Overcoming Impotence,9781591021285

Overcoming Impotence

by
ISBN13: 9781591021285
ISBN10: 1591021286
Format: Trade Paper
Pub. Date: 2003-11-01
Publisher(s): Prometheus Books
List Price: $20.99

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Summary

Complete with an appendix of additional resources (organisations, support groups, educational material, and web sites) and a glossary of medical terms, this engaging, down-to-earth guide is an all-in-one resource giving men everything they need to know about a serious though very treatable medical problem.

Table of Contents

ACKNOWLEDGNENTS 17(2)
FOREWORD 19(2)
Senator Bob Dole
PREFACE 21(2)
Drogo K. Montague, M.D.
INTRODUCITION: THIRTY MILLION MEN AND GROWING: THE CLUB YOU DIDN'T ASK TO JOIN 23(8)
Defining erectile dysfunction
24(1)
International difference
25(1)
Am I alone?
25(2)
What can this book do for me?
27(4)
PART ONE: UNDERSTANDING IMPOTENCE: THIS NEVER HAPPENED TO ME BEFORE
CHAPTER 1: YOU'RE NOT THE FIRST TO PASS THIS WAY: IMPOTENCE THROUGHOUT HISTORY
31(6)
In the beginning ...
31(1)
After Genesis
32(1)
History: causes
33(1)
History: treatment
34(3)
CHAPTER 2: INTRODUCTION TO THE PENIS: THE LONG AND SHORT OF IT
37(12)
The normal penis: size matters
37(1)
Does size really matter?
38(1)
It pays to be born in the right era
39(1)
Penile enlargement: making the worst of a bad situation
40(1)
In search of the hidden penis
41(1)
Where did it go?
42(1)
Normal penile anatomy: parts
43(2)
A rose by any other name
45(1)
Other famous penises: where are they now?
46(3)
CHAPTER 3: SECONDARY SEX ORGANS: BOYZ UNDER THE HOOD
49(20)
Testicles: boyz will be boyz
49(3)
(In)famous testicles: sometimes you feel like a nut
52(1)
Orchiectomy
53(2)
A Nobel effort
55(1)
Unfriendly orchiectomy: the unkindest cut
56(1)
Sperm: DNA bomb with a tail
57(1)
Spermatic cord: lifeline to the body
58(1)
Vas deferens
58(2)
Scrotum: ugly word-ugly structure
60(1)
Prostate: the soul of urology
60(1)
Prostate problems: obstruction and injustice
60(2)
Prostatitis: not as evil as believed
62(1)
Prostate cancer
62(1)
Prostate biopsy: it doesn't have to hurt
63(1)
PSA screening: the controversy
64(1)
A tomato a day keeps the urologist away
64(1)
Seminal vesicles
65(1)
Semen
66(3)
CHAPTER 4: THE NORMAL ERECTION: WHAT COULD GO WRONG?
69(10)
Erections throughout history
69(1)
NO way: nitric oxide paves the way
70(2)
Physical requirements for a normal erection
72(1)
Once the signal is received
73(1)
The role of hormones in the normal erection
74(2)
Orgasm: the ultimate goal?
76(3)
CHAPTER 5: WHO ARE THOSE PEOPLE ON TELEVISION? NORMAL SEXUAL FUNCTION
79(20)
How often is "normal"?
80(1)
Sexual frequency surveys: no help
81(1)
Sex is good-and good for you
82(1)
So, what frequency is right for me?
83(2)
Solo sex: masturbation
85(2)
Rapid (premature) ejaculation
87(2)
How long should it take?
89(1)
Don't complain
90(1)
Why can't I hold back?
90(1)
Hold on: treatment is on the way
91(1)
Rapid relief with medications
92(2)
Mind and body
94(1)
Contraception and disease prevention
95(1)
An ounce of prevention
96(1)
Annual pregnancy rate using available contraceptive methods
97(2)
CHAPTER 6: WHY ME, LORD? CAUSES OF ERECTILE DYSFUNCTION
99(28)
The smoking gun
100(1)
Is smoking really bad?
101(1)
Diseases we know are related to smoking
102(1)
Can I quit smoking? Only if it matters to you
102(2)
Are you serious?
104(1)
Arteriosclerosis: hardening of the arteries means no hardening of the vein
