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Stages of readiness (prochaska)

ERECTILE DYSFUNCTION
Erectile dysfunction is an on- going inability to achieve or to maintain an erection sufficient for sexual intercourse. The likelihood of having erectile dysfunction increases with age. Anything interfering with blood flow to the penis can lead to erectile dysfunction; disease, injury or medication are common causes, as well as physical and psychological factors. Occasional erectile dysfunction is normal. There is no need to worry about the occasional failure to get or keep an erection. Some of the causes of occasional erectile dysfunction include excessive intake of alcohol, anxiety and tiredness. One of the most common causes of erectile dysfunction in middle-aged men is lack of sleep.
How is erectile dysfunction treated?
Many men are reluctant to talk about erectile dysfunction – this is unfortunate, because in
most men it can be treated. A range of treatment options is available, including
psychotherapy, medication and devices such as implants
Address 17 Lemnos Street, Shenton Park WA 6008 Postal PO Box 322, Floreat WA 6014
Phone (08) 9382 2663 Fax (08) 6380 2825 Email peter@trenchhealth.com.au
Usually there will not be a specific treatment that will lead to the cure of erectile dysfunction.
However, there are treatments that will allow erections to happen and can enable sexual
activity to take place. The main types of treatment for erectile dysfunction are:
Tablet medicines (Viagra®, Cialis® and Levitra®) work in about 70 per cent of men with
erectile dysfunction. These medicines, known as PDE5 inhibitors, block a particular enzyme
in the penis, enhancing the erectile response to normal sexual stimulation. Taking a tablet for
erectile dysfunction is non-invasive and allows a more spontaneous approach to sexual
activity.
Vacuum device is a pump placed over the penis to create blood flow. It draws blood into
specific tissues of the penis, as would happen in a normal erection.
Injection treatments increase blood flow when they are injected into the penis, causing an
erection. A possible side-effect is priapism (a painful erection lasting for hours) that if not
managed can damage the penis.
Prescription medicines may need changing in consultation with your doctor, if they are the
cause. Penile prosthetic implants are usually used as a last resort if all other treatments have
not worked.
It is usual to start with the least invasive treatment, such as tablets, and be recommended
more injectable treatments or surgery if the tablets fail.
For more information please consult your GP
Address 17 Lemnos Street, Shenton Park WA 6008 Postal PO Box 322, Floreat WA 6014
Phone (08) 9382 2663 Fax (08) 6380 2825 Email peter@trenchhealth.com.au

Source: http://www.trenchhealth.com.au/e-health/WOW/2011/November/No2-Erectile-Dysfunction.pdf

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