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Practicing better sexual communication skills. What are the frequency, quality, and duration of any erections you have had? WEDNESDAY, Jan. 24 (HealthDay News) -- Three drugs used to treat erectile dysfunction -- Cialis, Levitra and Viagra -- are safe and effective for men with diabetes, concludes a research review in the current issue of the Cochrane Library journal. Neurological (nerve and brain) diseases: The nervous system (the body's system of nerves) plays a vital part in achieving and maintaining an erection and it is common for men with diseases such as stroke, multiple sclerosis (MS), Alzheimer's disease, Parkinson's disease and spinal cord injuries to experience ED. This is due to an interruption in the transmission of nerve impulses between the brain and the penis. In their experiments, the researchers used mice bred to mimic Duchenne muscular dystrophy. Then the scientists gave the rodents doses of Viagra comparable to those taken by men for erectile dysfunction. The physical examination should focus on the vascular, neurological and endocrine systems.28,31 Testes size should be noted and the penis shaft examined to rule out a penile deformity (Peyronie's disease). With respect to laboratory investigations, recommendations vary,30,31 and investigations should follow clinical suspicion of specific disorders. Hemoglobin A1c and serum glucose may be measured to detect occult diabetes, and a lipid screen performed to assess the presence of dyslipidemia. Hormonal screening is controversial; however, it is reasonable to measure testosterone levels in the face of erectile dysfunction combined with loss of libido.28 Patients in whom hyper- or hypothyroidism is suspected should have their thyroid-stimulating hormone level checked.30 NMDA-induced erections were significantly blunted in diabetic rats compared with control rats The study, funded by the federal government and published in the journal Human Reproduction, is the first to examine the impact of bisphenol A, or BPA, on the reproductive systems of human males. Previous studies have involved mice or rats. buy brand viagra In DSA, the images are acquired digitally. In this test a computer uses digital images to isolate and view blood vessels. Return to top Many specific therapeutic options are now available for erectile dysfunction, with varying degrees of patient satisfaction. These include established nonpharmacologic treatments such as vacuum erection devices, penile prostheses or penile revascularization. Referral to a psychologist or psychiatrist with expertise in sexual dysfunction may be beneficial for patients with psychogenic erectile dysfunction.8 Currently available pharmacotherapeutic agents are compared in Table 3. Insurance coverage for these operations is often good, as long as a medical cause of ED is established. Medicare covers the surgery, but Medicaid does not. This is another test of nerve function in the shaft of the penis. This test uses electromagnetic vibration to evaluate sensitivity. A decreased perception of vibration may indicate nerve damage in the pelvic area, which can lead to impotence. brand viagra sale The appropriate homeopathic remedy can help move the body and mind toward healing. A trained homeopathic practitioner is needed to identify and prescribe a deep-acting, constitutional remedy. Learn to use stress management techniques and coping mechanisms, such as deep breathing or guided imagery. Related Health News SUNDAY, June 3 (HealthDay News) -- Gene therapy using nerve growth factors reversed erectile dysfunction in rats within four weeks, say University of Pittsburgh School of Medicine researchers. Talking to Your Doctor About Erectile Dysfunction and Your Heart * Avoid consumption of alcohol. If you are addicted to alcohol restrict the intake. Alcohol acts on central nervous system and causes erectile dysfunction.