Articles: erectile-dysfunction.
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Review
[Relationship between erectile dysfunction and thyroid disorders: a review of current knowledge].
Several factors can disrupt the normal physiologic mechanisms involved in penile erection. Although thyroid disorders as the sole or predominant etiology of erectile dysfunction are uncommon, their detection is easy, seldom requiring more than a single blood sample. ⋯ Therefore, discussion on erectile dysfunction should be considered a basic part of the medical evaluation for men with thyroid disorders. The physiopathology and diagnosis of erectile dysfunction, and the current knowledge on the relationship between thyroid disorders and erectile dysfunction are reviewed.
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Many studies demonstrate a high prevalence of erectile dysfunction (ED) in cardiovascular patients. Findings show that patients often do not talk about their sexual problems. Many patients believe that their physician would not take their problem seriously. However, they wish to be asked by their physician and want to get information. The medical staff also avoids to broach the issue of sexual problems even when they assume an ED. Reasons for an insufficient inquiry are often lack of time or knowledge as well as emotional inhibitions. ⋯ The reported prevalence of sexual dysfunction in cardiac rehabilitation is very high. This requires skills concerning diagnosis and treatment of sexual dysfunction, which are only scarcely present. Furthermore, there are many impediments that are mainly positioned in the health-care system. The skills should be improved by an effort in continuing medical education. Patients with ED often have depression and a reduced quality of life. To improve the quality of life of patients in the cardiovascular rehabilitation, the treatment of ED is a necessary condition. Trials show that a widespread rehabilitation program which includes a sexual education leads to a better sexual activity. The patients' quality of life can only be improved, if the medical staff includes relevant concomitant disorders to cardiovascular disease, like ED, in the treatment program of patients.
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Ned Tijdschr Geneeskd · May 2007
Comment[Anejaculation caused by haemosiderosis: male infertility in hereditary haemochromatosis].
A couple was investigated for subfertility. Haemochromatosis was suspected when the 36-year-old man had failure of ejaculation, fatigue and limited facial hair growth. Haemochromatosis was confirmed by an iron saturation of 102% (normal range: 20-45), a highly elevated serum ferritin concentration of 5468 mg/1l (normal range: 18-280) and highly elevated liver enzymes. ⋯ The age at diagnosis and the start of venesections is critical for reversal of organ damage. Aggressive venesection can restore hypothalamic-pituitary-gonadal function, preventing further organ damage. But with increasing disease progression venesection will not restore azoospermia or the failure to ejaculate.
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The Journal of urology · May 2007
Symptoms suggestive of chronic pelvic pain syndrome in an urban population: prevalence and associations with lower urinary tract symptoms and erectile function.
We determined the prevalence of symptoms suggestive of chronic pelvic pain syndrome in an urban population and assessed associations with lower urinary tract symptoms and erectile dysfunction. ⋯ The prevalence of symptoms suggestive of chronic pelvic pain syndrome in this large cohort of men participating in a health screening project was 2.7% and it revealed no age dependence. Our study suggests that chronic pelvic pain syndrome has a negative impact on erectile function.