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Health >
Health Conditions > Impotence
Impotence
I get some many emails on this that I put together a short
version. See the side bar.
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General Information:
-
Erectile Dysfunction - American Academy of Family Physicians
- Erectile Dysfunction - emedicine.com
-
Erectile Dysfunction - familydoctor.org
- Impotence - Intelihealth
-
Erectile Dysfunction Diagnosis - urologychannel
-
Erectile Dysfunction
- eMedicine
-
Erectile
Dysfunction - NIH
-
Can blood pressure medicines cause impotence?
- drugstore.com
-
Hyperandrogenism - AACE
- Sexual Dysfunction In Men - Intelihealth
-
Evaluation
and Treatment of Male Sexual Dysfunction - American Association of
Clinical Endocrinologists and The American College of Endocrinology -
- "increased
prolactin levels may also cause erectile problems, even in the presence of a
normal testosterone level"
- "Most problems
revolve around dysfunction of the hypothalamic-pituitary-gonadal axis and
are associated with either excess prolactin
or decreased testosterone levels. Other
endocrine disorders that may cause libido or erectile difficulties include
hypothyroidism, hyperthyroidism, adrenal insufficiency, or excessive levels
of adrenal corticosteroids." - see
prolactin and cortisol
- "With any form of
testosterone treatment, the patient may have a slow and steady increase in
libido and erectile capacity during a course of months. If no improvement is
noted after 3 months, the hormone deficiency may not be the only cause of
the sexual dysfunction"
- Are there any prescription therapies for low sex drive?
- drugstore.com ask the pharmacist.
-
Medscape ED page
- Doppler
Evaluation of Erectile Dysfunction – Part 1 - Medscape, 1/9/07
- Doppler
Evaluation of Erectile Dysfunction – Part 2 - Medscape, 1/11/07
- Impotence
- DrMirkin.com, 6/28/99
- Treatments for impotence
- Medifocus.com
- Hypertension
can cause impotence. Angiotensin II receptor blockers (ARBs)
can treat hypertension without sexual side effects and of all the
hypertensives, have fewer side effects. See
Blood pressure drug reverses sexual dysfunction - Life Extension
Magazine, 7/01 - "the active
ingredient in Cozaar and Hyaar (losartan) can significantly improve sex
lives of men who suffer from sexual dysfunction" - also see
alternative ways to lower blood pressure
-
Sexual
Dysfunction Guidelines - aace.com -
"Other endocrine disorders that may cause libido or erectile difficulties
include hypothyroidism,
hyperthyroidism, adrenal insufficiency,
or excessive levels of adrenal corticosteroids."
-
Sexual
Dysfunction Guidelines - aace.com -
"With any form of testosterone treatment, the patient may have a slow and
steady increase in libido and erectile capacity during a course of months.
If no improvement is noted after 3 months, the hormone deficiency may not be
the only cause of the sexual dysfunction."
-
Patient's Fact Sheet: Prolactin Excess (.pdf format) - American Society
for Reproductive Medicine - "In men, hyperprolactinemia may be associated with impotence and can affect
fertility." - see prolactin
Alternative Therapies:
-
Male
Hormone Modulation Therapy - Life Extension Foundation
-
Erectile Dysfunction
- Vitacost Health Library
- Impotence - The Natural
Pharmacist
-
Male
Sexual Problems - thenutritionreporter.com
-
Berries and pomegranate - the ultimate Valentine's combo? - Nutra USA,
2/14/08 - "The results of this study demonstrated,
for the first time, that daily consumption of PJ for seven weeks caused
increased spermatogenic cell density, epididymal sperm concentration, sperm
motility and decreased abnormal sperm rate related with decreased lipid
peroxidation in male rats ... Forty-seven per cent of subjects reported
erections improvements as a result of pomegranate juice, compared to only 32
per cent in the placebo group" - See
pomegranate Juice Extracts at iHerb
 .
