Jonny Bowden, Ph.D., C.N.S. See book keywords and concepts | Fast-forward a couple thousand years for the kicker: Research published recently in the Journal of Urology examined the long-term intake of pomegranate juice on erectile dysfunction (in an animal model). The results suggest for the first time that free radicals (oxidative stress) are a contributing factor in erectile dysfunction and that due to its powerful antioxidant capabilities, pomegranate juice just may be a "natural Viagra."
Red Wine
Plato may have been on to something when he said, "Nothing more excellent or valuable than wine was ever granted by the gods to man. | Marshall Editions See book keywords and concepts | IMPOTENCE
DIAGNOSIS
Impotence (also known as erectile dysfunction) is the inability to get or keep an erection to allow for satisfactory intercourse. An erection occurs when blood is pumped into the penis, making it hard, and generally results when a man becomes sexually aroused. Men who suffer from erectile dysfunction are unable to get an erection at all, cannot get an erection that is firm enough for penetration, or cannot stay erect once penetration is achieved. It is a common problem that occurs in men of all ages. | Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan See book keywords and concepts | And not surprisingly, they can be a rare overreaction to such drugs as Viagra, Cialis, and Levitra, which are used to treat erectile dysfunction (ED), commonly called impotence. Priapism can also be a sign of carbon monoxide poisoning as well as alcohol, marijuana, cocaine, and other drug abuse. In addition, it can signal a spinal cord injury or disease, as well as an injury to the penis. Priapism is considered a medical emergency that, if untreated, can lead to serious scarring and permanent ED.
WARNING SIGN
Erectile dysfunction (ED) may be the earliest warning sign of heart disease. | Connie Bennett, C.H.H.C. with Stephen T. Sinatra, M.D. See book keywords and concepts | It's been extensively documented that diabetic men have a higher-than-normal risk of developing erectile dysfunction (ED).
In fact, diabetes is one of the greatest risk factors for ED, which is the inability to attain or maintain an erection sufficient for sexual intercourse. Data show that complete erectile dysfunction affects about one-third of men with type 2 diabetes—three to four times the nondiabetic male population. In addition, about 50 percent of men with diabetes experience some degree of sexual dysfunction, according to Kenneth Snow, M.D. | | Optimizing Treatment for Diabetes Mellitus Induced erectile dysfunction." Journal of Urology 1709 (August 2003): S35-S39.
De Berardis, G., F. Pellegrini, M. Franciosi, M. Belfiglio, B. Di Nardo, S. Greenfield, S. H. Kaplan, M. C. Rossi, M. Sacco, G. Tognoni, M. Valentini, and A. Nicolucci. "Identifying Patients with Type 2 Diabetes with a Higher Likelihood of Erectile Dysfunction: The Role of the Interaction Between Clinical and Psychological Factors. Quality of Care and Outcomes in Type 2 Diabetes Study Group." Clinical Urology 169, no. 4 (2003): 1422-28.
DesMaisons, Kathleen. | Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan See book keywords and concepts | Indeed, seeing a blue tinge on objects—often accompanied by light sensitivity—is one of the most common side effects of Viagra, Cialis, and Levitra, which are used to treat erectile dysfunction (ED).
WARNING SIGN
If you've been taking drugs to treat erectile dysfunction and suddenly can't see out of one or both eyes, stop taking the drug and call your doctor right away.This may be a sign of non-arteritic ischemic optic neuropathy (NAION), a condition that can lead to blindness. Men with retinal or other eye diseases should avoid these products altogether. | Jack Challem See book keywords and concepts | In fact, doctors often interpret erectile dysfunction as a sign of cardiovascular disease, prediabetes, and diabetes. That's because the same nutritional and biochemical problems that cause endothelial dysfunction also lead to erectile dysfunction.
