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Erectile dysfunction. This diagram depicts a cross-section of penile anatomy and is used to instruct patients in the technique of administering intracorporal medications. Whether the cause of impotence is physiological or psychological, both the patient and his partner often experience a range of intense feelings and emotions. Any of these feelings can lead to a sense of hopelessness and lower self-esteem. Couples who cannot talk to each other are likely to have problems with sexual intimacy. Men who have trouble communicating their feelings may find it difficult to share with their partner any anxieties about their sexual performance. In these circumstances, counseling can be very helpful for both you and your partner. *Monoamine oxidase inhibitors Penile biothesiometry Neurological (nerve) testing Reviewed by the doctors at the Glickman Urological Institute at The Cleveland Clinic (2005). "Prostate cancer is very survivable," said Dr. Terry Mason, commissioner of the Chicago Department of Public Health and a volunteer member of the American Cancer Society Prostate Cancer Advisory Group. "It's a very treatable disease." Aims To investigate the prevalence of erectile dysfunction (ED) in patients with CAD according to clinical presentation, acute coronary syndrome (ACS) vs. chronic coronary syndrome (CCS), and extent of vessel involvement (single vs. multi-vessel disease). store Abstract Erectile dysfunction (ED) is a clinical disorder that results from a continuous spectrum of clinical factors, including physical illness (comprising the organic component of ED), reaction to stress (the intrapsychic component of ED) and relationship difficulties (the relationship component of ED). Testosterone clearly has a relevant role in all three causes of ED; the usefulness of this hormone in the treatment of ED has not, however, been completely clarified. The main physiological action of testosterone in the male sexual response is to regulate the timing of the erectile process as a function of sexual desire, thereby coordinating penile erection with sex. The link between ED, hypogonadism and underlying disorders (such as metabolic syndrome and type 2 diabetes mellitus) is nowadays well documented. The recognition of underlying disorders might be useful in motivating men with ED to improve their health-related lifestyle choices. Hence, patients with ED might be considered 'lucky', because their disorder offers the opportunity to undergo medical examinations to detect underlying disease. Both ED and hypogonadism are treatable conditions. A range of testosterone preparations are available for supplementation; their combination with phosphodiesterase 5 inhibitors might improve outcomes in some cases. * Psychological conditions A few causes of impotence may be iatrogenic (medically caused). Various antihypertensives (medications intended to control high blood pressure) and some drugs that modify central nervous system response may inhibit erection by denying blood supply or by altering nerve activity. Antidepressants, especially SSRIs, can cause impotence as a side effect. Surgical intervention for a number of different conditions may remove anatomical structures necessary to erection, damage nerves, or impair blood supply. Some studies have shown that male circumcision may result in an increased risk of impotence,   while others have found no such effect,   , and another found the opposite.  Stress is common to everyone. Our bodies are designed to feel stress and react to it. It keeps us alert and ready to avoid danger. But it is not always possible to avoid or change events that may cause stress and it is easy to feel trapped and unable to cope. When stress persists, the body begins to break down and illnesses can occur. The key to coping with stress is to identify stressors in your life and learn ways to direct and reduce stress. link Men worried that taking Viagra will lead to sexually risky behavior can relax: A new study suggests that drugs for erectile dysfunction don't make men more likely to engage in potentially unhealthy sex. Received 19 December 2005 online I wish this website had been available to me, when I was looking for information about injections, says Al Orr, the man who created EDshot.com. For some couples sex therapy may be necessary to help you and your partner cope. It may also help you to hear from some men who have ED and learn about their experiences. Contact your doctor about local support groups in your area. A. While the injections have a high success rate (over 70 percent), the drugs may not be able to override poor blood flow to the penis. In some cases, the trimix may produce an initial erection, but venous drainage (inability of penile tissues to trap blood) in the penis allows blood to escape rapidly, resulting in an unsustainable erection. Do you suspect that my or my partner's erectile dysfunction might be caused by an underlying medical condition or psychological disorder? Why or why not?