Erectile,dysfunction,and.,This health Erectile dysfunction and. . .
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This article is goingto move around in time a little but, as always, to a purpose. There has been along line of studies examining the relationship between erectile dysfunction(ED) and other conditions. In 2006, a piece of metaresearch was concluded, i.e.a study that examines the existing published research to look for a balance ofevidence. The theme was therelationship between endothelial dysfunction which is the most commonunderlying cause of ED, and hyperlipidemia, cardiovascular disease, high bloodpressure and heart disease. It confirmed a strong signal to the medicalprofession that should you appear for a consultation with ED, the physicianshould not routinely prescribe Viagra, Cialis or Levitra. Assuming there is noobvious cause for your ED, e.g. some kind of traumatic injury, you should firstgo through a full screen for cardiovascular diseases including measurement ofthe levels of lipids and blood glucose.Even though you mayhave no obvious symptoms of vascular or coronary disease, you will be treatedas at risk until the contrary is proven. This will particularly apply if youare carrying excessive weight and lead a sedentary life. At the very least, youwill find someone counselling you on the subject of lifestyle modification. Youare also likely to be invited to go through an exercise electrocardiogram toget a better view of the level of risk. If you show reasonable strength andstamina, you will be advised to increase physical activity. Thus, in additionto treatment for the ED (probably using Viagra, Cialis and Levitra if yourcardiovascular profile checks out), you will probably find yourself engaged ina preventive programme to avoid or reduce the development of cardiovasculardiseases.Similarly, there isclear evidence of the relationship between ED and depression so that if youhave both of these conditions, any change or alteration in one may cause somechange or modification in the other. So there are four ways in which to explainthe relationship:1.the fact that theycan occur at the same time is simple coincidence; 2.ED may be a symptomof depression; 3.ED can be a sideeffect of taking antidepressants; or 4.men with ED as theprimary condition may react to the stress of losing sexual function bydeveloping a secondary depression. The accumulatingevidence is that mild to moderate depression is quite common but frequentlymisdiagnosed among older men. Thus, ED and depression are intimately associatedwith the ageing process, and thereby linked to diabetes, hyperlipidemia,hypertension and heart disease, and in lifestyle, with poor general health,smoking, alcohol and substance abuse.In 2001, there was atwelve week, randomised, double-blind, placebo-controlled trial at twentyurologic clinics in the USA. Men who came with symptoms of ED werescreened for evidence of untreated depressive illnesses. Those who were founddepressed and had suffered ED for more than six months were invited into thetrial. Viagra was randomly allocated and led to marked improvement in erectilefunction. Furthermore, those participants who responded favourably to thetreatment (including those in the placebo who showed some improvement as aresult of the psychological screening process and the general commitment ofresources to them), showed a clinically significant relief of depressivesymptoms and improvement in the quality-of-life indicators as against thoseparticipants whose ED did not respond to treatment at all.This does not mean, ofcourse, that Viagra can be used to treat depression. But the evidence is clear.In other trials involving Viagra, the measurement of quality-of-life showedimprovement in 46% of diabetic men and 72% of men with spinal cord injuries. Inthis case, 90.9% of those with untreated depression reported a significantimprovement in the quality of their lives. This would seem good evidence thatsuccessful treatment of the ED removes it as a cause of secondary depression.It is not good evidence that Viagra itself (or the other PDE-5 inhibitorsCialis and Levitra) alters mood. You always have to do that for yourselves.
Erectile,dysfunction,and.,This