1c (HbA1c), was associated with higher risk of ED,9-11 whereas other studies did not find any association.12-14 The reasons for these divergent results are not evident. The current study was designed to evaluate the frequency of ED in a population of diabetic men in this region. Married T2DM male patients who attended the outpatient department (OPD) were included in the study. In addition, participants were asked whether or not they had sought medical help for their problem and about previous use of medical treatment for ED. Body mass index (BMI) was calculated as weight (in kilograms) divided by standing height (in metres squared). Blood glucose, HbA1c and serum lipids were measured by enzymatic assays in the hospital's chemistry laboratory.
Besides, 44% of the patients had sought medical advice and 29% had used phosphodiesferase-5 (PDE-5) inhibitors in the past. In a study in Korea, it was mentioned that with increased duration of diabetes, ED increased as shown in our study.
We found that the presence of mixed dyslipidaemia, the so-called diabetic or atherogenic dyslipidaemia, was an independent risk factor for ED as shown in observational studies done in the United States and China.22,23 This form of dyslipidaemia is particularly present in the diabetic patient and is characterised by high triglyceride levels and low HDL-cholesterol levels. The major strength of our study is the validated measure of sexual dysfunction and relatively large number of subjects. Increased age, increase duration of diabetes and BMI were significant risk factors for developing ED. The frequency of drectile dysfunction increased with age, duration of patients and increased body mass index. Intensive lifestyle changes in the beginning can add to the better management of Type-2 diabetes and prevention of erectile dysfunction.
The inclusion criteria comprised a diagnosis of T2DM for at least 6 months, age between 28-75 years, and HbA1c of 6.5% or higher.


Waist-to-hip ratio was calculated as the waist circumference in centimetres divided by the hip circumference in centimeters.
Diabetes and sexual dysfunction: results from the Olmsted County study of urinary symptoms and health status among men. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study.
Do impotent men with diabetes have more severe erectile dysfunction and worse quality of life than the general population of impotent patients?
The multinational Men's Attitudes to Life Events and Sexuality study: the influence of diabetes on self-reported erectile function, attitudes and treatment-seeking patterns in men with erectile dysfunction. The prevalence and predictors of erectile dysfunction in men with newly diagnosed type 2 diabetes mellitus. The prevalence of hypertension, hyperlipidemia, diabetes mellitus and depression in men with erectile dysfunction. Development and evaluation of an abridged, 5-item version of the International Index of Erectile Dysfunction (IIEF-5) as a diagnostic tool for erectile dysfunction. Effects of weight loss intervention on erectile function in older men with type 2 diabetes in the look AHEAD trial. Association of glycemic control with risk of erectile dysfunction in men with type 2 diabetes. Total cholesterol and high density lipoprotein cholesterol as important predictors of erectile dysfunction. The exclusion criteria comprised patients with concomitant chronic diseases, including kidney, liver and cardiovascular diseases, recent acute illness, and any surgical procedure (spinal and urological). Arterial blood pressure was measured three times at the end of the physical examination with the subject in sitting position. Multivariate analyses were used to characterise the association between the usual risk factors for ED while adjusting for co-variates. In previous studies glycaemic control was reported to be positively and significantly associated with ED.9-11,22 In disease population of 792 diabetes men, as assessed by a study,23 HbA1c was an independent risk factor for severe ED. Results from the Exploratory Comprehensive Evaluation of Erectile Dysfunction (ExCEED) Database. Higher HbA1c levels and atherogenic dyslipidaemia were associated with erectile dysfunction.



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