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NERI Research Findings Show That Erectile Dysfunction May Be Early Warning Of Future Cardiovascular Disease
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?4 The ? subunit is found in a number of cell types and tissues in addition to the photoreceptors and probably should not be called a photoreceptor PDE subunit because it can also bind to other proteins.
Impotence isn't a deadly disease, but it can signal other deadly health problems.
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Are there physical causes of erectile dysfunction? A prior history of cigarette smoking, heart attacks, strokes, and poor circulation in the extremities suggest atherosclerosis as the cause of the erectile dysfunction. Diminished sensation of the penis and the testicles, bladder dysfunction, and decreased sweating in the lower extremities suggest diabetic nerve damage. Loss of sexual desire and drive, lack of sexual fantasies, gynecomastia (enlargement of breasts), and diminished facial hair suggest low testosterone levels.
Venous ligation is performed to prevent venous leak. Problematic veins are bound (ligated) or removed, which allows an adequate amount of blood to remain in the penis. It may improve function in 40% to 50% of men, but some men may experience problems over the long term.
Blood Hemoglobin A 1c: Abnormally high levels of blood hemoglobin A 1c in patients with diabetes mellitus establish that there is poor control of blood glucose levels.
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Urinalysis: An abnormal urinalysis may be a sign of diabetes mellitus and kidney damage
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Other studies have shown that a diet rich in animal fat or meat could be linked to incidence of prostate cancer, according to the National Cancer Institute.
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Sildenafil should initially be prescribed at 50 mg to be taken one hour before anticipated intercourse. The dose can be increased to 100 mg if needed. A 25-mg tablet is also available; this should be the starting dose for men older than 65 and in patients with hepatic or renal dysfunction. Sildenafil should not be used more than once a day and should not be used in combination with other drugs for erectil23e dysfunction. As of this writing, the drug cost to pharmacists is approximately $263 for 30 tablets of any size. This translates to an average wholesale price of $8.75 per tablet, which has prompted some insurers to limit the number of tablets they will pay for on a monthly basis.
The findings were published in this week's Proceedings of the National Academy of Sciences.
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"Men may start out being sexually active, and then as the radiation scarring and damage develops over the next two to three years, there's a gradual decrease in the levels of potency," Brooks said. "With surgery, it's the opposite. There is some initial difficulty, and then things improve over time."
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"For men getting a high dose of radiation in a shorter amount of time than is typical -- meaning getting higher doses per day for fewer days -- a loss of sexual function is the chronic side effect that concerns most," noted study co-author Dr. Eric Horwitz, a clinical director in the department of radiation oncology at Fox Chase Medical Center in Philadelphia.
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The investigators found that the erectile dysfunction rate was 93 cases per 1000 persons per year among NSAID users compared with just 35 cases among nonusers.
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"You have to treat this the way you would any other non-life threatening issues in your relationship, and just calmly discuss it," says Downey.
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