To form an erection, blood vessels in the penis must dilate and fill with blood. This ability of blood vessels to dilate depends on the activity of nitric oxide, a molecule that regulates blood vessel tone. The body makes nitric oxide from L-arginine, a constituent of protein. | Bottom Line Health See book keywords and concepts | | Success in tissue engineering has implications "not only for the treatment of erectile dysfunction but in the world of medicine in general. If we could regrow and replace worn-out tissue [in other body parts], that would have tremendous implications," Sharlip says.
PRACTICAL APPLICATION
Cialis, Levitra and Viagra have revolutionized the treatment of impotence for millions of men over the past decade.
However, some forms of erectile dysfunction, such as corporal fibrosis, remain very difficult to treat, and an artificial penis may be helpful in treating these disorders. | H. Winter Griffith, M.D. See book keywords and concepts | Protease inhibitors
Increased effect of erectile dysfunction agent.
Nitrates
Sudden drop in blood pressure. Do not use together.
Rifampin
Decreased effect of erectile dysfunction agent.
Pfifjl POSSIBLE INTERACTION IfrAll WITH OTHER SUBSTANCES
INTERACTS WITH
COMBINED EFFECT
Alcohol:
May decrease effect of erectile dysfunction agents.
Beverages:
Grapefruit juice may increase blood levels of erectile dysfunction agents.
Cocaine:
Effects unknown. Avoid.
Foods:
None expected.
Marijuana:
Effects unknown. Avoid.
Tobacco:
None expected. | Shannon Brownlee See book keywords and concepts | It was advertised as the answer to "erectile dysfunction," a problem hitherto known as impotence and not much discussed, even between sufferers and their doctors. Calling it erectile dysfunction, or ED, reduced the stigma of impotence, which was a good thing. The term became a password, as Parry puts it, allowing doctors and patients to open up a potentially embarrassing conversation. | Connie Bennett, C.H.H.C. with Stephen T. Sinatra, M.D. See book keywords and concepts | Data show that complete erectile dysfunction affects about one-third of men with type 2 diabetes—three to four times the nondiabetic male population. In addition, about 50 percent of men with diabetes experience some degree of sexual dysfunction, according to Kenneth Snow, M.D., director of the Sexual Function Clinic at the Joslin Diabetes Center in Boston. | | Effect of Chronic Diseases on Incidence of erectile dysfunction." Urology 62, no. 6 (2003): 1097-1102. Superiorpics.com Entertainment News, May 28, 2006. http://news.superiorpics.com/2006/05/28/. Thrash, Agatha M., and Calvin L. Thrash. Diabetes and the Hypoglycemic Syndrome. Seale, AL: New
Lifestyle Books, 1993.
Whitaker, Julian. Reversing Diabetes: Reduce or Even Eliminate Your Dependence on Insulin or Oral
Drugs. New York: Warner Books, 2001. White, M. F., et al. "The Insulin Signaling System." Journal of Biological Chemistry 1994, no. 269: 1-5. Widdicombe, Ben. | | On the flip side, however, the risk of erectile dysfunction dramatically increases if a man with diabetes doesn't tightly control glucose levels.
But it's not just diabetic men who are at risk for sexual dysfunction. Up to
35 percent of women with diabetes also experience sexual dysfunction, according to the Joslin Diabetes Center. In females, as with males, high blood glucose is often to blame, as well as damage to the nerves and the small capillaries that feed the vagina. | Jack Challem See book keywords and concepts | Viagra and the other prescription drugs for erectile dysfunction work by increasing nitric oxide levels. One study found Pycnogenol helpful in erectile dysfunction as well.
Citrus Flavonoids
Lemons, limes, oranges, grapefruit, and other citrus fruits are rich sources of flavonoids. Most of these flavonoids are found in the internal membranes of the fruits and in the bitter rind.
