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Treatment depends on the cause. Testosterone supplements may be used for cases due to hormonal deficiency. However, the cause is more usually lack of adequate penile blood supply as a result of damage to inner walls of blood vessels. This damage is more frequent in older men, and often associated with disease, in particular diabetes. sales cialis online When did you first notice symptoms of ED? Tobacco cravings Causticum Weakened sexual urges Vacuum devices The researchers at the Chinese University of Hong Kong believe that the root cause of both the erectile problems and the heart disease could be down to blood vessel damage caused by high blood sugar levels. They advise men who have impotency problems to see their doctor, as this appears to be a reliable warning sign of future health problems. Is the Implant Safe? But depending on the type of treatment selected, a prostate cancer patient can suffer some rather uncomfortable side effects, among them impotence and incontinence. online viagra The likelihood of erectile dysfunction also varied with the severity of restless legs symptoms, researchers found. Men who had restless legs 5 to 14 nights per month were 16 percent more likely to have erectile dysfunction compared to men without restless legs, while men with more than 15 nights of restless legs symptoms had a 78 percent higher chance of erectile dysfunction. Erection problems are common in adult men. In fact, almost all men experience occasional difficulty getting or maintaining an erection. In many cases, it is a temporary condition that will go away with little or no treatment. In other cases, it can be an ongoing problem that can damage a man's self esteem and harm his relationship with his partner, and thus requires treatment. Alprostadil: The Recent Development OBJECTIVE: Depressed men commonly have erectile dysfunction, and men with erectile dysfunction are frequently depressed. Since the etiologic and modulatory relationships between depression and erectile dysfunction have been poorly characterized, a 12-week, randomized, double-blind, placebo-controlled trial was conducted at 20 urologic clinics to evaluate the effects of sildenafil treatment in men with erectile dysfunction and mild-to-moderate comorbid depressive illness. METHOD: Men (N=152, mean age=56 years) with erectile dysfunction for =" src="/math/ge.gif"6 months (mean=5.7 years), a DSM-IV diagnosis of depressive disorder not otherwise specified, and a Hamilton Depression Rating Scale score =" src="/math/ge.gif"12 (mean at baseline=16.9) were randomly assigned to flexible-dose treatment with sildenafil citrate or matching placebo. Interviewer-rated and self-report instruments were used to assess changes in sexual function, depressive symptoms, and quality of life. Conservative criteria were used to classify erectile dysfunction treatment response and nonresponse. RESULTS: Sildenafil was strongly associated with erectile dysfunction treatment response. Fifty-eight men met the conservative criteria for response (48 given sildenafil, 10 given placebo), and 78 men did not respond (18 given sildenafil, 60 given placebo). Mean decreases of 10.6 and 2.3 in Hamilton depression scale scores were seen in treatment responders and nonresponders, respectively; 76% of treatment responders showed a =" src="/math/ge.gif"50% decline in Hamilton depression scale score versus 14% of nonresponders. Quality of life was similarly improved in treatment responders. CONCLUSIONS: Sildenafil is efficacious for erectile dysfunction in men with mild-to-moderate depressive illness. Improvement of erectile dysfunction is associated with marked improvement in depressive symptoms and quality of life. buy viagra online Uncontrolled high blood pressure (greater than 170/110 mm Hg) Counselling is often a consideration, both where a psychological cause is suspected or must be ruled out, or to assist in management of any distress. Information from references 5, 6 and 7. Guilt: A man may feel guilty that he is not satisfying his partner.

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