Erectile Dysfunction

Sleep disorders are evaluated and treated by many physicians including pulmonologists, neurologists, and psychiatrists.

Primary care providers, however, are often the first to see a patient and suspect a diagnosis of a sleep disorder.

Evaluation of a patient with a possible sleep disorder requires a detailed history that includes information regarding sleep habits, medical history, medication and drug use history, dietary habits, and a physical examination.

Testing often requires a polysomnography (overnight sleep study).

Additional testing, such as the Multiple Sleep Latency Test (MSLT) or Maintenance of Wakefulness Test may also be required to establish a diagnosis.

The Sleep Disorder Evaluation MedicalTemplate has prompters for the sleep history, medical history, medication use that affects sleep architecture, drug use history, auto accident history, physical examination, and testing options.

This assists physicians in efficiently documenting a thorough history.

A sample of the Sleep Disorder Evaluation MedicalTemplate can be downloaded from http://www.e-medtools.com/SAMPLE_Sleep_Eval.pdfMedicalTemplates are created with Adobe PDF techn...

And teaching a man that issues like cardiovascular health, diabetes and weight gain can affect his erectile function can help motivate him to make the lifestyle changes that will lead to better health overall.

"Sexual health is the portal to men's health," says Ridwan Shabsigh, associate professor of urology at Columbia University in New York.

His book, titled "Sensational Sex in 7 Easy Steps," is actually a guide to boosting a man's overall health, focusing on doctor visits, lifestyle changes, cardiovascular health, depression and other health issues that affect sexual health.

Two major health issues for men - stress and depression - exact a serious physical toll on men but are ignored by many doctors who treat men.

Recent research shows there may be major differences in the male stress reaction compared with the female stress response.

The typical stress response is called "fight or flight" - a physical reaction to danger that helps the body rapidly mobilize energy, delivering glucose to muscles and boosting the heart rate and blood pressure.

While the str...

The study results, published in the June 1, 2007 issue of the peer-reviewed journal CANCER, represent data from the first two years of the study.

Those years, Litwin said, are when most of the negative impacts surface and resolve.

Seed implantation, also known as brachytherapy, has been touted in marketing campaigns as the best of the three options with the shortest recovery time and the fewest sexual dysfunction side effects, Litwin said.

"These campaigns say 'Get your seed implants on Monday, play golf on Tuesday' and that's just not true," said Litwin, a professor of urology and health services.

"Men need to have the most accurate information when making vital decisions about what type to treatment they'll get..

They need facts, not hype." The study found that brachytherapy patients often experience obstructive and irritating urinary symptoms such as frequency of urination and feeling an urgent need to urinate.

They also reported bowel dysfunction such as frequency and urgency, diarrhea and pain with stool.

External beam radiation patients suffered from urinary irritation and bowel dysfunction similar to brachytherapy patients.

Surgery patients more often reported incontinence symptoms such as urine leakage when coughing or sneezing as well loss of sexual dysfunction, although this was mitigated when the surgeon was able to spare the patient's erectile ner...