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Can Low Testosterone Lead to Irritability?
Mood swings are a common component of adolescence and something for which many teenagers and young adults are excused, but what happens when you're an irritable adult? Is there any reason for adults to be subject to poor, and sometimes erratic, moods? The truth of the matter is, many adults deal with an irritable nature due to low t levels in their body.
While anger is typically due to a specific event, it's often difficult to pinpoint the exact cause of ongoing irritation. Fortunately, with a trusted physician like Dr. Berman, patients can rely on a low testosterone specialist who has significant knowledge of hormone deficiencies and the problems they cause.
Significant research has shown that men's hormonal systems and their moods are inextricably linked. In fact, those with reduced testosterone are four times as likely to suffer from depression as well as other mood disorders and issues. With issues like these affecting everything from self-esteem to relationships and job performance, it's imperative that proper treatment be sought with a respected low testosterone specialist like Dr. Mikhail Berman.
How Can Testosterone Treatments Benefit Those Dealing with Irritability?
If you find yourself dealing with anxiety and mood swings, hormone therapy can be a viable option. Depending upon your medical history and your current hormone levels, Dr. Berman may recommend low testosterone replacement therapy as a means of correcting fatigue and mood swings.
Testosterone plays a critical role in everything from libido to memory. When these functions become disrupted, frustration and irritation are inevitable. On the other hand, when healthy hormone levels are restored, patients report healthier relationships, improved moods, increased mental acuity, and a number of other positive benefits.
Schedule a Consultation
Dealing with low T can be difficult, especially if you aren't sure what is causing your symptoms. Fortunately, with the help of a licensed provider like Dr. Berman, patients can once again experience youth and virility through the use of testosterone treatments. By injecting low doses of testosterone into the blood, this lauded physician has been able to help countless men attain improved hormone levels and overall health.
The myriad of benefits to be derived from this safe and efficient method are vast. For one, many of Dr. Berman's patients have reported more regulated emotional responses, decreased anxiety, boosted confidence, and more satisfying sex. While sex may be perceived as a solely pleasurable and/or procreative act, the truth is that a lack of sex drive and even erectile dysfunction can to lead to increased irritation and feelings of low self-worth. Don't wait another day to improve both your physical and mental health; seek out the care you deserve.
If you're ready to experience relief from your symptoms and discover a new, more virile you, know that you have a friend in Dr. Mikhail Berman, a physician who has been helping men in the Palm Beach Gardens area for more than 30 years. Whether you're looking for a different treatment or you're dealing with symptoms and you're looking for the underlying cause, give our office a call today. Our staff is eager to speak with you and help you to find a time for your initial consultation. Call Dr. Berman's office today at (561) 841-1837.
Testosterone Clinic: Dr. Mikhail Berman
8295 N Military Trail, Suite G-1
Palm Beach Gardens, FL 33410
(561) 841-1837
plus.google.com/106990328128651242148
January 18, 2011 - The FDA is advising consumers not to purchase or use "Nite Rider," a product promoted and sold for sexual enhancement. The product was found to contain undeclared sildenafil. For more information, go to www.fda.gov/safety/recalls/ucm240840.htm
And read these FDA Consumer Updates:
Beware of Fraudulent ‘Dietary Supplements’
"All Natural" Alternatives for Erectile Dysfunction: A Risky Proposition
Unlike what many consider safe, the risks of oral sex equally have their own significance. To determine the risks of oral sex is not easy since researchers cannot separate oral sex with other sexual activities. No one engages just in oral sensual acts and winds up the task. To conduct a study on those who engaged just in the oral activities and did nothing more than that, is almost impossible. However, when the matter is studied from a different angle, we can reach to a sensible decision.
All sensual activities involve great risks of contracting sexually transmitted diseases, if adequate precautions are not taken, and oral sex is no exception. It also carries great risks of HIV transmission. It is also true that the risk factors are less when compared to sexual activities involving anus or vagina. Many fact-finding surveys reached to the conclusion that the risks of oral sex definitely include chances of acquiring HIV and other sexually transmitted diseases. The best solution to remain safe from such deadly diseases is, according to the experts, staying away from vaginal, anal, or oral sex altogether with new partners. Monogamous sensual activities are the best way to enjoy with the act and stay clean at the same time.
Oral sensual activities involve sucking and licking of the genitals, unfortunately many include anus in the list too. This is done not only between two opposite sex partners, but partners of same gender also practice such acts. Younger individuals become the victim more since they do not consider this activity a part of the main act. Since they take it lightly, they are more prone to acquire a sexually transmitted disease when compared to the elders who approach safely to the act. Moreover, many mistakenly consider oral sex does not cause them to acquire any sexually transmitted disease, or STD. This is what revealed in a study conducted on teenagers.
Other co-factors that can be counted as the risks of oral sex to contract sexually transmitted diseases are mouth ulcers, genital sores, bleeding gums, etc. We must never forget the fact that HIV is transmitted through anilingus, fellatio, and cunnilingus. Moreover, Herpes and HPV should be added to the list of potential STDs that can be transmitted through oral activities.
Some suggest using barrier methods like dental dams and condoms to prevent STDs. Well, up to some extent this can be considered safe, but not safe totally. Moreover, if ejaculation takes place in or around the mouth, or the tongue works over the genitals even superficially, the risks of acquiring sexually transmitted diseases will remain high.
Find powerful herbal Erectile Dysfunction Pills to improve lovemaking performance. Read the benefits of Shilajit for enhancing libido.
We provide the best treatment for Infertility in Delhi .Aura Homeopathy department of Infertility is a highly integrated, collaborative department with Homeopathic doctors who specialise in clinical research, diagnosis and Homeopathy treatment. We at Aura Homeopathy are provider of various types of Infertility treatments like Male infertility,Erectile dysfunction (ED) or Impotence , Oligospermia / Low Sperm Count / Azoospermia, Premature ejaculation (PE), Female Infertility, PCOD or PCOS, Uterus Fibroid and many more.
For more information about treatment on Infertility in Delhi visit us
Unlike what many consider safe, the risks of oral sex equally have their own significance. To determine the risks of oral sex is not easy since researchers cannot separate oral sex with other sexual activities. No one engages just in oral sensual acts and winds up the task. To conduct a study on those who engaged just in the oral activities and did nothing more than that, is almost impossible. However, when the matter is studied from a different angle, we can reach to a sensible decision.
All sensual activities involve great risks of contracting sexually transmitted diseases, if adequate precautions are not taken, and oral sex is no exception. It also carries great risks of HIV transmission. It is also true that the risk factors are less when compared to sexual activities involving anus or vagina. Many fact-finding surveys reached to the conclusion that the risks of oral sex definitely include chances of acquiring HIV and other sexually transmitted diseases. The best solution to remain safe from such deadly diseases is, according to the experts, staying away from vaginal, anal, or oral sex altogether with new partners. Monogamous sensual activities are the best way to enjoy with the act and stay clean at the same time.
Oral sensual activities involve sucking and licking of the genitals, unfortunately many include anus in the list too. This is done not only between two opposite sex partners, but partners of same gender also practice such acts. Younger individuals become the victim more since they do not consider this activity a part of the main act. Since they take it lightly, they are more prone to acquire a sexually transmitted disease when compared to the elders who approach safely to the act. Moreover, many mistakenly consider oral sex does not cause them to acquire any sexually transmitted disease, or STD. This is what revealed in a study conducted on teenagers.
Other co-factors that can be counted as the risks of oral sex to contract sexually transmitted diseases are mouth ulcers, genital sores, bleeding gums, etc. We must never forget the fact that HIV is transmitted through anilingus, fellatio, and cunnilingus. Moreover, Herpes and HPV should be added to the list of potential STDs that can be transmitted through oral activities.
Some suggest using barrier methods like dental dams and condoms to prevent STDs. Well, up to some extent this can be considered safe, but not safe totally. Moreover, if ejaculation takes place in or around the mouth, or the tongue works over the genitals even superficially, the risks of acquiring sexually transmitted diseases will remain high.
Find powerful herbal Erectile Dysfunction Pills to improve lovemaking performance. Read the benefits of Shilajit for enhancing libido.
Can Low Testosterone Levels Lead to a Low Sex Drive?
Low Sex in Men Drive drmikhailberman.com/low-sex-drive-men/
Treatment for Low Sex Drive in Men - Dr. Mikhail Berman (561) 841-1837
A lower than normal sex drive can be due to a number of causes, but perhaps the most common is a dip in testosterone levels. Testosterone plays an enormous role in both the libido as well as other physical and mental functions in the body. Hormones, in general, play an enormously important role in the body, and a disruption in those levels can result in many unwanted side effects.
In men, testosterone is at its highest during puberty. At around thirty years of age, a decrease in levels begins, sometimes leading to symptoms like erectile dysfunction, depression, and the like. Fortunately for men in the Palm Beach Gardens area, Dr. Mikhail Berman is a low testosterone specialist who has significant experience helping patients restore balance to their endocrine system.
While it may seem readily apparent that a decrease in testosterone as a sex hormone would reduce libido and sexual function, the importance of testosterone does not end there. The truth is that low T and even a lack of sex can impact sleep, blood pressure, and other hormone levels within the body.
How are Testosterone Levels and Sex Drive Connected?
As testosterone is the primary facilitator of libido and the maintenance of the sexual organs, it's no surprise that a decrease in the level of testosterone can result in erectile dysfunction and a reduced sex drive. When this occurs, the implications can be vast for not only sexual health, but overall wellbeing as well.