-
Exposure to the phytoestrogen daidzein attenuates apomorphine-induced penile
erection concomitant with plasma testosterone level reduction in dose and
time-related manner in adult rats - Urology. 2007 Sep;70(3):613-7 -
"The phytoestrogen daidzein has the potential to
adversely affect erectile function in a dose and time-related manner that is
at least partly attributable to androgen deficiency. These findings
implicate that phytoestrogens, especially isoflavones, if overconsumed for a
long period, might be a novel risk factor for erectile dysfunction"
-
Erectile Dysfunction In Diabetes Is Due To Selective Defect In The Brain
- Science Daily, 3/15/07
-
Erectile Function in Subjects With the Metabolic Syndrome - Medscape,
7/19/06 - "consumption of a
Mediterranean-style diet in men with the metabolic syndrome and ED at
baseline produced significant improvement of erectile and endothelial
functions, together with a significant reduction of systemic vascular
inflammation, as indicated by the reduced levels of CRP"
-
Restoring Sexual Potency? - Dr. Weil, 5/4/06 -
"Arginine ... Ginkgo biloba ...
Ashwaganda"
-
Sexual Enhancement Supplements (L-Arginine, Yohimbe, Horny Goat Weed) -
ConsumerLab.com, 1/13/06
-
What about
erectile dysfunction? - Dr. Murray Natural Facts, 8/24/05 -
"by far the most common cause of
impotence by far is atherosclerosis of the penile artery. Atherosclerosis
refers to a process of hardening the artery walls due to a build up of
plaque containing cholesterol, fatty material, and cellular debris"
-
Preliminary observations on the use of propionyl-L-carnitine
in combination with sildenafil in patients with erectile dysfunction and
diabetes - Curr Med Res Opin. 2004
Sep;20(9):1377-84 - "Salvage therapy
with PLC plus sildenafil was more effective than sildenafil in the treatment
of ED in patients with diabetes refractory to sildenafil monotherapy"
- See
Ester Carnitine Propionyl at iHerb
 .
-
Erection Supplements Under Fire - WebMD, 9/23/04
- Diet and Exercise Programs Have Benefits for Obese Men With Erectile
Dysfunction - Doctor's Guide, 6/24/04
- Daily 2-Mile Walk May Prevent Impotence - WebMD,
6/22/04
- Carnitine Improves Symptoms of Male Aging -
Medscape, 4/14/04 -
"Carnitine
is more active than testosterone for improving symptoms of male aging such
as sexual dysfunction, depressed mood, and fatigue ... In this trial, 120
patients were randomized to receive testosterone undecanoate 160 mg/day,
propionyl-L-carnitine 2 g/day plus acetyl-L-carnitine 2 g/day, or placebo
for six months" [Abstract]
- See
iHerb
or
Vitacost
acetyl-l-carnitine products and
iHerb
propionyl-l-carnitine.
- Policosonal: Nature's Cholesterol Balancer -
Vitamin Research News, 2/04 -
"Statin drugs are also known to cause male impotence" - See
iHerb
or
Vitacost
policosanol products.
- Regular Exercise Can Help Prevent Impotence -
WebMD, 8/22/03 -
"men over age 50 who kept physically active had a 30% lower risk of
impotence than men who were inactive ... The fitter the man, the better the
erection. Frequent, vigorous exercise, the equivalent of running at least
three hours a week or playing singles tennis five hours per week, produced
the most benefit -- with a 30% lower risk of impotence"
- Korean
Red Ginseng Benefits Men with Impotence - New Hope
Natural Media, 1/2/03 - "Men
experiencing sexual difficulties due to inability to achieve erection may be
helped by Korean red ginseng (Panax
ginseng), according to a study published in the Journal of Urology ... It is
a problem that affects nearly half of men over age forty worldwide ... Some
60% of participants reported improved erections while receiving ginseng.
Improved sexual desire was also reported during ginseng treatment.
Testosterone levels did not change with treatment, leading the
researchers to conclude that improvements observed with ginseng are not due
to hormonal effects"
- See
iHerb
or
Vitacost
Korean (Panax) ginseng.
