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For excellent patient education resources, visit eMedicine's Erectile Dysfunction Center and Cancer and Tumors Center. Also, see eMedicine's patient education articles Impotence/Erectile Dysfunction, Erectile Dysfunction FAQs, Nonsurgical Treatment of Erectile Dysfunction, Understanding Erectile Dysfunction Medications, Causes of Erectile Dysfunction, Diagnosing Erectile Dysfunction, Surgical Treatment of Erectile Dysfunction, and Bladder Cancer.
Workers in the BPA factories were four times more likely to report erectile dysfunction, reduced sexual desire and overall dissatisfaction with their sex life. They were also seven times more likely to have ejaculation difficulties.
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Both partners and men with ED need to try to remember that ED is most often a treatable physical condition. The first step to treatment, however, is trust and a willingness on the part of both partners to discuss the situation with each other, and with a physician.
If the veins in the penis cannot prevent blood from leaving the penis during an erection, an erection cannot be maintained. This condition is known as a venous leak. Venous leakage may occur with vascular disease, but it also can occur as a result of poor muscle relaxation of the penis. Difficulty with smooth muscle relaxation of the penis can occur with diabetes or with Peyronie's disease, a condition that results in the buildup of scar tissue of the sheath (tunica albuginea) surrounding the erection tissue (corpora cavernosa). Venous leak also can occur when neurological diseases or high levels of anxiety are present because these conditions can prevent adequate smooth muscle relaxation.
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A detailed medical history may reveal that the disorder is due to a chronic disease such as atherosclerosis, hypertension or diabetes mellitus. Inquiry about decreased libido and symptoms of hypothyroidism or hyperthyroidism may reveal a reversible cause (Table 1).5-7
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Depression and anxiety: Psychological factors may be responsible for erectile dysfunction. These factors include stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure. For more information, please visit the Depression Center.
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A prospective study by researchers from the Harvard School of Public Health (HSPH) has found that obesity and smoking are strongly associated with a greater risk of erectile dysfunction (ED). Meanwhile, regular physical activity appeared to have a significant impact on lowering the risk of ED. This is the first large-scale prospective study to examine the links between ED and smoking, obesity, alcohol and a sedentary lifestyle. The study will appear in the July 2006 issue of The Journal of Urology.
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For example, some studies have shown that chemicals released from muscle proteins when they're cooked at high temperatures could increase risk of prostate cancer in some, Mason said.
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Another part of this that surprises me is that young men actually need Viagra. I think this is bizarre, and it's obviously the result of extremely poor health on the part of the younger generation today due to their mass consumption of junk foods, soft drinks, and food ingredients that deplete their nutrition and alter their libido. In addition, there is an alarming lack of physical exercise among today's youth, and this impairs the sexual performance in younger males.
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They also pointed out that the cross-sectional design of the study did not allow for a determination of causality. Further epidemiological studies are needed to clarify the relationship between the RLS and erectile dysfunction and to explore the biological mechanisms underlying the association.
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