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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

U.S. military spends 10 times more on erectile dysfunction than transgender care
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Why Going Limp In The Bedroom Could Signal A Much Bigger Health Problem
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Fri, 21 Jul 2017 21:52:26 +0800 | CNN.com - Health
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Albert Yee said the coffee was everywhere you looked in the densely packed vendor stalls along avenues in Malaysian cities: an instant mix with a natural ingredient similar to what's found in Viagra that helps men with erectile dysfunction. And he wanted a piece of the action. "There are whole streets of it, like tequila in Mexico," Yee […]Related:Most female homicide victims are killed by husbands or other intimate partners, new report shows5 questions about the brain cancer diagnosed in Sen. John McCainZion, the world’s youngest double hand transplant recipient, can now swing a baseball bat (Source: Washington Post: To Your Health)

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Wed, 19 Jul 2017 19:09:56 +0800 | the Mail online | Health
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