Erectile dysfunction blood tests johannesburg,juno in leo 2014,what is in a dental first aid kit 0929 - Easy Way

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. All of my contacts with your staff, clerical, nurses and doctors have far exceeded my expectations. With 7 locations in Central Virginia, there's a Virginia Urology location convenient to you. High blood sugar, which must be managed carefully if you have diabetes, causes blood vessel and nerve damage. According to the American Diabetes Association, 73% of adults with diabetes have high blood pressure or take blood pressure medication.
It’s normal to feel embarrassed or anxious if you are experiencing erectile dysfunction (ED). National Male Medical Clinics have helped thousands of diabetes patients regain their ability to achieve and maintain fully penetrable erections. The diagnosis of erectile dysfunction or impotence is made by a specialized doctor (urologist).
The next test offered by the doctor may be the function of the nervous system in the penis determination that is based on the penile reflex. Erectile dysfunction is a disorder which often associated with conditions causing to poor blood flow.
Sexual arousal in a man is a complex of things involving hormones, nerves, blood vessels and brain work. Erectile dysfunction (ED) occurs when a man has consistent and repeated problems sustaining an erection. There are several forms of male sexual dysfunction, including poor libido and problems with ejaculation. Surgery, including treatments for prostate cancer, bladder cancer, or BPH can sometimes damage nerves and blood vessels near the penis. ED may be a side effect of medication, including certain blood pressure drugs, antidepressants, and tranquilizers. To diagnose ED, your doctor will ask you questions about your symptoms and medical history. While pills for ED are convenient, some men sustain stronger erections by injecting medication directly into the penis.
If ED is caused by a blockage in an artery leading to the penis, surgery can often restore blood flow. Patient information: See related handout on erectile dysfunction, written by the author of this article. 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. They have been the most caring and professional medical group I have ever had the pleasure to deal with. According to the American Diabetes Association, diabetes often goes undiagnosed because many of its symptoms seem so harmless. The combination of high blood pressure and diabetes also increases the risk for blood vessel damage, further reducing blood flow. Anxiety compounded with a complex medical problem may make you feel discouraged and may make the ED worse. This restores confidence that they are able to engage in satisfying sexual relations with their partner.
Penile Doppler Ultrasound test allows the urologist to analyze the type of impotence (an inflow or outflow type of ED). Special tests show the ability to maintain and keep an erection, which is a reflex in the man’s organism.



Nocturnal penile tumescence (NPT) testing is a portable way of electronically monitor rigidity, frequency and possible changes during sleep. This test defines electomagnetic oscillation for the determination of the sensitivity and function of the balanus and body of the penis.
The percentage of complete ED increases from 5% to 15% as age increases from 40 to 70 years. Men who have diabetes are two to three times more likely to have erectile dysfunction than men who do not have diabetes.
Smoking, excessive drinking, and drug abuse may damage the blood vessels and reduce blood flow to the penis. In some cases, the nerve damage is permanent, and the patient will require treatment to achieve an erection.
Men should talk with their doctor if they suspect a prescription or over-the-counter drug may be causing erectile problems. The doctor will conduct a complete physical exam to uncover signs such as poor circulation or nerve trouble. Measuring testosterone levels can determine whether there is a hormonal imbalance, which is often linked to decreased desire. One study suggests ED is a strong predictor of heart attack, stroke, and death from cardiovascular disease. Giving up smoking, losing weight, and exercising more often can help by improving blood flow.
Drugs approved for this purpose work by widening the blood vessels, causing the penis to become engorged with blood.
Good candidates are typically younger men whose blockage stems from an injury to the crotch or pelvis.
A therapist can teach the man and his partner techniques to reduce performance anxiety and improve intimacy. The incidence increases with age and affects up to one third of men throughout their lives. It often has a profound effect on intimate relationships, quality of life, and overall self-esteem. ED affects up to one third of men throughout their lives, and the incidence increases with age. A normal sexual erectile response results from the interaction between neurotransmitter, biochemical, and vascular smooth muscle responses initiated by parasympathetic and sympathetic neuronal triggers that integrate physiologic stimuli of the penis with sexual perception and desire.
History and physical examination are sufficient in making an accurate diagnosis of ED in most cases. 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. In most cases of ED, it can be contributed to or caused by smoking, diabetes, high blood pressure, prostate conditions, surgery and certain prescription medications.
Early detection and treatment can reduce the chance of developing complications of diabetes.
Erectile dysfunction can be caused by different factors such as: heart diseases, diabetes, and high blood pressure. Lessened or no sensitivity to electomagnetic oscillation proves the existing problems with pelvic nerves.
Among men with erectile dysfunction, those with diabetes may experience the problem as much as 10 to 15 years earlier than men without diabetes. Experts say stress, depression, poor self-esteem, and performance anxiety can short-circuit the process that leads to an erection. This area between the anus and scrotum contains arteries and nerves vital to sexual arousal. And your physician will look for abnormalities of the genital area that could cause problems with erections.
Blood cell counts, blood sugar levels, cholesterol levels, and liver function tests can reveal medical conditions that may account for ED. The researchers say all men diagnosed with ED should be evaluated for cardiovascular disease. If you suspect a medication could be contributing to ED, talk to your doctor about adjusting the dosage or switching to another drug. When an erection is desired, the man uses a pump to fill the cylinders with pressurized fluid. Asian ginseng and ginkgo biloba (seen here) are popular, but there isn't a lot of good research on their effectiveness. An investigation discovered the pills often contain prescription drugs not listed on the label, including the active ingredient in Viagra. Talking openly about ED will help your partner understand the diagnosis and treatment options. It causes a substantial negative impact on intimate relationships, quality of life, and self-esteem. Nitric oxide produced from endothelial cells after parasympathetic stimuli triggers a molecular cascade that results in smooth muscle relaxation and arterial influx of blood into the corpus cavernosum.
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. It is important to have your doctor diagnose and treat your diabetes before starting treatment with National Male Medical Clinics.
These serious conditions may affect seriously blood vessels and leave a negative impact on men’s potency. Being overweight and getting too little exercise also contribute to ED.  Studies indicate that men who exercise regularly have a lower risk of ED.


