IMPOTENCE (ERECTILE DYSFUNCTION)

Am I likely to become impotent? I have had diabetes for five years.

There is no doubt that many men with diabetes worry about the possibility of developing erectile dysfunction (impotence) in the future. Our advice is to try to keep your diabetes under good control and this will reduce the risk of future complications. If you are unlucky enough to develop erectile difficulties, there are now a number of treatments available to help. Your doctor will be able to advise you and if necessary refer you to a specialist clinic.

My husband, who is middle-aged with Type 2 diabetes, has been impotent for the past two years. Please will you explain what causes this?

Erectile dysfunction (impotence) worries many people and occurs in men with and without diabetes. It appears that one in five men with diabetes may develop this problem at some stage in their lives, though the condition may be reversible. Most men with erectile difficulties do not have diabetes and a number of other factors such as anxiety, depression, overwork, tiredness, stress, alcohol excess and grief can cause this problem. Any man may find that he is temporarily impotent and fear of failure can make things worse. Overwork or worry can lead to lack of interest in sex and erectile dysfunction. Excess alcohol, while not causing lack of interest in sex, may lead to impotence.

Some men with diabetes do develop erectile difficulties, as a result of problems with the blood supply or the nerve supply to the penis. This usually develops slowly and in younger people it can often be prevented by strict blood glucose control. Treatments such as Viagra® are now available and can be prescribed by your husband’s doctor. In older people the condition is more difficult to treat successfully, partly because there may be other medical factors in addition to diabetes. Your husband should discuss the matter further with his own doctor.

Recently, I have had trouble keeping an erection – has this anything to do with my diabetes? I also had a vasectomy a few years ago.

This is difficult to answer without knowing more about you and your medical history. Vasectomy may lead to impotence for psychological reasons but is unlikely to have caused any damage which might affect erections. Failure to maintain an adequate erection may be an early sign of diabetic neuropathy and you might need blood tests to rule out other medical causes. However, it is often a symptom of overwork or simply the ageing process.

You can may treatment Erectile Dysfunction on this Canadian Pharmacy: GlobalCanadianPharmacy.com

What You Probably Know

These drugs, called PDE-5s by medical practitioners, have helped improve the sex lives of millions of men and their sexual partners. All three drugs work similarly, with their only significant difference being duration of action (Cialis erectile potentiating effects generally last longer than those of its competitors). The table below lists these products’ doses and time required for them to begin working. As you can see, Levitra® and Viagra® look very similar on paper while Cialis dramatically longer duration of action separates it from these two.

erectile-dysfunction

Although the PDE-5s have been an incredibly welcome addition to the lives of their men with ED, these Australia Pharmacy have three basic problems: first, they don’t work for everybody; second, in the people they do work for, some experience an incomplete, or somewhat unsatisfactory response (their erection is not as hard or doesn’t last long enough for them or their partner to have a mutually rewarding and satisfying sexual experience) and last, because of their mechanism of action (relaxing blood vessels), they can cause side effects ranging from mild (headaches, flushing, heartburn, nasal congestion and runny nose) to more severe (vision difficulty, dizziness and fainting spells that can result in injury). The likelihood of dizziness and fainting occurring are more likely if the person drinks alcohol or takes nitrates (nitroglycerin) for heart problems.

Does that mean the PDE-5s are bad things and their list of possible problems outweighs the benefits of using them? Absolutely not! These drugs are both effective and safe if used correctly. During the early years of their use, rumors abounded regarding risk of death with their use. The truth of the situation is that most of the initial users were older men, so it’s likely that many of these early users had heart problems. It makes sense that when these men with relatively severe medical problems began engaging in a vigorous activity requiring significant mental stimulation and physical exertion (sex), some would have heart attacks or other medical issues. Imagine the number of emergency department visits that would have resulted had these same sedentary men chosen to start playing racquetball or run wind sprints in their neighborhood instead of chasing their startled wife around the house with their newfound erections! Fortunately, the death risk was unsubstantiated. Long-term studies show the risk of a man dying from using PDE-5s for ED is the same as his dying from an automobile crash.

All that’s well and good; however, it would be nice if men suffering from ED had other treatment options which worked well and possessed few side effect concerns. Happily, men are in luck because numerous other effective and safe ED treatment options do exist!

Our study was not aimed at providing information on potential changes in morbidity or health-care use by patients referred to AECs; this needs further assessment. Nevertheless, the program was based on previous projects and studies that have shown the potential of such interventions to significantly reduce asthma-related morbidity, particularly for patients with high morbidity or acute care use, for whom such intervention should be a priority. Our program is in keeping with the recommendations of these studies in that it promotes referrals to AECs. In only 4 months, the number of patients referred for formal asthma education increased more than tenfold. Additional data obtained from May to October suggest that the frequency of referrals remains stable. These results are significant when we consider the small number of referrals before the 1500 program was implemented. From January to April, referrals coming from hospitals accounted for > 60% of the total number of referrals received by the AECs. Other results support the hypothesis that this increase in referrals to AECs is directly related to the training given to the ED professionals.