You may be surprised to learn just how big an impact sex can have on health. Studies have shown that men who have sex at least twice per week are at a significantly reduced risk of cardiovascular disease and other issues. Those who do not engage in sex at least once per month show as much as a 50% increase in the occurrence of cardiovascular-related problems.
When men are able to maintain a healthy sex life, they report better sleep, reduced stress, and general improved mood. Not only this, but it's been shown frequent sex may even reduce the incidence of prostate cancer. Due to the importance of testosterone to men's health, it's imperative that proper treatments be sought when hormones dip below optimal levels. Don't wait if you're experiencing symptoms; seek out a trusted and respected physician like Dr. Mikhail Berman.
Schedule a Consultation
While periods of low sexual interest are normal, extended symptoms can indicate a deeper problem that requires professional treatment. If you're one of the many men who finds himself dealing with erectile dysfunction, depression, high stress levels, or fatigue, it's possible that you're living with reduced testosterone levels.
Dr. Berman is a fully licensed provider who has over 30 years of experience helping men who are experiencing a low sex drive and other symptoms associated with low testosterone and other hormone-related issues. His combination of traditional and modern methods makes his approach quite unique in its ability to provide safe, efficient, and lasting results for patients.
Don't feel as though you need to live with your symptoms any longer; instead, give our practice a call at your earliest convenience to schedule a consultation. Dr. Berman will take the time to provide you with a full exam and evaluation, and will discuss any and all treatment options with you. He wants nothing more than to ensure your improved health and wellbeing. Call Dr. Berman today to schedule a consultation. Call (561) 841-1837.
Testosterone Clinic: Dr. Mikhail Berman
8295 N Military Trail, Suite G-1
Palm Beach Gardens, FL 33410
(561) 841-1837
plus.google.com/106990328128651242148
www.facebook.com/DrMikhailBerman/
www.linkedin.com/company/testosterone-clinic-dr-mikhail-b...
We provide the best treatment for Infertility in Delhi .Aura Homeopathy department of Infertility is a highly integrated, collaborative department with Homeopathic doctors who specialise in clinical research, diagnosis and Homeopathy treatment. We at Aura Homeopathy are provider of various types of Infertility treatments like Male infertility,Erectile dysfunction (ED) or Impotence , Oligospermia / Low Sperm Count / Azoospermia, Premature ejaculation (PE), Female Infertility, PCOD or PCOS, Uterus Fibroid and many more.
For more information about treatment on Infertility in Delhi visit us
You all need to contact to our clinic if anyone from you want the low sperm count treatment with herbal medicines at reasonable prices in India. Our clinic doctor is highly experienced that provide you best and risk free treatment. For more details, you can visit our website or call us anytime. Click here www.santushticlinics.com/low-sperm-count-treatment/
अगर आप को किसी तरह की SEX समस्या है तो संकोच नहीं INDIA के प्रसिद्ध SEXOLOGIST Ko कॉल करे +91 7827216607 or visit bit.ly/2XGOgp3
natural herbal supplement for sexuality, virility, loss of male libido, infertility, premature ejaculation and erectile dysfunction. www.stherbb.co.uk/rock-hard-erection.htm
June 6, 2011 – The FDA is advising consumers not to purchase or use "VIA EXTREME Ultimate Seuxal Enhancer," a product promoted and sold for sexual enhancement. The product was found to contain undeclared sulfoaildenafil, methanesulfonate, sulfosildenafil and dimethylsildenafil. For more information, go to www.fda.gov/safety/recalls/ucm258055.htm
And read these FDA Consumer Updates:
Beware of Fraudulent ‘Dietary Supplements’
"All Natural" Alternatives for Erectile Dysfunction: A Risky Proposition
Unlike what many consider safe, the risks of oral sex equally have their own significance. To determine the risks of oral sex is not easy since researchers cannot separate oral sex with other sexual activities. No one engages just in oral sensual acts and winds up the task. To conduct a study on those who engaged just in the oral activities and did nothing more than that, is almost impossible. However, when the matter is studied from a different angle, we can reach to a sensible decision.
All sensual activities involve great risks of contracting sexually transmitted diseases, if adequate precautions are not taken, and oral sex is no exception. It also carries great risks of HIV transmission. It is also true that the risk factors are less when compared to sexual activities involving anus or vagina. Many fact-finding surveys reached to the conclusion that the risks of oral sex definitely include chances of acquiring HIV and other sexually transmitted diseases. The best solution to remain safe from such deadly diseases is, according to the experts, staying away from vaginal, anal, or oral sex altogether with new partners. Monogamous sensual activities are the best way to enjoy with the act and stay clean at the same time.
Oral sensual activities involve sucking and licking of the genitals, unfortunately many include anus in the list too. This is done not only between two opposite sex partners, but partners of same gender also practice such acts. Younger individuals become the victim more since they do not consider this activity a part of the main act. Since they take it lightly, they are more prone to acquire a sexually transmitted disease when compared to the elders who approach safely to the act. Moreover, many mistakenly consider oral sex does not cause them to acquire any sexually transmitted disease, or STD. This is what revealed in a study conducted on teenagers.
Other co-factors that can be counted as the risks of oral sex to contract sexually transmitted diseases are mouth ulcers, genital sores, bleeding gums, etc. We must never forget the fact that HIV is transmitted through anilingus, fellatio, and cunnilingus. Moreover, Herpes and HPV should be added to the list of potential STDs that can be transmitted through oral activities.
Some suggest using barrier methods like dental dams and condoms to prevent STDs. Well, up to some extent this can be considered safe, but not safe totally. Moreover, if ejaculation takes place in or around the mouth, or the tongue works over the genitals even superficially, the risks of acquiring sexually transmitted diseases will remain high.
Find powerful herbal Erectile Dysfunction Pills to improve lovemaking performance. Read the benefits of Shilajit for enhancing libido.
Should I use erectile dysfunction drugs and wait for my girlfriend to have an orgasm every time
What tricks can I use to go longer in bed?
Every guy has his tricks to delay the onrushing inevitable, be it a meditative mantra or summoning a mental image of his high school gym teacher, but like ...
tipsofguy.com/birds-and-bees/what-tricks-can-i-use-to-go-...
Get the ayurvedic solution for your low sperm count problem in India from the Santushti Clinic. We promise to give you desired results without any type of the complications at very low rates. To make your appointment with our doctor you can visit our website or call us. www.santushticlinics.com/low-sperm-count-treatment/
Singapore, Singapore - January 7, 2022: The Swissotel The Stamford hotel, when seen together with and between the two domes of the Esplanade, forms an outline resembling that of a penis and testicles.
1988, Nuremberg, Germany. Raphaela Vogel - Lives in Berlin. Germany.
Creatures of the natural world are a source of fascination for the German artist Raphaela Vogel, who frequently includes animal parts both natural and synthetic - cow, goat, lion, and elk hides, fragments of leather, toy dinosaurs, horse statuettes - in her ambitious multimedia installations. She often employs videos made with sophisticated editing techniques and digital technologies including scanners and drones, which are at times accompanied by screeching, dark metal soundtracks. In creating her obscure and enigmatic worlds, Vogel's environments suggest myths, relics, and ritual sacrifice, drawn from art history, literature, and the viewer's imagination.
Vogel's manner of experimentation with the transfigured body appears in The Milk of Dreams in a colourful large-scale anatomical model of a penis, afflicted in cartoonish detail with numerous diseases and conditions - prostate and testicular cancer, genital warts, erectile dysfunction - as spelled out in a series of explanatory plates. Sitting atop a carriage, the sickly sculpture is led cheekily by a fleet of white giraffes, as if an aristocrat or member of an imagined royal family. Placed in the domain of the fantastical, the humour of Vogel's composition proposes another effect: the fragmented body in Vogel's vision has experiences all its own.
What is Gynecomastia?
Gynecomastia is a condition in which men develop an excess of breast tissue, leading to the appearance of female breasts. While not often discussed, this condition is not uncommon. In fact, it's present in nearly 70% of male adolescents. While at a young age, this condition is temporary due to hormonal flux but when it occurs at an older age, it's labeled as a disorder of the endocrine system.
Dr. Mikhail Berman is a trusted and respected low testosterone specialist who has long helped men in Palm Beach Gardens and the surrounding area to attain hormone therapies and treatments. His goal is to ensure that hormone conditions and imbalances do not go unchecked. Through the use of low testosterone therapy and dietary suggestions and guidance, Dr. Berman has successfully helped men who are dealing with an excess of breast tissue.
While particularly noticeable in those that are overweight, this condition is certainly not limited to those who are carrying a few extra pounds. Regardless of the man's overall weight, excess breast tissue can lead to intense embarrassment and stress and while exercise is helpful to overall health, it doesn't always help to eliminate the condition. The truth is, it's often only HRT that can provide relief.
Fortunately, an excess of breast tissue doesn't present an immediate health concern. With that being said, it can indicate a severe imbalance of hormones in the body, which can lead to a plethora of other problems if not addressed. For this reason, it's important not to wait to pursue the necessary treatment.
How Can Hormone Therapy Treat Excessive Breast Tissue in Men?
Both estrogen and estradiol are responsible for the growth of breast tissue in men and women. In men, it is testosterone that prevents the growth of the breasts from proceeding too far. For this reason, testosterone injections and therapy are often used as a treatment for the condition. By adding more testosterone to the blood, low t issues can be corrected and breast tissue reduced.
While aging and gradual testosterone loss is inevitable, this does not mean that it's necessary to accept this hormone change and not pursue treatment. In fact, it's important that you do not. Without proper therapy, the side effects can be vast, including not only excessive weight gain, but also insomnia, osteoporosis, low libido, digestion issues, and anxiety.
