Category Archives: Erectile disorders

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Radiation therapy and Erectile Dysfunction

Radiation therapy

Radiation therapy and Erectile Dysfunction. Whatever it is that links the two, you must recover from it to be safe

Radiation therapy and Erectile Dysfunction: What men go through?

There are many life threatening conditions we are often faced with in our daily lives some of these condition are hereditary while others affects us in the process of growth and development. The most painful thing is that often these conditions leave behind a long life scar that remain to be a constant reminder of the devastating painful condition the victims have been through. Let us take for instance the cancer as a medical condition, and its treatment procedures. Actually the process of treating prostate cancer is one such condition that is able to transforms one’s life negatively and by extension the lives of those around the individual patient. Radiation therapy is a well-known cause of erectile dysfunction (ED). The procedure (therapy) uses high levels of radiation to damage cancer cells’ DNA primarily to destroy them or reduce their growth and multiplication, in doing so the therapy helps in minimizing harm to the unaffected surrounding healthy cells. Prostate cancer is treatable by:

  • Pelvic external beam radiotherapy
  • Seed implants (brachytherapy)

Radiation-induced erectile dysfunction

Considering the pervasiveness of prostate cancer and the reduction in the mean age at diagnosis, it has become necessary to openly discuss the modalities of treating sexual dysfunctions emanating from radiation therapy as a method for treating prostate cancer. Great achievements have made by the experts over the last decades to minimize the negative effects associated with radiation. It is also worth noting that, the advent of 3D conformal x-ray therapy and brachytherapy (seeds) have gone some way towards reducing radiation-induced erectile dysfunction, even though some men continue to suffer from this problem. Nonetheless at this point in time, it is still not very clear what’s the true incidence of sexual dysfunction is after brachytherapy and it remains to be seen whether newer techniques such as intensity modulated radiation therapy (IMRT) will improve upon impotence rates.

Radiation therapy can cause erectile dysfunction in three ways. That is to say:

  • Arterial blockage can occur due to the development of a condition called endarteritis obliterans plus other more subtle changes can occur including direct damage to the lining of the blood vessels.
  • Radiation-induced nerve damage may occur. It has been established that there is a reduction in the number of erection-inducing nerves in the penis following exposure to low doses of radiation.
  • Direct erection tissue damage may occur and this can lead to leakage of blood from the erectile bodies (venous leak).

In radiation therapy there are two primary determinants of erectile dysfunction and they include:

  • Dose of radiation (how much)
  • Field of radiation (how wide)

Finally, this article may be loaded with strong medical terms which may not make sense for many people and that is why it would be necessary that if you are suffering from erectile dysfunction and you need timely professional help, you can take another step of calling the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury today for medical assistance. And as you consider doing that, we want to encourage you to keep on the link because we are going to continue with this discussion in our subsequent postings.

Radiation therapy and Erectile Dysfunction: What men go through?

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Sexual dysfunction and substance abuse

Sexual dysfunction

Sexual dysfunction and substance abuse when eliminated, life becomes enjoyable

Sexual dysfunction and substance abuse: Real time solution with the experts

Sexual dysfunction is a problem affecting many men and women currently. The condition covers a range of sexual problems including:

  • Erectile dysfunction
  • Premature or delayed ejaculation in men
  • Pain associated with intercourse
  • Low libido and
  • Poor response to sexual contact

Drugs and alcohol are known to affect a person’s sexual behavior, ability to function and sensations. Drugs and alcohol are often taken as a way to hide psychological or emotional problems or to ignore physical difficulties that are contributing to sexual dysfunction. However we have four main categories of sexual dysfunction disorders which include:

  • Sexual desire
  • Sexual arousal
  • Orgasm
  • Sexual pain disorders

Each one has distinct symptoms, yet all are negatively attributed to drugs and alcohol. Some drugs can make sexual problems worse, others are milder. Regardless of the effects of the drugs, sexual problems can cause major relationship and psychological problems if unresolved and that is when the services of experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury comes in. if you need any help along this line, make that very important phone call now and get all the answers to your concerns professionally with doctor Akoury. And now to the categories of sexual dysfunction:

Sexual dysfunction and substance abuse: Sexual desire disorders

These are commonly referred to as a loss or decrease in libido. This condition may be caused by the influence of substances, fatigue, depression or anxiety. Some medications such as anti-depressants and anti-anxiety medications are known to cause a loss of libido. Alcohol and other substances can also negatively impact on a persons’ libido. Fatigue associated with alcohol or drug binge may also affect a person’s desire to have sex. Chronic, long term marijuana use is known to contribute to a loss of libido, especially in women. This lack of sex drive is a symptom of bigger motivational issues that many people suffer when using this drug. For the most part, a persons’ sex drive will return to normal with discontinuation of using marijuana.

