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Epidemiology of Erectile Dysfunction
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Epidemiology of Erectile Dysfunction

Ever since the ground-breaking work of Kinsey, the prevalence of erectile online pharmacy has been a subject of debate. Although it is certain that many millions of men are affected by the condition, there is a surprising dearth of high-quality epidemiological data with which to quantify accurately the extent of the problem. A figure of one man in ten has often been quoted as an estimate of the prevalence of erectile dysfunction, but the frequency and severity of the disorder vary markedly with age. Erectile dysfunction is uncommon in young men (with the exception of intermittent psychogenic problems), becomes more common in middle age, and is highly prevalent in men more than 60 years of age. Thus, to some extent, erectile dysfunction is a natural expression of aging, but one that men are increasingly less willing to accept without seeking treatment. As the world’s population ages over the next few decades (Figure 1), the number of men who will suffer erectile dysfunction seems certain to rise.

Epidemiology of Erectile Dysfunction, Figure 1

Figure 1. The projected world population pyramid for 2002 (green) and 2025 (white) demonstrating how many more older people will be around to be affected by erectile dysfunction.



One problem for epidemiologists trying to quantify the extent and impact of erectile dysfunction is the frequent unwillingness of men to discuss the problem frankly. The accuracy of almost all data in this disease area is therefore impaired by the reluctance of many, particularly older, men to respond to what they regard as overly personal questions. However, with the development of simple questionnaires which can be self-administered, and the gradual breakdown of social taboos surrounding the open discussion of sexual issues, it is possible to anticipate higher-quality information in the future.

Epidemiology of Erectile Dysfunction, Figure 2

Figure 2. The proportion of men with either complete, moderate or minimal erectile dysfunction in the Massachusetts Male Aging Study.

Epidemiology of Erectile Dysfunction, Figure 3

Figure 3. Negative effects of erectile dysfunction on men's quality of life.

At this time, however, the best data available concerning the prevalence of erectile dysfunction are derived from the Massachusetts Male Aging Study (Figure 2). The findings of this study may be summarized as follows. A total of 1290 men aged 40-70 years were included in the study; erectile dysfunction was very common, with 52% of men reporting some degree of erectile dysfunction-mild in 17.1%, moderate in 25.2% and complete in 9.6%. Complete erectile dysfunction was reported by 5% of men at 40 years of age, rising to 15% at age 70 years. Loss of firm erections is often extremely bothersome to men. Figure 3 demonstrates the degree of worry, the loss of confidence, the negative feelings and the depression that can result.


Viagra i hipertensió
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Com és d’esperar, quan es parla de Viagra tothom comença a fer un somriure mal dissimulat. La pastilleta blava que ha contribuït a fer més rics als laboratoris Pfizer ha esdevingut tot un símbol relacionat amb el sexe. Però el cas és que es continuen fent estudis sobre la Viagra, o millor dit sobre el seu principi actiu, el sildenafil, per aplicar-ho a diferents patologies.

El motiu és fàcil d’entendre. Un medicament que ja es fa servir no necessita passar de nou tots els controls de seguretat i qualitat inicials. De manera que si ets un laboratori i descobreixes que un medicament serveix per tractar una malaltia diferent a la inicialment prevista, doncs t’estalviaràs molts diners i temps a l’hora de comercialitzar-lo.

