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FAQ’s - Frequently Asked Questions About Men's Health and Erectile Dysfunction

 

Q: Is erectile dysfunction different from impotence?

A: Impotence and erectile dysfunction are the same condition. In years past, impotence was used frequently, however lately the phrase “erectile dysfunction” is gaining in popularity. Therefore, when you see Bob Dole, Mark Martin, Raphael Palmero or some other Pfizer® spokesperson on television discussing erectile dysfunction, they are also referring to impotence. Erectile dysfunction is also referred to as ED (abbreviation).

Q: What are the causes of erectile dysfunction?

A: It is estimated approximately 80-85% of erectile dysfunction (ED) is the result of underlying, undiagnosed physical problems, including:

• Vascular diseases
o Heart Disease
o High Blood Pressure
o Hardening of the Arteries;
• Prostate or other Urologic Cancers
• Diabetes
• Life Style Factors such as;
o Smoking, Obesity and Alcohol /Substance Abuse
• Psychological problems such as;
o Stress, Depression and Anxiety

• A myriad of other underlying diseases can also be responsible, such as: Multiple Sclerosis (MS), Peyronie’s Disease, Brain Tumors, Hypogonadism, Hypothyroidism, Cushing’s Syndrome, Alzheimer’s Disease, Parkinson’s Disease, Peripheral Vascular Disease, Hypercholesterolemia, Spinal Cord Injury and Pelvic Surgery.


Q. What treatment plan is appropriate?

A. Treatment will depend on the cause of your erectile dysfunction. Your treatment can be as simple as discontinuing or changing a medication. Physical causes such as circulation, nerve, or hormone problems can be treated with medication, testosterone supplements, injection therapy, external devices (such as the vacuum) or surgery (penile implants or vascular surgery). There could be a need for psychotherapy for those who have no physical cause.


Q. Why can’t I just take Viagra®?

A. Although Viagra® is successful in a number of cases for restoring sexual function, the prescribing of Viagra® without first identifying the underlying cause of ED can pose a serious threat to your health. Simply taking Viagra® can allow the underlying disease to progress while masking the symptom, which is the ED. This symptom is one of your body’s best warning signals to alert you that something very serious could be wrong. By masking the symptom you may be exposing yourself to more advanced problems and even life threatening health risks. Viagra® should never be taken without first consulting with your doctor.

Q: Are there drug interactions with Viagra®?

A: Viagra® should absolutely NOT be taken by patients who are taking NITRATES. These two drugs taken together or even hours apart may result in serious consequences and even death. Other drugs such as: erythromycin, cimetidine, ketoconazole, saquinavir, ritonavir – may require lower doses of Viagra®.

Q: Does an individual maintain an erection after orgasm when using Viagra®?

A: Viagra® is used to facilitate events inside the penis that lead to an erection. Viagra® requires sexual stimulation to achieve an erection and will cease to help produce an erection when stimulation has ended.

Q: Can women benefit from Viagra®?

A: Women should not take Viagra® as it has not been fully tested for female sexual dysfunction. Studies are currently underway to determine if it is safe and effective in the female population.

Q: I have had a radical prostatectomy. Can sexual function be restored?

A: The medical community has had some success with Viagra®. But if Viagra® does not work in radical prostate patients, we have had success with penile injection or suppository therapy. Implant surgery results in extremely high satisfaction rates in those who chose it. Restoration of sexual function is possible following radical prostatectomy in the vast majority of patients.

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