Approximately half (48%) of the subjects referred to an AEC had consulted an ED for asthma at least twice during the preceding 12 months. An earlier study carried out in Quebec showed that approximately one third of the patients (32%) seen at the ED made more than one yearly visit. The fact that these patients had not previously received structured asthma education seems to indicate that even patients with a high rate of acute care visits are not often referred for such interventions.

Overall, approximately two thirds of referred patients agreed to make an appointment at the AEC, and approximately two thirds of these attended the program. These proportions are high if we consider the usually poor attendance at such programs among this population. However, this evaluation does not provide information on the reasons for refusal or nonattendance. In spite of a clear process  and dedicated staff, only a limited number of subsequently attended patients for asthma education.

Air, water, food, light and warmth are the elements, through which the new science uses as methods for cardinal solving of life issues. One, who understands the properties and applications of these elements, may recover in 5 minutes.

prevention and erectile dysfunction

You live in Nature, but you cannot profit from it. Why? You do not know its laws. If you want to be in harmony with it, to benefit from its wealth, start learning its language. In order to learn the language of Nature, you have to study the forms of the bodies, their content and meaning.

Every person benefits of the goods of Nature, depending on the degree of his development.

One shall live according to the laws of Nature. If he does not obey these laws voluntarily, Nature will compel him by force to obey them.

There are three sources, through which the Divine world influences us: through food that comes from the plant kingdom, through the air, which includes light, warmth, magnetism, and electricity, and through thoughts and feelings. Therefore, these are the three most important tributaries that constantly come from the Divine world. If you close any of these tributaries, you will find yourself in a great contradiction. So, one may perceive the Divine through food, through light, warmth, electricity, and magnetism, and finally through all the rest powers, acting in nature. One may perceive the Divine also through the most sublime and pure thought.

Enormous energy is locked in rocks, seas, Cosmos, and people have not yet used the full potential of their brains, nor have used these extraordinary sources of energy.

When talking about healthy, normal life, it means proper usage of the energies from the external world, from the rational Nature.

Once the digestive system is blocked, the respiratory is also blocked and breathing becomes rapid and irregular. That is why these two systems must be kept in good state. Eating, in general, means a process of perception: perception of the living powers of Nature. These powers are taken in through food, through the air, water, light, and warmth, and finally through the living thought. The rational man has ways, through which he may extract the living powers from these environments. One, who knows carbon, its properties and compounds, he may always extract life from it.

Do not think it is easy for one to cope with the powers, acting in Nature, as well as in every living being. If you touch a person, whose energies are opposite to yours, you will spoil your state. And then some time shall pass until you cope with these energies. For instance, it is not one and the same who will sew your clothes. Choose such a tailor, whose energies match yours. In other words, be friends with people, with whom you are in harmony. Use the services of those, with who you are in agreement and unity. In this respect, birds have solved this issue. To overcome difficulties in their lives, they have developed in themselves the art of sewing clothes by themselves, painting and arranging them by themselves. One must be careful when he chooses his tailor, cook, as well as the books he will read. It is not one and the same who the author is. It is better if you read the books of that author that suits your character. It is good to read books that author with whom you set up in a range. It is not important if these books will be scientific or fictional.

Sources of ED we discussed Lifestyle sources of ED such as smoking, excess alcohol and carrying a few extra pounds. We have also seen how party drugs can crash your party and take you to another party. In the introduction we discussed how stress and inflammation can be the intermediaries that enable baddie

lifestyle

free radicals. This stress can be both physical and emotional. So, let’s look at some Lifestyle changes you can start to apply to give your Dick the best chance.

Lifestyle: Eat Regularly

Skipping or delaying a meal stresses your body and could start baddie free radical reactions. It doesn’t even help with weight loss as your metabolism slows down to preserve energy. Eating regularly keeps your energy levels up and your metabolic rate optimal.

Lifestyle: Exercise, Exercise and Exercise

It cannot be stressed enough that exercise is crucial to your body systems that affect erections and ED. Strong evidence links a sedentary lifestyle to ED.

Dickxy reports findings that men who were physically active reported better erections with a 30% lower risk of ED than those who didn’t exercise regularly. A recent study published online in the journal of Sexual Medicine, found an association between physical activity and better erectile function even in young, healthy men aged 18 to 40. So, it’s irrefutable. Whatever your age, exercise enhances erectile function.