-
Ginkgo Supplements Useful for SSRI-Related Sexual Dysfunction - Clinical
Psychiatry News, 9/02 - "Ginkgo
has multiple systemic effects. It acts as a free-radical scavenger, inhibits
platelet aggregation, causes vasodilation, and allows more efficient
cellular uptake of oxygen and glucose. The effects of ginkgo on sexual
arousal are thought to result from increased blood circulation to the
genital area ... The proprietary multi-ingredient ginkgo preparation
ArginMax (Daily Wellness Co.) is “one of the best things I've ever seen
for SSRI sexual dysfunction,”" - See ArginMax at drugstore.com
- Natural
Remedy for Erectile Dysfunction - New Hope Natural
Media, 9/5/02 - "received three
separate treatments for two weeks each, in random order: (1) 3.25 grams of
arginine plus 6 mg of
yohimbine, (2) yohimbine alone and (3) placebo ... Combination treatment
was considered successful by 40% of the participants, compared with 28.9%
with yohimbine alone and 17.8% with placebo ... Arginine is available in
health food stores without a prescription, but yohimbine can be obtained
only with a doctor's prescription. Although the herb yohimbe is sold in
health food stores, it contains much less yohimbine than the amount used in
the new study" - See
iHerb
and
Vitacost
arginine products.
- Yohimbine Plus L-Arginine Potential Therapy For Mild To Moderate Erectile
Dysfunction - Doctor's Guide, 7/31/02 -
"randomly assigned 45 men with erectile dysfunction to treatment with 6 mg
of L-arginine glutamate combined with 6 mg of
yohimbine hydrochloride, to 6 mg of
yohimbine hydrochloride
alone, or to placebo ... They took the drugs orally one to two hours before
intended sexual intercourse ... Changes in this score [Index of Erectile
Function (IIEF)]
were significantly greater among patients taking yohimbine
plus L-arginine compared to those taking placebo" - Note: That "6 mg
of L-arginine glutamate" has to be a misprint. It probably should have
been 6 grams as in a
U. of Texas study on
postmenopausal women.
-
Low testosterone levels can mean high health risks - Life Extension
Magazine, 11/00
-
Study: Supplement Can Help Take the 'Dys' Out of Female Sexual Dysfunction,
Researchers Promote Idea of 'Sexual Wellness' - WebMD, 6/5/01 -
"ArginMax -- a dietary cocktail consisting of
ginseng, ginkgo, B vitamins, calcium, folic acid, and other vitamins and
minerals -- is being heralded as one component of a lifestyle that improves
sexual performance and helps prevent problems associated with intimacy"
-
Want a love potion? What to know before you try - CNN, 6/15/00 -
"a study of 21 men with "mild to moderate" impotence taking a supplement
called
ArginMax (3,000 milligrams per day) found big
improvements in erection and sexual satisfaction."
-
When It Comes to Love, the Nose Knows - WebMD, 2/14/01-
"Another spirit in the heady cocktail making us intoxicated with romantic
love is phenylethylamine (PEA) ... I believe that
PEA may be the hormone of libido ...
high PEA levels help explain increased sex drive and activity in the manic
phase of manic-depressive illness, while low PEA levels reflect loss of
libido in depression. PEA is effective when given by mouth, but like Viagra,
could be dangerous in patients with heart disease" -
- Note:
Amino Acids anyone? at DrBob.org says
"L-phenylalanine can also be
converted (through a separate pathway) to phenylethylamine, a substance
that occurs naturally in the brain and appears to elevate mood."
-
Study: Oversexed Monkeys Immune - Intelihealth, 11/11/00 -
"Promiscuous species of monkeys appear to have stronger
immune systems than less-active ones, researchers say."
- Herbal Viagra Alternative Works -- at Least on Rats
- WebMD, 10/23/00 - "All the rats
fed the high-cholesterol diet indeed ended up with high cholesterol levels
-- and all became impotent. But those who drank the herbal mixture
[BetterMAN]
were later able to achieve erections, while the other eight rats remained
impotent"
-
Study finds exercise reduces the risk of impotence - CNN, 10/2/00
-
Exercise May Reduce Impotence Risk - Intelihealth, 10/2/00
-
With Regular Exercise, You May Never Need Viagra - WebMD, 8/30/00
-
Laboratory Investigations of Erectile Dysfunction - WebMD -
"men with erectile dysfunction frequently have low levels of high-density
lipoproteins, the good form of cholesterol." - see
HDL
-
Saving Yourself from AGE - Life Enhancement Magazine, 8/00 - with
American Ginseng, "The researchers
found a reduction in plasma prolactin, a hormone connected with passive
"nesting" behavior, suggesting that this may play a role in the ability of
American ginseng to stimulate sexual activity in the male rat."
