Prostate what is it

This relationship was demonstrated in the Massachusetts Male Aging Study (MMAS) and subsequently corroborated in further large-scale epidemiologic studies (6-8,10,11). Pathophysiologically, endothelial dysfunction is considered to be the underlying mechanism common to CVD and ED (Figure 1) (12,13). It follows Prostate what is it that ED has been associated with an increased risk of premature mortality (14). The recognition of this association has prompted recommendations by the Princeton Consensus Conference for the thorough evaluation and management of cardiovascular risk in all patients presenting with ED and no known CVD (15).

An external file that holds a picture, illustration, etc. Object name is tau-05-02-187-f1.jpg Prostate what is it Figure 1 Relationship of modifiable risk factors and erectile dysfunction. Importantly, sequelae of ED are known to extend beyond physical and sexual health. ED prostate what is it is also known to cause detriment to QoL, psychosocial and emotional well-being for both the patient and his partner (5,16). In pretreatment screening of patients with ED and depressive symptoms on the Beck Depression Inventory-II, severity of ED was found to be predictive Prostate what is it of depression (17). Controlled prostate what is it clinical trials have demonstrated improvement in psychological outcomes including confidence, sexual satisfaction and symptoms of depression following treatment with pharmacologic agents (18-21). Additionally, change in penile rigidity after treatment for ED has been associated with improvement prostate what is it in sexual function and QoL in female partners (22). Thus, prevention and treatment of ED represents an important means to improve patient and partner wellness and overall men’s health. Previous publications have recognized modifiable lifestyle factors such as obesity, physical Prostate what is it activity, smoking, diet and others as major contributors to the onset and prostate what is it evolution of both CVD and ED (8,9,23). Guidelines developed during the 2009 International Consultation on Sexual Dysfunction included “lifestyle modification” as a Prostate what is it foundational step in the treatment Diagnosis of prostate adenoma algorithm of ED (23,24). However, patient knowledge about modifiable risk factors for ED, in particular smoking, control of prostate what is it CVD risk factors and sedentary lifestyle, is poor, prostate what is it and specific recommendations regarding Prostate what is it implementation of lifestyle modification have not previously been outlined (25). Additionally, questions remain as to the quantitative effects lifestyle modification and supplemental therapies can have on the natural Prostate what is it history of ED. The aim of this review is to delineate lifestyle choices which may impose an increased risk of developing ED, present relevant studies addressing behavioral factors correlated with ED, as well as highlight proposed Prostate what is it mechanisms for intervention aimed at improving erectile function in men with ED.







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