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Hormonal therapy offers a potentially powerful approach to the treatment of sexual disorders in men. However the interplay of different hormones within different bodily systems is carefully balanced; judicious judgement is required in the therapeutic use of hormones to minimize unwelcome side effects. A better understanding of how hormones work will help the physician to better tailor therapies for improved sexual responses in men. Hormonal Therapy for Male Sexual Dysfunction will provide the rationale for hormonal therapy in male sexual disorders, explaining the language of sexual endocrinology and its application in clinical practice. The aim of this book is to provide a clinical 'in the office' or 'at the bedside' guide to effective patient care for sexual medicine physicians, urologists, gynecologists and other health-care providers in practice and in training. The tone will be practical, not academic. The working assumption is that readers want to know what (and what not) might or should be done, without over emphasis on the why. That said, it is important to review the crucial basic science necessary for effective diagnosis and management, and to provide reminders in the context of the practical chapters. It will not be heavily referenced, in line with a more practical approach. This allows for smoother reading (and also relieves the burden of comprehensive citing from authors). Key evidence (clinical trials, Cochrane or other meta analyses) should be summarized in 'Evidence at a Glance' boxes and key references such as reviews, major papers can be provided in the ‘selected bibliography’ at the end of each chapter. Practical guidance will be provided through: the use of algorithms and guidelines where they are appropriate 'Tips and Tricks' boxes – hints on improving outcomes perhaps via practical technique, patient questioning etc 'Caution' warning boxes – hints on avoiding problems, perhaps via contraindications 'Science Revisited' – quick reminder of the basic science principles necessary for understanding
Erectile dysfunction can affect all age groups. Numerous physical and emotional risk factors may contribute to the problem. These risk factors can range from chronic diseases and medications to psychological factors. In the U.S. alone, it has been estimated that 18 to 30 million men suffer from erectile dysfunction. This number has increased significantly as awareness of the disorder has heightened. Researchers and health care professionals now have a better understanding of what causes erectile dysfunction and the effective medications and non-medication treatments used to treat the condition. Comprehensive and state-of-the-art, Contemporary Treatment of Erectile Dysfunction: A Clinical Guide synthesizes the literature and covers all aspects of treating erectile dysfunction and other related male sexual dysfunctions. This invaluable title offers all physicians, residents, and fellows -- and even medical students and other health professionals such as nurse practitioners and physician assistants – an essential reference for enhancing diagnosis and treatment of this debilitating disorder.
Many men in mid-life are concerned with health issues--appearance, exercise, weight, muscle tone--and they also want to actively monitor their sexual health. This guide contains questionnaires to help determine problem areas in maintaining or regaining sexual vitality and how to do a natural "tune-up" on your body's systems to defeat declining sexual fitness.
The new international standard reference work for sexual medicine Written under the auspices of the International Society for Sexual Medicine, (www.issm.info), the leading professional society in sexual medicine and founder of the most influential journal in the field, The Journal of Sexual Medicine, published by Blackwell Publishing Comprehensive coverage of the full range of diagnostic and treatment options in all aspects of male and female sexual dysfunctions Provides information on recent progress in pharmacologic approaches, including the highly successful drug treatments for ED Useful for any part of the patient-clinician consultation, from gathering symptoms to diagnosis to treatment to reports on potential and developing treatments
The first edition of Male Sexual Function: A Guide to Clinical Management was published in 2001. Since that time, two new oral medications for erectile dysfunction ® ® (ED), Vardenafil (Levitra ) and Tadalafil (Cialis ), have been introduced. Links between ED and lower urinary tract symptoms have been postulated, advances in the basic science of erectile physiology have occurred, and the appreciation of ED as a form of endothelial dysfunction and a harbinger of other more potentially lethal forms of vascular disease has become more widespread. In some instances, third-party payers have reduced or eliminated coverage for ED treatments in an attempt to cut costs. They have classified sexual activity as “recreational,” “lifestyle,” or not medically necessary, but have failed to appreciate the negative consequences of ED, such as depression with all of its ramifications. Male Sexual Function: A Guide to Clinical Management, Second Edition is a comp- hensive overview of the field of male sexual function and includes a chapter on female sexual dysfunction, an emerging field with a very high incidence in the population and an ever-growing following.
