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Diabetes mellitus Known diabetes; polyuria; polydipsia;polyphagia Peripheral neuropathy; retinopathy; abnormal body mass index Abnormal fasting blood glucose Other causes of male infertility may include: A psychosocial examination, using an interview and a questionnaire, reveals psychological factors. A man's sexual partner may also be interviewed to determine expectations and perceptions during sexual intercourse. Eliminate food sensitivities. Use an elimination and challenge diet elimination and challenge diet to determine food sensitivities. Table 2. Types of Surgical Therapies for ED If low testosterone is the only cause of a man's erectile dysfunction, it can be treated with testosterone replacement therapy. The classic test to find out whether the problem is psychological or physical is to measure "nocturnal tumescence." This involves wrapping a strip of paper or tape around the flaccid penis at night. If the strip is broken in the morning, an erection likely occurred during sleep and impotence is most likely a psychological one. While men who have had the prosthesis surgery can see the small surgical scar where the bottom of the penis meets the scrotal sac, other people probably will be unable to tell that a man has an inflatable penile prosthesis. Most men would not be embarrassed in a locker room or public restroom, for example. brand viagra sale Medical Care About one-third of cases of infertility are caused by male factors alone. A combination of male and female factors causes about one-third of cases. Erectile dysfunction. This penile tumescence monitor is placed at the base and near the corona of the penis. It is connected to a monitor that records a continuous graph depicting the force and duration of erections that occur during sleep. The monitor is strapped to the leg. The nocturnal penile tumescence test is conducted on several nights to obtain an accurate indication of erections that normally occur during the alpha phase of sleep. Blood hormone studies: Testosterone and/or prolactin levels in the blood may be measured to see if abnormalities in either of these sex hormones are present. Erectile Dysfunction Discussed To help diagnose the cause of the problem, your doctor will ask medical history questions such as: Explore alternative techniques to receive sexual pleasure. How should vardenafil (Levitra) be administered? Related Health News Penile prosthesis: Pain medications and anti-inflammatory drugs are indicated. Sildenafil (Viagra) was the first oral phosphodiesterase type 5 (PDE5) inhibitor approved by the FDA in the United States for the treatment of erectile dysfunction (it is not approved for women). Sildenafil inhibits PDE5, which is an enzyme that destroys cGMP. By inhibiting the destruction of cGMP by PDE5, sildenafil allows cGMP to accumulate. The cGMP in turn prolongs relaxation of the smooth muscle of the corpora cavernosa. Relaxation of the corpora cavernosa smooth muscle allows blood to flow into the penis resulting in increased engorgement of the penis. In short, sildenafil increases blood flow into the penis and decreases blood flow out of the penis.

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