Download e-book for iPad: DX RX: Sexual Dysfunction in Men and Women by Stanley Zaslau

By Stanley Zaslau

Dx/Rx: Sexual disorder in women and men is a vital source for urologists, relatives medication physicians, basic care practitioners, obstetricians, and gynecologists. This concise, pocket-sized advisor offers finished, updated details on remedies for female and male sexual disorder. Key gains comprise: handy, pocket-sized reference; Chapters on male sexual disorder, body structure of erection, and coverings for erectile disorder; Chapters on girl sexual disorder, clinical remedies, and non-invasive remedies. awarded in a convenient, effortless to learn layout, it is a must-have consultant to be used at the ward or within the medical institution!

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11 Patients with hyperthyroidism can also have ED. Symptoms of hyperthyroidism include decreased libido, which is often associated with increased serum estrogen levels. On the other hand, patients with hypothyroidism often have low serum testosterone and elevated prolactin levels. Thus, both thyroid hyper- or hypo-functioning states can be associated with ED. ■ Arteriogenic ■ Arteriogenic ED can be due to a variety of reasons including trauma to the hypogastric, cavernosal, or helicine arteries or due to atherosclerotic disease.

The smooth muscle component. Relaxation of corporal smooth muscle leads to erection. Thus, conditions which damage the corporal smooth muscle will be associated with erectile dysfunction. Thus, patients with diabetes have damage to the vascular smooth muscle in the cavernosal tissues. This smooth muscle disease has micro level dysfunction as well. Alteration of normal ion channels can occur. Specifically, deficits in ion transport of potassium and calcium are likely. Because of these deficits, altered smooth muscle calcium homeostasis occurs leading to impaired relaxation of the cavernosal smooth muscle tissue in patients with ED.

In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, eds. Campbell-Walsh Urology. Ninth ed. Philadelphia, PA: Saunders Elsevier Company; 2007:750–787. Broderick GA, Lue TF. Evaluation and nonsurgical management of erectile dysfunction and premature ejaculation. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, eds. Campbell-Walsh Urology. Ninth ed. Philadelphia, PA: Saunders Elsevier Company; 2007:750–787. indd 38 8/31/10 9:33 AM C H A P T E R 4 Medical Therapies for Erectile Dysfunction Adam Luchey, MD Ⅲ Stanley Zaslau, MD, MBA, FACS ■ Introduction ■ ■ ■ When considering treatment for sexual dysfunction, management is grouped into: • Erectile dysfunction • Decreased libido • Premature ejaculation This chapter will evaluate the different pharmaceutical regimens for the above conditions.

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