Archives for April 2018

Am I At Risk for ED?

When it comes to personal physical problems, a tough subject for many to talk about is ED. Erectile dysfunction (ED) is considered the inability to get and maintain an erection during sexual activity. Occasional erection problems are usually not a concern, as most men may experience an event of impotence at some point in their lives. Being informed about what might cause or increase the probability for ED can be an important part of prevention and wellness.

Human sexual arousal is a natural process that involves many parts of your body. If erectile dysfunction becomes an ongoing (chronic) issue, it can impact many aspects of a man’s life. ED can also be a sign of an underlying health condition that needs to be diagnosed and treated. Often, problems with the heart and blood vessels, the nervous system, hormones, and certain diseases can result in ED.

Risk factors

There are several factors that can put you at risk of developing erectile dysfunction. Some of these include:

Medical conditions

  • Cardiovascular disease. High blood pressure (hypertension) and clogged arteries (atherosclerosis) are well-known risk factors for erectile dysfunction. Studies suggest that between 30% to 50% of men with high blood pressure may develop ED.
  • Diabetes. Up to 50% of men with diabetes may be at risk of developing erectile dysfunction. Additionally, diabetic men tend to develop erection problems 10 to 15 years earlier than the average ED patient.
  • Multiple sclerosis (MS). MS attacks the protective cover of the nerves, causing deterioration and damage to the nervous system. Erectile dysfunction may develop as a consequence.
  • Prostate diseases. Inflammation, enlargement, and cancer of the prostate can all cause varying degrees of erectile dysfunction.
  • Certain types of surgery and injuries. Sometimes, surgeries or injuries related to the pelvic area or spinal cord may also lead to ED.
  • Cancer treatment. Some forms of cancer treatment, such as radiation therapy, may produce side effects that impair your ability to have and keep an erection.

Other conditions

  • Being overweight. Especially if you are obese (when your bodyweight is 20% or more than it should be).
  • Medications. Medications to treat high blood pressure and some prescription painkilers may produce side effects that lead to ED. In addition, antidepressants and antihistamines (allergy medicines) can adversely impact erectile function.

Substance abuse

  • Alcohol abuse disorder. Health issues caused by alcoholism, such as liver disease and mental health problems, can put you at risk of developing ED.
  • Drug abuse. The abuse of substances such as ecstasy, amphetamines, cocaine, and heroin may put you at risk of developing erectile dysfunction. The misuse of prescription medications such as opioid painkillers and antidepressants can also be risk factors to developing erection problems.
  • Tobacco use. Nicotine is the main drug associated with tobacco products, and it restricts blood flow to veins and arteries, and over time, can cause chronic health conditions leading to erectile dysfunction. Several studies have shown that smokers are 1.5 times more likely to suffer from ED, compared to non-smokers. 

Psychological causes

In both a voluntary and involuntary way, the brain controls the physical events that help produce an erection, beginning with feelings of sexual excitement. Several mental health issues can impact sexual feelings and cause or worsen erection issues. These include:

  • Depression and anxiety
  • Stress
  • Sleep disorders
  • Problems in relationships, employment, or parenting

The good news is that with the right diagnosis and treatment, you can get back to having a healthy sex life in no time. To learn more about erectile dysfunction, the risk factors for ED, and how to treat it, call Advanced Medical in Wellington and Royal Palm Beach, Florida at (561) 434-1935 to request an appointment, or you can request an appointment online.

How Your Family Medicine Provider Can Help You Manage Your Pain

Chronic pain can wear you down and further degrade your physical and mental health. Your family medicine provider can work with you to reduce your pain and improve your ability to carry on with your everyday activities.

Approaches to pain management have evolved over the last decade. Medical professionals increasingly put you at the center of all aspects of pain management, and that is a good thing. A common misconception is that pain medications such as opioids are the go to for pain management, but this couldn’t be further from the truth. There are many ways your provider can help you manage your pain.

Encourage Communication

Your family medicine provider can help you best by getting you actively involved in your treatment. By communicating openly with you, your provider will involve you with decision-making and problem solving. Living better with chronic pain is the goal (after all attempts to correct the painful condition, of course), and this requires excellent communication between you and your family medicine provider, and your medical team. Communicative and caring family medicine providers can empower you as a person, not just as a patient.

Listen and explain

Your provider will ask you about how you experience your pain, and specifically, to describe your pain in everyday language. Because there are no specialized tests to assess where and how you feel pain, you are the primary source of information. Don’t hold back. You are your best advocate. Everybody has a different pain threshold, so it’s important to get a unique understanding of each patient.

In turn, your family medicine provider can help you understand that even if your chronic pain has no specific cure, there are ways to manage it. Your family medicine provider can provide you with resources such as easy to read information, referrals for physical therapists, and other therapeutic experts.

Provide options

You family medicine provider will talk with you about these and other options for your pain management plan:

  • Medications including analgesics such as acetaminophen and non-steroidal anti-inflammatory medications (NSAIDs) such as ibuprofen can be of help with mild to moderate pain.
  • Stronger pain medications, including opioids, provide important relief for patients who have strong or severe pain. You family medicine provider will work with you to ensure that you receive the appropriate and safe type of medication.
  • Pain management procedures such as electrical stimulation, acupuncture, nerve blocks, or surgery may be appropriate if pain is not controlled by medications.
  • Non-invasive treatments such as biofeedback, behavior modification, and psychotherapy are all important tools.
  • Alternative or complementary medicine (CAM) include treatments such as acupuncture, massage, Tai Chi, mindful meditation, and relaxation techniques, all of which have been shown to be helpful.

Advise and support

Your family medicine provider can suggest healthy lifestyle changes that will help you better manage your pain and improve your quality of life. Some suggestions your provider may make include:

Exercise: Chronic pain caused by certain conditions such as arthritis shouldn’t stop you from engaging in physical activity. Natural painkillers or endorphins released by your body after exercise help reduce perception of pain, and exercise has been shown to boost mood. Of course, first discuss any exercise plans with your provider to make sure they are safe and appropriate for you.

Diet: Eating regular meals rich in antioxidants and nutrients will help your body best deal with pain and stress. Eating fresh vegetables, fruits, and lean protein ensures you have the best fuel to repair and restore your health.

Reach out to us with any questions you have about how to manage your pain. call Advanced Medical in Wellington and Royal Palm Beach, Florida at (561) 434-1935 to request an appointment, or you can request an appointment online.