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Erectile Dysfunction Therapy 3

Erectile dysfunction, or ED, is the inability to achieve or maintain an erection suitable for intercourse. An estimated 30 million American men suffer from ED, according to the National Institutes of Health.

Causes of Erectile Dysfunction

There are many potential causes of ED, and they can be divided into two categories: physical and psychological.

  • Physical causes of ED include:
  1. Cardiovascular disease
  2. Diabetes
  3. Obesity
  4. High blood pressure
  5. High cholesterol
  6. Metabolic syndrome
  7. Parkinson’s disease
  8. Alzheimer’s disease
  9. Sleep disorders
  10. Drug or alcohol abuse
  11. Smoking
  12. Pelvic surgery
  • Psychological causes of ED include:
  1. Depression
  2. Anxiety
  3. Stress
  4. Relationship problems

Diagnosis of Erectile Dysfunction

A thorough medical history and physical examination are the first steps in diagnosing ED. Your doctor will ask about your symptoms, medical history, and lifestyle. He or she will also conduct a physical examination, which may include a penile exam. Based on the results of these tests, your doctor may order blood tests or additional tests.

Treatment of Erectile Dysfunction

Treatment for ED will vary depending on the underlying cause. In some cases, treating the underlying cause may resolve the problem. In other cases, medications or other therapies may be needed.

Medications used to treat ED include:

  • Phosphodiesterase type 5 inhibitors (such as sildenafil, tadalafil, and vardenafil)
  • Hormone therapy
  • Penile injections
  • Penile implants
  • Vacuum devices

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Video transcription:

Now we start recording


start recording an erectile dysfunction. Why it’s

important? What are the risk factors how we can treat patients with erectile


keep mineral erectile dysfunction? Okay, the first, the first cornerstone fee

meter, the motor, how we define erectile dysfunction throughout the counseling

foreign, something you need more attention: okay

maybe there are

dysfunction start on diary and namaste who can define erectile dysfunction

victorix dysfunction

is defined as inability to achieve or maintain erection

sufficient for sexual activity or adam will put the inability to either

initiate okay


to maintain that, in order to understand currently from the process of sexual

activity activity

several stage, stages

p shakslasm need to go through

the terminal sexual intercourse excitement, okay, could have the shocks

either physical or psychological, our imagination, iron or touch or whatsoever

specific excitement. Okay, hello, either increasable heart rate, increases

blood flow elemental; penis. He emulated erection either the first

means. Oh, it’s the first stage. He had the


excitement satya rikshan and had the bright after the message. You see I’m a

little heart rate allah. You can blood flow animal, exactly okay


okay and ejaculation, some more expulsion of semen, okay, ejaculation, ejaculation expulsion, of

semen, ra,

it’s, very complex process

the parasympathetic

erection, the sympathetic who will live a human

ejaculation assigned to acetylcholine involved

nitric oxide involved

other neurotransmitters, involve maintenance, smooth muscles involved in heart, blood

flow involved in kurdish involved or several factors. Involved

Imagine. The metallic causes of erectile dysfunction, nfl, I’m trying to make kind

of a full cheek up, heart

atherosclerosis bloody flow psychologically

patient. If he has been through stress

depression and anxiety, fear is is

let me just show you

let’s go to the anatomy. I think it’s

very important to mention a little bit about the anatomy


our penis. Let me stop it for a minute: okay, start

presentation voila, because if we understand the anatomy

betrayed, if we understand the anatomy dysfunction so again why this is very important


then, let’s connect it with other systems. Must boot okay

hello we go back

I need to share my screen again achilles foreign


so. Let’s understand the anatomy and the mathematical anatomy. I can’t go any


so. This is the penis structure. Let’s, let’s look at the crushing of the penis

so. We took this section and we now look look at the structure

okay, but then go back to the normal state

ejaculation on the other side and imagine if the nd

vein go in the center should fulfill mercury. A deep artery in both

structures will cover nozzles sponges other corpus sponges who are

believed ali urethra and shaytin had the

urethra rabbit with the sponges structure, and this structure

give me one second okay

so again the structure

corbusco, because I know we have two high canopy

and, a central artery to imagine what has happened to the excitement. By

The erection, bladder, pacific ejaculation balance was good. Rashidu relaxed

mish contract

relaxed, the muscle relaxed my bloody flow

filled up with blood, the main terrible blood flow

okay. This erection is supposed to last okay. He then hey how many of you see

blood heart rate, alley blood to flow

blood flow gonna, not exercise gonna, relax highly muscles, it’s gonna be

filled with the blood. So if you’re in

the erection hall blood right away, don’t observe any compression

anal vein, who is supposed in eurasia and

blood the family direction or gas

okay the safety ejaculation expulsion

the semen, something now and we have something

involved in a natural upside

in, an anna any medication that can help me boost an

anatomical side in tunica the blood to flow. So if somebody having

like atherosclerosis, so it’s very unhealthy youth


he feels something wrong. We have to do further diagnosis that impacts the erection process. It’s okay to take adrenal


