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< Browse > / / Blog article: ACRL-STS College Science Librarians Discussion Group report

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September 30th, 2004 2:50 pm | by

The STS section of the ACRL has put on its website the report of its College Science Librarians Discussion Group meeting that took place in Orlando this summer. The theme was . Julie Miran, from Haverford College, was the main presenter.

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Victim of abuse (in any form) More Studies, More Seats Most commonly reported adverse effect is headache, which occurred in 15% of men taking the 20-mg dose, 11% of those taking 10 mg, and 11% of those taking 5 mg; this compares with 5% of those who took placebo; dyspepsia is second most common adverse effect and is observed in 10% of men taking 20 mg, 8% taking 10 mg, and 4% taking 5 mg; dyspepsia occurred in only 1% of controls The bottom line: Whatever it takes, experts say don't shut down the line of emotional communication, even if you have to put your physical relationship on hold. And most importantly, listen to your heart. What you want to do instead, say experts, is use this opportunity to experiment sexually with each other and work on ways to remain intimate, even when an erection is not possible. Natural appearance Good nutrition may help improve erectile dysfunction. It is important to consult a physician about erectile dysfunction to determine the cause, correct any underlying organic factor, and receive appropriate treatment. Nutritional and lifestyle choices that can contribute to difficulties achieving and maintaining an erection include long-term alcohol and/or tobacco use, chronic recreational drug use, and poor nutritional choices (i.e., diet of processed foods, fast foods, and refined foods). Poor dietary choices may lead to vascular disease (the most common cause of ED), which interferes with the erection process by restricting blood flow to the penis. viagra online Some health experts are now convinced there is a close link between impotence and heart disease, and that problems in the bedroom can often signal hidden blockages in blood vessels near the heart which are reducing blood flow around the body. Because as many as 25 percent of cases of erectile dysfunction are due to medication side effects,4 the patient's drug therapy should be reviewed. Common pharmacologic causes of this disorder include antihypertensive drugs, most notably the centrally acting agents, beta blockers and diuretics. Antipsychotic and antidepressant drugs are also frequently implicated. Other drugs that can cause erectile dysfunction include spironolactone (Aldactone), cimetidine (Tagamet) and finasteride (Proscar).5,7 Excessive alcohol intake, heroin use and cigarette smoking are also known causes (Table 2).4,7,8 A few causes of impotence may be iatrogenic (medically caused). Various antihypertensives (medications intended to control high blood pressure) and some drugs that modify central nervous system response may inhibit erection by denying blood supply or by altering nerve activity. Antidepressants, especially SSRIs, can cause impotence as a side effect. Surgical intervention for a number of different conditions may remove anatomical structures necessary to erection, damage nerves, or impair blood supply. Some studies have shown that male circumcision may result in an increased risk of impotence, [1] [2] while others have found no such effect, [3] [4] [5], and another found the opposite. [6] The physical examination can reveal clues for physical causes of erectile dysfunction. For example, if the penis does not respond as expected to touching, a problem in the nervous system may be the cause. Small testicles, lack of facial hair and enlarged breasts can point to hormonal problems such as hypogonadism with low testosterone levels. A reduced flow of blood as a result of atherosclerosis can sometimes be diagnosed by finding diminished arterial pulses in the legs or listening with a stethoscope for bruits (the sound of blood flowing through narrowed arteries). Unusual characteristics of the penis itself could suggest the root of the erectile dysfunction, for example, bending of the penis during erection could be the result of Peyronie's disease. Effectiveness of tadalafil in these studies was assessed using a sexual function questionnaire. Study participants also were asked if they were able to achieve vaginal penetration and to maintain erections long enough for successful intercourse. Stuart N. Seidman, M.D., Steven P. Roose, M.D., Matthew A. Menza, M.D., Ridwan Shabsigh, M.D., and Raymond C. Rosen, Ph.D. Refrigeration not required Organic nitrates in any form are contraindicated when used regularly or intermittently because they potentiate hypotensive effects of nitrates; if nitrate administration is necessary, at least 48 h should elapse after the last dose of tadalafil One simple device now making a comeback is the penile pump. It's a vacuum pump that lets a man draw blood into the penis. A constriction ring placed at the base of the penis keeps the penis erect during intercourse. If you feel you need supervision or medical advice to begin an exercise program, ask your doctor to refer you to physical therapy. A physical therapist can evaluate your needs and start you on a safe and effective exercise program. There is no set time for how long a man should “last” during sex. But when a man has an orgasm before he wants to, he loses his erection and can’t continue with intercourse. Premature ejaculation can be frustrating and embarrassing. You may feel you don’t have enough time to enjoy sex. You may have difficulty satisfying your partner. For some men, embarrassment about premature ejaculation can cause problems with intimacy and damage their relationships.

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