105(1)
Pelvic steal-not pelvic steel
106(1)
No penis is an island: impotence as an indicator of more serious disease
106(1)
Diet and exercise: no erections if you're dead
107(1)
Venous insufficiency: easy come, easy go
108(1)
Stress
108(1)
Snoring stops sex: the night's second-worst nuisance
109(1)
Hormonal causes: the story begins in the brain
110(1)
Diabetes mellitus
111(1)
Obesity: all you can eat or all you can handle?
111(1)
Surgical causes
112(1)
Radical prostatectomy
112(2)
Psychological causes
114(1)
Relationship causes
115(1)
Aging: you can run, but you can't hide
116(1)
Peyronie's disease: bend but don't break
117(3)
External causes
120(1)
Medications believed to contribute to erectile dysfunction
120(1)
Recreational drugs and alcohol
121(1)
Bicycling: something good or bad between your legs?
122(1)
Penile fracture: coitus interruptus with a "pop"
123(1)
Priapism: too much of a good thing
124(1)
Additive risk: putting it all together
125(1)
So which one caused my erectile dysfunction?
125(2)
CHAPTER 7: DIAGNOSING IMPOTENCE: IT'S NOT HARD
127(20)
"Impotence" or "erectile dysfunction": who cares?
128(1)
The goal-oriented approach to management
129(1)
When is it appropriate to do more involved testing?
130(1)
Talking to the physician: medical history
131(1)
Psychosexual history
132(2)
Physical examination
134(1)
Laboratory testing
134(1)
Sex scores: questionnaires
135(1)
Physical or psychogenic?
136(1)
Nocturnal erections: the sun also rises
137(1)
What if we want to find out more?
138(1)
Testing under medical supervision
139(1)
Doppler vascular assessment: when you have to be sure
140(2)
Uncommonly used tests
142(1)
Charlatans and quacks
143(4)
CHAPTER 8: IT TAKES TWO TO TANGO: FEMALE SEXUALITY
147(20)
The female role in male erectile dysfunction
147(3)
What a man needs
150(1)
What a woman needs
151(1)
Female erectile dysfunction?
152(2)
Parallels of female sexual dysfunction and male erectile dysfunction
154(1)
Normal female sexual response
154(1)
Understanding the vagina
155(2)
The female phallus
157(1)
Nitric oxide in the woman? NO way!
158(1)
The role of hormones in female sexual function
159(1)
Other causes of female sexual dysfunction
160(1)
The role of the mind in female sexual dysfunction
160(1)
Evaluation of female sexual dysfunction
161(1)
Treatment
162(1)
On the horizon
163(1)
What men/women need
164(3)
CHAPTER 9: GETTING THE MOST FROM A TRIP TO THE UROLOGY OFFICE
167(12)
Getting ready for the urology appointment
168(2)
Checking in: be prepared
170(1)
The general examination
171(1)
The genital examination: drop 'em
172(1)
The rectal examination
173(1)
I gave at the office
174(1)
Cystoscopy
175(4)
PART TWO: TREATING IMPOTENCE: YOU CAN GET BACK IN THE GAME
CHAPTER 10: RELAX MAYBE IT'S IN YOUR HEAD
179(18)
How does the mind affect erections?
180(1)
The five senses: setting the stage for success
181(1)
The mind: it's a terrible thing to waste on sex
182(1)
Examples of performance anxiety
183(2)
How could I possibly relax?
185(1)
Managing difficult cases of performance anxiety
186(1)
Some things that don't work
187(1)
New partner syndrome
188(3)
Sexual identity: we all have our own viewpoint of sex
191(2)
John and Carol: evolving sexual identities
193(4)
CHAPTER 11: TAKE IT EASY: SIMPLE TREATMENTS
197(22)
Vacuum constriction devices (VCD)
197(2)
The penis in a vacuum
199(2)
A VCD in your VCR
201(1)
Ringing true
