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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

Viagra use on the rise as 860,000 pills have been sold
Thu, 19 Jul 2018 18:26:12 +0800 | the Mail online | Health
UK sales of erectile dysfunction drug Viagra Connect have already hit £4.3 million as around 860,000 pills have been sold since it was allowed to be sold in supermarkets and pharmacies in March. (Source: the Mail online | Health)

Viagra use on the rise as 860,000 pills have been sold since the drug hit supermarket shelves
Thu, 19 Jul 2018 17:04:15 +0800 | the Mail online | Health
UK sales of erectile dysfunction drug Viagra Connect have already hit £4.3 million as around 860,000 pills have been sold since it was allowed to be sold in supermarkets and pharmacies in March. (Source: the Mail online | Health)

Gum disease makes men twice as likely to suffer erectile dysfunction
Wed, 04 Jul 2018 21:50:18 +0800 | the Mail online | Health
Researchers from the University of Granada in Spain have revealed a link between gum disease and erectile dysfunction, and found 74 per cent of those with erectile dysfunction already have gum disease. (Source: the Mail online | Health)

Gum disease makes men twice as likely to have difficulty getting an erection, finds study
Wed, 04 Jul 2018 17:59:46 +0800 | the Mail online | Health
Researchers from the University of Granada in Spain have revealed a link between gum disease and erectile dysfunction, and found 74 per cent of those with erectile dysfunction already have gum disease. (Source: the Mail online | Health)

Medical News Today: How men can improve their sexual performance
Tue, 03 Jul 2018 18:00:00 +0800 | Health News from Medical News Today
Many men want to know how to enhance their own and their partners ’ sexual satisfaction. However, placing too much emphasis on performance can lead to anxiety. Certain lifestyle changes can help to reduce sexual anxiety, improve erectile dysfunction, and increase stamina. In this article, we describe 13 methods to try. (Source: Health News from Medical News Today)

Pfizer Hikes Cost Of Viagra And 100 Other Drugs, Report Says
Tue, 03 Jul 2018 01:35:36 +0800 | WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire
(CBS News) — A month after President Donald Trump signaled drug companies would soon be slashing prices, the nation’s largest pharmaceutical company is reportedly upping the costs of 100 drugs and treatments. Pfizer has increased the price of some of its better-known drugs, including the erectile dysfunction treatment Viagra, according to a story published Monday by the Financial Times. The increases, which took effect July 1, are just over 9 percent on average, well above the rate of inflation, which is about 2 percent. It’s the second such move this year by Pfizer, with the cost of some of its drugs up nearly 20 percent since January, according to figures viewed by the news outlet. The average wholesale cost of a 100 mg Viagra pill is now $88.45, up almost 20 percent fr...

Safety and Efficacy of Daily Revactin in Men With ED Safety and Efficacy of Daily Revactin in Men With ED
Tue, 26 Jun 2018 12:14:49 +0800 | Medscape Today Headlines
Revactin, a recently developed erectile function supplement, may play an exciting new role in the treatment of erectile dysfunction.Translational Andrology and Urology (Source: Medscape Today Headlines)

Effect of Shock Wave Treatment for Erectile Dysfunction Wanes
Fri, 22 Jun 2018 19:00:01 +0800 | Drugs.com - Pharma News
FRIDAY, June 22, 2018 -- Low-intensity shock wave treatment is effective for short-term treatment of erectile dysfunction, but its efficacy declines after two years, particularly in those with initial severe dysfunction, according to a study... (Source: Drugs.com - Pharma News)

Diabetes type 2 - could your erectile dysfunction be a warning sign of high blood sugar?
Thu, 21 Jun 2018 13:46:00 +0800 | Daily Express - Health
DIABETES type 2 symptoms include weight loss, feeling tired, and passing more urine than normal. Erectile dysfunction could be a warning sign of high blood sugar - are you at risk? (Source: Daily Express - Health)

Erectile Dysfunction Drugs: Drug Interactions
Wed, 13 Jun 2018 14:00:00 +0800 | MedicineNet Mens Health General
Title: Erectile Dysfunction Drugs: Drug InteractionsCategory: Doctor's& Expert's views on SymptomsCreated: 4/26/2001 12:00:00 AMLast Editorial Review: 6/13/2018 2:55:06 PM (Source: MedicineNet Mens Health General)


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