To educate healthcare professionals on the historical aspects, clinical diagnosis, and current treatment methods of psychogenic erectile dysfunction. A topic review of current literature was performed. Data from clinical studies, trials, and review articles concerned primarily with psychological aspects of the arousal erectile function phase of the male sexual response cycle were collected, analyzed, and summarized in this review article. There has been a shift in how erectile dysfunction has been perceived and treated over the past 30 years.
With the current focus now on the very prevalent organic causes of ED, psychological factors are overlooked, though they remain important to the treatment of the patient as a whole.
This article provides a complete, concise review of the interplay between psychological components and erectile function, reviews the work-up and diagnosis of psychogenic ED, and discusses treatment methods.
Erectile dysfunction is a prevalent problem that can affect, and can be affected by, psychosocial aspects of a man's life.
Medical or pharmacological interventions are often appropriate to treat ED, but the psychosocial aspects should not be ignored. It has become easier for practitioners to put aside patients' psychosocial and interpersonal concerns regarding sexual health. Clinicians provide the best possible treatment if they recognize that erectile dysfunction is a complex, multifactorial disorder, and treat accordingly.
Twenty patients with psychogenic erectile dysfunction received the drug enerion Lee yi shyan wife sexual dysfunction. After a day course of enerion erectile function improved in 16 of the above patients.
A mean value of the international index of Lee yi shyan wife sexual dysfunction function IIEF increased in them from Improvement of cavernous arterial blood flow after the treatment was seen in 3 of 6 patients with arterial disorders. As shown by electromyographic examinations, cavernous electric activity normalized in 8 patients.
Thus, psychogenic erectile dysfunction can be effectively treated with enerion. Resolution of erectile dysfunction after an andrological visit in a selected population of patients affected by psychogenic erectile dysfunction. The aim of this study was to ascertain whether some patients with psychogenic erectile dysfunction PED who chose psychotherapy spontaneously improved their sexual function immediately after diagnosis.
Two hundred eighty-five patients with PED were retrospectively studied. Complete resolution of PED was analyzed regarding age, primary or secondary PED, marital status, domestic status, prevailing attitude of the female partner to the dysfunctionduration of their partnership, social status, duration of PED, International Index of Erectile Function score, and prevailing attitude of the patient after a diagnosis of PED.
The data were analyzed using post-hoc tests. PED Lee yi shyan wife sexual dysfunction resolved in These patients were older, more frequently affected by secondary ED, more frequently living with their partner, and more frequently resigned or happy with the diagnosis of PED than the patients who did not resolve their PED.
The other variables did not influence PED resolution. Our data showed that a clear-cut diagnosis of psychogenic erectile deficiency and some psychosocial factors were critical for the management of some patients with PED. Effects of moclobemide on sexual performance and nocturnal erections in psychogenic erectile dysfunction.
We tested the hypothesis that the selective reversible MAO-A inhibitor moclobemide has a specific therapeutic effect on erectile dysfunction independent of its antidepressive properties.
In a double-blind placebo controlled study, 12 male outpatients suffering from psychogenic erectile dysfunction without any other psychiatric disorder were investigated. Based on comprehensive diagnosis before the beginning of the study, organic factors relevant for sexual function were excluded.
The treatment period was 8 weeks. Half the patients received mg moclobemide during the first week, and mg afterwards; the others received placebo. Apart from assessment of erectile function by means of the Clinical Global Impression CGI scale, nocturnal erections were measured under polysomnographic control at baseline and at the end of the treatment period.
The evaluation of the CGI scale revealed a clearly stronger improvement under moclobemide compared to placebo during the study period. The therapeutic efficacy found on the subjective level had no clear correlate on the neurophysiological level. No alterations of nocturnal erectile parameters were obvious under treatment, neither were clinically relevant alterations found regarding sleep EEG parameters. The medication was well tolerated without serious adverse events. The findings support the hypothesis that moclobemide Lee yi shyan wife sexual dysfunction a specific effect on erectile dysfunction.
Thus, patients suffering from psychogenic erectile dysfunction who are not depressed might benefit from moclobemide without Lee yi shyan wife sexual dysfunction side effects. Brain structural network topological alterations of the left prefrontal and limbic cortex in psychogenic erectile dysfunction. Despite increasing understanding of the functional changes and structural abnormalities in erectile dysfunctionalterations in the topological organization of brain networks underlying psychogenic erectile dysfunction remain unclear.
Here, based on the diffusion tensor image data of 25 patients and 26 healthy controls, we investigated the topological organization of brain structural networks and its correlations with the clinical variables using the graph theoretical analysis. Patients displayed a preserved overall small-world organization and exhibited a less connectivity strength in the left inferior frontal gyrus, amygdale and the right inferior temporal gyrus.