-
Want a love potion? What to know before you try - CNN, 6/15/00 -
"a study of 21 men with "mild to moderate" impotence taking a supplement
called
ArginMax (3,000 milligrams per day) found big
improvements in erection and sexual satisfaction."
-
Natural Alternatives to Viagra with Ellen Kamhi - WebMD, 5/26/00
-
Replenish Testosterone Naturally - Life Extension Magazine, 1/00
-
Study finds new therapy for impotence [l-arginine] - CNN, 10/27/99
-
Be All That You Can Be - Life Enhancement Magazine, 7/99
-
Dehydroepiandrosterone in the treatment of erectile dysfunction: a
prospective, double-blind, randomized, placebo-controlled study -
Urology. 1999 Mar;53(3):590-4; discussion 594-5
- Long
Term Safety and Efficacy of Ginkgo Biloba in the Treatment of
Anti-Depressant-Induced Sexual Dysfunction - Alan Jay Cohen, M.D., UCSF
Faculty
-
Ginkgo biloba for antidepressant-induced sexual dysfunction - J Sex
Marital Ther. 1998 Apr-Jun;24(2):139-43
CME:
Other Information:
-
Hyperhomocysteinemia is a risk factor for erectile dysfunction in men with
adult-onset diabetes mellitus - Urology. 2008 May;71(5):897-900 -
"Hyperhomocysteinemia (HHcy) ... those with HHcy had
5.2 times the odds of vasculogenic ED compared with men without HHcy"
-
Erectile
Dysfunction in Patients with Hyper- and Hypothyroidism: how Common and
Should We Treat? - J Clin Endocrinol Metab. 2008 Feb 12 -
"ED was more prevalent in patients with
hyperthyroidism and hypothyroidism compared to controls ... ED is extremely
common in males with dysthyroidism. Treatment of the latter restores
erectile function"
-
Erectile Dysfunction Epidemic - Dr. Weil, 1/18/08
-
Erectile dysfunction is associated with low bioactive testosterone levels
and visceral adiposity in men with type 2 diabetes - Int J Androl. 2007
Nov;30(6):500-7 - "ED is associated with low
bioavailable and free testosterone levels, age, visceral adiposity and
hypertension in type 2 diabetic men"
-
Epilepsy Drugs May Cause Sexual Disorders - Science Daily, 10/29/07
-
Erectile Dysfunction Linked To Smoking - Science Daily, 7/27/07 -
"An estimated 22.7 percent of erectile dysfunction
cases among Chinese men might be attributable to cigarette smoking"
-
Inflammation, Metabolic Syndrome, Erectile Dysfunction, and Coronary Artery
Disease: Common Links - Eur Urol. 2007 Aug 13 -
"Increased circulating levels of inflammatory and endothelial-prothrombotic
compounds are related to the presence and severity of ED"
-
The prevalence of newly diagnosed hyperlipidaemia in men with erectile
dysfunction - BJU Int. 2007 Jun 6 -
"This study shows the high
prevalence of undiagnosed hypercholesterolaemia and hypertriglyceridaemia in
men presenting with ED"
-
Erectile Dysfunction and Hypertension - Medscape, 5/24/07
-
ED Drugs May Treat Urinary Problems - WebMD, 5/23/07 -
"Sexual performance in men seems to
decline as their prostate enlargement becomes more severe, experts have
begun to notice ... A once-a-day dose of Cialis helped men with erectile
dysfunction and moderate to severe urinary tract symptoms due to an enlarged
prostate improve sexual functioning" - See tadalafil at
OffshoreRx.com
 .
-
The role of nitric oxide in erectile dysfunction: implications for medical
therapy - J Clin Hypertens (Greenwich). 2006 Dec;8(12 Suppl 4):53-62 -
"Impaired NO bioactivity is a major
pathogenic mechanism of erectile dysfunction" - See my
nitric oxide page for ways to increase it.