Schedule a Consultation
Aging can be difficult for many, as the resulting issues can be wide ranging and significant. Not only can men expect to gain weight and breast tissue, but mental acuity can diminish, muscles and bones can weaken, and one's interest in sex can decrease. Erectile dysfunction and low libido, when resulting in less sex, can go on to cause more hormonal issues and problems.
With the help of testosterone therapy at the hands of a low testosterone specialist like Dr. Berman, patients have been able to experience relief from unpleasant symptoms and enjoy increased virility as well as improved mood. Through the use of testosterone injections, men of all ages can once again experience the health and vitality of youth.
If you find yourself experiencing some of the telltale signs of low
testosterone, don't wait to pursue the necessary treatment. Call the office of Dr. Berman today at (561) 841-1837 to learn more about your options and to schedule a consultation at our welcoming practice.
Testosterone Clinic: Dr. Mikhail Berman
8295 N Military Trail, Suite G-1
Palm Beach Gardens, FL 33410
(561) 841-1837
plus.google.com/106990328128651242148
December 22, 2009 - The FDA is advising consumers not to purchase or use "Rock Hard Weekend," a product promoted and sold for sexual enhancement. The product was found to contain undeclared sulfoaildenafil. For more information, go to www.fda.gov/Safety/Recalls/ArchiveRecalls/2010/ucm237999.htm
And read these FDA Consumer Updates:
Beware of Fraudulent ‘Dietary Supplements’
"All Natural" Alternatives for Erectile Dysfunction: A Risky Proposition
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Prostate massage or milking can be prescribed to men for a wide range of issues, such as prostatitis and erectile dysfunction. Though the evidence of its benefits is mostly anecdotal, prostate massage is becoming a more and more widespread treatment method. Proper education and preparation are of key importance, as bad technique and poor hygiene …
Continue reading “How to Milk Your Prostate”
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Your pelvic floor muscles are located between your tailbone (coccyx) and your pubic bone within the pelvis region. These muscle groups also include muscular bands called sphincters. As they pass through the pelvic floor, they encircle the bladder, urethra and vagina (or prostate in men), and the rectum. Due to their positioning in these places, they offer vital support to those organs in both men and women. Normally, when the pelvic floor is functional and operating well, your body naturally contracts and releases these muscles during bowel movements or urination without a second’s thought. However, when the muscles become compromised, complications can arise with urinary or fecal continence.
It can be difficult to determine whether or not the symptoms you are experiencing are a result of pelvic floor issues, or may be a result of other underlying health conditions. Below we will address some of the more common symptoms and warning signs for pelvic floor dysfunction.
What is Pelvic Floor Dysfunction?
Pelvic floor dysfunction (PFD) is a common condition that inhibits the body’s natural ability to coordinate muscle movement (relaxation, support and contraction) in the pelvic region. This may manifest in various ways but most commonly affects urinary continence and vaginal pain in women or may exhibit signs of erectile dysfunction in men.
What May Cause Pelvic Floor Complications?
Although the causes of pelvic floor dysfunction are unclear, there are a few common known factors that may contribute to PFD in both men and women. These can include:
Traumatic pelvic injuries (i.e. car accident, complications during pregnancy, etc)
Pelvic surgery or intensive, invasive surgery in the pelvic region
Hypertonic (overly tight) pelvic muscles (i.e. overusing the muscles by using the bathroom too often or straining, pushing too hard)
Changes in the muscles due to age / hormones
Are you looking for safe and restorative exercises to heal from pelvic floor symptoms?
Learn more about the RYC program
Learn more
Are you looking for safe and restorative exercises to heal from pelvic floor symptoms?
Learn more about the RYC program
Learn more
What are Some Signs of a Weak Pelvic Floor?
Below are a few symptoms of pelvic floor weakness. These can drastically affect your quality of life and may present some embarrassing situations. If you are experiencing any of the following, consider discussing your symptoms with your healthcare provider or a pelvic floor specialist.
Frequent need or insatiable sensation to urinate. It may feel like you need to force it out or you may stop and start often
Chronic constipation, straining or pushing during bowel movements – many people who suffer from long-term constipation also present other signs of pelvic floor disorder.
Urine or stool leakage
Painful urination
Lower back pain without cause
Constant, dull pain or a sense of heaviness in the pelvic region, genitals, or rectum without the need to perform a bowel movement.
A bulge in the vagina or rectum
4 Signs to Help Identify a Weakened Pelvic Floor
Urinary Incontinence
One of the most common symptoms of a pelvic floor disorder is incontinence. Many people may experience leaking urine during everyday activities like: exercising, coughing, sneezing, laughing, or while lifting something heavy. Often, these simple movements can place pressure on the bladder since the pelvic floor muscles aren’t responding like they should, leading to accidental urination. This is commonly called stress urinary incontinence.
Other incontinence symptoms may include an increased sense of urgency and uncontrollable need to use the bathroom, and at times, not making it in time. This is often the result of an overactive pelvic floor and called urge incontinence.
Pelvic Floor Pain
Pelvic floor pain is often a result of tense, overly tight pelvic floor muscles. However, pelvic floor pain is not always a sign of pelvic floor disorder, but may be a sign of something more serious. It is important that you seek medical attention if you begin experiencing severe pelvic pain.
Dissatisfaction or Pain During Sex
In some cases, many women experience symptoms of loss of sensation or sexual satisfaction due to weak pelvic floor muscles. Difficulty to achieve orgasm can be common. This may also be accompanied with pain during intercourse or pain post orgasm
Pelvic Organ Prolapse
Prolapse occurs as a result of weak pelvic muscles being unable to provide the proper support to the organs within the pelvic area. This may lead to the bladder, uterus, or rectum to slide out of place (i.e. into the vagina). A distinct bulge in the vagina or aches deep in the vaginal canal are common symptoms of prolapse.
Is Pelvic Floor Dysfunction Different in Men and Women?
Pelvic floor disorders often present themselves a little bit differently in men than in women.
Pelvic floor dysfunction in men:
Although not as commonly discussed, many men experience the effects of pelvic floor dysfunction with frequency as well. Because the muscles located in the pubic region work alongside the pelvic organs for excretory (bowel control) and reproductive purposes, pelvic floor dysfunction typically co-exists with many other issues men face:
Male urinary dysfunction: This may include similar symptoms mentioned above – leaking urine after peeing, urge incontinence, or other bladder and bowel issues
Erectile Dysfunction: ED is a complex condition and is not always a result of compromised pelvic floor muscles. However, there are times when pelvic floor muscle tension or pain may cause men to have difficulty maintaining an erection during sex.
Pain during intercourse or post ejaculation.
You don’t have to live in
fear, pain or discomfort
Get back the confidence + lifestyle you love.
Start with us today
You don’t have to live in
fear, pain or discomfort
Get back the confidence + lifestyle you love.
Start with us today
How to Seek Help For Pelvic Floor Dysfunction
If you are experiencing any of the above issues or complications and believe they may be a result of pelvic floor disorder, it is advisable to discuss your symptoms with either a continence professional, a pelvic floor therapist, or your healthcare provider in order to assess your symptoms and receive a proper diagnosis.
Treatment for pelvic floor disorders and prolapse will likely include physical therapy and individually tailored pelvic floor muscle training programs to help you restore function, support, and overall health to your pelvic floor. Pelvic floor exercises and physical therapy are some of the most beneficial treatment options for pelvic floor dysfunction.
If you’re ready to transform your body and start moving with confidence again, you need an exercise method that’s designed to heal and rebuild (not burn and shred).
Visit here to learn more about Restore Your Core® and how we can help treat pelvic floor dysfunction.
restoreyourcore.com/pelvic-floor/how-do-you-know-if-you-h...
morningsteel.com/get-free-e-book/
Grab a free copy of my ebook at the url above.
Oysters and Erectile Dysfunction
Oysters Contain Erection Boosting Nutrients
At the simplest level, oysters carry a lot of the nutrients you
need for optimal sexual health and erectile function.
These include:
-Zinc, an important building block for your production of
testosterone
-B6, which increases healthy blood flow and improves nerve
sensitivity
-Magnesium, for metabolizing nitric oxide (itself vital to the
blood flow that makes erections happen)
-Selenium, a mineral that helps with semen quality and sperm
health
-Vitamin C, which improves blood flow
-Iron, for improved oxygen content in the blood
-Omega 3 Fatty Acids that help both with blood flow and tissue
elasticity
Oysters also contain a lot of vitamin D….
Modern research hasn’t yet established exactly why vitamin D is
helpful for erections, but it has conclusively linked vitamin D
deficiency with high likelihood of erectile dysfunction.
We do know more. Vitamin D also helps with testosterone, so
that’s a good hint.
Bottom line: these guys are basically a multivitamin for erectile
health.
Sex is deeper than few inches of deeper penetration, it is a mental and emotional activity that combines two souls. Everyone enjoys that moment when your body floats in emotion around each other and provides maximum gratification is the ultimate goal. But what now, is your growing age coming in the middle of your sexual healthy life? Are you continuously suffering from frequent erectile dysfunction, premature ejaculation, and low libido? If the answer is yes, then I would suggest you to use Supercharge Male Enhancement from today only to get rid of all these problems. These problems are very stubborn and deteriorate your sexual health more and more with each leading days.
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Dear friend, in this video we are going to discuss about herbal treatment for over masturbation. These herbal supplements help to get rid of excessive masturbation habit and repair damaged penile tissue. These natural treatments enhance length and girth of male organ and cure premature ejaculation problems.
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Herbal Treatment For Over Masturbation
What Is Male Hormone Replacement Therapy?