Regular exercise can enhance sexuality through a variety of mechanisms that affect both the mind and body. Physical improvements in muscle strength and tone, endurance, body composition and cardiovascular function (specifically, enhanced peripheral blood flow) can all enhance your sexual ability. Yet another study showed that those who exercise are more likely to experience a greater level of positive perception of themselves. This makes them more sexually desirable and enhances their sexual prowess.

As regular exercise seems to feature so much, here are 6 medically reviewed exercises that can improve your sexual prowess:

(1) Weight lifting. Strength training causes the body to produce testosterone, can strengthen the upper body and improve stamina during intercourse.

(2) Pelvic Floor Muscle exercises (also known as Kegels). We will get into these exercises in great details as part of the behavioural exercises in later steps. These arc also useful to delay ejaculation.

(3) Yoga. This exercise helps you become more flexible, making you more creative in your sex positions. Specifically, get into yoga poses that improve pelvic muscles such as the Bow Pose, Peacock Pose (also called the Forearm or Elbow Balance), and Shoulder Stand.

(4) Fast walking, running and other aerobic activities can help improve one’s sex life by improving circulation and blood flow. If you don’t like running, just find time to walk briskly for 30 minutes a
day. Preferably first thing in the morning.

(5) Short intense exercise has also been proven to boost testosterone. This is intense exercise for 30 seconds, recovery for say 90 seconds and repeated again 7 times.

(6) Swimming. Swimming for at least 30 minutes three times a week will increase sexual endurance.

Note that I have underlined regular. Dickxy has found research (PMID 16874149) that shows that whilst a single dose of exercise can increase Nitric Oxide for about 48 hours, daily and regular exercise causes a four-fold increase that can last up to a week.

The relatively new subject on how the brain works, Neuroplasticity, has replaced the formerly-held position that the brain is a physically static organ. It is proving that exercise actually changes the way the brain works Kamagra Australia shop for the better and more importantly counters some of the effects of aging on brain function. It makes sense that as the brain has so much influence on erections anything that improves brain function has to be good for your erections.

Insulin is also a stimulator of Nitric Oxide and exercise increases Nitric Oxide production in response to insulin (PMID 16889802). Exercise also increases the activity of an important circulating antioxidant, para-oxinase-1 that is usually decreased in men with ED (PMID 12798217). Need we say more about regular exercise? No matter how hard, inaccessible or boring, you have to find some kind or regular exercise routine to help with good erections.

There are three different types of drug available at present:

• Viagra (sildenafil)
• Cialis (tadalafil)
• Levitra (varenafil)

How Do They Work?

They all work slightly differently but all affect hormonal chemicals that come from the brain during sexual arousal. These drugs work by increasing the amount of nitric oxide produced. This chemical does two important things: it causes the nerve connections between the brain and the penis to become more fine-tuned; and it also increases the blood supply to the penis and causes the blood vessels in the penis to widen, causing an erection. These drugs in themselves do not create erections but they make an erection much more likely after sexual arousal. Ideally they should be taken about an hour before sexual activity and the effects can last several hours.

Do They Work?

Yes, in the majority of cases (about 70-80 per cent) these drugs can produce a good erection. Some men may find that one drug works and another doesn’t so it can be a trial-and-error process. Also, the dosage may vary. However, these medications can produce a good erection even when the blood supply to the penis is narrowed, as in cases of atherosclerosis and nerve damage, for example.

Do They Have any Side Effects?

Like all medicine there is a potential risk of side effects. Discuss this with your doctor. Common side effects include headache, facial flushing, nasal congestion and stomach upset. About 3 per cent of men who take Sublingual Viagra get visual disturbances, most commonly affecting colour vision. This is often described as a bluish tinge.

It is felt that Viagra is generally safe to take for men with heart disease, provided their condition is stable and well-controlled. Discuss this further with your doctor if you have concerns.

Do They Interact with Other Medicines?

There is a risk of severe interaction with nitrates (used in patients with heart disease and angina) and for this reason drugs like Viagra cannot be taken if you are on nitrates. Check with your doctor or pharmacist about other potential interactions. The effectiveness of some of these drugs is affected if taken after a fatty meal – another good reason to watch your diet.

Injection Therapy

An injection of a drug called Caverject with a very fine needle is made into the penis, which usually causes an erection to occur within about 15 minutes that can last up to an hour. While this can sound scary, most men can learn the technique. The erection occurs even if you are not sexually aroused (unlike medication).

Side effects can include penile pain and discomfort. A rarer side effect of this injection is a prolonged painful erection, which is known as priapism. This condition needs emergency treatment Canadian Viagra pharmacy Pharmacyto prevent long-term damage to the penis.

Injection treatment is less popular now that oral medication is available, for obvious reasons.

