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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

Hair loss warning: THIS popular medication could trigger erectile dysfunction
Tue, 15 Aug 2017 19:15:00 +0800 | Daily Express - Health
HAIR loss - or alopecia - affects half of men over the age of 30 in the UK, but using certain medications to counteract it could cause erectile dysfunction - which is the inability of a man to get and maintain an erection. (Source: Daily Express - Health)

NHS prescriptions for Viagra triple in 10 years
Fri, 11 Aug 2017 22:37:59 +0800 | the Mail online | Health
Figures from NHS Digital show 2,958,199 prescriptions for Viagra and other erectile dysfunction treatments were handed out in 2016 in England. (Source: the Mail online | Health)

The AMPT Life, LLC Issues Voluntary Nationwide Recall of AMPT Coffee due to the Presence of Undeclared Active Pharmaceutical Ingredients and Undeclared Milk
Wed, 02 Aug 2017 09:23:00 +0800 | Food and Drug Administration
The AMPT Life, LLC is voluntarily recalling all lots of AMPT Coffee to the consumer level. FDA laboratory analysis confirmed the presence of Sildenafil and Tadalafil, the active ingredient in Viagra, an FDA-approved prescription drug for Erectile Dysfunction (ED). AMPT Coffee also contains undeclared milk. (Source: Food and Drug Administration)

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Erectile Dysfunction (Impotence) (Source: eMedicineHealth.com)

Following Lives Undergoing Change (Flux) study: implementation and baseline prevalence of drug use in an online cohort study of gay and bisexual men in Australia - Hammoud MA, Jin F, Degenhardt L, Lea T, Maher L, Grierson J, Mackie B, Pastorelli M, Batrouney C, Bath N, Bradley J, Prestage GP.
Fri, 28 Jul 2017 15:23:47 +0800 | SafetyLit
Drug use among gay and bisexual men (GBM) is higher than most populations. The use of crystal methamphetamine, erectile dysfunction medication (EDM), and amyl nitrite have been associated with sexual risk behaviour and HIV infection among gay and bisexual ... (Source: SafetyLit)

More than half of men with diabetes have erectile dysfunction
Fri, 28 Jul 2017 01:42:08 +0800 | Reuters: Health
(Reuters Health) - Diabetes has long been considered the number one risk factor for erectile dysfunction, and a new analysis of past research finds the sexual disorder is extremely common among men with diabetes, afflicting some 53 percent. (Source: Reuters: Health)

U.S. military spends 10 times more on erectile dysfunction than transgender care
Thu, 27 Jul 2017 05:21:06 +0800 | Health News - UPI.com
The U.S. military spends a total of $84 million on erectile dysfunction drugs annually compared to its $2.4 million to $8.4 million on transgender healthcare. (Source: Health News - UPI.com)

Why Going Limp In The Bedroom Could Signal A Much Bigger Health Problem
Sun, 23 Jul 2017 21:17:00 +0800 | Forbes.com Healthcare News
Erectile dysfunction is frustrating on its own, but can also be a symptom of serious, undiagnosed health issues (Source: Forbes.com Healthcare News)

Ultra Shop Supplement Issues Voluntary Nationwide Recall of Super Panther 7K Due to Presence of Undeclared Sildenafil and Tadalafil
Sat, 22 Jul 2017 02:40:00 +0800 | Food and Drug Administration
Charlotte, NC, Ultra Shop Supplement is voluntarily recalling Super Panther 7K capsules, [1 count blister card Lot#: RO846356 and 6 count bottle Lot RO246852 within expiry], distributed by SX Power Co., Brooklyn, NY, to the consumer level. FDA analysis found samples of Super Panther 7K to be tainted with undeclared sildenafil and tadalafil, active ingredients in two FDA-approved prescription drug products, also known as phosphodiesterate 5-inhibitors (PDE-5), used to treat erectile dysfunction (ED). (Source: Food and Drug Administration)

A Wake-Up Call: Coffee Recalled By FDA For Having Viagra-Like Ingredient
Fri, 21 Jul 2017 22:01:41 +0800 | NPR Health and Science
Regulators took issue with the tortuously named "New of Kopi Jantan Tradisional Natural Herbs Coffee," which didn't declare a chemical akin to the erectile dysfunction drug's active ingredient.(Image credit: Ezra Bailey/Getty Images) (Source: NPR Health and Science)


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