Hormones and hormone receptors exist throughout the body, in your brain, heart, eyes, bones, and skin. The receptors are what receive signals from the brain indicating how hormones will carry chemical reactions. When this complex and delicate system becomes unbalanced, the results can be quite significant and damaging. In fact, it's quite common for health to suffer when hormones are not present in optimal levels. In men, it's arguably testosterone that causes some of the biggest issues when disrupted.
Hormones are crucial and when levels of male sex hormones are disrupted, the results are often seen throughout the body. Men who need hormone replacement often pursue care as they are experiencing one of the many symptoms common to those with reduced hormone levels, including fatigue, erectile dysfunction, low libido, insomnia, and mood swings. A licensed medical doctor like Dr. Berman is then able to perform a thorough physical and blood test designed to properly diagnose the problem so treatment can be performed.
Male hrt and personalized medical care should only be pursued with a qualified physician like Dr. Mikhail Berman. Through the use of testosterone injections, this renowned doctor has been able to help many men correct both low t as well as the symptoms it causes.
How Does Male Hormone Replacement Therapy Benefit Men?
At the initial consultation, Dr. Berman will both perform a comprehensive physical examination and evaluation as well as order the necessary blood tests to determine existing levels of progesterone, testosterone, thyroid hormones, prolactin, estrogen, and estradiol, among others. Through the use of a comprehensive test of this nature. Dr. Berman can determine your hormone levels as well as interpret, from this information, what treatment would be best for you.
Everything from body weight and height can affect hormone levels, which is why it's so crucial for Dr. Berman to take a comprehensive approach to diagnosis and treatment. While some men may only need to change up their diet and add some exercise to their daily schedule, others can only experience relief from their symptoms through the use of male HRT.
Schedule a Consultation with Dr. Mikhail Berman
The body is an intricate machine that often requires a specific balance of hormones and compounds to function. Muscles, organs, and tissues are all an complex web of systems and it's only through a delicate balance that all of these key components can operate. When hormonal imbalance occurs, this system is often disrupted, leading to a wide array of problems.
Over his decades of experience in male personalized medical care, he has seen testosterone injections prove quite helpful at treating symptoms and restoring energy and strength to men of all ages. While many men might believe that they are unable to avoid aging and the symptoms it brings, hormone replacement for men has shown that it truly has a lot to offer in terms of improved quality of life.
If you're interested in learning more about hormone replacement for men and you would like to speak to a licensed medical doctor about the options available to you, Dr. Berman is absolutely the physician to see. To have your questions answered or to schedule a consultation at our welcoming and comfortable practice, give our staff a call today at (561) 841-1837 during our convenient office hours.
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July 1, 2008 - The FDA is advising consumers not to purchase or use "Rose 4 Her," a product promoted and sold for sexual enhancement. The product was found to contain undeclared thiomethisosildenafil. For more information, go to www.fda.gov/Safety/Recalls/ArchiveRecalls/2008/ucm112465.htm
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"All Natural" Alternatives for Erectile Dysfunction: A Risky Proposition
Unlike what many consider safe, the risks of oral sex equally have their own significance. To determine the risks of oral sex is not easy since researchers cannot separate oral sex with other sexual activities. No one engages just in oral sensual acts and winds up the task. To conduct a study on those who engaged just in the oral activities and did nothing more than that, is almost impossible. However, when the matter is studied from a different angle, we can reach to a sensible decision.
All sensual activities involve great risks of contracting sexually transmitted diseases, if adequate precautions are not taken, and oral sex is no exception. It also carries great risks of HIV transmission. It is also true that the risk factors are less when compared to sexual activities involving anus or vagina. Many fact-finding surveys reached to the conclusion that the risks of oral sex definitely include chances of acquiring HIV and other sexually transmitted diseases. The best solution to remain safe from such deadly diseases is, according to the experts, staying away from vaginal, anal, or oral sex altogether with new partners. Monogamous sensual activities are the best way to enjoy with the act and stay clean at the same time.
Oral sensual activities involve sucking and licking of the genitals, unfortunately many include anus in the list too. This is done not only between two opposite sex partners, but partners of same gender also practice such acts. Younger individuals become the victim more since they do not consider this activity a part of the main act. Since they take it lightly, they are more prone to acquire a sexually transmitted disease when compared to the elders who approach safely to the act. Moreover, many mistakenly consider oral sex does not cause them to acquire any sexually transmitted disease, or STD. This is what revealed in a study conducted on teenagers.
Other co-factors that can be counted as the risks of oral sex to contract sexually transmitted diseases are mouth ulcers, genital sores, bleeding gums, etc. We must never forget the fact that HIV is transmitted through anilingus, fellatio, and cunnilingus. Moreover, Herpes and HPV should be added to the list of potential STDs that can be transmitted through oral activities.
Some suggest using barrier methods like dental dams and condoms to prevent STDs. Well, up to some extent this can be considered safe, but not safe totally. Moreover, if ejaculation takes place in or around the mouth, or the tongue works over the genitals even superficially, the risks of acquiring sexually transmitted diseases will remain high.
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Testosterone supplements are quite popular and a lot of men take them to boost their testosterone levels. This guarantees greater stamina and endurance.
Most men experience a plunge in their sex drive or sex drive as they age. This is mostly a result of a decrease in the production of testosterone. Testosterone production begins subsiding off with age at about 1 % a year after 30.
Besides low sex drive and erectile dysfunction, other results of low testosterone include depression, mood swings, loss of lean muscle, increased body fat etc.,.
Testosterone supplements assistance boost the level of testosterone in your body but the best testosterone supplement is one that is 100 % natural and without any synthetic substances.
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This makes such a supplement a great anti aging resource. Increased HGH level helps your body fight and combat age results.
It not only helps you boost your sex drive but also helps you increase your energy levels. It also helps increase lean muscle and reduce excess body fat. Such a supplement also helps elevate your mood and improve sleep quality.
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Andropause, which is essentially male menopause, occurs when men age and begin to experience a drop-off in male sex hormones. Testosterone begins to diminish around the age of 30 and begins to steeply decline once a man reaches his mid 30s. While once believed to be an inevitable part of aging, andropause treatment has become more common in the last several decades.
Aging is a natural part of life, but there are many factors that can impact how the body approaches age and a decline in t levels. Genetics, exercise, diet, and healthy sexual activity are just some of the many contributors to healthy hormone levels or a lack thereof. When these factors or simple age cause low t, testosterone replacement therapy may provide a helpful solution.
Signs of menopause in men can be wide reaching and can include everything from erectile dysfunction to fatigue and insomnia. Since low hormone levels can result in such severe side effects, it's important to use great care when approaching andropause and treatment. Fortunately, this is something with which Dr. Mikhail Berman may be able to assist.
For over 30 years, Dr. Berman has provided men in the Palm Beach Gardens area with hrt treatments designed to relieve symptoms of andropause. By incorporating dietary advice and exercise suggestions as well as cutting-edge treatment for andropause, he has successfully helped many men address the difficult, and often embarrassing side effects of aging and reduced hormone levels.
How Do Andropause Treatments Work?
Andropause can cause a wide number of symptoms, many of which have shown great improvement with testosterone replacement therapy. Many of these side effects can have a highly damaging effect on both quality of life as well as comfort, which is why Dr. Berman is so committed to offering helpful hrt therapies that provide effective and safe relief.
Erectile dysfunction is certainly hard to live with, as is chronic fatigue. This is especially true as a healthy sex life and elevated energy levels play a critical role in maintaining adequate hormones within the body. When disruptions occur, the result can be quite difficult to manage and can often exacerbate the problem indefinitely if not corrected.
Believe it or not, sex hormones can also drastically impact your mood. This can also cause a vicious cycle of depression, overeating, weight gain, and then more depression, etc. When this occurs, it's only through the help of a licensed medical doctor and testosterone injections that you can break free of this destructive pattern.
Schedule a Consultation
Andropause is an inevitable event, but that doesn't mean that you have to handle it unprepared. While there are some men who don't experience any symptoms of andropause, there are many more who find themselves facing difficulties that they never anticipated dealing with. Whether you're one of the lucky few or you're facing side effects and symptoms on a daily basis, seeking the proper care is essential.
For over three decades, Dr. Berman has been a go-to resource for men who are looking for relief from the symptoms of andropause. If you too are dealing with erectile dysfunction, fatigue, muscle weakness, low libido, or one of the other common indicators of andropause, don't wait. Give the office of Dr. Berman a call today to schedule a consultation and to speak to our staff about our practice. Call (561) 841-1837 today.
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Low Testosterone Signs and Symptoms - Dr. Mikhail Berman (561) 841-1837
What are the Symptoms of Low Testosterone Levels?
As with other systems in the body, the endocrine system consists of an intricate feedback loop. When running properly, the result is healthy hormone levels and healthy functioning of the organs and body as a whole. However, when a disruption occurs or the system ceases to operate as it should, the result can be quite damaging.
In men, perhaps the most notable hormone of concern is testosterone, a hormone that is critical to sexual health as well as digestion, weight management, and the retention of bone density and muscle mass. When testosterone levels dip below normal, the results can be severe and widespread. Some of the most noted issues include:
• weight gain and increased BMI
• loss of muscle mass
• fatigue
• no sex drive
• erectile dysfunction
• depression
• gynecomastia
• osteoporosis
It's important to note, however, that low testosterone doesn't always present itself with symptoms. In fact, hormonal issues can exist for quite some time before it can become apparent. This is why frequent checkups and monitoring are so essential to ensure that any issues are caught early. This way, proper treatment can be begun before problems arise.
