Erectile dysfunction is a multidimensional but common male sexual dysfunction that involves an alteration in any of the components of the erectile response, including organic, relational and psychological. Roles for nonendocrine neurogenic, vasculogenic and iatrogenic and endocrine pathways have been proposed.
Owing to its strong association with metabolic syndrome and cardiovascular disease, cardiac assessment may be warranted in men with symptoms of erectile dysfunction. Minimally invasive interventions to relieve the symptoms of erectile dysfunction include lifestyle modifications, oral drugs, injected vasodilator agents and vacuum erection devices. Surgical therapies are reserved for the subset of patients who have contraindications to these nonsurgical interventions, those who experience adverse effects from or are refractory to "Byun woo min wife sexual dysfunction" therapy and those who also have penile fibrosis or penile vascular insufficiency.
This Primer highlights numerous aspects of erectile dysfunctionsummarizes new treatment targets and ongoing preclinical studies that evaluate new pharmacotherapies, and covers the topic of regenerative medicine, which represents the future of sexual medicine.
Erectile dysfunction medications are being prescribed frequently; however, little is known about the amount of sexual health screening occurring in this setting.
A retrospective cohort study evaluating sexual health and sexually transmitted infection screening occurring in veterans receiving initial erectile dysfunction medication prescription was conducted.
A total of patients received initial erectile dysfunction medication prescriptions between October 1,and December 31, ; had at least 1 health care provider visit 12 months before the date of initial prescription; and had no documentation of previous erectile dysfunction medication use.
Sexually transmitted infection screening was 9. Minimal sexual health assessment is being performed during the time surrounding initial prescription of erectile dysfunction medication. Further work needs to evaluate patient and provider barriers to basic elements of sexual health care, such as taking sexual histories or screening for sexually transmitted infections.
To educate healthcare professionals on the historical aspects, clinical diagnosis, and current treatment methods of psychogenic erectile dysfunction. A topic review of current literature was performed.
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Data from clinical studies, trials, and review articles concerned primarily with psychological aspects of the arousal erectile function phase of the male sexual response cycle were collected, analyzed,
Byun woo min wife sexual dysfunction summarized in this review article.
There has been a shift in how erectile dysfunction has been perceived and treated over the past 30 years. With the current focus now on the very prevalent organic causes of ED, psychological factors are increasingly overlooked, though they remain important to the treatment of the patient as a whole. This article provides a complete, concise review of the interplay between psychological components and erectile function, reviews the work-up and diagnosis of psychogenic ED, and discusses treatment methods.
Erectile dysfunction is a prevalent problem that can affect, and can be affected by, psychosocial aspects of a man's life. Medical or pharmacological interventions are often appropriate to treat ED, but the psychosocial aspects should not be ignored. It has become easier for practitioners to put aside patients' psychosocial and interpersonal concerns regarding sexual health. Clinicians provide the best possible treatment if they recognize that erectile dysfunction is a complex, multifactorial disorder, and treat accordingly.
Erectile dysfunction and sexual health after radical prostatectomy: The life expectancy of patients with localized prostate cancer at treatment initiation has increased, and post-treatment quality of life has become a key issue.
The aim of this study is to assess the impact of Radical prostatectomy RP on patients' sexual health and satisfaction according to sexual motivation using a self-administered questionnaire completed by two groups of RP patients, with high or lower levels of sexual motivation.
A total of 63 consecutive patients were included mean age, After RP, patients reported lower sexual desire Among the most sexually motivated patients, These rates were lower among less motivated patients Mean overall satisfaction score was 4. The score was significantly lowered in motivated than less motivated patients 3. In conclusion, RP adversely affected erectile and orgasmic functions but also sexual desire, self-esteem and masculinity.
The more motivated patients experienced greater distress and were less satisfied. Effects of moclobemide on sexual performance and nocturnal erections in psychogenic erectile dysfunction.
We tested the hypothesis that the selective reversible MAO-A inhibitor moclobemide has a specific therapeutic effect on erectile dysfunction independent of its antidepressive properties. In a double-blind placebo controlled study, 12 male outpatients suffering from psychogenic erectile dysfunction without any other psychiatric disorder were investigated. Based on comprehensive diagnosis before the beginning of the study, organic factors relevant for sexual function were excluded.
The treatment period was 8 weeks. Half the patients received mg moclobemide during the first week, and mg afterwards; the others received placebo. Apart from assessment of erectile function by means of the Clinical Global Impression CGI scale, nocturnal erections were measured under polysomnographic control at baseline and at the end of the treatment period.
The evaluation of the CGI scale revealed a clearly stronger improvement under moclobemide compared to placebo during the study period. The therapeutic efficacy found on the subjective level had no clear correlate on the neurophysiological level. No alterations of nocturnal erectile parameters were obvious under
Byun woo min wife sexual dysfunction, neither were clinically relevant alterations found regarding sleep EEG parameters.
The medication was well tolerated without serious adverse events. The findings support the hypothesis that moclobemide has a specific effect on erectile dysfunction. Thus, patients suffering from psychogenic erectile dysfunction who are not depressed might benefit from moclobemide without relevant side effects. Sexual activity, erectile dysfunction and their correlates among 1, older Chinese men
Byun woo min wife sexual dysfunction Southern China. Sang Woo Lyu Abstract: During...
Few studies on
Byun woo min wife sexual dysfunction and its correlates in adults have been conducted in Asia; most studies in Asia have focused instead on erectile dysfunction in men rather than sexuality or sexual activities. This study was conducted to evaluate the prevalence and factors associated with sexual activity and erectile dysfunction in elderly Chinese men aged 65 years and above.
