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Dr. Ahmed of the Great Neck, Long Island location discusses PGAD (persistent genital arousal disorder) and hard flaccid and how we can help treat it. Topics discussed include: Persistent genital arousal in men Possible symptoms Resources used for treatment and relief Dr. Tayyaba Ahmed completed the BS/DO program at New York Institute of Technology and was trained at the New York College of Osteopathic Medicine, Northwell Health Plainview Hospital and the NYU Langone Medical Center/RUSK Institute for Rehabilitation. A board-certified Physical Medicine and Rehabilitation physician, Dr. Ahmed is also a fellow of the Academy of Physical Medicine and Rehabilitation and a member of the International Pelvic Pain Society. At Pelvic Rehabilitation Medicine, our pelvic pain specialists provide a functional, rehab approach to pelvic pain. When you visit one of our offices, you spend an hour with your doctor reviewing in detail your medical history and symptoms. Then, we perform an internal exam (no speculum) to evaluate your nerves and muscles. Together, we'll discuss an individual treatment plan that gets to the root cause of your pain and helps you to feel better. The best part: you can begin treatment the same day! At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms. LEARN MORE: https://www.pelvicrehabilitation.com/ JOIN OUR COMMUNITY and get in on the discussions happening: ✨ Facebook - https://www.facebook.com/PelvicRehabilitation ✨ Instagram - https://www.instagram.com/pelvicrehabilitation/ ✨ Twitter - https://twitter.com/PelvicRehab #PelvicRehabilitationMedicine #PGAD #hardflaccidsyndrome **** Persistent genital arousal disorder was more classically thought of over the last few years as a entirely female disorder. We're learning more and more about the condition and we're seeing that men are presenting with symptoms of persistent genital arousal. Upon discussing with the patient, their symptoms, we were able to diagnose persistent genital arousal and other male conditions like heart flaccid. Because of the differences in the symptoms, we've noticed that some are more classified as hard flaccid syndrome, and some are more classified as persistent genital arousal. Many of our patients who present with symptoms of hard flaccid are very distraught, they are depressed. Typically, the symptoms will present after a sexual encounter. Many of our patients are presenting with lack of sensation in their penis, sometimes many years where this is going on and they're at their last door when they come to pelvic rehabilitation medicine. So we try to open up more doors for the patient. If we are not able to solve their problems, we want to find out where their problem is, whether it's structural, chemical, or muscular. Because of the complexity of this disease state, we often have to use different resources, including acupuncturists and different pelvic physical therapists who have more experience with males. We take a different focus, focusing on their sexual symptoms and improving their blood flow to the pelvis. We work with different specialists, including interventional radiologists, acupuncturists, physical therapists, and try to get the best possible imaging to evaluate the patient. We work together as a team to try to improve that patient's quality of life with these conditions. If you feel that you have any symptoms of hard placid or persistent genital arousal disorder, and you feel alone or upset that you're not able to get appropriate care or that you're dismissed by previous doctors or healthcare providers, then reach out to Pelvic Rehabilitation Medicine and we're happy and hopeful for your progress and we want to be a part of your treatment.

