Go to: Smoking Smoking has been shown in several studies to be positively associated with an increased risk of ED. Longitudinal epidemiologic studies have Prostate treatment ayurvedic in hindi reported a relative risk of developing ED 1.5–2 times more in prostate treatment ayurvedic in hindi smokers in comparison to non-smokers (Prostate treatment ayurvedic in hindi 7,8,26,27).
In the Boston Area Community Health survey, a Prostate treatment ayurvedic in hindi cross-sectional study of 2,301 men, a dose-response relationship was demonstrated between smoking and ED (28). Significance Prostate treatment ayurvedic in hindi was achieved at 20-pack years cumulative exposure after adjusting for risk prostate treatment ayurvedic in hindi factors of age, CVD, and diabetes.
Though not found to be significant, passive smoking exposure trended toward a significant risk of ED. While this study design is subject to recall bias, it may provide important information when quantifying risk of ED due to smoking exposure. Positive dose-response association between quantity and duration of smoking with risk of ED was confirmed in a meta-analysis Prostate treatment ayurvedic in hindi of observational epidemiologic studies (29). The investigators found an incremental increased Prostate treatment ayurvedic in Hindi risk of ED Per 10 cigarettes smoked per day and 10 years of smoking, by 14% and 15%, respectively. An individualized inverse dose-response relationship was seen in male smokers undergoing polysomnographic assessment of nocturnal penile tumescence (NPT), where the highest consumers of cigarettes (>40 cigarettes per day) had the fewest minutes of nocturnal tumescence and detumesced fastest (30). At a molecular and cellular level in the animal model, cigarette smoking (CS) is linked to significantly higher markers of oxidative stress Prostate treatment ayurvedic in hindi and cavernosal tissue apoptosis (31).
CS exposed rats were noted to have significantly lower expression of cavernosal neuronal nitric oxide synthase (nNOS) and decreased endothelial and smooth muscle content, supporting the role of endothelial dysfunction in pathophysiology of ED (12). The effect of smoking cessation on erectile function has also been examined. prospectively studied a sample of men with ED and smoking prostate treatment ayurvedic in hindi as their only risk factor; excluded were men with other risk factors for ED such as diabetes, hypertension, dyslipidemia, peripheral vascular disease, psychiatric disorders, and renal failure. At baseline, severity of ED was found to be significantly correlated to duration of exposure in pack-years (32). At follow-up 1 year after smoking cessation, patients who successfully stopped smoking (ex-smokers) had a 25% improvement in erectile function, while men who continued (current smokers) did not improve. Additionally, a larger proportion of current smokers (7%) than ex-smokers (2.5%) had worsening of their baseline ED.
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27.06.2015 - Krutoy |
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27.06.2015 - Heyat_Bir_Yuxu |
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