Moreover, an abnormal hub pattern was observed in patients, which might disturb the information interactions of the remaining brain network. Additionally, the clustering coefficient of the left hippocampus was positively correlated with the duration of patients and the normalized betweenness centrality of the right anterior cingulate gyrus and the left calcarine fissure were negatively correlated with the sum scores of the item Hamilton Depression Rating Scale.
These findings suggested that the damaged white matter and the abnormal hub distribution of the left prefrontal and limbic cortex might contribute to the pathogenesis of psychogenic erectile dysfunction and provided new insights into the understanding of the pathophysiological mechanisms of psychogenic erectile dysfunction.
Brain networks during free viewing of complex erotic movie: Psychogenic erectile dysfunction
Lee yi shyan wife sexual dysfunction is defined as a male sexual dysfunction characterized by a persistent or recurrent inability to attain adequate penile erection due predominantly or exclusively to psychological or interpersonal factors.
Previous fMRI studies were based on the common occurrence in the male sexual behaviour represented by the sexual arousal and penile erection related to viewing of erotic movies. However, there is no experimental evidence of altered brain networks in psychogenic ED patients EDp. Some studies showed that fMRI activity collected during non sexual movie viewing can be analyzed in a reliable manner with independent component analysis ICA and that the resulting brain networks are consistent with previous resting state neuroimaging studies.
In the present study, we investigated the modification of the brain networks in EDp compared to healthy controls HCusing whole-brain fMRI during free viewing of an erotic video clip. However, between-group differences in functional connectivity were observed in the DMN and in the SN. In the DMN, EDp showed decreased connectivity values in the inferior parietal lobes, posterior cingulate cortex and medial prefrontal cortex, whereas in the SN decreased and increased connectivity was observed in the right insula and in the anterior cingulate cortex respectively.
The decreased levels of intrinsic functional connectivity principally involved the subsystem of DMN relevant for the self relevant mental simulation that concerns remembering of past experiences, thinking to the future and conceiving the viewpoint of the other's actions.
Moreover, the between Lee yi shyan wife sexual dysfunction differences in the SN nodes suggested a. New Insights on Psychogenic Erectile Dysfunction. Erectile dysfunction is a multidimensional but common male sexual dysfunction that involves an alteration in any of the components of the erectile response, including organic, relational and psychological.
Roles for nonendocrine neurogenic, vasculogenic and iatrogenic and endocrine pathways have been proposed. Owing to its strong association with metabolic syndrome and cardiovascular disease, cardiac assessment may be warranted in men with symptoms of erectile dysfunction.
Minimally invasive interventions to relieve the symptoms of erectile dysfunction include lifestyle modifications, oral drugs, injected vasodilator agents and vacuum erection devices.
Surgical therapies are reserved for the subset "Lee yi shyan wife sexual dysfunction" patients who have contraindications to these nonsurgical interventions, those who experience adverse effects from or are refractory to medical therapy and those who also have penile fibrosis or penile vascular insufficiency.
This Primer highlights numerous aspects of erectile dysfunctionsummarizes new treatment targets and ongoing preclinical studies that evaluate new pharmacotherapies, and covers the topic of regenerative medicine, which represents the future of sexual medicine. Nonpharmacologic Treatment of Erectile Dysfunction. Nonpharmacologic treatment for erectile dysfunction ED includes sex therapy, the use of vacuum erection devices, penile prosthesis implantation,
Lee yi shyan wife sexual dysfunction penile vascular surgery.
Sex therapy is indicated for psychogenic ED and is at times a useful adjunct for other treatments in men with mixed psychogenic and organic ED. Three-piece inflatable penile prostheses create flaccidity and an erection that comes close to that which occurs naturally.
Penile vascular surgery has shown greatest efficacy in young men with vasculogenic ED resulting from pelvic or perineal trauma. Investigation of erectile dysfunction. Erectile dysfunction ED represents a common and debilitating condition with a wide range of organic and non-organic causes.
Physical aetiologies can be divided into disorders affecting arterial inflow, the venous occlusion mechanism or the penile structure itself. Various imaging modalities can be utilised to investigate the physical causes of ED, but penile Doppler sonography PDS is the most informative technique, indicated in those patients with ED who do not respond to oral pharmacological agents e.
This review will examine the anatomical and physiological basis of penile erection, the method for performing PDS and features of specific causes of ED, and will also consider the alternative imaging modalities available. Erectile dysfunction in patients with cardiovascular disease. Erectile dysfunction is a highly prevalent disease, especially in cardiovascular-compromised men.
Many of the well-established risk factors for cardiovascular disease are also risk factors for erectile dysfunction. A correlation between erectile dysfunction and endothelial dysfunction is well established. It is postulated that erectile dysfunction with an arteriovascular aetiology can predate and be an indicator of potential coronary artery disease.
In this paper we will attempt to increase awareness among cardiologists for the predictive value of erectile dysfunction for future cardiovascular disease in order to optimise cardiovascular risk management.