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How does stress and anxiety affect erectile dysfunction.  In this article, we will look at some of the mechanisms involved with erectile dysfunction including stress, anxiety, and other physiological causes like nitric oxide.   We will look at how these things work together to create good erectile function and dysfunction.  Donation Link: https://www.paypal.com/donate?hosted_button_id=MNQ99TRQJMFCL First we want to understand what is erectile dysfunction.  There are two main ways or manifestations of this issue.  Most people experience erectile dysfunction (ED) as inability to maintain an erection once one is achieved.  In some cases people can not get a full erection either.   This is also considered erectile dysfunction and typically a more severe situation.  The activity involved in this process is one that involves blood flow.  There's both psychological and physiological things that need to be appreciated with this process of erectile dysfunction.    Stress and anxiety fundamentally change the activity in the nervous system shifting more to fight-or-flight activity.  With this shift several different things happen, most importantly a change in the blood flow.   During stress some areas of the body get more blood flow and some areas of the body get less blood flow.  This is congruent with the idea of fight-or-flight.  When we are in the classic fight-or-flight activity, the situation demands more blood flow to the muscles to engage in things like fighting or flighting.   So it makes sense that the blood flow is going to be pulled away from some areas and pushed more towards the muscles.   That extra blood may be needed for fight or flight activity.    When you are under more stress and anxiety the same thing happens.  The nervous system will pull the blood away from the digestive tract, the genitalia, and other organs.  The body puts more  blood flow and circulation toward the muscles, for instance.   So psychological stress and anxiety directs nerves which then changes the blood flow in this manner.   This is how stress and anxiety affect erectile dysfunction.  Another way to look at this is through the lens of the autonomic nervous system.  This contains the parasympathetic, rest and digest, and the sympathetic, which is fight or flight.   In order for males to get an erection, there has to be sufficient parasympathetic activity to produce and maintain that erection.  This is why it's common for erections to occur when they are sleeping as the body is in a more relaxed and calm state.  Since stress and anxiety can disrupt that parasympathetic activity thereby disrupting the blood flow, it can trigger erectile dysfunction.  When this happens the erectile dysfunction can create a psychological pattern as well.  The problem can get worse because you are worrying about if it's going to occur again.  This can almost become a self-fulfilling prophecy.   The more you worry about it, the more likely it is to occur because of the activity of the sympathetic nervous system on the genitalia areas.  Now that does not mean that everyone that has erectile dysfunction or ed has it due to psychological reasons or that your ED problem is all in your head.  It does mean though that there is a psychological component to erectile dysfunction that needs to be appreciated.  There is also a biochemical side to this as well. The biochemical process with erections mostly involves nitric oxide.  Nitric oxide is a potent vasodilator.  It dilates the arteries and allows for that blood to flow to the area, when it's not being restricted by the sympathetic activity. The problem with nitric oxide is the actual molecule of nitric oxide is used up very quickly and its presence is fleeting.   Many things can also interfere with nitric oxide production and utilization.  Because of the high interference,  most nitric oxide supplements are not very effective at increasing nitric oxide.  The molecule itself is used up very quickly and any increased production of nitric oxide is going to be short-lived.  You will get more out of your efforts to improve erectile dysfunction  by maintaining healthy testosterone and androgen levels and improving blood sugar and antioxidant status.   These things will will encourage optimal nitric oxide oxide production and therefore blood flow to the genitalia.  This is because testosterone up regulates the production of nitric oxide.  Reducing blood sugar will also improve your body's overall antioxidant status.  When you have hyperglycemia, pre-diabetes, diabetes and the like, antioxidants are used to counter the oxidation from the high glucose

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💪 O uso excessivo de testosterona tem se tornado uma preocupação crescente entre homens e mulheres. A busca por um corpo perfeito, desempenho atlético e a pressão social para atender a padrões estéticos muitas vezes levam à utilização indiscriminada desse hormônio. Mas você sabia que essa prática pode trazer sérios riscos à saúde? ⚠ A testosterona é um hormônio essencial para o nosso organismo, mas seu uso em doses elevadas pode causar efeitos colaterais indesejados, como alterações de humor, problemas cardíacos, e até infertilidade. Além disso, a dependência de substâncias para alcançar resultados pode criar um ciclo vicioso que prejudica a saúde mental e física. 🧠💔 É fundamental entender que existem alternativas saudáveis para melhorar o desempenho físico e a autoestima. A prática regular de exercícios, uma alimentação balanceada e o cuidado com a saúde mental são caminhos mais seguros e eficazes. 🌱🏋♂ Se você ou alguém que você conhece está considerando o uso de testosterona, é importante buscar orientação profissional. Conversar com um médico ou nutricionista pode ajudar a encontrar soluções que respeitem o seu corpo e promovam resultados duradouros. Vamos juntos promover a saúde e o bem-estar! 💚 #Testosterona #Saúde #BemEstar #Performance #Estética #SaúdeMental #ExercícioFísico #AlternativasSaudáveis

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