These factors can also make the problem worse in men whose ED stems from something physical. Cyclists who ride for many hours each week may benefit from seats designed to protect the perineum.
This does not mean every man with ED will develop heart disease, or that every man with heart disease has ED, but patients should be aware of the link.
They're generally taken 30-60 minutes before sexual activity and should not be used more than once a day. Another option is a malleable implant, which bolsters erections with surgically implanted rods. History and physical examination are sufficient to make a diagnosis of ED in most cases, because there is no preferred, first-line diagnostic test. An open-label trial found that patients preferred tadalafil and vardenafil over sildenafil,26 yet most evidence supports equal effectiveness between sildenafil and vardenafil.27 PDE5 inhibitors are generally well tolerated, with mild transient adverse effects of headache, flushing, dyspepsia, rhinitis, and abnormal vision. 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.
The Men’s Wellness Center of Virginia Urology offers a full range of diagnostic tests to determine the cause of ED.
Also, ED may be more common in Hispanic men and in those with a history of diabetes, obesity, smoking, and hypertension. Other conditions that may cause ED include cardiovascular disease, atherosclerosis (hardening of the arteries), kidney disease, and multiple sclerosis. Cialis can be taken up to 36 hours before sexual activity and also comes in a lower, daily dose.
An elastic band worn around the base of the penis maintains the erection during intercourse. Initial diagnostic workup should usually be limited to a fasting serum glucose level and lipid panel, thyroid-stimulating hormone test, and morning total testosterone level.
Headache is the most commonly reported adverse effect, occurring in approximately 10 percent of patients. 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.
Research shows that African-American men sought medical care for ED twice the rate of other racial groups. First-line therapy for ED consists of lifestyle changes, modifying drug therapy that may cause ED, and pharmacotherapy with phosphodiesterase type 5 inhibitors. Rare but important adverse effects include dizziness, syncope, and nonarteritic anterior optic neuropathy (predominantly from crossover phosphodiesterase type 6 inhibition). Our physicians offer lifestyle changes, medications, injections, vacuum devices and penile prosthesis as options for treating ED. PDE5 inhibitors should not be taken concomitantly with nitrates because this may lead to a synergistic effect, resulting in a potentially serious, even fatal, decrease in blood pressure. Our physicians have the most experience in Virginia with the penile implant.  If you are experiencing ED please give us a call, we are here to help you.
Phosphodiesterase type 5 inhibitors are the most effective oral drugs for treatment of ED, including ED associated with diabetes mellitus, spinal cord injury, and antidepressants. Intraurethral and intracavernosal alprostadil, vacuum pump devices, and surgically implanted penile prostheses are alternative therapeutic options when phosphodiesterase type 5 inhibitors fail. If you are interested in attending a program, please contact  our  Community Education Director, Penny Durrett at 804-521-8720. Testosterone supplementation in men with hypogonadism improves ED and libido, but requires interval monitoring of hemoglobin, serum transaminase, and prostate-specific antigen levels because of an increased risk of prostate adenocarcinoma.
Cognitive behavior therapy and therapy aimed at improving relationships may help to improve ED. Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Men receiving testosterone supplementation require more frequent monitoring of hemoglobin, serum transaminase, and prostate-specific antigen levels, and prostate examinations.31SURGICAL AND PROCEDURAL THERAPYAlprostadil (Caverject) is a viable second-line therapeutic option for the treatment of ED. Screening for cardiovascular risk factors should be considered in men with ED, because symptoms of ED present on average three years earlier than symptoms of coronary artery disease.
It should initially be administered in the physician's office at the lowest dose and sequentially titrated to an adequate erectile response while monitoring for syncope. Men with ED are at increased risk of coronary, cerebrovascular, and peripheral vascular diseases.
Common adverse effects of intracavernosal alprostadil include penile pain, edema and hematoma, palpable nodules or plaques, and priapism. Patients should be informed about the potential for occurrence of prolonged erections and should seek emergent medical evaluation for rigid erections lasting longer than four hours. Priapism is most commonly treated with aspiration of blood from the corpus cavernosum under local anesthetic. If this treatment is insufficient, then intra-cavernosal injections of phenylephrine should be performed with hemodynamic monitoring to watch for severe hypertension, tachycardia, or arrhythmia.Vacuum pump devices are a noninvasive second-line option (Figure 2). They are contraindicated in men with sickle cell anemia or blood dyscrasias, and in those taking anticoagulants. If used properly, adverse effects and potential risks are negligible, yet there may be a substantial learning curve. When first- and second-line therapies have failed, surgical implantation of an inflatable penile prosthesis can be considered in consultation with a urologist (Figure 3). Patients should be counseled regarding risks, benefits, and expectations of this procedure.
The AUA does not endorse penile venous reconstructive surgery or surgeries to limit venous outflow from the penis. Although these and other similar products claim to be free of any adverse effects, they have the same risks as PDE5 inhibitors.35BEHAVIOR THERAPYWhen there is no obvious medical etiology for ED, psychosocial factors should be explored.



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