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Stuart N. Seidman, M.D., Steven P. Roose, M.D., Matthew A. Menza, M.D., Ridwan Shabsigh, M.D., and Raymond C. Rosen, Ph.D. Erectile dysfunction. Two rigid cylinders have been placed into the corpora cavernosa. This type of implant has no inflation mechanism but provides adequate rigidity to the penis to allow penetration. Psychogenic impotence is relatively uncommon. It is characterized objectively by the presence of good nocturnal and morning erections and negative findings from all other tests. During the interview, a history of highly variable erections that can be totally absent one day but virtually normal the next suggests a psychogenic cause. Virtually 100% of men with severe depression have erectile dysfunction (ED). Sildenafil (Viagra) works well for psychogenic ED; other treatment modalities are also effective because the tissues, nerves, hormone levels, and vasculature are normal. The authors usually recommend a full psychological evaluation in these patients so that the underlying etiology can be identified and treated appropriately rather than just treating the symptom of ED. Therefore, the authors defer treatment of the patient's ED until he has begun psychological testing and therapy for the underlying problem. The table below lists homeopathic treatments for specific symptoms of erectile dysfunction (ED). Also included in the table are personal characteristics that may be demonstrated by the individual afflicted with ED. Dosing Interactions If erection problems seem to be caused by a medication you are taking for an unrelated condition, consult your doctor. You may benefit from reducing the dose of the drug or changing to another drug that has the same result but not the same side effects. DO NOT change or stop taking any medications without first talking to your doctor. To block veins that drain blood from the penis. Alprostadil In addition, almost 90 percent of men with erectile dysfunction had at least one risk factor for heart disease, including diabetes, high blood pressure, high cholesterol or smoking. Address correspondence to Anthony J. Viera, LT, MC, USNR, Family Practice Department, PSC 490, Box 9097, U.S. Naval Hospital, Guam, FPO AP 96538-1600. Reprints are not available from the authors. A significant number of men develop impotence from psychological causes that can be overcome. When a physiological cause is treated, subsequent self-esteem problems may continue to impair normal function and performance. Qualified therapists (e.g., sex counselors, psychotherapists) work with couples to reduce tension, improve sexual communication, and create realistic expectations for sex, all of which can improve erectile function. Viagra Helps COPD Patients Control Pulmonary Blood Pressure pharmacy How Does Ejaculation Occur? If the veins in the penis cannot prevent blood from leaving the penis during erection, erection cannot be maintained. Venous leak can be a result of injury, disease, or damage to the veins in the penis. Article Date: 21 Jan 2010 - 1:00 PST link "Most of us think that one of the measurements one must do when you have a patient with newly diagnosed [erectile dysfunction] is look at testosterone levels," says Glenn Cunningham, MD, spokesman for the Endocrine Society and a professor at Baylor College of Medicine in Houston. Overall Health Changes that Will Improve Your Sexual Health