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Below is the text of the May 12 live event RealAudio question and answer session with Dr. Irwin Goldstein, additional questions and answers sent in following the live event, and the entire set of questions and answers in list form. In the studio with us tonight is Urologist, Dr. Irwin Goldstein, a leading expert on one of the most talked about subjects in America today, impotence. Ever since the Food and Drug Administration approved the oral medication Viagra, the spotlight has been turned on a condition that is estimated to affect up to 30 million American men. But Viagra is not the only treatment for impotence.


There are other pills being developed, and now we're in the era of topical creams.

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A year-old male would most likely have erection problems from vascular disease, such as cigarette smoking or diabetes or high cholesterol. New first-line therapies include sildenafil or vacuum constrictive devices. What are your recommendations for treating dants due to alcoholism? From Connecticut, I can say to you emphatically, hernia scar tissue does not impair blood flow function.

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And if I am nervous I cannot get an erection. What effect does a geographical relocation, such as moving from 3, feet elevation to sea level, that's one. Also, does a high prolactine level cause impotence and decreased semen? Peyronie's Disease is also associated with pain and you described this pain. There is such a condition as mild erectile dysfunction - you don't need to wait until the dysfunction is severe. Women probably have a very similar physical problem related to blood flow, and they diminish vaginal lubrication and increased time to vaginal arousal and diminished sensation and diminished orgasm.

However, if your fiance wishes, because he is young, he would be considered a candidate for more sophisticated erectile function testing to gain orgaem better understanding of the nature of the dysfunction and to see if he can be cured of his impairment. And the thing that struck me about that story is that it was focused on the woman's pleasure. And multiple sclerosis pathology can occur wwnts.

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Is Viagra useful in men with normal erectile function? We use the word, Widower's Syndrome.

Thank you. So we're now seeing how Viagra works in all of this.

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He writes, " Even with treatment to correct impotence, it can still be difficult to ejaculate or reach orgasm. He writes, " I have no problems achieving an erection, nor Adulf I have problems sustaining it, but I do have trouble reaching an orgasm.

And then he asks, "Would a reversal be possible and would it help me function? He says, " Recently, I have experienced difficulty in sexual arousal. On occasion," Adullt says, "I will experience a total misfire. It's about four or five or six episodes, each lasting about 30 minutes to 45 minutes. So those are some of the interesting observations, about erect penile length that we're now understanding. But luckily that is a thing of the past and she now caters primarily for women, and some men, whose ages range from 20 to I have not had good success with the injection.

One should get a PSA prostate specific antigen blood test every three to six months if one is being treated by testosterone.

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Or impotence?? That this man is not a bicyclist or is a karate person, has been kicked in his crotch or has fallen on a fence post or fallen on a piece of concrete in his crotch, because that is likely the explanation if you think about it. We can't help but wonder if Adulg enhances blood flow to the penis for someone who doesn't get any erection, would Viagra have the potential to improve blood flow for someone whose blood flow has decreased with aging but is not impotent per se.

And in fact, I do a procedure called a bypass operation for younger men who have blocked arteries and I'm starting to use Viagra as a rogasm pill in these patients. The cancer was contained in the prostate. His younger friend agreed: "We've been brought up with the same sexual habit and the same environment, but I think our generation is prepared to be a bit flexible.

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She says, " My husband is 62, and he has a problem with his heart's electrical als causing him to skip a beat, usually when he gets more active. You would undergo a history, a physical examination and some laboratory tests and most likely after education and attempts to modify your lifestyle, end up with a prescription for Viagra.

She contributes to a Nigeria erotic website, and she and other writers cannot keep up with the demand.

And that if one smokes or has hypertension or cigarette smoking or diabetes or high cholesterol, you actually, compared to people who don't, you actually have a shorter penis. And this man takes many years until he has enough energy to find a new partner and is essentially inactive for a protracted period of time. We have had success with diabetics, with circulation problems, and nerve damage with Viagra.

Are there real dangers to this?

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Any negative effect on a man's anatomy? But we are presently using Viagra alone, we're using Viagra with pellet therapy, using Viagra with shot therapy, using Viagra with implant orgzsm, and Viagra with vacuum constriction device therapy. If you have compaints consistent with erectile dysfunction, you should see a physician.

And in removing the prostate during surgery, sometimes the plumbing and the nerves to the penis can be injured. The first advice is to cut back on the dose of Viagra, and the second advice may be to go back to the injections. two, gaining approximately 20 pounds, and three, having an increase in stress related Adklt job change, have to do with this?

There are several reasons for men to have delayed orgasm, or diminished orgasm. How do these other drugs cause an erection?

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However, he is able to achieve orgasm and ejaculate through masturbation, during which he still does not achieve an erection. But in a young man, having an erection problem is worth seeing a physician about, because it's not a good time to have an erection problem, when you're young. You could almost argue that frequent erections are good for erections. I'm not trying to win a Nobel prize," she says. Might Viagra help that also? I've since read it doesn't work. GOLDSTEIN: That's a great question, but to the best of my knowledge there is no relationship between the frequency of masturbation and the onset wannts an erection problem.

How to make yourself cum.

Multiple sclerosis is plaque formation within the central nervous system. Since orgasm ultimately is a sensory event, sensation must reach a certain part of wanys brain in sufficient quantity as to then release what we call a propagating wave, which spre in a portion of the brain resulting in the pleasure of orgasm.

Question from a year-old Florida man : I have read books which provide instruction on how to exercise the PC muscle in order to better ejaculation control, and in fact, achieve orgasm without ejaculation. And the most common, I would think, is just simply aging, changes in sensation.

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