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Results show that erectile dysfunction was 16 percent more likely in men with RLS symptoms that occur five to 14 times per month (odds ratio of 1.16) and 78 percent more likely in men whose RLS symptoms occur 15 or more times a month (OR=1.78). The associations were independent of age, body mass index, use of antidepressants, anxiety and other possible risk factors for RLS. Fifty-three percent of RLS patients and 40 percent of participants without RLS reported having erectile dysfunction, which was defined as a poor or very poor ability to have and maintain an erection sufficient for intercourse.
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VED Therapy Backgrounder - Vacuum erection therapy was created in 1961 by a long-time sufferer of ED. This plastic device (actually an external vacuum) can induce an erection. The better-made VEDs cost between $200 and $500 and are available with a physician's prescription.
Trauma to the pelvic region or spinal cord can damage veins and nerves needed for erection. Surgery of the colon, prostate, bladder, or rectum may damage the nerves and blood vessels involved in erection. Prostate and bladder cancer surgery often require removing tissue and nerves surrounding a tumor, which increases the risk for impotence.
discount cialis Numerous alternative therapies are used to improve sexual function. Some include: niacin, zinc, copper, Korean red ginseng root, ginkgo, pine bark, Tribulus terrestris, arginine, Avena sativa, horny goat weed, maca root, muira puama, saw palmetto, and Swedish flower pollen. None of these however have been recognized as effective by the FDA. While zinc deficiency may be a cause of lower testosterone levels in hemodialysis patients, which may benefit from zinc supplementation, such supplements have no effect on the testosterone levels of healthy males who consume a zinc-sufficient diet.
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Clinical tests used to diagnose ED
Controlled clinical trials in selected populations of men with ED have demonstrated the efficacy of sildenafil in helping men achieve and maintain erections. The efficacy of sildenafil was demonstrated in 21 randomized, double-blind, placebo-controlled studies of up to 6 months' duration involving more than 3000 male subjects aged 20-87 years.
Other adverse events associated with oral PDE-5 inhibitor therapy appear to be few (Table 4). In clinical trials the rates of discontinuation of the drug because of adverse events was low (< 5%) for all of 3 drugs, with few or no cases of priapism.37,53,55,56 Extra caution should be taken for patients who are expected to have reduced clearance of the drug. This group includes men who have severe hepatic or renal insufficiency, men over 65 years old and men taking drugs that inhibit the cytochrome P450 3A4 enzyme (e.g., cimetidine, erythromycin and ketoconazole).57 For these patients it is prudent to start with smaller doses of medication and build up gradually. For sildenafil, it is our experience that a starting dose of 50 mg is safe and effective for all men.
A. While the devices are simple to install and use, infection occurs in about two percent of cases. In this case, the implants have to be removed. Depending on the degree of infection, another implant may be reinserted immediately or after sufficient healing. But in rare cases, scarring may be so severe that subsequent reimplant is impossible and leaves the patient without any hope of intercourse.
Drinking too much alcohol, smoking too much and abusing drugs can also cause erectile dysfunction.
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