It's truly incredible how far reaching the effects of low testosterone can be. While the effect it has on libido and sexual performance may be more obvious, there are other issues that while not as apparent, can also cause incredibly serious problems.
The mental impacts of low testosterone are perhaps some of the least discussed, yet are of extreme importance. When "free" testosterone diminishes within the body, cognitive decline is not uncommon. Not only this, but even typically mild mannered men can experience anger management issues and increased anxiety. This can have significant impacts not only on oneself, but on relationships at home and in the workplace as well.
Dr. Mikhail Berman, as a licensed and experienced hormone replacement specialist, is well versed in all aspects of the endocrine system. He provides a unique approach to treatment that includes both hormone treatments as well as natural methods, such as diet changes, in order to yield the best possible results for patients.
He firmly believes that while aging and glandular conditions may be difficult, there is no reason why men should have to suffer unnecessarily. His commitment to his patients and his desire to offer the very best treatments has made him a go-to physician in Palm Beach Gardens for men who are dealing with testosterone and hormone issues.
Schedule a Consultation
No one should have to go through each day feeling as though they are missing out on the best life has to offer. Whether you're in your 30s, 40s, or beyond, you should know that there is no reason for you to feel like a victim of age. Instead, Dr. Berman is dedicated to helping his patients of all ages feel youthful, virile, and energetic.
If you believe that you are dealing with low testosterone or you're concerned that your overall hormone levels may be "off", don't wait to seek out the care you need. Give our office a call today at (561) 841-1837 to schedule a consultation at our welcoming and comfortable office.
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Testosterone Clinic: Dr. Mikhail Berman
8295 N Military Trail, Suite G-1
Palm Beach Gardens, FL 33410
(561) 841-1837
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Erectile dysfunction (ED), also referred to as impotence, is a form of sexual dysfunction in males characterized by the persistent or recurring inability to achieve or maintain a penile erection with sufficient rigidity and duration for satisfactory sexual activity. It is the most common sexual problem in males and can cause psychological distress due to its impact on self-image and sexual relationships. The term erectile dysfunction does not encompass other erection-related disorders, such as priapism.
The majority of ED cases are attributed to physical risk factors and predictive factors. These factors can be categorized as vascular, neurological, local penile, hormonal, and drug-induced. Notable predictors of ED include aging, cardiovascular disease, diabetes mellitus, high blood pressure, obesity, abnormal lipid levels in the blood, hypogonadism, smoking, depression, and medication use. Approximately 10% of cases are linked to psychosocial factors, encompassing conditions such as depression, stress, and problems within relationships.[14] ED is reported in 18% of males aged 50 to 59 years, and 37% in males aged 70 to 75.[14]
Treatment of ED encompasses addressing the underlying causes, lifestyle modification, and addressing psychosocial issues.[4] In many instances, medication-based therapies are used, specifically PDE5 inhibitors such as sildenafil.[13] These drugs function by dilating blood vessels, facilitating increased blood flow into the spongy tissue of the penis, analogous to opening a valve wider to enhance water flow in a fire hose. Less frequently employed treatments encompass prostaglandin pellets inserted into the urethra, the injection of smooth-muscle relaxants and vasodilators directly into the penis, penile implants, the use of penis pumps, and vascular surgery.[4][15]
Signs and symptoms
ED is characterized by the persistent or recurring inability to achieve or maintain an erection of the penis with sufficient rigidity and duration for satisfactory sexual activity.[14] It is defined as the "persistent or recurrent inability to achieve and maintain a penile erection of sufficient rigidity to permit satisfactory sexual activity for at least 3 months."[4]
Psychological impact
ED often has an impact on the emotional well-being of both males and their partners.[14] Many males do not seek treatment due to feelings of embarrassment. About 75% of diagnosed cases of ED go untreated.[16]
Causes
Causes of or contributors to ED include the following:
Diets high in saturated fat are linked to heart diseases, and males with heart diseases are more likely to experience ED.[7][8] By contrast, plant-based diets show a lower risk for ED.[17][18][19]
Prescription drugs (e.g., SSRIs,[20] beta blockers, antihistamines,[21][22][23] alpha-2 adrenergic receptor agonists, thiazides, hormone modulators, and 5α-reductase inhibitors)[3][4]
Neurogenic disorders (e.g., diabetic neuropathy, temporal lobe epilepsy, multiple sclerosis, Parkinson's disease, multiple system atrophy)[3][4][5]
Cavernosal disorders (e.g., Peyronie's disease)[3][24]
Hyperprolactinemia (e.g., due to a prolactinoma)[3]
Psychological causes: performance anxiety, stress, and mental disorders[6]
Surgery (e.g., radical prostatectomy)[25]
Ageing: after age 40 years, ageing itself is a risk factor for ED, although numerous other pathologies that may occur with ageing, such as testosterone deficiency, cardiovascular diseases, or diabetes, among others, appear to have interacting effects[1][26]
Kidney disease: ED and chronic kidney disease have pathological mechanisms in common, including vascular and hormonal dysfunction, and may share other comorbidities, such as hypertension and diabetes mellitus that can contribute to ED[9]
Lifestyle habits, particularly smoking, which is a key risk factor for ED as it promotes arterial narrowing.[27][28][29] Due to its propensity for causing detumescence and erectile dysfunction, some studies have described tobacco as an anaphrodisiacal substance.[30]
COVID-19: preliminary research indicates that COVID-19 viral infection may affect sexual and reproductive health.[31][32]
Surgical intervention for a number of conditions may remove anatomical structures necessary to erection, damage nerves, or impair blood supply.[25] ED is a common complication of treatments for prostate cancer, including prostatectomy and destruction of the prostate by external beam radiation, although the prostate gland itself is not necessary to achieve an erection. As far as inguinal hernia surgery is concerned, in most cases, and in the absence of postoperative complications, the operative repair can lead to a recovery of the sexual life of people with preoperative sexual dysfunction, while, in most cases, it does not affect people with a preoperative normal sexual life.[33]
ED can also be associated with bicycling due to both neurological and vascular problems due to compression.[34] The increased risk appears to be about 1.7-fold.[35]
Concerns that use of pornography can cause ED[36] have little support[37][38] in epidemiological studies, according to a 2015 literature review.[39] According to Gunter de Win, a Belgian professor and sex researcher, "Put simply, respondents who watch 60 minutes a week and think they're addicted were more likely to report sexual dysfunction than those who watch a care-free 160 minutes weekly."[40][41]
In seemingly rare cases, medications such as SSRIs, isotretinoin (Accutane) and finasteride (Propecia) are reported to induce long-lasting iatrogenic disorders characterized by sexual dysfunction symptoms, including erectile dysfunction in males; these disorders are known as post-SSRI sexual dysfunction (PSSD), post-retinoid sexual dysfunction/post-Accutane syndrome (PRSD/PAS), and post-finasteride syndrome (PFS). These conditions remain poorly understood and lack effective treatments, although they have been suggested to share a common etiology.[42]
Rarely impotence can be caused by aromatase being active. See Androgen replacement therapy.
Pathophysiology
Penile erection is managed by two mechanisms: the reflex erection, which is achieved by directly touching the penile shaft, and the psychogenic erection, which is achieved by erotic or emotional stimuli. The former involves the peripheral nerves and the lower parts of the spinal cord, whereas the latter involves the limbic system of the brain. In both cases, an intact neural system is required for a successful and complete erection. Stimulation of the penile shaft by the nervous system leads to the secretion of nitric oxide (NO), which causes the relaxation of the smooth muscles of the corpora cavernosa (the main erectile tissue of the penis), and subsequently penile erection. Additionally, adequate levels of testosterone (produced by the testes) and an intact pituitary gland are required for the development of a healthy erectile system. As can be understood from the mechanisms of a normal erection, impotence may develop due to hormonal deficiency, disorders of the neural system, lack of adequate penile blood supply or psychological problems.[2]
Diagnosis
In many cases, the diagnosis can be made based on the person's history of symptoms. In other cases, a physical examination and laboratory investigations are done to rule out more serious causes such as hypogonadism or prolactinoma.[4]
One of the first steps is to distinguish between physiological and psychological ED. Determining whether involuntary erections are present is important in eliminating the possibility of psychogenic causes for ED.[4] Obtaining full erections occasionally, such as nocturnal penile tumescence when asleep (that is, when the mind and psychological issues, if any, are less present), tends to suggest that the physical structures are functionally working.[43][44] Similarly, performance with manual stimulation, as well as any performance anxiety or acute situational ED, may indicate a psychogenic component to ED.[4]
Another factor leading to ED is diabetes mellitus, a well known cause of neuropathy.[4] ED is also related to generally poor physical health, poor dietary habits, obesity, and most specifically cardiovascular disease, such as coronary artery disease and peripheral vascular disease.[4] Screening for cardiovascular risk factors, such as smoking, dyslipidemia, hypertension, and alcoholism, is helpful.[4]
In some cases, the simple search for a previously undetected groin hernia can prove useful since it can affect sexual functions in males and is relatively easily curable.[33]
The current – as of April 2025[45] – edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) lists Erectile Disorder (ICD-10-CM code: F52.21) as a diagnosis.[46] According to the DSM, it "is the more specific DSM-5 diagnostic category in which erectile dysfunction persists for at least 6 months and causes distress in the individual."[46] The ICD-10, to which the DSM refers regarding Erectile dysfunction,[46] lists it under Failure of genital response (F52.2).[47] The latest edition of the ICD – namely, the ICD-11 – lists the condition as Male erectile dysfunction (HA01.1).