201(2)
The rings
203(1)
The wrong (w)ring!
203(1)
Alternatively speaking: primum non nocere
204(2)
Alternative or complementary?
206(2)
No regulations means no clue
208(1)
A little dose will do ya?
209(1)
PC-SPES: complementary medicine turns serious
210(1)
Proven complementary options
211(1)
Vitamins: living the good life
212(1)
Herbal remedies
213(1)
Eating for erections
214(2)
Help from the animal kingdom
216(1)
Homegrown homeopathy
217(2)
CHAPTER 12: WHEN AN APPLE A DAY ISN'T ENOUGH: MEDICAL THERAPY
219(16)
Serendipity saves the day
220(1)
Phosphodiesterase inhibition: stopping the stopper
221(1)
Taking it properly
222(2)
Vardenafil (Levitra)
224(1)
Tadalafil (Cialis)
224(1)
Side effects
225(1)
What about the deaths?
225(1)
Nitrates
226(1)
Poppers, protease inhibitors, and PDE
227(1)
Which drug is best?
228(1)
Uprima (apomorphine)
228(1)
Vasomax (phentolamine)
229(1)
Barking up the wrong tree
229(1)
Treating depression and erectile dysfunction
229(1)
Testosterone replacement
230(2)
Topical drugs
232(1)
Prostaglandin E 1
232(1)
Nitroglycerin: not tonight dear, I have a headache
232(1)
Other topical agents
233(2)
CHAPTER 13: PENILE INJECTION THERAPY: RISE AND SHINE
235(14)
Penile injection therapy: the procedure
236(1)
Capitalism hits below the belt
237(1)
The medications
238(1)
Newer drugs
239(1)
Success with injection therapy
239(2)
Just wanting to know I'm still a man
241(1)
Now tell me the bad part: side effects
241(2)
Priapism: too much of a good thing
243(1)
Which medication is right for you?
244(1)
When is generic more expensive? When insurance is involved
244(1)
Technical tricks
245(1)
Intraurethral therapy: the kinder, gentler, injection
246(3)
CHAPTER 14: RAISING THE BAR: PENILE PROSTHESES
249(18)
Early prostheses: the long, hard road to success
250(1)
Malleable (rod) prostheses: full-time workers
251(1)
Pumped up: How inflatable prostheses work
252(2)
Length expansion: the final frontier
254(2)
Which prosthesis is best?
256(1)
Choosing a surgeon
257(1)
Devices for special situations
258(1)
Getting ready for surgery
259(1)
Cutting to the point
260(1)
Placing the device
261(1)
After the operation
262(1)
Why not just put in bigger cylinders?
262(1)
Intraoperative problems
263(1)
Maintenance issues
263(1)
Scared of silicone?
264(1)
Replacement
264(1)
Are you happy now?
265(1)
The aging prosthesis
265(1)
Do I have to try all the nonsurgical options first?
266(1)
CHAPTER I5: LESS COMMON SURGICAL OPTIONS
267(8)
Arterial surgery: restoring the fountain of youth
268(2)
Venous insufficiency
270(2)
Swell! Complications of penile vascular surgery
272(1)
Success with penile vascular surgery
272(3)
CHAPTER 16: CHOICES, CHOICES: HOW DO I DECIDE?
275(18)
Pfizer to the rescue
276(1)
What should I do the first time I notice a problem?
277(1)
When you finally talk to the doctor
278(1)
If the simple things don't work
279(1)
Breaking the ice
280(2)
What about Internet treatment?
282(1)
The goal-oriented approach
283(1)
Considering other options
284(2)
Should my erections be tested first?
286(1)
Cost
287(2)
Advantages and disadvantages
289(1)
Making the choice
290(3)
CONCLUSION: KEEPING UP HOPE
293(6)
Neuromuscular research
294(1)
Restoring blood flow
295(1)
Hormonal research
296(1)
Prevention
296(1)
A final word
297(2)
NOTES 299(4)
APPENDIX A: RESOURCES 303(2)
APPENDIX B: DEFINITION OF TERMS 305(10)
INDEX 315

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