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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
To anyone taking Cialis daily — did you develop a dependence on it?
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<blockquote data-quote="madman" data-source="post: 202415" data-attributes="member: 13851"><p>Ones underlying vascular health is critical!</p><p></p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/penile-ultrasound.23385/[/URL]</p><p></p><p><strong>7. Conclusions</strong></p><p></p><p><em>D-PDU is an important diagnostic tool even in the era of oral drugs. We believe that the D-PDU has a fundamental diagnostic role even in the young patient with primary ED or secondary to trauma of the pelvis, perineum, and penis.<strong> Remarkably, young patients with severe anxiety show a “late-responder” penile hemodynamic pattern. In these patients, although PSV in the flaccid state may be below 13 cm/s, a normal PSV value (>35 cm/s) may be reached late (20 min) after ICI.</strong> Therefore, a D-PDU scan after ICI with vasoactive drugs should be considered a safe and accurate diagnostic test in patients with ED of any origin, while PSV in the flaccid state may not be able to investigate between different causes of vascular ED.<strong> Also, the importance of recognizing the etiology of ED has must be reinforced even in the elderly (48).<u> In this regard, we want to remember how performing a D-PDU before the prescription of oral drugs can often be a predictor of their effectiveness</u> (49). <u>In fact, the data indicate that there is a correlation between the nature and severity of penile vascular damage and the response to oral drugs such as sildenafil, with a lower response observed in the presence of severe venous occlusive dysfunction or mixed ED</u> (50).</strong></em></p><p><em></em></p><p><em>*Finally, we want to emphasize that ED can be the first sentinel symptom for patients at vascular risk (51).<strong> The correct performance of a D-PDU is able to recognize various forms of arterial ED (52) and may be mandatory for patient's referral to the most inclusive morphological examination of the aorta, iliac vessels, femoral and carotid bifurcations, coronary arteries in search of lesions unrecognized that could save the patient's life.</strong></em></p><p></p><p></p><p></p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/how-to-perform-a-penile-duplex-doppler-ultrasound.23386/[/URL]</p><p></p><p><em>This video covers how to perform a penile duplex Doppler ultrasound (PDDU). <strong>A PDDU is performed as part of the normal work-up for erectile dysfunction (ED). It helps determine if a patient’s ED is due to arterial insufficiency, venous leakage, or a combination of the two. Additionally, PDDU can be used to assess Peyronie’s disease and provides in-depth information on plaque size and location, as well as the structural abnormalities in the corpora.</strong></em></p></blockquote><p></p>
[QUOTE="madman, post: 202415, member: 13851"] Ones underlying vascular health is critical! [URL unfurl="true"]https://www.excelmale.com/forum/threads/penile-ultrasound.23385/[/URL] [B]7. Conclusions[/B] [I]D-PDU is an important diagnostic tool even in the era of oral drugs. We believe that the D-PDU has a fundamental diagnostic role even in the young patient with primary ED or secondary to trauma of the pelvis, perineum, and penis.[B] Remarkably, young patients with severe anxiety show a “late-responder” penile hemodynamic pattern. In these patients, although PSV in the flaccid state may be below 13 cm/s, a normal PSV value (>35 cm/s) may be reached late (20 min) after ICI.[/B] Therefore, a D-PDU scan after ICI with vasoactive drugs should be considered a safe and accurate diagnostic test in patients with ED of any origin, while PSV in the flaccid state may not be able to investigate between different causes of vascular ED.[B] Also, the importance of recognizing the etiology of ED has must be reinforced even in the elderly (48).[U] In this regard, we want to remember how performing a D-PDU before the prescription of oral drugs can often be a predictor of their effectiveness[/U] (49). [U]In fact, the data indicate that there is a correlation between the nature and severity of penile vascular damage and the response to oral drugs such as sildenafil, with a lower response observed in the presence of severe venous occlusive dysfunction or mixed ED[/U] (50).[/B] *Finally, we want to emphasize that ED can be the first sentinel symptom for patients at vascular risk (51).[B] The correct performance of a D-PDU is able to recognize various forms of arterial ED (52) and may be mandatory for patient's referral to the most inclusive morphological examination of the aorta, iliac vessels, femoral and carotid bifurcations, coronary arteries in search of lesions unrecognized that could save the patient's life.[/B][/I] [URL unfurl="true"]https://www.excelmale.com/forum/threads/how-to-perform-a-penile-duplex-doppler-ultrasound.23386/[/URL] [I]This video covers how to perform a penile duplex Doppler ultrasound (PDDU). [B]A PDDU is performed as part of the normal work-up for erectile dysfunction (ED). It helps determine if a patient’s ED is due to arterial insufficiency, venous leakage, or a combination of the two. Additionally, PDDU can be used to assess Peyronie’s disease and provides in-depth information on plaque size and location, as well as the structural abnormalities in the corpora.[/B][/I] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
To anyone taking Cialis daily — did you develop a dependence on it?
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