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Erectile Dysfunction (ED), Singapore - Shim Clinic

Erectile dysfunction (ED) is the male inability during sexual stimulation, to get and keep an erection hard enough for penetration, maintenance, and completion of sexual intercourse, resulting a in a lack of satisfaction for the male.

Shim Clinic has a special focus on the diagnosis, and treatment of erectile dysfunction.

Physical causes of ED result from vascular and neurological damage caused by diabetes and hypertension, and also hormonal insufficiencies. Psychological causes also play a part like lack of interest in the partner.

Penile erection results when it’s sponge like body is engorged when blood that enters it is prevented from exiting. Stimulus from the brain travelling through nerves that enter the penis trigger this activity, and results from sexual arousal.

Erectile dysfunction may be assessed with the international index of erectile function (IIEF-5) a.k.a. sexual health inventory for men (SHIM), and an erectile dysfunction diagnosis made:

Table 2  The IIEF-5 questionnairea
Over the past six months:
1 How do you rate your confidence that you could get and keep an erection? Very low Low Moderate High Very high
1 2 3 4 5
2 When you had erections with sexual stimulation, how often were your erections hard enough for penetration? Almost never / never A few times (much less than half the time) Sometimes (about half the time) Most times (much more than half the time) Almost always / always
1 2 3 4 5
3 During sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner? Almost never / never A few times (much less than half the time) Sometimes (about half the time) Most times (much more than half the time) Almost always / always
1 2 3 4 5
4 During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse? Extremely difficult Very difficult Difficult Slightly difficult Not difficult
1 2 3 4 5
5 When you attempted sexual intercourse, how often was it satisfactory for you? Almost never / never A few times (much less than half the time) Sometimes (about half the time) Most times (much more than half the time) Almost always / always
1 2 3 4 5
aThe IIEF-5 score is the sum of the ordinal responses to the five items; thus, the score can range from 5 to 25.

ED severity:

  • severe (5-7),
  • moderate (8-11),
  • mild to moderate (12-16),
  • mild (17-21), and
  • no ED (22-25).

Reference

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Latest News

Erectile dysfunction causes: THREE harmless reasons why you may struggle during sex
Wed, 25 Oct 2017 01:01:40 +0800 | Daily Express - Health
ERECTILE dysfunction is a common problem that can sometimes indicate a health problem like high blood pressure or diabetes. But it could be triggered by a more harmless reason. (Source: Daily Express - Health)

Coffee and Erectile Dysfunction: That's Improbable!
Sun, 22 Oct 2017 23:35:02 +0800 | MedPage Today Primary Care
(MedPage Today) -- Also, customizing your ethical decisions on the road (Source: MedPage Today Primary Care)

Prostate problem? Take 2 nuts
Fri, 20 Oct 2017 00:24:48 +0800 | Al Sears, MD Natural Remedies
By age 60, you have a 50/50 chance of having a clinically enlarged prostate. And it only gets worse every year. When your prostate isn’t functioning properly, it’s hard to enjoy life. Traditional doctors give you two choices. Go under the knife or you take Big Pharma’s drugs. Either way, you have a good chance of ending up with your manhood on the line… If you have surgery, there’s a big risk you’ll be saying goodbye to your sex life for good. The rate of impotence is a shocking 50 to 60% after prostate surgery.1 Big Pharma’s meds to shrink your prostate are no better. These synthetic drugs have a history of nightmarish side effects. Researchers from Boston University tested the drug dutasteride — brand name Avodart — on 230 men with BPH.2   After three to four years...