Ultrasonography
Transverse ultrasound image, ventral view of the penis. Image obtained after induction of an erection, 15 min after injection of prostaglandin E1, showing dilated sinusoids (arrows).[48]
Penile ultrasonography with doppler can be used to examine the erect penis. Most cases of ED of organic causes are related to changes in blood flow in the corpora cavernosa, represented by occlusive artery disease (in which less blood is allowed to enter the penis), most often of atherosclerotic origin, or due to failure of the veno-occlusive mechanism (in which too much blood circulates back out of the penis). Before the Doppler sonogram, the penis should be examined in B mode, in order to identify possible tumors, fibrotic plaques, calcifications, or hematomas, and to evaluate the appearance of the cavernous arteries, which can be tortuous or atheromatous.[48]
Erection can be induced by injecting 10–20 μg of prostaglandin E1, with evaluations of the arterial flow every five minutes for 25–30 min (see image). The use of prostaglandin E1 is contraindicated in patients with predisposition to priapism (e.g., those with sickle cell anemia), anatomical deformity of the penis, or penile implants. Phentolamine (2 mg) is often added. Visual and tactile stimulation produces better results. Some authors recommend the use of sildenafil by mouth to replace the injectable drugs in cases of contraindications, although the efficacy of such medication is controversial.[48]
Before the injection of the chosen drug, the flow pattern is monophasic, with low systolic velocities and an absence of diastolic flow. After injection, systolic and diastolic peak velocities should increase, decreasing progressively with vein occlusion and becoming negative when the penis becomes rigid (see image below). The reference values vary across studies, ranging from > 25 cm/s to > 35 cm/s. Values above 35 cm/s indicate the absence of arterial disease, values below 25 cm/s indicate arterial insufficiency, and values of 25–35 cm/s are indeterminate because they are less specific (see image below). The data obtained should be correlated with the degree of erection observed. If the peak systolic velocities are normal, the final diastolic velocities should be evaluated, those above 5 cm/s being associated with venogenic ED.[48]
Graphs representing the color Doppler spectrum of the flow pattern of the cavernous arteries during the erection phases. A: Single-phase flow with minimal or absent diastole when the penis is flaccid. B: Increased systolic flow and reverse diastole 25 min after injection of prostaglandin.[48]
Graphs representing the color Doppler spectrum of the flow pattern of the cavernous arteries during the erection phases. A: Single-phase flow with minimal or absent diastole when the penis is flaccid. B: Increased systolic flow and reverse diastole 25 min after injection of prostaglandin.[48]
Longitudinal, ventral ultrasound of the penis, with pulsed mode and color Doppler. Flow of the cavernous arteries at 5, 15, and 25 min after prostaglandin injection (A, B, and C, respectively). The cavernous artery flow remains below the expected levels (at least 25–35 cm/s), which indicates ED due to arterial insufficiency.[48]
Longitudinal, ventral ultrasound of the penis, with pulsed mode and color Doppler. Flow of the cavernous arteries at 5, 15, and 25 min after prostaglandin injection (A, B, and C, respectively). The cavernous artery flow remains below the expected levels (at least 25–35 cm/s), which indicates ED due to arterial insufficiency.[48]
Other workup methods
Penile nerves function
Tests such as the bulbocavernosus reflex test are used to ascertain whether there is enough nerve sensation in the penis. The physician squeezes the glans (head) of the penis, which immediately causes the anus to contract if nerve function is normal. A physician measures the latency between squeeze and contraction by observing the anal sphincter or by feeling it with a gloved finger in the anus.[49]
Nocturnal penile tumescence (NPT)
It is normal for a man to have five to six erections during sleep, especially during rapid eye movement (REM). Their absence may indicate a problem with nerve function or blood supply in the penis. There are two methods for measuring changes in penile rigidity and circumference during nocturnal erection: snap gauge and strain gauge. A significant proportion[quantify] of males who have no sexual dysfunction nonetheless do not have regular nocturnal erections.[citation needed]
Penile biothesiometry
This test uses electromagnetic vibration to evaluate sensitivity and nerve function in the glans and shaft of the penis.[50]
Dynamic infusion cavernosometry (DICC)
Technique in which fluid is pumped into the penis at a known rate and pressure. It gives a measurement of the vascular pressure in the corpus cavernosum during an erection.[citation needed]
Corpus cavernosometry
Cavernosography measurement of the vascular pressure in the corpus cavernosum. Saline is infused under pressure into the corpus cavernosum with a butterfly needle, and the flow rate needed to maintain an erection indicates the degree of venous leakage. The leaking veins responsible may be visualized by infusing a mixture of saline and x-ray contrast medium and performing a cavernosogram.[51] In Digital Subtraction Angiography (DSA), the images are acquired digitally.[citation needed]
Magnetic resonance angiography (MRA)
This is similar to magnetic resonance imaging. Magnetic resonance angiography uses magnetic fields and radio waves to provide detailed images of the blood vessels. The doctor may inject into the patient's bloodstream a contrast agent, which causes vascular tissues to stand out against other tissues, so that information about blood supply and vascular anomalies is easier to gather.[citation needed]
Erection Hardness Score
This section is an excerpt from Erection Hardness Score.[edit]
The Erection Hardness Score (EHS) is a single-item Likert scale used to assess the subjective hardness of the penis as reported by the patient. It ranges from 0 (indicating the penis does not enlarge) to 4 (indicating the penis is completely hard and fully rigid). Developed in 1998, the EHS is widely used in clinical trials and is recognized for its ease of administration and strong association with sexual function outcomes. It has been validated across various causes of erectile dysfunction and in patients treated with phosphodiesterase type 5 inhibitors (PDE5), showing robust psychometric properties and responsiveness to treatment.[52]
Treatment
One ad from 1897 claims to restore "perfect manhood. Failure is impossible with our method".[53] Another "will quickly cure you of all nervous or diseases of the generative organs, such as Lost Manhood, Insomnia, Pains in the Back, Seminal Emissions, Nervous Debility, Pimples, Unfitness to Marry, Exhausting Drains, Varicocele and Constipation".[53] The U.S. Federal Trade Commission warns that "phony cures" exist even today.[54]
Treatment depends on the underlying cause. In general, exercise, particularly of the aerobic type, is effective for preventing ED during midlife.[10] Counseling can be used if the underlying cause is psychological, including how to lower stress or anxiety related to sex.[12] Medications by mouth and vacuum erection devices are first-line treatments,[10]: 20, 24 followed by injections of drugs into the penis, as well as penile implants.[10]: 25–26 Vascular reconstructive surgeries are beneficial in certain groups.[55] Treatments, other than surgery, do not fix the underlying physiological problem, but are used as needed before sex.[56]
Medications
See also: List of investigational sexual dysfunction drugs
The PDE5 inhibitors sildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis) are prescription drugs which are taken by mouth.[10]: 20–21 As of 2018, sildenafil is available in the UK without a prescription.[57] Additionally, a cream combining alprostadil with the permeation enhancer DDAIP has been approved in Canada as a first line treatment for ED.[58] Penile injections, on the other hand, can involve one of the following medications: papaverine, phentolamine, and prostaglandin E1, also known as alprostadil.[10] In addition to injections, there is an alprostadil suppository that can be inserted into the urethra. Once inserted, an erection can begin within 10 minutes and last up to an hour.[12] Medications to treat ED may cause a side effect called priapism.[12]
Prevalence of medical diagnosis
In a study published in 2016, based on US health insurance claims data, out of 19,833,939 US males aged ≥18 years, only 1,108,842 (5.6%), were medically diagnosed with erectile dysfunction or on a PDE5I prescription (μ age 55.2 years, σ 11.2 years). Prevalence of diagnosis or prescription was the highest for age group 60–69 at 11.5%, lowest for age group 18–29 at 0.4%, and 2.1% for 30–39, 5.7% for 40–49, 10% for 50–59, 11% for 70–79, 4.6% for 80–89, 0.9% for ≥90, respectively.[59]
Focused shockwave therapy
Focused shockwave therapy involves passing short, high frequency acoustic pulses through the skin and into the penis. These waves break down any plaques within the blood vessels, encourage the formation of new vessels, and stimulate repair and tissue regeneration.[60][61]
Focused shockwave therapy appears to work best for males with vasculogenic ED, which is a blood vessel disorder that affects blood flow to tissue in the penis. The treatment is painless and has no known side effects. Treatment with shockwave therapy can lead to a significant improvement of the IIEF (International Index of Erectile Function).[62][63][64]
Testosterone
Men with low levels of testosterone can experience ED. Taking testosterone may help maintain an erection.[65] Males with type 2 diabetes are twice as likely to have lower levels of testosterone, and are three times more likely to experience ED than non-diabetic men.[65]
Pumps
Main article: penis pump
A vacuum erection device helps draw blood into the penis by applying negative pressure. This type of device is sometimes referred to as penis pump and may be used just prior to sexual intercourse. Several types of FDA approved vacuum therapy devices are available under prescription. When pharmacological methods fail, a purpose-designed external vacuum pump can be used to attain erection, with a separate compression ring fitted to the base of the penis to maintain it. These pumps should be distinguished from other penis pumps (supplied without compression rings) which, rather than being used for temporary treatment of impotence, are claimed to increase penis length if used frequently, or vibrate as an aid to masturbation. More drastically, inflatable or rigid penile implants may be fitted surgically.[11]
Vibrators
Main article: Vibrator (sex toy)
The vibrator was invented in the late 19th century as a medical instrument for pain relief and the treatment of various ailments. Sometimes described as a massager, the vibrator is used on the body to produce sexual stimulation. Several clinical studies have found vibrators to be an effective solution for Erectile Dysfunction.[66][67] Examples of FDA registered vibrators for erectile dysfunction include MysteryVibe's Tenuto[68] and Reflexonic's Viberect.[69]
Surgery
Main article: Penile implant
Often, as a last resort, if other treatments have failed, the most common procedure is prosthetic implants which involves the insertion of artificial rods into the penis.[10]: 26 Some sources show that vascular reconstructive surgeries are viable options for some people.[55]
Alternative medicine
The Food and Drug Administration (FDA) does not recommend alternative therapies to treat sexual dysfunction.[70] Many products are advertised as "herbal viagra" or "natural" sexual enhancement products, but no clinical trials or scientific studies support the effectiveness of these products for the treatment of ED, and synthetic chemical compounds similar to sildenafil have been found as adulterants in many of these products.[71][72][73][74][75] The FDA has warned consumers that any sexual enhancement product that claims to work as well as prescription products is likely to contain such a contaminant.[76] A 2021 review indicated that ginseng had "only trivial effects on erectile function or satisfaction with intercourse compared to placebo".[77]
History
Further information: Impotence and marriage
Further information: Medicalisation of sexuality
An unhappy wife is complaining to the qadi about her husband's impotence. Ottoman miniature.