medication. With that erection detected, enormous

sympathetic, parasympathetic and chronic

diseases. They diabetes the blood pressure, edema judean, already

under control. Now how we can prevent it’s easy, to

prevent, okay, and

anxiety or depression. We can send them

to a counselor, okay, reading mla counseling. How can help him relieve the

stress? How can help him avoid illegitimately distracting his sexual

desire the treatment? Okay, that we really

heard of

the, whether minister coming from free community pharmacy, whether you are in a

community pharmacy

or, once it’s released

in, surrounding smooth muscle, nitric oxide synthesis relaxation gtp the cyclic

gmp relaxation

okay, then, if you’re in this cyclic gmp invoked now

why, I’m bringing this- and I imagine if the anticyclic gmp muhim in the

amelia relaxation, with the sufficient

relaxation bim, tele, penis, blood, obscenity and erection and

then in the interciting gnp. This would help

the ammunition

dysfunction, yes, functionality, relaxation, even higher medication, they’re really

involved with and here a key thinking

very common or in fact

up to 75 percent, and in the total mean at this, is going to really improve their

quality of life. The record is satisfied and happy about this option

okay. Do you have any idea there one hour enemies

okay we have to let the patient know you

know at least one hour. Lack of counseling effectiveness must be an excitement

everything. Is there no matthew erection

because, you exceeded the foreign for up to 18 hours and then imagine effective

sexual intercourse, and then this is very

convenient. Okay. This is going to be a very dangerous


have, a simply severe hypotension, okay, severe hypotension

so. You have to be careful. Okay, you have to be careful

alpha. Blocker, our other beta blocker nasm. You have to make sure in shock okay, so this is very important. To


At the end had the end. I saw our first categories

so, it’s very convenient actor, coming

back right side effect, bottom


they last up to four hours. This year is up to 18 hours. We have to be careful for uncontrolled diabetes and the best

problem will control the diabetes

over time, I’m sure you’re going to improve

you’re trying if you identify the cause

of how well tinted this would be very perfect. Okay group, the second group

the one given second and medication, okay

you cover

this, part of the penis and you suck out air this

negative pressure. Gonna push the blood to move towards the penis

fill up with the blood erection gonna

happen, and this is very convenient. Okay, it might work

very satisfied if they know how to deal with it. Okay

If it didn’t work or other options m. Let okay, it’s there’s a difference. Still invasive


it’s, not this first line therapy needle is involved. It’s not the first

line there. The type of need is to be bleeding this

is, another problem

and, the sickness in anemia toxin needed selfie bleeding

then. There are many precautions, still

very effective in needing the other native syria lasts for hours, and it’s painful with


patient needs to go to the emergency room

so they can take. Care of it


so have been initially that approach the deal


the first time. Okay, to avoid just to avoid you can help the patient

and to have ericsson feel patient just to induce erection

as. He can inflate and deflate conveniently

perhaps semi-surgical penile prosthesis up prosthesis. Do you have any question


either the the definition of erectile dysfunction

the risk factors

how? It’s involved with other systems in the body and diseases

how. We treat it

was the first option of treatment suicide. The effect

what is the history that I need to take

from the patient heather anderson

behind m. Do you think it’s it’s

it’s worthwhile to learn more about erectile dysfunction

cardiovascular disease, more be

such worthy right, more talkable, diabetes

more, habitable nerve damage, more habitable medication. So into

you you should you are doing a full cheek up anal

to spot the reason behind the electrical dysfunction


very important

it’s common. You have to intervene into the clinical

pharmacist more about

medication. What is the other name of erectile

dysfunction? You can have in my aesthetic erectile dysfunction. Again I use another

term. What do we call? Erectile? Dysfunction

Another term articulate amp. I already mentioned something about

the testosterone

how. Do you ever think about it as a

medication? Okay, this might solve the problem

what. Do you think? Yes, I have to see the side effect

of this table. Once you see the side effect of this

no, I have to find another option. Okay, if somebody having a psychological issue

okay methanol into the in order to solve another


okay hetero can have a depression cut until you’re trying to solve other


by having the patient getting back to his normal to make them last longer

had. The end of iso al regarding any part of this lecture out of 10

minutes is looking for an erectile.

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