Sexual activity and sexual functions were assessed using the International Index of Erectile Function Depressive symptoms were measured by the Chinese version of the Geriatric Depression Scale. Cross-sectional data from a large prospective cohort study of Chinese elderly men were used in this study. A questionnaire that included demographic, lifestyle, and medical risk factors and physical examination were administered to Chinese men aged between 65 to 92 years in Hong Kong. We showed that a large proportion of elderly men were not sexually active in Hong Kong.
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For those who were sexually active, most suffered from some degree of erectile dysfunction. Having clinically relevant depressive symptoms and LUTS were
Byun woo min wife sexual dysfunction associated with increased risk of erectile dysfunction. The atherogenic role of triglycerides TG remains controversial. The aim of the present study is to analyze the contribution of TG in the pathogenesis of erectile dysfunction ED and to verify the value of elevated TG in predicting major adverse cardiovascular events MACE.
An unselected series of 3, men attending our outpatient clinic for sexual dysfunction was retrospectively studied. Several clinical, biochemical, and instrumental penile color Doppler ultrasound; PCDU factors were evaluated. Among the patients studied, after adjustment for confounders, higher TG levels were associated with arteriogenic ED and a higher risk of clinical and biochemical hypogonadism.
Conversely, no association between TG and other sexual dysfunctions
Byun woo min wife sexual dysfunction observed. When pathological PCDU parameters-including flaccid acceleration Psychobiological correlates of women's sexual interest as perceived by patients with erectile dysfunction.
We have recently reported that the perceived loss of a partner's sexual desire is independently associated with an increased incidence of major cardiovascular events in patients with erectile dysfunction ED. No study has ever evaluated the specific impact of men's perception of women's sexual desire on male sexual function and lifestyle attitudes in ED subjects.
To evaluate the clinical correlates of the perception of a partner's sexual desire [hypoactive sexual desire HSD ] in a consecutive series of subjects seeking medical care for ED. A consecutive series of 2, heterosexual male patients mean age They also completed the Middlesex Hospital Questionnaire, a brief questionnaire for the screening of the symptoms of mental disorders.
Among the patients studied, After adjustment for confounding factors, the perceived women's HSD was associated with different sexuallifestyle, and relational factors. In particular, more extra-marital affairs, a longer and more hostile couple relationship, as well as a stressful job and both alcohol and smoking abuse were all significantly associated with perceived women's HSD.
In addition, the perceived women's moderate to severe HSD was significantly associated with severe ED and less frequent sexual intercourse. Finally, partner HSD was significantly associated with a stepwise increase of free-floating anxiety and depressive symptoms adj. Because the distributions of SAQ 2 for both groups were non. To estimate
Byun woo min wife sexual dysfunction prevalence of ED and related risk factors in a sample of the Brazilian male population.
Cross-sectional study was carried out with a convenience sample of 2, men, 18 years of age or older, using an anonymous self-administered questionnaire. ED prevalence in the sample was obtained
Byun woo min wife sexual dysfunction a general question which was directly derived from the ED definition. Data were submitted to chi-square or Student's t tests. Logistic regression analyses were used for risk factor calculations. Sang Woo Lyu Abstract: During...
The prevalence of ED was Subjects with ED presented lower self-esteem, hindered interpersonal relationships, fewer sexual intercourses per week, more extra-marital relationships, complaints of lack of libido and premature ejaculation. When compared with men aged years, men aged presented 2.
Age and lower socioeconomic level are directly proportional to ED risk. Therapeutic and preventive measures should be implemented to minimize the negative impact of this condition, especially in developing countries. Sexual desire, erectile dysfunction and the biomedicalization of sex in older heterosexual men.
To examine sexual desire in older age and the use of pharmaceuticals for sexual enhancement in the context of erectile dysfunction.
Reasons and predictive factors for...
Byun woo min wife sexual dysfunction the older person to fulfil sexual desire has not been well supported in Western society. The paper draws on themes that emerged during a phenomenological study of sexual desire in older age. Emergent themes reveal that for some older people, the biomedicalization of sex can be a disappointing experience. The findings illuminate the need for nurses who are at the front line of health care, health policy makers and educators, to consider sexual desire experienced in older age in the context of sexual health and healthy ageing.
This study will contribute to a growing body of knowledge about sexual desire in older age. The 15 questions International Index of the Erectile Function was sent by postal mail. The mean age of the responders was Mean duration of the disease was Sexual dysfunction was the second cause for consultation in urology.
Despite a sustained sexual desire, patients had an altered sexual function with low erectile function, orgasmic
Byun woo min wife sexual dysfunction, intercourse satisfaction and total satisfaction scores. Age, institutionalization and overactive bladder symptoms were associated with erectileorgasmic function and intercourse satisfaction alteration, sexual desire alteration, intercourse and global satisfaction alteration, respectively.
The sexual desire was usually maintained but all the other domains were severely altered. Min Kim, Seul Young Kim, Woo Sun Rou, Se Woong Hwang, and Byung Seok Lee corresponding author The erectile function of the patients was evaluated using the Korean version of IIEF Go to: In respect to sexual dysfunction and liver disease, most studies have been conducted in patients with.
Jae Sang Byun Sang Woo Lyu.
Timed intercourse (TI) during the fertile window of a woman's menstrual cycle has been widely The impact of impending TI on sexual dysfunction and the behaviour of male into a clean collection container after abstinence from sexual activity for a minimum of 48 h.
Reasons and predictive factors for discontinuation of PDE-5 inhibitors despite successful intercourse in erectile dysfunction patients. S-C Kim.