Sexual dysfunction and substance abuse: Sexual arousal disorder

Alcohol is one of the most common substances that affect a persons’ ability to be aroused or maintain arousal. Sexual arousal disorder typically refers to problems associated with getting and maintaining an erection, or for women, to be able to maintain arousal during intercourse. Cocaine and other stimulants can also cause a person to have difficulty in becoming aroused or maintaining a level of arousal.

Sexual dysfunction and substance abuse: Sexual pain disorder

Sexual pain disorders are primarily a female condition. It is a condition which causes a woman to feel immense pain and discomfort when having sex. It is regrettable that this is happening at this point of time, even with the available help offered by very many professionals across the globe. Ladies sex is pleasurable and should not cause you any pain, it is true that there are two main types of this disorder, dyspareunia or painful intercourse and vaginismus which is an involuntary spasm of the vaginal muscles. Take that bold step and call doctor Akoury today for help and she will turn your frustrations and pain into lasting fulfillment in your sex life professionally.

Sexual dysfunction and substance abuse: Real time solution with the experts

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Sexual disorders and substance abuse

Sexual disorders

Sexual disorders and substance abuse. The are conditions which must not be allowed to cross each others path

Sexual disorders and substance abuse: Orgasm disorder

Both men and women often find themselves having trouble reaching orgasm when under the influence of alcohol and other substances. Women are especially sensitive to the effect that drugs can have on their ability to orgasm and men can have premature or delayed ejaculation as a result of being high or drunk. Most orgasm disorders, or anorgasmia, are the result of undiagnosed or untreated psychological issues that a person is suffering. Chronic fatigue and insomnia can also affect a persons’ ability to achieve a normal level of orgasm. Opiate addiction is known to cause anorgasmia further complicating the sexual disorders problems.

Anorgasmia can cause significant personal and relationship problems. Frustration arising from an inability to orgasm despite stimulation and arousal can cause irreversible relationship breakdowns, especially in the case of men. For women the disorder is more common and can lead to unhappiness, depression and feelings of inadequacy. With the known consequences of these sexual disorders, it is sensible that you seek for timely solution with the experts at AWAREmed Health and Wellness Resource Center under Doctor Akoury’s care. This is a health institution with a difference and was established by doctor Dalal Akoury to meet and restore hope for those who are losing it due to problems like sexual dysfunctions. It may not matter how long you’ve been having this problem, what is important is that you reach out for help by calling doctor Akoury today.

Sexual disorders and substance abuse: Alcohol induced sexual dysfunction

Even though it is believed that moderate drinking may increase the likelihood of sexual contact, I want to disassociate this discussion with that theory. Alcohol is very addictive and to control ones consumption abilities is not realistic. Abuse of alcohol will cause partial impotence in men which can be very embarrassing to both sex partners. As for women this can cause problems with attainment of orgasm and problems of maintaining arousal and sexual desires. That notwithstanding, alcohol has a way of triggering conflicts and revisiting certain past problems especially when one is suffering from depression and anxiety. Remember that, chronic alcohol abuse can affect the sexual impulses in a person, which can cause impotence besides numerous sexual problems which in many cases may be irreversible or treatable.

Sexual disorders and substance abuse: Treatment for sexual dysfunction

Finally, this is very critical for you and any other person you may know who is suffering from sexual dysfunctions of any kind. Your starting point will be calling doctor Akoury today for help remember sexual dysfunction can easily be treated through a number of different methods doctor Akoury will advise upon making personal evaluation and assessment to your condition, I recommend that before you think of libido boosting medications like Viagra, seek for professional opinion from doctor Akoury and follow on the medication as advised professionally. The good news about doctor Akoury is that besides being a sexual dysfunction expert she is also an addiction expert who has been in practice for over two decades thereby making her the best option for all your conditions. Remember that abusing drugs and alcohol causes many problems including sexual issues and the only solution is to stop using drugs before the issues become permanent, something you will be able to do conveniently under the care of doctor Dalal Akoury.

Sexual disorders and substance abuse: Orgasm disorder

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Penile anatomy and radiation therapy for men

Penile anatomy

Penile anatomy and radiation therapy for men suffering from sexual complications

Penile anatomy and radiation therapy for men: Erectile Dysfunction

Doses greater than 20 Gy (2000 rads) are frequently associated with large vessel injury meaning that, patients being treated with radiation for prostate cancer are receiving in excess of 70Gy. The wider the field of radiation, the less likely are blood vessels to recover. Given that the erection (cavernosal) artery is the only artery giving rise to erection, radiation exposure to this system may severely limit blood flow into the penis. It is therefore necessary that when you have been taken through this treatment procedure, you will need to seek medical help from the erectile dysfunction experts. And that is where doctor Dalal Akoury an experienced medical professional in this line for more than two decades now comes in. Calling her for appointment will be the starting point and upon evaluating your condition in private and confidence she will administer the correct treatment which will leave you well, comfortable and full of fulfilled sex life again. You may have not known and so it is essential to understand the penile anatomy and how it relates to the prostate gland even as you consider this type of treatment “radiation therapy”.