The treatment of erectile dysfunction and cardiovascular interactions is also discussed in detail. Current Diagnosis and Management of Erectile Dysfunction. Erectile dysfunction ED affects a growing number of men in the USA and abroad, with significant impacts on sexual function and quality of life.
The risk factors for ED are numerous and include a strong link to cardiovascular disease, such that men with ED should be screened for cardiovascular disease. The evaluation of men presenting with ED includes a comprehensive history and physical exam to aid in the identification of comorbidities as well as laboratory testing to evaluate hormone and lipid levels and sugar metabolism.
Adjunct studies are also available, though their utility is often limited to specific subtypes of ED. Once the etiology of ED is established, treatment can be initiated using appropriate medical therapies, including phosphodiesterase type 5 PDE5 inhibitors, and transurethral or intracavernosal therapies, with surgical intervention via revascularization or penile prosthesis placement in men demonstrating a lack of response to medical therapy.
In all cases of ED, a psychogenic component is present and referral for psychological intervention with or without medical therapy should be considered. Herpes zoster producing temporary erectile dysfunction.
Varicella Zoster affecting the sacral dermatomes is a rare but well recognised cause of urinary retention. Only one case of erectile dysfunction associated with Varicella Zoster has previously been described, which was longstanding, but no cases of transient erectile dysfunction following Zoster infection are recorded. We present one such case.
Oral Health and Erectile Dysfunction. Ample evidence strongly supports the fact that periodontal disease is a major risk factor for various systemic diseases namely cardio-vascular disease, diabetes mellitus, etc. Recently, investigators focussed on exploring the link between chronic periodontitis CP and erectile dysfunction ED by contributing to the endothelial dysfunction.
Both the diseases share common risk factors. Various studies conducted in different parts of the world in recent years reported the evidence linking this relationship as well as improvement in ED with periodontal treatment.
Systemic exposure the periodontal pathogen and periodontal infection-induced systemic inflammation was thought to associate with these conditions. The objective of this review was to highlight the evidence of the link between CP and ED and the importance of oral health in preventing the systemic conditions.
In this context, it is crucial to comprehensively consider all factors possibly associated with the prevention of post-RP ED throughout the entire clinical management of PCa patients. A careful assessment of both oncological and functional baseline characteristics should be carried out for each patient preoperatively. To project the likely worldwide increase in the prevalence of erectile dysfunction ( ED) over the next 25 years, and to identify and discuss some.
Li, Dongjie; Jiang, Xianzhen; Zhang, Xiaobo; Yi, Lu; Zhu, Xiangsheng; Zeng, To determine the frequency of erectile dysfunction in married male Type-2 diabetic Hsu, Chung-Yao; Hwang, Shang-Jyh;
Lee yi shyan wife sexual dysfunction, Inn-Wen; Huang, Ming -Shyan.
Yeong-Chin Jou, Yuh-Shyan Tsai, Chiung-Yao Fang, Syue-Yi Chen, Fang-Hung Chen, Cheng-Hsing Huang, Male Sexual Dysfunction.
Links and text below for verification. Thanks to everyone who contributed to this post. In Singapore, we have the Siblings. Rajaratnam School of International Studies. It considers the suitability of candidates for appointment as Chief Executive Officers of Statutory Boards ; it is also responsible for the planning and administration of scholarships provided by the Government of Singapore.
Her sister is Ho Peng and one of her brothers is Ho Sing. Images below from CSCollege and Singtel. According to Wikipedia and China Economic Review:. Ng Chee Meng has two notable brothers: Former defence chief, Ng Chee Meng, has been touted as a potential office-bearer.
To educate healthcare professionals on the true aspects, clinical diagnosis, and current treatment methods of psychogenic erectile dysfunction. A topic review of current literature was performed. Data from clinical studies, trials, and review ebooks concerned primarily with psychological aspects of the arousal erectile function phase of the male erotic response cycle were collected, analyzed, and summarized in that review article. There has been a shift in how erectile dysfunction has been perceived and treated over the past 30 years.
With the present-day focus now on the very widespread organic causes of ED, psychological factors are increasingly overlooked, though they linger important to the treatment of the patient as a whole. This piece provides a superb, concise review of the interplay at intervals psychological components and erectile function, reviews the work-up and diagnosis of psychogenic ED, and discusses treatment methods.
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Hurt by racial bullying, overthinking interracial relationships, feeling left out, depression?Ho Ching, wife of PM Lee Hsien Loong, has two brothers and a sister. Business Editor at The Straits Times, is said to be the sister of Lee Yi Shyan. identity disorder,” said anal sex was akin to “shoving a straw up your nose. Li, Dongjie; Jiang, Xianzhen; Zhang, Xiaobo; Yi, Lu; Zhu, Xiangsheng; Zeng, To determine the frequency of erectile dysfunction in married male Type-2 diabetic Hsu, Chung-Yao; Hwang, Shang-Jyh; Chong, Inn-Wen; Huang, Ming -Shyan..
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