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Other causes of male infertility may include: Erectile dysfunction, sometimes called "impotence," is the repeated inability to get or keep an erection firm enough for sexual intercourse. The word "impotence" may also be used to describe other problems that interfere with sexual intercourse and reproduction, such as lack of sexual desire and problems with ejaculation or orgasm. Using the term erectile dysfunction makes it clear that those other problems are not involved. Address correspondence to Anthony J. Viera, LT, MC, USNR, Family Practice Department, PSC 490, Box 9097, U.S. Naval Hospital, Guam, FPO AP 96538-1600. Reprints are not available from the authors. cialis online Other substances or drugs that can cause or lead to ED include recreational and frequently abused drugs, such as: Background A 46-year-old man presented with erectile dysfunction following a blunt perineal injury sustained 1 year previously. Oral phosphodiesterase type 5 inhibitors failed to improve his erections. The remainder of the patient's history, physical examination and laboratory tests were unremarkable except for a moderate tenderness in the left perineum and some 'fullness' in the corpora cavernosa during physical examination. Grant Support: Financial support for the development of this guideline comes exclusively from the American College of Physicians' operating budget. Nocturnal penile tumescence (NPT) Select brands carefully. Only purchase brands that list the herb's common and scientific name, the name and address of the manufacturer, a batch and lot number, expiration date, dosage guidelines, and potential side effects. Most physicians suggest that treatments proceed from least to most invasive. For some men, making a few healthy lifestyle changes may solve the problem. Quitting smoking, losing excess weight, and increasing physical activity may help some men regain sexual function. However, because people with diabetes also tend to have problems with their heart, these medications may not be appropriate and cause dangerous interactions with your heart medicine. Talk to your doctor to determine what treatment is best. Pathophysiology of erectile dysfunction In older men, ED usually has a physical cause, such as disease, injury, or side effects of drugs. Any disorder that causes injury to the nerves or impairs blood flow in the penis has the potential to cause ED. Incidence increases with age: About 5 percent of 40-year-old men and between 15 and 25 percent of 65-year-old men experience ED. But it is not an inevitable part of aging. By Amanda Gardner Symptom-Specific Homeopathic Treatments for Erectile Dysfunction (ED) Advice for women on how to cope with their partner's erectile dysfunction. Other disorders. Shushruta explains the process of erection and ejaculation as � When a man has desire (iccha) to have sex, his response to touch increases ( Vayu located in skin causes flow of signals from skin to brain, thus causing sensation of touch. Generally Vata controls the flow of signals in nervous system.). This causes arousal or �harsha� . Arousal or Harsha intensifies actions of vayu and at this moment highly active vayu liberates the � teja �or heat of pitta. Thus tejas and vayu increase body temperature , heart beat and blood flow causing erection. � Inexpensive Requires some manual dexterity and strength

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