-
Testosterone use in men with sexual dysfunction: a systematic review and
meta-analysis of randomized placebo-controlled trials - Mayo Clin Proc. 2007
Jan;82(1):20-8 - "Testosterone
use in men is associated with small improvements in satisfaction with erectile
function and moderate improvements in libido"
-
The effects of quinapril and atorvastatin on the responsiveness to sildenafil in
men with erectile dysfunction - Vasc Med. 2006 Nov;11(4):251-7 -
"International Index of Erectile
Function (IIEF) questionnaire ... Compared to placebo,
quinapril (p < 0.01)
significantly improved symptoms of ED as measured
by the IIEF-5 questionnaire. There was a trend toward a significant improvement
in IIEF-5 with atorvastatin"
- See atorvastatin at
OffshoreRx.com.
-
Getting to The Heart Of ED - washingtonpost.com. 3/13/07
-
Prevalence of Metabolic Syndrome and Its Association with Erectile Dysfunction
Among Urologic Patients: Metabolic Backgrounds of Erectile Dysfunction -
Urology. 2007 Jan 30 - "waist
circumference (WC) and triglyceride (TG) ... MS was strongly associated with ED.
Fasting blood glucose levels, hypertension, and WC are the most significant risk
factors predicting the risk of ED. A more pronounced increase in ED risk in the
presence of abdominal obesity, together with altered TG and HDL cholesterol
levels, may indicate a special metabolic background of ED regarding lipid
metabolism"
-
Erectile Dysfunction Hits 18 Million - WebMD, 2/1/07
-
Doppler Evaluation of Erectile Dysfunction – Part 2 - Medscape, 1/11/07
-
Doppler Evaluation of Erectile Dysfunction – Part 1 - Medscape, 1/9/07
-
Metabolic syndrome and erectile dysfunction : Epidemiologic associations and
pathogenetic links - Urologe A. 2006 Dec 12 -
"There is abundant evidence for the
association between erectile dysfunction (ED) and the traditional
atherosclerotic risk factors, such as dyslipidemia, hypertension, glucose
intolerance, and obesity, that make up the metabolic syndrome. Recent findings
have demonstrated a linear relationship between the number of these risk factors
and the prevalence of ED"
-
Hyperhomocysteinemia: a novel risk factor for erectile dysfunction -
Metabolism. 2006 Dec;55(12):1564-1568 -
"Hyperhomocysteinemia, known to be an important risk factor in endothelial
dysfunction, seems to be an important determinant in ED. These data suggest that
slightly elevated Hcys levels are significantly related with arterial and
probably endothelial dysfunction in patients with ED"
-
The
Evolving Role Of Testosterone In The Treatment Of Erectile Dysfunction -
Medscape, 10/30/06 - "testosterone
replacement therapy has evolved from a monotherapy for ED in cases of low
testosterone, to a combination therapy with PDE5 inhibitors. There is increasing
evidence that combination therapy is effective in treating the symptoms of ED in
patients for whom treatment failed with testosterone or PDE5 inhibitors alone.
Screening for hypogonadism and combination therapy of ED may be particularly
useful in men with type 2 diabetes or the metabolic syndrome"
-
Comparison of phosphodiesterase type 5 (PDE5) inhibitors - Int J Clin Pract.
2006 Jun 16 - "With regard to the onset
of action, achievement of an erection that leads to successful intercourse has
been reported for 35% of patients treated with sildenafil within 14 min, 21% of
patients treated with vardenafil within 10 min and 16% of patients treated with
tadalafil within 16 min. Sildenafil and vardenafil both have half-lives of
approximately 4 h but the half-life of tadalafil is 17.5 h. Another difference
between the PDE5 inhibitors is that food, especially fatty food, affects the
pharmacokinetic profiles of sildenafil and vardenafil, but not that of
tadalafil"
-
Clomiphene Citrate Restores Fertility in Men With Prolactinoma and Decreased
Sexual Function - Doctor's Guide, 6/30/06
-
Erectile Dysfunction Drugs Affect Other Systems, Mostly for the Better -
Doctor's Guide, 6/16/06 - "PDE-5
inhibitors actually improve blood flow even in areas where there is a blockage
of an artery, thereby having a protective effect on the heart muscle"
-
Erectile Dysfunction Goes Into Remission On its Own - Doctor's Guide,
5/29/06
-
New
ED Drugs on Horizon - WebMD, 5/24/06
-
Switching to Tiagabine Alleviates Antidepressant-Induced Sexual
Dysfunction in Patients With Generalized Anxiety Disorder
- Doctor's Guide, 3/29/06 - "After 14
weeks of tiagabine treatment, patients had maintained improvement of GAD
symptoms, as indicated by HAM-A and HADS scores, while having significant
improvement in sexual function scores" - See
OffshoreRx.com.
