Male Erectile Disorder
Erectile Dysfunction (Impotence) Diagnosis
In making a diagnosis of erectile dysfunction (ED), your doctor will start by taking a detailed medical and psychosexual history and conducting a thorough physical examination. If possible, interviewing your partner also is very helpful in obtaining an…
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Male Erectile Disorder - Therapeutic Outcome
The data on short-term outcome of treatment for male erectile disorder demonstrate various success rates. Sporadic studies with psychological treatment modalities have reported success rates of up to 80%. Some studies (Masters and Johnson 1970) suggest fairly high…
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Male Erectile Disorder - Conclusions
We have witnessed an unprecedented expansion and popularity of the treatment of male erectile disorder during the last decade. Our society, though still quite prudish and hypocritical about sexual issues, is becoming more open and interested in the…
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Male Erectile Disorder - Who Should Counsel?
One additional comment addresses an important question - who should treat, who should counsel? As McConaghy (1993, p. 236) pointed out, many psychiatrists and psychologists would feel that only a member of their profession should conduct sexual counseling.…
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Guidelines for Treatment of Erectile Dysfunction
Each patient with erectile dysfunction should receive individualized and integrated treatment of his erectile dysfunction, with all indicated modalities applied.
The first step after the thorough evaluation, diagnosis determination, and patient education should be the modification…
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Pharmacological Treatment of Erectile Dysfunction
Topical vasodilatators Numerous topical vasodilatators have been tried in the management of erectile dysfunction (Crenshaw and Goldberg 1996, pp. 443-458). These include nitroglycerin 2% ointment, glyceryl trinitrate paste, and minoxidil gel rubbed onto glans penis (hair growth on…
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Erectile Dysfunction Treatment
Male erectile disorder should always be viewed in the broader psychosocial context. The treatment approach should be integrated and should include educational, psychological, and (if indicated) biological components. Treatment of any established underlying condition of erectile dysfunction (e.g.,…
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Male Erectile Disorder Evaluation
A comprehensive evaluation of erectile dysfunction is the cornerstone of the management plan. The evaluation should include an initial assessment; a detailed psychosexual, medical, and psychosocial history; a physical examination; and, if indicated, laboratory testing. Administration of various…
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Causes of Erectile Dysfunction
As Schiavi pointed out in the previous edition of this book, “emphasis on specific determinants of erectile disorders has been influenced by prevailing theoretical perspectives as they have shifted over the time”. We have certainly seen a shift…
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Male Erectile Disorder Prevalence
According to the latest estimate of prevalence of sexual dysfunction in the United States, sexual dysfunction was reported by 31% of males in a national probability sample from the 1992 National Health and Social Life Survey. The prevalence…
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Male Erectile Disorder - Mechanism of Erection
Knowledge of the physiological processes underlying erection is essential in order to comprehend how the newest pharmacological agents exert their effects in treating male erectile disorder. Following is a brief summary of current understanding regarding the mechanism of…
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Male Erectile Disorder
Male Erectile Disorder Introduction
The treatment of male erectile disorder has received a great deal of attention and publicity over the last several years. The arrival of sildenafil (Viagra), a…
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Male Erectile Disorder Definition
The essential feature of male erectile disorder, according to DSM-IV (American Psychiatric Association 1994), is a persistent or recurrent inability to attain, or to maintain until completion of the sexual activity, an adequate erection. Another important aspect and…
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