Attempts to treat the symptoms described by ED date back well over 1,000 years. In the 8th century, males of Ancient Rome and Greece wore talismans of rooster and goat genitalia, believing these talismans would serve as an aphrodisiac and promote sexual function.[78] In the 13th century, Albertus Magnus recommended ingesting roasted wolf penis as a remedy for impotence.[78] During the late 16th and 17th centuries in France, male impotence was considered a crime, as well as legal grounds for a divorce. The practice, which involved inspection of the complainants by court experts, was declared obscene in 1677.[79][80]
The first major publication describing a broad medicalization of sexual disorders was the first edition of the Diagnostic and Statistical Manual of Mental Disorders in 1952.[81] In the early 20th century, medical folklore held that 90-95% of cases of ED were psychological in origin, but around the 1980s research took the opposite direction of searching for physical causes of sexual dysfunction, which also happened in the 1920s and 30s.[82] Physical causes as explanations continue to dominate literature when compared with psychological explanations as of 2022.[83]
Treatments in the 80s for ED included penile implants and intracavernosal injections.[82] The first successful vacuum erection device, or penis pump, was developed by Vincent Marie Mondat in the early 1800s.[78] A more advanced device based on a bicycle pump was developed by Geddings Osbon, a Pentecostal preacher, in the 1970s. In 1982, he received FDA approval to market the product.[84] John R. Brinkley initiated a boom in male impotence treatments in the U.S. in the 1920s and 1930s, with radio programs that recommended expensive goat gland implants and "mercurochrome" injections as the path to restored male virility, including operations by surgeon Serge Voronoff.
Modern drug therapy for ED made a significant advance in 1983, when British physiologist Giles Brindley dropped his trousers and demonstrated to a shocked Urodynamics Society audience showing his papaverine-induced erection.[85] The current most common treatment for ED, the oral PDE5 inhibitor known as sildenafil (Viagra) was approved for use for Pfizer by the FDA in 1998, which at the time of release was the fastest selling drug in history.[81][86][87] Sildenafil largely replaced SSRI treatments for ED at the time[88] and proliferated new types of specialised pharmaceutical marketing which emphasised social connotations of ED and Viagra rather than its physical effects.[89][90]
Anthropology
Anthropological research presents ED not as a disorder but, as a normal, and sometimes even welcome sign of healthy aging. Wentzell's study of 250 Mexican males in their 50s and 60s found that "most simply did not see decreasing erectile function as a biological pathology".[91] The males interviewed described the decrease in erectile function "as an aid for aging in socially appropriate ways".[91] A common theme amongst the interviewees showed that respectable older males shifted their focus toward the domestic sphere into a "second stage of life".[91] The Mexican males of this generation often pursued sex outside of marriage; decreasing erectile function acted as an aid to overcoming infidelity thus helping to attain the ideal "second stage" of life.[91] A 56-year-old about to retire from the public health service said he would now "dedicate myself to my wife, the house, gardening, caring for the grandchildren—the Mexican classic".[91] Wentzell found that treating ED as a pathology was antithetical to the social view these males held of themselves, and their purpose at this stage of their lives.
In the 20th and 21st centuries, anthropologists investigated how common treatments for ED are built upon assumptions of institutionalized social norms. In offering a range of clinical treatments to 'correct' a person's ability to produce an erection, biomedical institutions encourage the public to strive for prolonged sexual function. Anthropologists argue that a biomedical focus places emphasis on the biological processes of fixing the body thereby disregarding holistic ideals of health and aging.[92] By relying on a wholly medical approach, Western biomedicine can become blindsided by bodily dysfunctions which can be understood as appropriate functions of age, and not as a medical problem.[93] Anthropologists understand that a biosocial approach to ED considers a person's decision to undergo clinical treatment more likely a result of "society, political economy, history, and culture" than a matter of personal choice.[92] In rejecting biomedical treatment for ED, males can challenge common forms of medicalized social control by deviating from what is considered the normal approach to dysfunction.
Lexicology
The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina; it is now mostly replaced by more precise terms, such as erectile dysfunction (ED). The study of ED within medicine is covered by andrology, a sub-field within urology. Research indicates that ED is common, and it is suggested that approximately 40% of males experience symptoms compatible with ED, at least occasionally.[94] The condition is also on occasion called phallic impotence.[95] Its antonym, or opposite condition, is priapism.[96][97]
en.wikipedia.org/wiki/Erectile_dysfunction
Priapism is a condition in which a penis remains erect for hours in the absence of stimulation or after stimulation has ended.[3] There are three types: ischemic (low-flow), nonischemic (high-flow), and recurrent ischemic (intermittent).[3] Most cases are ischemic.[3] Ischemic priapism is generally painful while nonischemic priapism is not.[3] In ischemic priapism, most of the penis is hard; however, the glans penis is not.[3] In nonischemic priapism, the entire penis is only somewhat hard.[3] Very rarely, clitoral priapism occurs in women.[4]
Sickle cell disease is the most common cause of ischemic priapism.[3] Other causes include medications such as antipsychotics, SSRIs, blood thinners and prostaglandin E1, as well as drugs such as cocaine.[3][5] Ischemic priapism occurs when blood does not adequately drain from the penis.[3] Nonischemic priapism is typically due to a connection forming between an artery and the corpus cavernosum or disruption of the parasympathetic nervous system resulting in increased arterial flow.[3] Nonischemic priapism may occur following trauma to the penis or a spinal cord injury.[3] Diagnosis may be supported by blood gas analysis of blood aspirated from the penis or an ultrasound.[3]
Treatment depends on the type.[3] Ischemic priapism is typically treated with a nerve block of the penis followed by aspiration of blood from the corpora cavernosa.[3] If this is not sufficient, the corpus cavernosum may be irrigated with cold, normal saline or injected with phenylephrine.[3] Nonischemic priapism is often treated with cold packs and compression.[3] Surgery may be done if usual measures are not effective.[3] In ischemic priapism, the risk of permanent scarring of the penis begins to increase after four hours and definitely occurs after 48 hours.[3][6] Priapism occurs in about 1 in 20,000 to 1 in 100,000 males per year.[3]
Classification
Priapism is classified into three groups: ischemic (low-flow), nonischemic (high-flow), and recurrent ischemic.[3] The majority of cases (19 out of 20) are ischemic in nature.[3]
Some sources give a duration of four hours as a definition of priapism, but others give six. Per the University Hospital Schleswig Holstein, "The duration of a normal erection before it is classifiable as priapism is still controversial. Ongoing penile erections for more than 6 hours can be classified as priapism."[7]
In women
Priapism in women (continued, painful erection of the clitoris) is significantly rarer than priapism in men and is known as clitoral priapism or clitorism.[4] It is associated with persistent genital arousal disorder (PGAD).[8] Only a few case reports of women experiencing clitoral priapism exist.[4]
Signs and symptoms
Complications
Because ischemic priapism causes the blood to remain in the penis for unusually long periods of time, the blood becomes deprived of oxygen, which can cause damage to the penile tissue. Such damage can result in erectile dysfunction or disfigurement of the penis.[9] In extreme cases, if the penis develops severe vascular disease, the priapism can result in penile gangrene.[10]
Low-flow priapism
Causes of low-flow priapism include sickle cell anemia (most common in children), leukemia, and other blood dyscrasias such as thalassemia and multiple myeloma, and the use of various drugs, as well as cancers.[11] A genome-wide association study on Brazilian patients with sickle cell disease identified four single nucleotide polymorphisms in LINC02537 and NAALADL2 significantly associated with priapism.[12]
Other conditions that can cause priapism include Fabry's disease, as well as neurologic disorders such as spinal cord lesions and spinal cord trauma (priapism has been reported in people who have been hanged; see death erection).
Priapism can also be caused by reactions to medications. The most common medications that cause priapism are intra-cavernous injections for the treatment of erectile dysfunction (papaverine, alprostadil). Other medication groups reported are antihypertensives (e.g. Doxazosin), antipsychotics (e.g., chlorpromazine, clozapine), antidepressants (most notably trazodone), anti-convulsant and mood stabilizer drugs such as sodium valproate.[13] Anticoagulants, cantharides (Spanish Fly) and recreational drugs (alcohol, heroin and cocaine) have been associated. Priapism is also known to occur from bites of the Brazilian wandering spider.[14]
High-flow priapism
Causes of high-flow priapism include:
blunt trauma to the perineum or penis, with laceration of the cavernous artery, which can generate an arterial-lacunar fistula.[11]
Anticoagulants (heparin and warfarin).
