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Adverse events
Is erectile dysfunction just a part of old age?
Of those men who say their penis size is average, 46 percent still would like it to be larger
ERECTILE DYSFUNCTION
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Hormonal (testosterone) therapy No surgery required
Treatment depends on the cause. Testosterone supplements may be used for cases due to hormonal deficiency. However, the cause is more usually lack of adequate penile blood supply as a result of damage to inner walls of blood vessels. This damage is more frequent in older men, and often associated with disease, in particular diabetes.
Imaging studies are rarely performed, except in situations in which pelvic trauma or surgery has occurred.
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The first step to overcoming these feelings is to acknowledge the problem and communicate honestly and openly with each other.
Diabetes: Diabetes can cause nerve and artery damage that can make achieving an erection difficult. Between 35% and 50% of men with diabetes experience ED, according the National Institutes of Health. Some estimates are higher, stating that up to 75% of men with diabetes will experience at least some degree of ED during their lifetime and the risk increases with age.
Modern drug therapy for ED was advanced enormously in 1983 when British physiologist Giles Brindley, Ph.D. dropped his trousers and demonstrated to a shocked American Urological Association audience his phentolamine-induced erection. The drug Brindley injected into his penis was a non-specific vasodilator, an alpha-blocking agent, and the mechanism of action was clearly corporal smooth muscle relaxation. The effect that Brindley discovered, established the fundamentals for the later development of specific, safe, orally-effective drug therapies.[9]
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In the study, the researchers extracted smooth muscle cells and endothelial cells from the animals' penises. The cells were then separated and grown in the laboratory on rod-shaped collagen scaffolds for support. The scaffold was placed in an incubator and nourished by fluids to mimic conditions inside the body, Atala said.
The US-based Center for Medicine in the Public Interest estimates that the global sale of counterfeit drugs will reach $75 billion in 2010, a 92 per cent increase in five years.
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Accepted 22 December 2005
[edit] Causes