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They are also reported in patients with cancer that does not directly effect sexual organs, including lung cancer (48% of patients), Hodgkin’s disease (50%), and laryngeal (%60) and head and neck cancers (39-74%). For more information, see Sexual Difficulties Associated with Cancer in Men. The predisposing factors for erectile dysfunction are as follows: Age; Medical conditions such as diabetes mellitus and cardiovascular disease; Neurological conditions including or arising from dementia, multiple sclerosis, stroke, or spinal cord or back injury; Pelvic trauma, prostate surgery, previous priapism, prolonged bike riding (> 4 hours/week, depending on seat and posture); Depression and stress; High blood pressure; Obesity; Increased cholesterol; Smoking; Certain drugs (some antidepressants, particularly SSRIs; diuretics; and others); Alcohol and recreational drugs such as cocaine and heroin may name for generic viagra initially stimulate sexual arousal, however long term use has been shown to lead to erectile name for generic viagra dysfunction. If a man has the risk factors for cardiovascular disease during middle age (smoking, obesity, high cholesterol), he is at an increased risk of developing erectile dysfunction. Exercise has been shown to have a protective effect. Around one third of men who experience erectile dysfunction find that, without treatment, it becomes worse over time. Around a third of men find that erectile dysfunction improves without treatment. Around half of men with severe erectile dysfunction remain impotent in the long term without treatment. These figures vary depending on the cause of the erectile dysfunction. Even if men choose not to pursue treatment for erectile dysfunction, it is important that they be investigated by a doctor, as erectile dysfunction may indicate an increased risk of viagra 1 tablet price cardiovascular disease. Temporary failure of erection is very common and is likely to resolve. If ongoing erectile dysfunction develops, viagra online overnight shipping the impact on relationships and self-esteem can be devastating. Men who suffer from erectile dysfunction are known to experience significant psychological distress. It is believed that sexual self-consciousness leads to: Increased appearance related anxieties; Interferes with attention, focus and concentration; Impairs physical performance; and Reduces awareness of our physiological arousals leading to sexual dysfunction. This improves when erectile dysfunction is successfully treated. While studies are limited, it has been shown that male sexual dysfunction can also negatively impact the sexual function of female partners. A study comparing the sexual function of women with partners with erectile dysfunction to those without showed that sexual arousal, lubrication, orgasm, satisfaction, pain and total score were significantly lower in those who had partners with erectile dysfunction. Later in that study, a large proportion of the men with erectile dysfunction underwent treatment. Following treatment, sexual arousal, lubrication, orgasm, satisfaction and pain were all significantly increased. It was concluded that female sexual function is impacted by male erection status, which may improve following treatment of male sexual dysfunction. It is essential to discuss erectile dysfunction with your doctor, so any serious underlying causes can be excluded and treatment options can be discussed. Many men are embarrassed discussing this issue with their doctor, or even their partner. Open communication with your doctor, and in your relationship, is important for effectively managing this common problem. Effective treatment for erectile dysfunction is available, and for most men will allow the return to a fulfilling sex life. The side effects of the treatment for erectile dysfunction vary depending on the treatment that is used. Some may interrupt the spontaneity of sexual activity. For example, PDE-5 inhibitors typically need to be taken one hour before sex. Side effects may include headaches, indigestion, vasodilation, diarrhoea and blue tinge to vision. Other treatments such as penile injections may cause pain at the injection site, or an erection that will not go down. Treatment options need to be carefully discussed with your doctor to determine which one is best suited to you. Following viagra online no rx a detailed discussion about the history of erectile dysfunction and its risk factors, your doctor will examine the testicles and penis to help determine the cause of erectile dysfunction. Your doctor will name for generic viagra check reflexes and pulses in the area to see if problems with blood vessels or nerves are contributing to the erectile dysfunction. If necessary, your doctor will order tests to help diagnose erectile dysfunction. Diagnosis is based on information provided to the doctor regarding the history of erectile dysfunction (how quickly it came on, how often it occurs, etc), the assessment of risk factors, and whether erections still occur overnight while a man is asleep. It is normal for a man to have 3-5 full erections overnight during REM sleep.
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