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Health professionals aren't sure what causes premenstrual syndrome, but the likely cause is the fluctuation of two hormones, estrogen and progesterone. Estrogen may affect feel-good hormones endorphins and serotonin, contributing to depression, irritability and anger.
Dynamic infusion cavernosometry: This test is used for men with ED who have a venous leak. During this test, fluid is pumped into the penis at a predetermined rate. By measuring the rate at which fluid must be pumped to attain a rigid erection, doctors can determine the severity of the venous leak.
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In other words, the complex chemical process behind your erection can be interrupted if the vascular, or blood vessel, system isnít functioning correctly. Atherosclerosis, the build-up of plaque in your blood vessels, can also increase erectile dysfunction risk by reducing blood flow throughout the body.
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Horwitz said he and his colleagues plan to take the current research to the next level.
However, study after study shows that a wide range of health issues affect erectile function and sexual health. As psychiatrist Alain Gregoire puts it in the British Medical Journal, the penis has a multiplicity of connections within a man's mind and body - and, indeed, outside it.
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.
The study followed 1,057 men (ages 40-70) from the Massachusetts Male Aging Study (MMAS) - a prospective observational study of aging, health, and endocrine and sexual function - over an average of 12 years. These men were free of diabetes and CVD at the start of their study participation. However, during the follow-up years, 261 new cases of CVD occurred. ED predicted the development of CVD, independent of age, traditional risk factors, and Framingham risk score. Men with ED showed a 40 percent higher risk of developing CVD compared to men without ED.
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Have more sex. Men who have sex at least once a week are 50 percent less likely to develop erectile dysfunction. Sex improves cardiovascular health, reduces stress, and may lower your risk of prostate cancer.
The frequency of morning erections was not associated with the incidence of moderate erectile dysfunction, the researchers noted.
One way to know if the cause is physical or psychologic is to determine if you are having nighttime erections. Normally, men have 3 to 5 erections per night, each lasting up to 30 minutes. Your doctor can explain a test to find out if you are having the normal number of nighttime erections.
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Are there physical causes of erectile dysfunction? A prior history of cigarette smoking, heart attacks, strokes, and poor circulation in the extremities suggest atherosclerosis as the cause of the erectile dysfunction. Diminished sensation of the penis and the testicles, bladder dysfunction, and decreased sweating in the lower extremities suggest diabetic nerve damage. Loss of sexual desire and drive, lack of sexual fantasies, gynecomastia (enlargement of breasts), and diminished facial hair suggest low testosterone levels.
Arterial Disorders (peripheral vascular disease, hypertension; reduced blood flow to the penis).
Sildenafil has been found to be effective and safe in the treatment of erectile dysfunction in men with stable heart disease due to atherosclerosis of the coronary arteries, provided that they are not on nitrates. The real concern is not as much the safety of sildenafil but the risk of sexual activity in triggering heart attacks or abnormal heart rhythms in patients with heart disease.
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