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Causes of Erectile Dysfunction and Diagnostic Clues Obese patients have to exercise regularly and aim at reducing weight. "The presence of unknown pharmaceutically active ingredients and/or impurities may lead to undesirable and serious adverse events, even death" warns lead author and journal editor Graham Jackson, a London-based cardiologist. Participate in common interests: Hobbies, sporting activities, or volunteer activities can bring couples closer together when they share interests. If this impotence treatment is not successful, what other options might you recommend? Viagra Online without prescription viagra online without prescription Inserting medications into the urethra (intraurethral suppositories), Depression Atherosclerosis (hardening of the arteries from plaque) With respect to neurological causes, involvement of any nerve group, either central or peripheral, may lead to erectile dysfunction. Cerebral diseases lead to decreased sexual interest, possibly through over-inhibition of spinal centres. Among patients with spinal cord injury, 95% of those who have upper motor neuron lesions are capable of reflexogenic erections, 25% of patients who have lower motor neuron lesions are capable of psychogenic erections, and more than 90% of patients who have incomplete lesions of either kind retain their erectile function.21 Direct injury to the cavernosal nerve and blood supply commonly occurs during therapy for prostate cancer; erectile dysfunction is present to some extent in 80% of patients so treated, whether by surgery or external beam radiation therapy.22 Erectile dysfunction was especially linked to diabetes. "It's important for physicians to know that more than 50 percent of their male diabetic patients are affected by erectile dysfunction," Selvin said. Stress: Stress can be job-related, money-related, or the result of marital problems, among other factors. Can ED Be Prevented? BPA, which was developed in the 1930s as a synthetic version of estrogen, appears to throw off the hormonal balance in the human body, Li said. DONALD W. SHENENBERGER, LT, MC, USNR, and Sadeghi-Nejad believes that doctors should screen men for erectile dysfunction. "It's an important quality-of-life issue, and the factors that help prevent cardiovascular disease and diabetes may help decrease erectile dysfunction," he added. What Causes ED? Erectile dysfunction is most likely the many usual sexual dysfunction among men within the United States with regarding 300,000 instances diagnosed any year in addition to the overwhelming majority of unreported cases. Regardless of the etiology of ED, a psychological component is almost always associated with this disorder. The ability to achieve erection is intimately connected to a man's self-esteem and sense of worth. Pure psychogenic ED is generally evident when a man reports that he has normal erections some of the time but is unable to achieve or to maintain a full erection at other times. Once the man has doubt regarding sexual performance, he loses confidence; thus, future attempts to have sexual relations provoke anxiety. These men are desperate for help and depend on the physician's advice. In many instances, the couple needs to work together to resolve the problem, although the relationship may be responsible for the problem. Most physicians do not have the time to work with these patients and, instead, refer them to a sexual counselor. Some prescription medications, such as antidepressants, pain medicine and medicine for high blood pressure Experiment with alternative sexual techniques: Learn new sexual techniques that can bring pleasure without intercourse. Many bookstores carry books on alternative sexual practices.