  • The prostate gland sits above a band of muscle (urogenital diaphragm) and it is separated from the back portion of the erectile body (crus) only by a distance of less than one centimeter.
  • The urethra (urine channel) passes between the two erectile bodies into the bladder and as it does this it is known as the bulb of the penis.
  • It is important to understand that the bulb plays little if any role in the development of or maintaining erectile firmness and it is the tissue within the true erectile bodies (corpora cavernosa), which when damaged leads to erectile dysfunction.

Penile anatomy and radiation therapy for men: Radiation in the pelvis area

Various studies have established that during 3D conformal x-ray therapy a significant dose of radiation is delivered to the back portion of the erectile bodies that is about 30% of the entire dose of radiation received by the prostate. Radiation therapy in the pelvis area of men can cause ED in 3 possible ways:

  • Arterial damage may block blood flow or damage the lining of the blood vessels that carry blood to the penis
  • Nerves in the pelvic area may become permanently damaged
  • Erectile tissue may be damaged, reducing blood flow to the penis or causing leakage of blood from erectile tissue (venous leak) during an erection

Some of the sexual side effects after radiation therapy may include the following:

  • Inability to achieve or maintain an erection (erectile dysfunction)
  • Weaker, less satisfying orgasms
  • Pain during ejaculation (although this usually goes away within weeks)
  • Dry orgasm or retrograde ejaculation (orgasm without the discharge of semen)
  • Less semen ejaculated

The technicalities and emotional pains involved when one is suffering from erectile dysfunctions must not be allowed to frustrate your relationship or your sex life. That is why doctor Dalal Akoury an expert in this discipline founded AWAREmed Health and Wellness Resource Center to help you redeem your sex life. All your concerns will be address in confidence and with utmost professionalism if only you can schedule an appointment with doctor Akoury today.

Penile anatomy and radiation therapy for men: Erectile Dysfunction

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Radiation side effects after ED treatment

Radiation side effects

Understanding radiation side effects after ED treatment

Radiation side effects after ED treatment: How soon after radiation therapy are men likely to have ED?

Even with the most precise radiation therapy, it is important to appreciate that overtime there will be some radiation side effects along the journey. Under this treatment process, men may experience some erectile dysfunction (ED) for the first few months after treatment. Many of the sexual side effects of radiation are slow and gradual, and may take as long as six months to several years to appear. Unfortunately, radiation-induced ED is usually permanent.

There are a number of treatments available like early post-treatment evaluation and early institution of a trial of drug treatment as soon as the patient experiences any trouble with his erectile function. Besides these various therapies can also be applied:

  • First line therapy includes management of related medical conditions and psychological support combined with oral therapy.
  • Second line includes vacuum erection device therapy, penile injection therapy, and transurethral prostaglandin suppository administration.
  • Third line therapy is penile implant surgery.

Radiation side effects after ED treatment: Does anti-androgen therapy make erectile dysfunction better or worse?

Hormone treatment also known as androgen deprivation therapy or androgen suppression therapy for prostate cancer attempts to stop, block or remove the production of testosterone and all androgens to slow down or stop the progression of cancer. According to the experts at AWAREmed Health and Wellness Resource Center under the leadership of doctor Dalal Akoury MD, it is important to note that when hormone therapy is used on patients, it is common for sexual problems to occur within the first month following the beginning of therapy. And that is not all, other common sexual side effects with hormone treatment may include the following:

  • Inability to get or keep an erection (ED)
  • Difficulty climaxing
  • Orgasm without discharge of semen (dry orgasm)
  • Weaker, less satisfying orgasms

Having understood the magnitude of the side effects of prostate cancer treatment using radiation therapy, it will be very painful to jump into another health condition after struggling with prostate cancer. For the problems that may be associated with sexual dysfunction reach out for doctor Dalal Akoury for instant and professional medical attention today. You must not battle with erectile dysfunction because help is only a phone call away. Remember that the decision of doctor Dalal Akoury is an expert in the area of Healthy Aging, Regenerative, and Functional Medicine. Dr. Akoury specializes in advanced bio-identical hormone replacement and nutritional therapies. Dr. Akoury is a current member of the American Academy of Anti-Aging Medicine and the fellowship program in Anti-Aging, Regenerative, Functional and Metabolic Medicine. The creation of AWAREmed Health center is to help you get the best of treatment in confidence, timely and professionally. So waste no time and call her today for the commencement of your healing process.

Radiation side effects after ED treatment: How soon after radiation therapy are men likely to have ED?

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