Antihypertensives (i.e., hydralazine, guanethidine and propranolol).
Hormones (i.e., gonadotropin releasing hormone and testosterone).
Diagnosis
The diagnosis is often based on the history of the condition as well as a physical exam.[3]
Blood gas testing the blood from the cavernosa of the penis can help in the diagnosis.[3] If the low-flow type of priapism is present, the blood typically has a low pH, while if the high-flow type is present, the pH is typically normal.[3] Color Doppler ultrasound may also help differentiate the two.[3] Testing a person to make sure they do not have a hemoglobinopathy may also be reasonable.[3]
Ultrasonography
Color Doppler ultrasound demonstrating a hypoechoic collection that corresponds to hematoma with arteriovenous fistula secondary to traumatic injury of the penis due to impact with bicycle handlebars, resulting in high-flow priapism[11]
Penile ultrasonography with Doppler is the imaging method of choice, because it is noninvasive, widely available, and highly sensitive. By means of this method, it is possible to diagnose priapism and differentiate between its low- and high-flow forms.[11]
In low-flow (ischemic) priapism the flow in the cavernous arteries is reduced or absent. As the condition progresses, there is an increase in echogenicity of the corpora cavernosa, attributed to tissue edema. Eventually, changes in the echotexture of the corpora cavernosa can be observed due to the fibrotic transformation generated by tissue anoxia.[11]
In high-flow priapism normal or increased, turbulent blood flow in the cavernous arteries is seen. The area surrounding the fistula presents a hypoechoic, irregular lesion in the cavernous tissue.[11]
Treatment
Medical evaluation is recommended for erections that last for longer than four hours. Pain can often be reduced with a dorsal penile nerve block or penile ring block.[3] For those with nonischemic priapism, cold packs and pressure to the area may be sufficient.[3]
Pseudoephedrine
Orally administered pseudoephedrine is a first-line treatment for priapism.[15] Erection is largely a parasympathetic response, so the sympathetic action of pseudoephedrine may serve to relieve this condition. Pseudoephedrine is an alpha-agonist agent that exerts a constriction effect on smooth muscle of corpora cavernosum, which in turn facilitates venous outflow. Pseudoephedrine is no longer available in some countries.
Aspiration
For those with ischemic priapism, the initial treatment is typically aspiration of blood from the corpus cavernosum.[3] This is done on either side.[3] If this is not sufficiently effective, then cold normal saline may be injected and removed.[3]
Medications
If aspiration is not sufficient, a small dose of phenylephrine may be injected into the corpus cavernosum.[3] Side effects of phenylephrine may include: high blood pressure, slow heart rate, and arrhythmia.[3] If this medication is used, it is recommended that people be monitored for at least an hour after.[3] For those with recurrent ischemic priapism, diethylstilbestrol (DES) or terbutaline may be tried.[3]
Surgery
Distal shunts, such as the Winter's,[clarification needed] involve puncturing the glans (the distal part of the penis) into one of the cavernosa, where the old, stagnant blood is held. This causes the blood to leave the penis and return to the circulation. This procedure can be performed by a urologist at the bedside. Winter's shunts are often the first invasive technique used, especially in hematologically induced priapism, as it is relatively simple and repeatable.[16]
Proximal shunts, such as the Quackel's,[clarification needed] are more involved and entail operative dissection in the perineum where the corpora meet the spongiosum while making an incision in both and suturing both openings together.[17] Shunts created between the corpora cavernosa and great saphenous vein called a Grayhack shunt can be done though this technique is rarely used.[18]
As the complication rates with prolonged priapism are high, early penile prosthesis implantation may be considered.[3] As well as allowing early resumption of sexual activity, early implantation can avoid the formation of dense fibrosis and, hence, a shortened penis.
Sickle cell anemia
In sickle cell anemia, treatment is initially with intravenous fluids, pain medication, and oxygen therapy.[19][3] The typical treatment of priapism may be carried out as well.[3] Blood transfusions are not usually recommended as part of the initial treatment, but if other treatments are not effective, exchange transfusion may be done.[19][3]
History
Persistent semi-erections and intermittent states of prolonged erections have historically been sometimes called semi-priapism.[20]
Terminology
The name comes from the Greek god Priapus (Ancient Greek: Πρίαπος), a fertility god, often represented with a disproportionately large phallus.[21
Unlike what many consider safe, the risks of oral sex equally have their own significance. To determine the risks of oral sex is not easy since researchers cannot separate oral sex with other sexual activities. No one engages just in oral sensual acts and winds up the task. To conduct a study on those who engaged just in the oral activities and did nothing more than that, is almost impossible. However, when the matter is studied from a different angle, we can reach to a sensible decision.
All sensual activities involve great risks of contracting sexually transmitted diseases, if adequate precautions are not taken, and oral sex is no exception. It also carries great risks of HIV transmission. It is also true that the risk factors are less when compared to sexual activities involving anus or vagina. Many fact-finding surveys reached to the conclusion that the risks of oral sex definitely include chances of acquiring HIV and other sexually transmitted diseases. The best solution to remain safe from such deadly diseases is, according to the experts, staying away from vaginal, anal, or oral sex altogether with new partners. Monogamous sensual activities are the best way to enjoy with the act and stay clean at the same time.
Oral sensual activities involve sucking and licking of the genitals, unfortunately many include anus in the list too. This is done not only between two opposite sex partners, but partners of same gender also practice such acts. Younger individuals become the victim more since they do not consider this activity a part of the main act. Since they take it lightly, they are more prone to acquire a sexually transmitted disease when compared to the elders who approach safely to the act. Moreover, many mistakenly consider oral sex does not cause them to acquire any sexually transmitted disease, or STD. This is what revealed in a study conducted on teenagers.
Other co-factors that can be counted as the risks of oral sex to contract sexually transmitted diseases are mouth ulcers, genital sores, bleeding gums, etc. We must never forget the fact that HIV is transmitted through anilingus, fellatio, and cunnilingus. Moreover, Herpes and HPV should be added to the list of potential STDs that can be transmitted through oral activities.
Some suggest using barrier methods like dental dams and condoms to prevent STDs. Well, up to some extent this can be considered safe, but not safe totally. Moreover, if ejaculation takes place in or around the mouth, or the tongue works over the genitals even superficially, the risks of acquiring sexually transmitted diseases will remain high.
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Effective prostate cancer treatment depends on several factors. Depending on how advanced the cancer is or how quickly it is spreading, your treatment options could range from simply monitoring the problem to undergoing aggressive radiation treatment.
Each treatment has its advantages and disadvantages, and what proves effective for one cancer patient may not work at all for someone else. As always, it's best for anybody who has been diagnosed with prostate cancer to find a treatment that works best for them, something that may be easier said than done.
Prostate Cancer Treatments
Of the prostate cancer treatments available, your doctor will recommend the treatment option that is best for you. The decision will depend on your overall health and how far advanced your cancer is. If the treatment recommended for you is not something you're comfortable with, for instance you may not be comfortable with external beam radiation therapy; you can give your doctor your opinion. It's important that you are at ease with the decision. Discuss it with your family as well, particularly the possible side effects and cure rate.
Oncologists specialize in certain fields. The one you are referred to will be a specialist in the treatment prescribed for you.
Watching and Waiting
The first strategy in most treatment plans is watching and waiting. The signs and symptoms that may indicate prostate cancer are also indications of other problems such as an infection in or close to your prostate. Watching and waiting is to determine which condition your symptoms are from.
During this period, blood samples will be tested for PSA levels and tissue samples may be sent for a biopsy.Elevated levels of the prostate specific antigen may point to a less serious medical problem. This is why a tissue sample may be taken; to verify or to rule out the presence of cancer. Remember that early treatment usually has a better possibility of cure.
Surgery
Prostate cancer can also be treated through the surgical removal of the prostate and the surrounding tissue. This is a very invasive procedure that can be performed in a number of different ways. Your doctor will be able to help you decide what method is best for you should you require this treatment. Adverse effects could consist of urinary incontinence and erectile dysfunction.
Radiation
There are 3 different types of radiation therapies. External beam therapy is typically a stream of X-rays aimed at your pelvis from a device outside the body. The X-rays burn away cancer cells through repeated treatments over several weeks.
An alternative external beam therapy is Proton Beam Therapy. Instead of using X-rays, protons, which are charged particles or ions, are streamed at your pelvis, again from a device outside your body.
Brachytherapy is the introduction of several radioactive seeds directly into your prostate. They are implanted with a series of injections while you are under a general anesthetic.
All of the radiation treatments above work on the principle of burning cancer cells away with high energy particles. Radiation treatment can take place over time, and is subject to the same side effects as surgery.
Hormone Therapies
Another option for treating prostate cancer involves using therapy to stop the body's production of testosterone. Because prostate cancer cells need testosterone to increase, reducing off their supply of androgen hormone or testosterone can frequently be an effective therapy for prostate cancer. This type of treatment is often used for advanced cases of prostate cancer to shrink tumors and slow down their growth or in early stages of the disease as a preparation for radiation therapy.
Hormone therapy typically involves the use of drugs to either stop the patient's testicles from producing testosterone or prevent testosterone from reaching the cancerous cells. In extreme cases, the testicles can be surgically removed in a procedure called an orchiectomy. This lowers the patient's testosterone levels much more quickly than most medications.
Cryotherapy
Cryotherapy is a procedure where, during surgery, your prostate is frozen and then thawed to destroy cancer cells.