Cell studies have found that a flavonoid called naringin, found principally in grapefruit, can protect bone-cell chromosomes from radiation damage. | Brigitte Mars, A.H.G. See book keywords and concepts | Asparagus root is used to treat acid indigestion, AIDS, cancer and the side effects of chemotherapy, chronic fever, cystitis, diarrhea, dry cough, dry skin, dysentery, Epstein-Barr virus, erectile dysfunction, female organ weakness, frigidity, gout, herpes, infertility, jaundice, kidney stones, low libido, low sperm count, menopause symptoms, poor memory, post-hysterectomy dryness, rheumatism, sciatica, tuberculosis, ulcers, and vaginal dryness. It can be used to encourage healing during convalescence. | Bottom Line Health See book keywords and concepts | | However, some forms of erectile dysfunction, such as corporal fibrosis, remain very difficult to treat, and an artificial penis may be helpful in treating these disorders.
Corporal fibrosis occurs when the penis' spongy-tissue cells, which maintain an erection, don't get the oxygen they need to survive, usually because of a chronic reduction in blood flow. The spongy tissue is gradually replaced by inactive, fibrous scar tissue. | Brigitte Mars, A.H.G. See book keywords and concepts | It is beneficial in cases of angina, constipation due to dryness, erectile dysfunction, hot flashes, hypertension, incontinence, infertility (male and female), knee pain, leukorrhea, lumbago, muscle weakness, premature ejaculation, rheumatism, spermatorrhea, posturina-tion dripping, and uterine bleeding.
Topically, cistanches is used as a poultice to relieve toothache and joint pain and to clear up skin infections caused by strep and herpes. Herbalists of North America and Europe used the powdered herb topically on skin cancers. | Marshall Editions See book keywords and concepts | Psychological tension and anxiety are known to contribute to a significant number of cases of erectile dysfunction where a physical cause has been ruled out. Consider taking up relaxation techniques, meditation, or yoga.
Counseling: If unresolved tensions exist within a relationship, counseling may help by allowing sensitive issues to be aired and discussed in a neutral environment.
HERBALISM
Yohimbe: The bark from this West African tree contains several alkaloids, including yohimbine, which have a long history of use as aphrodisiacs, \ 1 f / useful for combating impotence. | | Men who suffer from erectile dysfunction are unable to get an erection at all, cannot get an erection that is firm enough for penetration, or cannot stay erect once penetration is achieved. It is a common problem that occurs in men of all ages. It can be caused by a variety of reasons, but is generally due to a mixture of psychological and physical factors. In some cases, there is a problem with the blood vessels that carry blood into the penis. In younger males, the most common cause of impotence is anxiety about having sex, or drinking too much alcohol. | | Middle-aged men tend to have erectile dysfunction as a result of stress, tiredness, relationship issues, and other major life events that trigger an emotional response, such as loss of work or the death of a close friend or family member. Sometimes being overweight, unfit, and smoking can also lead to problems, and the condition tends to become more common in men as they get older. | | T
The treatment of erectile dysfunction is dependent on a diagnosis of the cause. Possible treatment options are described below.
Medication: The most common drugs used are sildenafil (Viagra®), vardenafil (Levitra®), and tadalafil (Cialis®), all of which help sustain erection by increasing tissue levels of nitric oxide, a vasodilating chemical. These drugs should not be used by patients who are also taking nitrates to treat angina because of the potential for life-threatening low blood pressure. | Bottom Line Health See book keywords and concepts | | For more information on erectile dysfunction, visit the Web site of the American Urological Association at www.urology health.org/adult. Click on "Sexual Function & Infertility."
Testosterone— Is Yours Too Low?
Culley Carson, MD, Rhodes Distinguished Professor and chief of urology, University of North Carolina Medical Center, Chapel Hill, and editor in chief, Contemporary Urology.
If you're a middle-aged or older man and are feeling irritable, depressed or fatigued.. .are having trouble concentrating.. .losing muscle mass and strength and/or putting on more body fat.. . | Jack Challem See book keywords and concepts | Drug side effects include reduced interest in sex and erectile dysfunction in men—which, ironically, are reasons to feel depressed! Occasionally, taking these drugs will lead to an increase in suicidal thoughts and behavior.
