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. Substance abuse: Marijuana, heroin, cocaine, and alcohol abuse contribute to erectile dysfunction. Is this a common problem in men of my age? I know that there are various medications available, can you explain the differences between them? ANSWER: Erectile dysfunction (ED), or impotence, refers to the persistent or recurrent inability to achieve or maintain an erection. What to Expect at Your Office Visit Your doctor will perform a physical examination, which will likely include: Checking your blood flow (circulation) Exam of your penis Neurological exam Rectal exam To help diagnose the cause of the problem, your doctor will ask medical history questions such as: Have you been able to achieve and maintain erections in the past? Is the difficulty in achieving erections or maintaining the erection? Do you have erections during sleep? How long have you had difficulty with erections? What medications are you taking (including prescription medications, over-the-counter medications, and recreational drugs)? Do you smoke? How much each day? Do you use alcohol? How much? Have you recently had surgery? Have you ever had vascular surgery or other treatments for your blood vessels? Are you depressed? Are you afraid or worried about something? Are you experiencing a lot of stress? Has your energy level decreased? Are you sleeping well each night? Are you afraid of sexual activity because of physical problems? Have there been any recent changes in your life? What other symptoms do you have? Have you noticed changes in sensations in your penis? Do you have any problems with urination? Tests that may be done include: Blood tests, including complete blood count, metabolic panel, hormone profile, and PSA Neurological (nerve) testing Nocturnal penile tumescence (NPT) to check for normal nighttime erections Penile ultrasound to check for blood vessel or blood flow problems Psychometric testing Rigidity monitoring Urine analysis The treatment may depend on the cause. I think sexual dysfunction is the inevitable result of the effort to attain perfection. (1) To cash in on this huge and relatively new market, (at least in terms of its acceptance), it is no surprise that numerous pharmaceutical companies are rushing to find new drugs and new methodology, to treat erectile dysfunction. com Current Article Ratings: In the first study of its kind, New England Research Institutes, Inc. ), Cardiology Unit (C. Buy viagra online . Print this page, check off the questions you would like answered, and bring it with you to your doctor's appointment. In the current study, Horwitz and his colleagues tracked the IMRT radiation treatment outcomes of 155 men diagnosed with intermediate to high-risk prostate cancer. Viagra online without prescription .