If you have a permanent or even temporary partner, another type of ED Syndrome may set in. This is what I call Partner ED Syndrome. Can you relate to some of these ED consequences?

– Her Post Coital Double Whammy. It’s a fact that men and women have different sex agendas. Women seek intimacy before and after sex whilst men seek intimacy through sex. After another Mr ED let-down you may beat yourself up, apologise and even worse, withdraw emotionally. Mr ED’s reaction is to drive an emotional wedge through your relationship because he’s far better off
keeping you all to himself. But let’s think about the partner for a second: she has just suffered a double whammy. Not only did she not have sexual intercourse with you but, in addition, she’s left with an emotional void just when she would like intimacy!

– Frustration for both of you. This is especially true if your partner thinks she might have an orgasm through intercourse if only you could get and keep your Dick erect for long enough! Frustration aggravates relationship issues. Some couples may try to deal with this by using other means to help her come. This is commendable but, let’s not fool ourselves and rely on this as a solution when it’s possible to overcome your ED issues and have a more fulfilled sex life. What have you got to lose? Apart from the speedboat you got for your birthday?

– Withdrawal from your partner. You feel you let your partner down. You may become angry with yourself and lose the special connection with your partner that you enjoyed during the early stages of your lovemaking life.

– You both lose interest in having sex together. After repeated failures, your partner may dread the thought of getting excited only to be let down by another frustrating non-event. She may start exploring other ways to fulfill herself which could undermine or ultimately ruin your relationship.

– She fears or does not want to hurt you and does not raise the issue. This internal festering of issues will eventually undermine your relationship. Worse still, she blames herself and thinks you don’t desire her any more.

– Even if you are trying to impress her with prolonged foreplay and get her turned on, your ED can get her to return to the unaroused state which becomes uncomfortable. And then watch the bedroom turn into Antarctica.

– She starts to wonder if your ED  is deliberate because you don’t care about her any more. She may think you want to deprive her of pleasure, or that you are being plain selfish.

– She can’t understand why you cannot have any control over your Dick. Anger and frustration follow. And if you’re really unlucky, her mother comes to console her.

– She tries various acts to stimulate you to get your Dick erect. Her actions interrupt your intimacy and you are both uncomfortable.

If one or more of these situations sounds all too familiar to you, you may begin to feel like the worst guy in the world. Or the first and only one to be such a burden or disappointment to your partner. But you should not feel isolated or inadequate. It’s a fact and I repeat: you are not alone. Oh dear, you may think, does this mean there’s a whole army of Mr EDs out there? Over half of all men between 40 and 70 suffer from some form of ED. So, you could say there is an army out there. But, it’s not an invincible army, and one that can be easily overcome.

Erectile dysfunction and canadian generic viagra, while not life threatening, is a common condition that can result in withdrawal from sexual intimacy and reduced quality of life. ED is associated with chronic illnesses and medications used to treat these illnesses. Psychological or relationship issues often coexist and can contribute to, or result from, ED. Therefore, a wide range of health care providers must be aware of ED and knowledgeable about the etiology of ED and its treatment options. Advocates of particular ED treatments have suggested that peer-reviewed published randomized trial reports may exaggerate the costs and adverse events associated with these treatments. Other sources of drug safety data (e.g., drug company press releases or the FDA Web page) that are not peer-reviewed may provide more biased data and, therefore, were not extensively used in this report.
This report estimates potential costs to VHA for providing Viagra and other treatments using sets of reasonable assumptions about ED prevalence, dosage and frequency of use. Literature searches conducted in the course of this systematic review discovered no published economic analyses of ED treatments. In the absence of data collected specifically for cost estimation and of rigorously conducted economic analyses with sensitivity analyses, other sets of assumptions may be equally reasonable and would lead inevitably to different aggregate cost estimates. Thus, postulating or hypothesizing as to a true net cost-utility or cost-benefit ratio at this time could be incorrect in either direction.

The prevalence of ED increases with age and comorbid conditions such as diabetes, heart disease, hypertension, neurologic and psychiatric conditions, smoking and some surgical therapies. Because these conditions are highly prevalent in patients treated within VA, ED is likely to be a major and increasingly important health care issue both in terms of quality of life as well as resource utilization. If results from non-VA population based studies are extrapolated to male veteran users of the VA medical system, an estimated 1.7 million veterans may have some degree of ED. The number of men seeking help is likely to increase with enhanced awareness of ED and its increased treatment options.

Advocates of particular ED treatments have suggested that men seeking these treatments may have undiscovered underlying serious diseases, which cause ED, diagnosed and treated. The availability of ED treatments could thus contribute to improving health care quality and possibly to improving population health. This hypothesis remains untested; its validity would rely on the extent to which early intervention in these diseases does lead to improved outcomes.