St. John's wort is widely used to treat depression in Europe, where herbs have been used medicinally for at least two thousand years, but the U.S. pharmaceutical industry has convinced most American physicians that its higher-priced drugs are superior. | Mike Adams, the Health Ranger See article keywords and concepts | The child's parents were so disturbed by the event that they popped some Prozac and warned the child, "Just say no to medication for erectile dysfunction!"
Red Robin restaurants have pulled the Viagra bears from their game machines, replacing them with Prozac Pistols that let children simulate violent school shootings after taking psychotropic medications.
Alzheimer's drugs for Congress
The FDA has approved a new Alzheimer's patch that delivers brain-saving drugs through the skin. | John J. Ratey, MD See book keywords and concepts | In the Broocks experiment, everyone in the clomipramine group stuck with the therapy throughout the study, despite significant side effects, including dry mouth, sweating, dizziness, tremors, erectile dysfunction, and nausea. The exercise group, which along with the placebo group had several patients drop out, reported minor side effects of the sort expected for someone starting up a new exercise routine, including temporary muscle and joint discomfort.
In a six-month follow-up, the exercise patients who were the most fit had the lowest anxiety scores. | Joan Liebmann-Smith, Ph. D., and Jacqueline Nardi Egan See book keywords and concepts | Other signs include color changes in legs, problems walking, and erectile dysfunction (impotence). As with PAD, Buerger's disease can lead to gangrene and necessitate amputation.
FEELING COLD ALL OVER w
Do you find that you're always putting on a sweater and turning the heat up when others are perfectly comfortable? If so, you may have one of the telltale signs of hypothyroidism, an underactive thyroid gland, which produces too little thyroid hormone.
(See Appendix I.) Although hy-
The elderly often feel cold .1 .1. re . 1 .1 ... | | WARNING SIGN
If you've been taking drugs to treat erectile dysfunction and suddenly can't see out of one or both eyes, stop taking the drug and call your doctor right away.This may be a sign of non-arteritic ischemic optic neuropathy (NAION), a condition that can lead to blindness. Men with retinal or other eye diseases should avoid these products altogether.
SIGNING OFF
The eye signs described may or may not require medical attention. If you have any doubts, see an ophthalmologist as soon as possible. | David W. Grotto, RD, LDN See book keywords and concepts | Oxidative stress in arteriogenic erectile dysfunction: prophylactic role of antioxidants. / Urol. 2005 Jul;174(l): 386-393.
De M, Krishna De A, Banerjee AB. Antimicrobial screening of some Indian spices. Phytother Res. 1999 Nov;13(7):616-623.
Jeune MA, Kumi-Diaka J, Brown ]. Anticancer activities of pomegranate extracts and genistein in human breast cancer cells. / Med Food. 2005;8(4) :469-475.
Loren DI, Seeram NP, Schulman RN, Holtzman DM. Maternal dietary supplementation with pomegranate juice is neuroprotective in an animal model of neonatal hypoxic-ischemic brain injury. Pediatr Res. | Jack Challem See book keywords and concepts | DHEA
Principal use: For moderately severe depression, lack of sexual desire, and erectile dysfunction.
What else you should know: DHEA (dehydroepiandrosterone) is a steroid hormone and a precursor to estrogen and testosterone. In the mid-1990s, it became a popular over-the-counter supplement because it could improve muscle tone, enhance sexual desire and performance, and increase general feelings of well-being. The drawback is that it can be abused by people who have normal hormone levels, and it could conceivably increase the risk of estrogen-dependent and testosterone-dependent cancers. | Brigitte Mars, A.H.G. See book keywords and concepts | Catua-ba is used to treat agitation, anxiety, erectile dysfunction, exhaustion, hypochondria, insomnia, low libido, poor memory, and skin cancer.
Though it is in the same family as coca (from which cocaine is derived), catuaba does not contain cocaine alkaloids.
Edible Uses
Not generally considered edible, aside from as tea. |
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