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In a few cases there is a vascular problem which can be treated surgically.
Dr Li Ming Wen
Erectile dysfunction or impotence is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. There are various underlying causes, such as diabetes, many of which are medically reversible.
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Abstract Objectives: To examine whether there is an association between smoking and erectile dysfunction in a representative sample of Australian men.
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These are generally ineffective when tested blind, but may be useful for their psychological (placebo) effect: if a good result is expected, any highly-praised, and often expensive, treatment can be effective. Reputable drugs can also benefit from the same effect.
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Chronic high levels of blood sugar associated with diabetes mellitus often damage small blood vessels and nerves throughout the body, which can impair nerve impulses and blood flow necessary for erection. About 60% of men with diabetes experience impotence.
Neurological (nerve) testing
Goldstein, whose patients included a number of cyclists with sexual dysfunction, performed a study at Boston University Medical Center to investigate the connection. His 1997 study showed that cyclists experienced more sexual dysfunction than athletes who didn't bike. Cyclists' complaints included erectile dysfunction, groin and penile numbness, and problems urinating.
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Avoid sugar, dairy products, refined foods, fried foods, junk foods, and caffeine.
"But we found that sexual function wasn't any worse than when patients got radiation in the conventional high-dose way," he said.
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