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Today we are going to talk about the main medicines that can cause, erectile dysfunction. There are really key things you should know. the key with erectile dysfunction is drugs that affect the nervous system, and some that lower testosterone levels, or inhibit testosterone action can cause ED. It is estimated that 25 percent of cases of erectile dysfunction are because of medications and may be reversible by decreasing dose or changing the medicine. Medication induced erectile dysfunction is widely prevalent and is caused by medications from a variety of medical fields. Finasteride and dutasteride had the highest reported causes of erectile dysfunction. Finasteride and dutasteride work by irreversibly binding to an enzyme 5-α reductase, thereby preventing the conversion of testosterone to dihydrotestosterone which the more potent form of testosterone. Finasteride binds to type II 5 α reductase which is found mostly in the prostate and genital tract. Dutasteride binds to both type 1 (found mostly in extraprostatic tissues) and type II 5 α reductase. dihydrotestosterone is vital for physiologic erections as it activates nitric oxide synthase and increases blood flow in cavernosal tissue. patients on finasteride are more likely to have a loss of libido, ejaculatory disorder, and erectile dysfunction. Neuropsychiatric medications accounted for the second common cause of erectile dysfunction. The antipsychotic paliperidone and the selective serotonin reuptake inhibitors citalopram and sertraline were found to have elevated high rate of erectile dysfunction. In addition, there are many neuropsychiatric medications with high frequencies of erectile dysfunction including escitalopram, quetiapine, olanzapine, fluoxetine, venlafaxine, risperidone, aripiprazole, gabapentin, pregabalin, and oxycodone. Neuropsychiatric medication induced erectile dysfunction is a well described phenomenon. Neuropsychiatric medications have a variety of adverse effects due to the multiple receptors targeted throughout the body. These receptors include central and peripheral serotonergic, adrenergic, dopaminergic, cholinergic, histaminergic, and melanocortin receptors. Antipsychotics inhibit dopamine receptors with varying potency, which results in both direct and indirect inhibition of erections. Dopamine is known to play an important role in emotional sexual behavior and may also directly facilitate erections. Antipsychotics can cause hyperprolactinemia by inhibiting D2 receptors in the tuberoinfundibular system. This leads to decreased gonadotropin production and secondary hypogonadism. The different antipsychotics affect various receptors and this may have varying side effects. For example, the antipsychotics that block α1 adrenergic receptors may cause retrograde ejaculation but not erectile dysfunction. Benzodiazepines may cause sexual dysfunction from potentiation of GABA in the reticular and limbic system and by affecting the serotonin and dopaminergic pathways. Cardiological medications accounted some of rug induced erectile dysfunction. Beta blockers have been shown to be associated with ED, likely secondary to suppression of central nervous system sympathetic outflow. Non–cardioselective beta antagonists like propranolol have a higher incidence of erectile dysfunction than cardioselective beta antagonists which avoid beta 2 inhibition resulting in vasoconstriction of the corpora cavernosa. Nebivolol has the greatest selectivity for beta 1 receptors as well as endothelial nitric oxide vasodilatory effects, and has been shown to have a positive effect on erections. thiazide diuretics can also induce erectile dysfunction. In contrast, there is less evidence that loop diuretics such as furosemide cause ED, which should be considered by physicians treating hypertensive men. Some data suggests that ejaculatory dysfunction with calcium channel blockers (from decreased bulbocavernosus muscle force). Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers are common antihypertensives that may actually improve erectile function. Angiotensin converting enzyme inhibitors prevent the formation of angiotensin II while angiotensin receptor blockers block the peripheral vasoconstriction caused by angiotensin II. Without angiotensin IIs effects, there is less penile vasoconstriction and collagen remodeling of the corpora cavernosa. In most studies, ACE inhibitors and ARBs have not been associated with ED and some studies even showed a beneficial effect. Medicines used for Dermatology and Immunology can also cause erectile dysfunction. Isotretinoin is a sebum suppressive medication used for acne which can also lead to erectile tretinoin. It is possible that acne is related to depression, which is a known risk factor for ED. Adalimumab can also cause ED. Adalimumab is a tumor necrosis factor (TNF) α blocker.

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FREE Good Morning Wood Smoothie: https://hardpen15.com/optin Tips on Sexual Performance in the Modern Man FREE newsletter: https://dranne.co/themodernman Are you aware of how alcohol impacts your sexual health? In this episode, we dive deep into the effects of alcohol on erectile function and overall male performance. While a drink or two might seem harmless, excessive consumption can lead to serious consequences you might not expect. From delayed orgasms to long-term issues like erectile dysfunction and hormonal imbalances, we break down the science behind alcohol's impact on your body. #DrAnne #ED #MensHealth #AlcoholEffects #SexualHealth #ErectileDysfunction #HealthTips WATCH THE FULL EPISODE HERE: https://youtu.be/j7Grn57P9QQ Bliss Intimate Oil Lubricant: https://truongrehab.com/product/bliss-intimate-oil/ _______________ 🚫 This video is 100% independent and NOT sponsored. 🚫 Dr. Anne Truong 🛒📚 Amazon Store: https://dranne.co/amazon-store 🍹🌞 FREE Good Morning Wood Smoothie: https://hardpen15.com/optin 🥗🌿 FREE Mediterranean Diet: https://dranne.co/mediterranean-diet-yt If you like this episode, please SUBSCRIBE 🟢 and don’t forget to click the bell 🔔, like, leave a comment 💬, and share🔄so we can keep bringing you valuable content that gets results! 🌟 ________________ 📚 Chapters: 00:00 - Alcohol's Effect on Erections 01:42 - Long-Term Effects of Alcohol on Erections 02:57 - Recommended Alcohol Consumption for Men 04:02 - Alcohol's Impact on Erectile Dysfunction Medication 04:52 - Alternatives to ED Medication Follow Me On: 📸 Instagram https://www.instagram.com/dranne_official/ 🐦 Twitter https://twitter.com/drannetruong 📘 Facebook https://www.facebook.com/dranne2 🎵 TikTok https://www.tiktok.com/@dranne_official -------------- For all links and resources mentioned on the show and where to subscribe to the podcast, please visit https://sexualhealthformenpodcast.com/ -------------- 📖 FREE ebook alert! 📖 Reveal the FREE treatment most men ignore that solves thousands of erectile dysfunction cases every year, plus the 5 biggest mistakes you must avoid if you want to say goodbye to your ED. Uncover it all in my free ebook, available to download now. 🌐 https://info.truongrehab.com/optin _______ ⚠️ DISCLAIMER: ⚠️ This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion. Use of this information is at your own risk. Anne Truong, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death. I'm pleased to offer these products and tools for free, collaborating with trusted companies. I earn a small commission when you use my links to purchase, but your price remains unchanged. I only share opportunities I use, support, or recommend, ensuring they benefit you.

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Erectile dysfunction, more commonly known as impotence, is a sexual dysfunction that is characterized by the incapability to or maintain an erection of the penis during sexual activity. Fortunately, with a good eating habit you can fight this dysfunction. Here are 5 nutrients in certain foods that can help you fight impotence. For more health and medical information, visit www.medicalobserverPH.com

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Hey guys ! Completely forgot to make an intro to my first video ….. Anyway , here is a quick video of me making goodie bags for an adult group trip, since I couldn’t really find any out there. Enjoy! 😊