-
Smokers: More Erectile Dysfunction? - WebMD, 3/22/06
-
Erectile Dysfunction and Statin Treatment - Medscape, 3/21/06 -
"Simvastatin was found to cause
impotency in five men with coronary artery disease, and within 1 week of
discontinuing simvastatin, sexual function was restored. The Australian
Adverse Drug Reactions Committee reported 42 cases of ED associated with
simvastatin.[13] In contrast, in one study in men aged 49.7 years and
isolated hypercholesterolaemia [low-density lipoprotein (LDL)-C 4.3 mmol/l]
as a risk factor which used penile Doppler ultrasound in a per protocol
analysis of 50% of the cohort of 18 patients (n = 9), atorvastatin therapy
was associated with improvement in erectile function"
-
Erectile Dysfunction Common, Linked with Severity of Heart Disease -
Doctor's Guide, 1/24/06 - "Erectile
dysfunction (ED) affects approximately one in five American men, appears to
be associated with cardiovascular and other chronic diseases and may predict
severity and a poor prognosis among those with heart disease"
-
Erectile Dysfunction-Heart Risk Link - WebMD, 12/20/05 -
"Our data suggest that older men in
this group have about a twofold greater risk of cardiovascular disease than
men without erectile dysfunction ... any sign of erectile dysfunction should
prompt them to make an appointment for a complete cardiovascular
examination"
-
Erectile Dysfunction, Artery Problems Linked? - WebMD, 10/11/05 -
"Erectile dysfunction often stems
from blood vessel problems tied to atherosclerosis, the hardening of the
arteries"
-
Serious Riders, Your Bicycle Seat May Affect Your Love Life - New
York Times, 10/4/05
-
Studies Link Bike Seats, Erectile Dysfunction - WebMD, 8/25/05 -
"three new studies in The Journal of
Sexual Medicine ... when erectile dysfunction is related to bicycling, it's
linked to pressure on the perineum (the area between the anus and scrotum
where nerves and arteries pass). The pressure, which comes from sitting on a
bicycle seat with a nose extension, restricts blood flow to the penis"
-
Cause Of Diabetes-related Erectile Dysfunction Is Clarified By Johns Hopkins
Researchers - Science Daily, 8/11/05 -
"one particular simple sugar,
present in increased levels in diabetics, interferes with the chain of
events needed to achieve and maintain erection and can lead to permanent
penile impairment over time"
-
Vascular Disease Most Common Cause of Male Erectile Dysfunction -
Doctor's Guide, 6/28/05
-
AUA Releases Guidelines for Erectile Dysfunction - Doctor's Guide,
5/30/05
-
Pills Best for Erectile Dysfunction - WebMD, 5/24/05
-
Erectile Dysfunction Seen in Men With Prehypertension - Doctor's Guide,
5/19/05
-
Blood Pressure
Linked to Erectile Dysfunction - WebMD, 5/16/05 -
"if a man's blood pressure is
anything but normal, he may have a higher risk of erectile dysfunction ...
Thirty-five percent had some degree of erectile dysfunction, compared with
14% of men without high blood pressure ...
