Men have times when they don't get an erection. It isn't as sensitive, as hard or doesn't last long enough to have an orgasm. Erectile dysfunction is a symptom. What it is a symptom of, depends on an evaluation by someone who understands the problem. This lens is to help you understand some of the things it may mean, and what the approach to evaluating this problem should be. By reading this information and visiting some of the links you can be better informed and not just expect a sample of medication after a brief conversation.
Having ED means YOU have Wellness Issues
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Obesity is Related to Low Testosterone
Low testosterone = Erectile Dysfunction
Why not begin to lose your excess fat and begin to improve your health in a number of ways. Try out my free teleseminar on Thursday nights in 2008 by signing up. You can use the other link to check your BMI.
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Your BMI or body mass index - a ratio of height to weight - will tell you if you do.
Erectile Dysfunction is a symptom of an underlying problem.
Erectile dysfunction (ED) can be a physical, psychological or social problem. It may be the first indicator of diabetes, heart disease, or neurological disease. ED is not a simple problem and requires an extensive history, a thorough physical exam, laboratory work, and maybe, one of the big three medications so heavily advertised. Sometimes the necessary medication may be for hypertension or diabetes or a change of one of the medications the patient may be taking.
Peyronie's Disease as a cause of ED
Painful erections, a new bend in the middle, trouble with penetration
The problem is caused by plaque formation in the erectile tissues. Initially it just hurts when it is erect, but eventually it gets a kink. Usually just in one side but if you have certain kinds of arterial disease it can look like an hour glass with the pinch all the way around.
Twenty percent of men with Peyronie's also have a Dupytren's contracture that prevent them from extending one of their fingers. Usually the ring finger.
If you have this problem there is treatment but you need to see someone who has treated many men with this problem. Surgery is a major last option. The major complaint after surgery is that it is much shorter, among others.
Many men with Peyronie's have ED also. This is often an early sign of heart disease or diabetes or both. Take it seriously, see your physician for a physical. Don't go down to your local urgent care center and ask for a pill to give you a better erection.
A video discussion of ED
Here is some info about the problem and the medications to treat it.
Here is a list of some causes of ED. Could you have one?
ED is not just a problem caused by aging. Your doctor or PA needs to rule out these as causes of ED in each patient.
# Alcohol and tobacco use
# Fatigue
# Brain and spinal-cord injuries
# Hypogonadism leading to lower testosterone levels
# Liver or kidney failure
This is a continuation of the list of causes of ED.
# Parkinson's Disease
# Multiple Schlerosis
# Radiation therapy that involves the testicles
# Prostate & bladder surgery
# Stroke
# Sleep disorders like apnea
# Medication side-effect
# Peyronie's Disease
# Diabetes, hypertension, heart disease
# Pulmonary disease
# High Cholesterol or triglycerides
Rebate offers for ED Drugs vs Samples.
Why do you think the companies only offer samples through your physician?
Would you rather have automatic points for filling a prescription that could be redeemed for a discount later?
"What do you think? Good Lense? Tell me. bruce.l.bair at gmail dot com Send me a Duel."
Some articles and websites about ED.
ED is erectile dysfunction.
- Medline Plus linked article
- An article about ED as an indicator of heart disease.
- ED info from the National Kidney and Urologic disease info center
- Good description of why erections don't occur, how the patient is evaluated, and how the problem is treated.
- ED info from FamilyDoctor.org
- Easy to read information intended for patients. Great list of what could cause ED physically and emotionally
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The Family Doctor - Urgent Care & By Appointment
Good area on site about ED.1 point
Erectile Dysfunction medication can be great or a big problem.
Prolonged erections, medication interaction and eye problems are a few.
What medication have you used for ED and what has been your experience? Has it been largely positive and saved your relationship and improved your life? Or, has it been less than satisfactory and something you wish you had not ever tried. Let me know your experience.
Comercially available books about ED
Erectile Dysfunction: Issues in Current Pharmacotherapy
Information for health-care professionals.
Amazon Price: $99.95 (as of 12/07/2009) 
The Official Patient's Sourcebook on Erectile Dysfunction: Directory for the Internet Age
Resouce for information on ED intended for patients.
Amazon Price: $34.95 (as of 12/07/2009)
Erectile Dysfunction, An Issue of Urologic Clinics (The Clinics: Surgery)
These are well known monographs on the latest information on an important problem. This one is about ED.
Amazon Price: $84.95 (as of 12/07/2009)
Medical Management of Erectile Dysfunction : A Primary-Care Manual
Information about ED for your primary physician.
Amazon Price: $21.95 (as of 12/07/2009)
100 Q&A About Erectile Dysfunction (100 Questions & Answers about)
published by Dartmouth Medical Center. Available for under $5 used. Patient level information.
Amazon Price: $16.95 (as of 12/07/2009)
Ed information intended for your Doctor or PA
Professional Articles
- Merck Manual
- The online version of the Merck manual on ED
- British Medical Journal
- An article on ED as an early sign of heart disease
- Issues in Male Sexual Dysfunction
- CME available for this and a second article on premature ejaculation. These topics were covered at the American Urologic Association annual meeting 2005. This is a medscape sponsored opportunity.
- eMedicine article
- A technical review article on ED causes, evaluation and therapy.
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Bruce Bair is a Physician Assistant. He works at the NC Family Doctor in Chapel Hill, NC. His lenses are intended to help inform his patie...
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