En certa manera, això ja va passar una vegada en el cas de

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<div style="text-align: justify;"><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="#"><img style="margin: 0pt 10px 10px 0pt; float: left; cursor: pointer; width: 200px; height: 169px;" src="http://4.bp.blogspot.com/_JfDNNMkV3ls/S_v2p7bnN0I/AAAAAAAAB7w/gq1kh13yB3s/s200/viagra.jpg" alt="" id="BLOGGER_PHOTO_ID_5475240972187547458" border="0" /></a><span lang="CA">Com és d&#8217;esperar, quan es parla de <a href="#">Viagra </a>tothom comença a fer un somriure mal dissimulat. La pastilleta blava que ha contribuït a fer més rics als laboratoris <a href="#">Pfizer </a>ha esdevingut tot un símbol relacionat amb el sexe. Però el cas és que es continuen fent estudis sobre <st1:personname productid="la Viagra" st="on">la Viagra</st1:personname>, o millor dit sobre el seu principi actiu, el <a href="#">sildenafil</a>, per aplicar-ho a diferents patologies.</span></div> <p class="MsoNormal" style="text-align: justify;"><span lang="CA">El motiu és fàcil d&#8217;entendre. Un medicament que ja es fa servir no necessita passar de nou tots els controls de seguretat i qualitat inicials. De manera que si ets un laboratori i descobreixes que un medicament serveix per tractar una malaltia diferent a la inicialment prevista, doncs t&#8217;estalviaràs molts diners i temps a l&#8217;hora de comercialitzar-lo.</span></p> <p class="MsoNormal" style="text-align: justify;"><span lang="CA">En certa manera, <span style=""> </span>això ja va passar una vegada en el cas de <st1:personname productid="la <a href="http://sigmarxonline.com/">cheap viagra</a>. Inicialment" st="on">la Viagra. Inicialment</st1:personname> s&#8217;estudiava l&#8217;ús del <a href="http://consultantmediconline.com">cialis</a> per tractar malalties cardíaques. Això és perquè el sildenafil actua afavorint la dilatació de les arteries. Be, en realitat és una mica més complicat. El que fa és que quan una arteria es dilata, trigui més estona a tornar a contraure&#8217;s. En tot cas, si tens problemes per la circulació de la sang, o tens risc d&#8217;infart, és bona cosa que els artèries estiguin més aviat dilatades. Així la sang circula amb més facilitat i el risc d&#8217;infart disminueix.</span></p> <p class="MsoNormal" style="text-align: justify;"><span lang="CA">Els resultats eren bons, però no espectaculars. De totes maneres els metges van notar que molts pacients dels grups d&#8217;estudi inicials demanaven si podien seguir amb el tractament degut a que havien notat que la qualitat i durada de els seves ereccions eren molt millors. Un efecte potser poc notable amb vint anys, però que pot marcar la diferència si en tens seixanta.</span></p> <p class="MsoNormal" style="text-align: justify;"><span lang="CA">I el motiu era senzill. Una erecció no deixa de ser un mecanisme pel qual, en resposta a estímuls nerviosos, les artèries que porten sang al penis es dilaten de manera que deixen passar més sang. Aquesta sang omplirà unes cavitats anomenades <a href="#">cossos cavernosos</a>, que s&#8217;inflaran i tindrem l&#8217;erecció. Una erecció que afluixarà quan les venes de sortida s&#8217;obrin i les arteries recuperin el seu diàmetre inicial. El sildenafil evitava aquesta tornada de les arteries a la normalitat de manera que la sang continuava entrant i l&#8217;erecció era més duradora i intensa. </span></p> <p class="MsoNormal" style="text-align: justify;"><span lang="CA">Els de Pfizer se&#8217;n van adonar del que representava, van deixar de banda les malalties cardiovasculars i la van vendre com a Viagra amb l&#8217;èxit innegable que ha tingut. Però el cas és que la investigació sobre les aplicacions d&#8217;aquest fàrmac per malalties relacionades amb la circulació de la sang segueix. Per això ara es mira si un tractament amb sildenafil pot millorar les perspectives de vida de pacients amb <a href="#">hipertensió pulmonar</a>. Amb una mica de sildenafil les artèries dels pulmons poden estar més dilatades i aleshores la sang circularà amb més facilitat i la pressió arterial baixarà.</span></p> <p class="MsoNormal" style="text-align: justify;"><span lang="CA">I si són homes, tindran efectes secundaris que en principi no seran empipadors (o potser si). En el cas que siguin dones, la diferencia serà poc notable, en els efectes secundaris vull dir. Malgrat els intents de les farmacèutiques per colar <st1:personname productid="la Viagra" st="on">la Viagra</st1:personname> a les senyores, tenir una erecció no és una prioritat en aquest cas. </span></p> <p class="MsoNormal" style="text-align: justify;"><span lang="CA">Més que res perquè cal recordar que amb Viagra, l&#8217;erecció és la conseqüència d&#8217;estar excitat. No pas la causa. <st1:personname productid="la Viagra" st="on">La Viagra</st1:personname> millora la qualitat de les ereccions però no pas el grau d&#8217;excitació. Amb massa freqüència s&#8217;oblida que l&#8217;òrgan sexual per excel&#183;lència és... el cervell.</span></p>

Olivia Munn wears WTB in Men's Health Magazine
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Afternoon WTB fam,

what a great Friday it has been. Last night actress Arielle Kebbel wore WTB to a movie premiere and now gadget diva and December issue cover girl Olivia Munn, wears WTB in both her spread photos!!

This is such great news for us and we are extremely thankful for this awesome opportunity. Olivia and Arielle looked absolutely stunning in WTB.












replica watch gift Dave Costello She is climbing with IMG
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He says it was the most challenging day hes spent in the mountains, mostly because of how mentally taxing it is to be on such an exposed face and peak in deteriorating weather and dwindling light. Heres an excerpt: I had already run out of food and water, and was utterly exhausted(from my camp on the Torre Glacier it is 2,600 replica Omega Constellation watches meters of elevationgain, including the elevation lost descending the north side of Filodel Hombre Sentado). Although I have been to many places that are farmore remote, I dont think Ive ever felt more out on a limb than aloneon the summit of Fitz Roy with bad weather, 2.5 hours of daylight left,and one rope. —JUSTIN NYBERG

Three years ago Twentyfive homeless Polish men decided to build a 55foot boat and sail around the world in it. Now, according to The New York Times, the boat is almost done and it is time to set sail. You can check out a video about the projectnarrated in Polishon a Polish website here.Pictures of the boat are also available at the Times website. replica watch gift Dave Costello She is climbing with IMG. You can follow her on her blog.Climb On!AlanArnette is a speaker, mountaineer and Alzheimers Advocate. You can read more on his site

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