In men with high blood pressure, 20% of those taking no medication had
erectile dysfunction, while 36% on one medication and 47% on more than one
reported erectile dysfunction ... Men on older high blood pressure
medications (diuretics, beta-blockers) had higher rates and more severe
erectile dysfunction than men on newer medications (calcium antagonists, ACE
inhibitors, angiotensin II receptor blockers)"
-
Glycosylated haemoglobin levels and the severity of erectile
function in diabetic men - BJU Int. 2005
Mar;95(4):615-7 - "This study suggests
that the severity of ED is associated with increasing HbA(1c) levels in
diabetic men"
- Problems In The Bedroom Can Indicate Heart Problems
- Science Daily, 2/2/05 -
"ED is now being considered an important barometer of a man's overall
cardiovascular health and an early symptom of a more generalized vascular
problem"
-
Treating Sexual Dysfunction - Clinical Psychiatry News. 12/04
- Sexual Problems Common Among Obese People - WebMD,
11/15/04
- More Guidelines, CCBs, ACEs, and ARBs, and Novel Predictors
- Medscape, 9/14/04 - "spontaneously
hypertensive rats (SHR)
demonstrate detectable erectile dysfunction (ED) before the onset of
hypertension This may be due to earlier manifestation of the effects of
endothelial dysfunction and tissue remodeling in erectile tissue compared
with vascular tissue"
- Erectile Dysfunction in Diabetic Men May Predict Silent Heart Disease
- Doctor's Guide, 6/22/04
- Erectile Dysfunction May Be Warning Sign - WebMD,
1/20/04 -
"erectile dysfunction affects about 52% of men between ages 40 and 70 years,
and the majority of cases are caused by conditions that affect blood flow to
the penis, such as atherosclerosis and diabetes"
- Love Potions - Time Magazine, 1/19/04
- 1 in 3 Older Men Have Erection Difficulty -
Physician's Weekly, 9/1/03
- Erectile Dysfunction Common With Age - WebMD,
8/4/03
- Relationship between obesity-related metabolic abnormalities and sexual
function - J Endocrinol Invest. 2003;26(3
Suppl):62-4 -
"it will be reported about the 3
possible mechanisms through which obese people may suffer from sexual
dysfunction: a) insulin resistance and associated hormonal changes, b)
dyslipidemia
and related drugs, and c) psychological problems"
- Pathophysiology of diabetic sexual dysfunction - J
Endocrinol Invest. 2003;26(3 Suppl):65-9
- Men with Borderline Low and Low Baseline Testosterone Benefit Equally from
Testosterone Gel (Androgel) - Doctor's Guide,
6/23/03 - "Transdermal
testosterone replacement gel (Androgel)
improves sexual function, body composition and bone mineral density in men
with borderline low testosterone levels almost equal as in men with
pretreatment testosterone levels below the normal"
- Sexual Dysfunction Common But Conservatively Treated In Depressed Patients
- Doctor's Guide, 5/26/03 - "Sexual
dysfunction was observed in 35% of those spontaneously reporting
problems and in 69% of those with problems identified by physician
questioning. Of patients treated with antidepressants, 71% reported sexual
dysfunction compared to 65% in untreated patients. The researchers also
found that treatment with
tianeptine was associated with a lower
incidence of sexual dysfunction than was treatment with
tricyclic antidepressant or serotonin reuptake inhibitors" -
Interesting because depression is associated with high
cortisol and tianeptine has been shown
to counter the effects of cortisol. That supports the theory of
cortisol being the cause. - Ben
- Improving Erectile Function: Detection, Prevention, and Treatment of ED
- PowerPak.com, exp. 4/1/05 - "ED
was 82% more likely in men with depression ... Low serum
testosterone levels are noted in up to 36% of patients with ED. However,
the correction of sexual dysfunction with testosterone replacement therapy
alone is poor, with treatment response at approximately 35%" - That
may be because testosterone does two things that hinder sexual function.
It decreases HDL cholesterol and it
increases estrogen. - Ben
- Valsartan Appears to Improve Sexual Function in Men and Women with
Hypertension - Doctor's Guide, 5/18/03 -
"Men and women being treated with the
angiotensin II receptor blocker valsartan for mild-to-moderate
hypertension appear to show improvements in sexual function and desire"
- Smoking Can Lead to Erectile Dysfunction - WebMD,
3/6/03
-
Focus on Risk Factors in Erectile Dysfunction - Clinical Psychiatry
News, 1/03 - "I generally tell patients that what's good for your heart is
generally good for your sex life—and so maintaining good
cholesterol levels, exercising, losing
excess weight—all these things could make a difference to the severity
of a patient's ED [erectile dysfunction]—partly by improving vascular flow"
-
Check Erectile Dysfunction Patients For Vascular and Cardiac Disease -
Clinical Psychiatry News, 1/03
- Sex and the Serious Cyclist - Time Magazine,
10/28/02 -
"Goldstein has been warning cyclists that hours of sitting on a bike saddle
can create enough pressure on the perineum, the area between the anus and
the pubic bone, to permanently damage the artery that supplies blood to the
penis"
- Intrathecal Opioids Linked to Sexual Dysfunction -
Doctor's Guide, 6/28/02
- Impotent Patients on Valsartan Find Increased Interest in Sex; Use
Sildenafil More Often - Doctor's Guide, 5/19/02 -
"Because the use of
sildenafil significantly
increased with the use of valsartan, it suggests that angiotensin II
antagonism induces an increase in sexual desire in
impotent hypertensive men ... It could be related to the reactive
stimulation of angiotensin cascade due to AT1 receptors blockade"
- Why is this man smiling? It's not Viagra - USA
Today, 4/18/02
- High Blood Pressure Kills Sex - WebMD, 3/21/02 -
"the problem may not be with blood flow alone. New research suggests
plummeting levels of the male hormone
testosterone could partly be to blame"
- 1/3 of Diabetic Men Have Impotence - WebMD, 2/1/02
- Physical and Psychological Effects of Stress -
MedicineNet.com, 2/02 -
"Under excessive stress, we tend to produce cortisol, the classic
anti-stress hormone produced by our body, perhaps to conserve energy.