Erectile dysfunction: THIS supplement could improve sexual health for less than £5
Fri, 13 Oct 2017 20:58:00 +0800 | Daily Express - Health
ERECTILE dysfunction and motility of sperm could be  improved for under a fiver. (Source: Daily Express - Health)

Incident Gout and Erectile Dysfunction Incident Gout and Erectile Dysfunction
Wed, 11 Oct 2017 11:15:07 +0800 | Medscape Today Headlines
What is the relationship between gout and ED -- and where does hyperuricemia fit in the equation?Arthritis Research & Therapy (Source: Medscape Today Headlines)

Erectile dysfunction SHOCK: Men in this area of the UK suffer most
Wed, 11 Oct 2017 10:01:41 +0800 | Daily Express - Health
ERECTILE dysfunction rates vary greatly across the UK, and London has been revealed as the area with the men who suffer most. (Source: Daily Express - Health)

Mayo Clinic Q and A: Treating erectile dysfunction safely
Tue, 10 Oct 2017 07:00:00 +0800 | News from Mayo Clinic
DEAR MAYO CLINIC: Are the advertised herbal supplements for erectile dysfunction, or ED, just as effective as the actual drug? Are they safer because they?re natural? Can there be side effects from these supplements? ANSWER: Be cautious about using any herbal supplement. Those products aren?t held to the same standards as prescriptions or over-the-counter medications [...] (Source: News from Mayo Clinic)

New shot for men and women
Fri, 06 Oct 2017 02:57:14 +0800 | Al Sears, MD Natural Remedies
Today I want to tell you about a quick, painless procedure that will put the spontaneity back into your sex life. And you don’t have to take a pill and then wait 30 minutes or more… I’m talking about platelet-rich plasma, or PRP for short. I’ve used PRP in my patients to heal sports injuries, aching joints and surgical wounds. It’s better than a facelift to smooth fine lines and wrinkles. But PRP also works if you’re having trouble in the bedroom. More than a third of men suffer from sexual dysfunction. And 40% of women do too. I’m talking about everything from erectile dysfunction and vaginal dryness to pain and low libido. Even if you ask your doctor about sex, they don’t want to delve into the subject. Men get a quick checkup and a script...

Gadget Island, Inc. dba Gear Isle Issues Voluntary Nationwide Recall of Rhino 7 Platinum 5000, Papa Zen 3300, Fifty Shades 6000 and Grande X 5800, Due to Presence of Undeclared Sildenafil, Tadalafil and Desmethyl Carbodenafil
Thu, 05 Oct 2017 22:55:00 +0800 | Food and Drug Administration
Newark, CA, Gadget Island, Inc. is voluntarily recalling Rhino 7 Platinum 5000 capsules, All LOTS, Papa Zen 3300 capsules, LOT# NSS050888, Fifty Shades 6000 capsules, all Lots, Grande X 5800 capsules, all Lots, to the consumer level. FDA analysis has found the products to be tainted with Sildenafil and Tadalafil, which are the active ingredients in two FDA-approved prescription drugs used for the treatment of erectile dysfunction (ED), as well as Desmethyl Carbodenafil which is structurally similar to sildenafil. The presence of Sildenafil, Tadalafil and or Desmethyl Carbodenafil in Rhino 7 Platinum 5000, Papa Zen 3300, Fifty Shades 6000, and Grande X 5800, renders them unapproved drugs for which safety and efficacy have not been established and, therefore, subject to recall. (Source: Food...

Pfizer to FDA: Ban side effect warnings  
Thu, 05 Oct 2017 20:17:23 +0800 | Al Sears, MD Natural Remedies
Big Pharma won’t be satisfied until every American adult — and even some kids — are taking one of their dangerous statin drugs. And they’ve resorted to desperate measures to achieve that goal. Here’s what’s going on… As you probably know, one of the most common side effects of taking statins is muscle pain. I see this all the time at my clinic when new patients come to see me. And if you or someone you know takes these drugs, you’ve probably seen it, too… But a new study claims that people only get statin side effects like muscle pain if they know they’re taking the drugs. Researchers claim that if a patient doesn’t know whether they’re getting a statin or a placebo, they don’t experience side effects.1  In other words, if you’re on a statin and you have side e...


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