Women are not the only ones who suffer the consequences of declining hormone levels and associated symptoms. The Clements help men understand their own aging and changing bodies to help them better navigate the changes and still maintain vitality. This book is a man’s education manual about the health effects of hormone imbalance, but just as importantly, it’s a must-read for the women in their life, since it is often the women who inspire and coax men to break through their denial and seek help when they encounter health challenges. That cluster of mid-life hormonal declines is a significant life challenge which all men will eventually face, yet very few of them even realize the condition exists, much less that the vexing symptoms they experience can be remedied. Male menopause (MAN-opause) is a little reported and little understood phenomenon causing irritability, anger, depression, fatigue, weight gain, sexual dysfunction. It is affecting men at younger ages and for far longer in life than ever before. Science has confirmed this emerging phenomenon. Using the latest medical science findings, MAN-opause explains in understandable language how any man---with or without a woman’s participation--can take proactive steps, at any stage of life, to neutralize the impact of andropause and its wide range of debilitating and disturbing symptoms.
Sexual dysfunction affects men of all ages and incidence rates are expected to double by 2025 resulting in a major health burden. Though normal sexual function is an important aspect of health and well-being, sadly, this common condition still carries an associated stigma. As a result, affected men are often reluctant to approach their doctor and, instead, may live for many years with sexual dysfunction, often to the detriment of their personal lives. Male Sexual Dysfunction: A Clinical Guide covers all the common problems encountered by the clinician in this rapidly expanding and developing field. With full color throughout, this easy to read guide provides a comprehensive and systematic approach to patient management. Packed with key features, every chapter will contain flow diagrams and algorithms, key points, clinical pearls, what to avoid boxes, and numerous tables, graphs and photographs . This book provides: Comprehensive focus on the core clinical areas of physiology/pharmacology, investigation, diagnosis, management and surgical options Coverage of all treatment pathways, including psychological, pharmacologic and surgical A straightforward, logical approach to clinical management An experienced and international editor and contributor team Expertly-written, this book is the perfect resource for urologists and general practitioners with an interest in this highly topical area, as well as those about to undergo their urology trainee examinations.
Dx/Rx: Sexual Dysfunction in Men and Women is an essential resource for urologists, family medicine physicians, primary care practitioners, obstetricians, and gynecologists. This concise, pocket-sized guide provides comprehensive, up-to-date information on therapies for male and female sexual dysfunction.
It has been known for over 40 years that GH-deficient-children benefit from replacement with the hormone. But GH, essential for longitudinal growth, also plays a role after completion of final height. With the introduction of biosynthetic human GH 20 years ago, the use of GH was no longer restricted to severe growth retardation in hypopituitary children. This book will take the reader behind the myths of GH and into the real world of clinical endocrinology. The contributions stem from recognized clinicians and scientists who have been working in the field for decades. The contents encompass traditional end points of GH therapy such as body composition, bone biology and physical performance. Attention is also devoted to diagnostic aspects and side effects. Additional features range from clinical epidemiology to quality of life, and novel areas such as the impact of traumatic brain injury on pituitary function are also covered. The present volume of Frontiers of Hormone Research is essential reading for health care professionals interested in clinical endocrinology and GH.
THE ERECTION CONNECTIONYou do not have to have the medical definition of "Erectile Dysfunction," to experience the loss of self-confidence that comes with "Trouble in the Bedroom." The Erection Connection will give you a deeper understanding of how and why your ability to perform changes. It exposes the many myths and misconceptions that there are about "male enhancement," and teaches you in an engaging and simple way the many things you can do to have the best sex life ever! ABOUT THE AUTHORSRichard Gaines, MD, FAARM, ABAARM, is a leading practitioner of the rapidly evolving science of physician-guided age management. He has been administering hormone therapy and sexual wellness treatments since 1993. Through his proprietary sexual wellness techniques he has helped hundreds of men regain their self-confidence, and enjoy a happy and healthy sex life!Michael Lada, MPAS, PA-C, completed his Master of Physician Assistant Studies in August 2008, at the University of Nebraska. Prior to obtaining his PA certification, he served the U.S. proudly as an elite Army Ranger and Senior Medic, achieving the rank of Captain. Mike works closely Dr. Gaines, and was instrumental in developing the GainsWAVE pulsed acoustical wave male enhancement treatment discussed in this book.