However the side-effect here is sexual dysfunction and infertility as
cortisol also inhibits production of the hormones essential for sexual"
- Smoking
Increases Likelihood Of Impotency - Doctor's
Guide, 12/4/01
-
Blood pressure drug reverses sexual dysfunction - Life Extension
Magazine, 7/01 - "the active
ingredient in Cozaar
and Hyaar
(losartan)
can significantly improve sex lives of men who suffer from sexual
dysfunction"
-
Antidepressants and Sex: What to Watch For, Common Problem Manageable With
Doctor's Help - WebMD, 5/11/01 -
"The antidepressants that caused the least sexual dysfunction were Serzone
(28%) the slow-release Wellbutrin SR (24%), and the immediate-release
Wellbutrin (22%) -- all of which are non-SSRIs"
- Newest
Hypertension Drug, Losartan, May Improve Sexual Function
- Doctor's Guide, 5/1/01
-
Carvedilol Reduces But Valsartan May Increase Sexual Activity In
Hypertensive Men - Doctor's Guide, 2/1/01 -
"carvedilol induces a chronic reduction of sexual activity whereas
valsartan, an angiotensin II antagonist, not only does not significantly
reduce sexual activity but may even increase it."
- Newest
Hypertension Drugs May Improve Sexual Function -
Doctor's Guide, 11/13/01
-
Submissive Men More Likely to Suffer Erectile Dysfunction - WebMD,
11/2/00
- Is
a Male 'Change of Life' Fact or Fiction? - WebMD, 10/20/00 -
"A very small drop in testosterone -- 10% or so -- might cause symptoms like
depression, mood swings, decreased muscle strength and energy, reduced sex
drive, problems with erections."
-
Impotence Risk High for Both Prostate Cancer Treatments - WebMD, 9/22/00
-
Antidepressant [Wellbutrin SR] Can Boost Sex Drive - Intelihealth,
5/18/00
-
Lifestyle may play role in potential for impotence - CNN, 5/3/00
- Impotence Drugs in the Spotlight -- for Different Reasons
- WebMD, 5/3/00
-
Viagra sometimes fails, but there are alternatives - CNN, 4/5/00
- FDA
Approves Prescription AndroGel For Low Testosterone - Doctor's Guide,
2/29/00
- Impotence
May Be Early Warning Of Heart Disease - Doctor's
Guide, 11/10/99
-
Tanning drug may find new life as Viagra alternative - CNN, 6/14/99
- Muse Offers
Second Chance For Patients Unsuccessful With Viagra - Doctor's Guide,
5/6/99
- Uprima Shows
Promise In Patients With Erectile Dysfunction - Doctor's Guide, 5/5/99
- Invicorp
Conditionally Approved In The U.K. For Impotence -
Doctor's Guide, 3/29/99
-
Viagra anniversary sees herbal competitors by the dozens - CNN, 3/26/99
-
Antidepressant-Induced Sexual Dysfunction Associated with Low Serum Free
Testosterone - Psychiatry Online
- Erectile
Dysfunction Associated With Depression - Doctor's Guide, 7/23/98
-
Doctor says bike-riding can hurt a man's sex life - CNN, 6/1/98
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