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Background A 46-year-old man presented with erectile dysfunction following a blunt perineal injury sustained 1 year previously. Oral phosphodiesterase type 5 inhibitors failed to improve his erections. The remainder of the patient's history, physical examination and laboratory tests were unremarkable except for a moderate tenderness in the left perineum and some 'fullness' in the corpora cavernosa during physical examination.
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How can my partner and I deal with the psychological effects of impotence?
Ejaculation, the release of semen at climax, is triggered when the man reaches a critical level of excitement. Sexual stimulation causes nerves in the penis to send chemical messages or impulses to the spinal cord and into the brain. There, more chemical messages are sent back to the penis causing ejaculation.
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U.S. and Japanese researchers are investigating whether firing shock-waves towards the heart will help it sprout healthy new blood vessels.
Do you have any of the following conditions?
Tadalafil can cause hypotension (abnormally low blood pressure, which can lead to fainting and even shock) when given to patients who are taking nitrates. Patients taking nitrates daily, even patients taking nitrates only once a day, should not take tadalafil. Most commonly used nitrates are medications to relieve angina (chest pain due to insufficient blood supply to heart muscle because of narrowing of the coronary arteries). These include nitroglycerine tablets, patches, ointments, sprays, pastes, and isosorbide dinitrate and isosorbide mononitrate. Other nitrates such as amyl nitrate and butyl nitrate are found in some recreational drugs called "poppers".
"I see a lot of HIV patients that have erectile dysfunction, which is due to neuropathy," Sharlip says. "The virus causes neuropathy, and the antiviral agents that are used for treatment also themselves cause neuropathy."
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Causes An erection requires the interaction of your brain, nerves, hormones, and blood vessels. Anything that interferes with the normal process can lead to a problem.
Erectile dysfunction is characterized by the regular or repeated inability to obtain or maintain an erection. There are several ways that erectile dysfunction is analyzed:
Ninety-three percent of men with both erectile dysfunction and coronary artery disease reported symptoms of erectile dysfunction one to three years before experiencing angina, with two years the average time.
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