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Major depressive disorder
Seasonal affective disorder
Premenstrual dysphoric disorder
Generalized anxiety disorder
Social anxiety disorder
Body focused repetitive disorders
Body dysmorphic disorder
Post-traumatic stress disorder
Physical and sexual abuse
Cluster A personality disorders
Cluster B personality disorders
Cluster C personality disorders
Somatic symptom disorder
Alcohol use disorder
Male hypoactive sexual desire disorder
Female sexual interest and arousal disorder
Genito-pelvic pain and penetration disorder
Attention deficit hyperactivity disorder
Disruptive, impulse control, and conduct disorders
Fetal alcohol syndrome
Autism spectrum disorder
Shaken baby syndrome
Neuroleptic malignant syndrome
Mood disorders: Pathology review
Amnesia, dissociative disorders and delirium: Pathology review
Personality disorders: Pathology review
Eating disorders: Pathology review
Psychological sleep disorders: Pathology review
Psychiatric emergencies: Pathology review
Drug misuse, intoxication and withdrawal: Hallucinogens: Pathology review
Malingering, factitious disorders and somatoform disorders: Pathology review
Anxiety disorders, phobias and stress-related disorders: Pathology Review
Trauma- and stress-related disorders: Pathology review
Schizophrenia spectrum disorders: Pathology review
Drug misuse, intoxication and withdrawal: Stimulants: Pathology review
Drug misuse, intoxication and withdrawal: Alcohol: Pathology review
Developmental and learning disorders: Pathology review
Childhood and early-onset psychological disorders: Pathology review
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β -blockers and p. 247, 329
cimetidine p. 407
Lambert-Eaton myasthenic syndrome p. 483
PDE-5 inhibitors for p. 681
Peyronie disease p. 675
sildenafil p. 711
Elizabeth Nixon-Shapiro, MSMI, CMI
In erectile dysfunction, an individual is unable to develop or maintain an erection during sex.
This disorder is also called impotence and like other sexual dysfunction, this condition becomes more common with age.
Sex can be important within relationships, so erectile dysfunction often carries with it emotional and psychological stigma.
In both males and females,, sexual activity involves a sequence of events called the sexual response cycle.
This cycle has four phases, excitement, plateau, orgasm, and resolution.
During the excitement phase, muscle tension, heart rate, and blood flow to the genitals increases.
In males, this is called an erection.
When these reach the maximum level, it’s called the plateau phase.
Next, the accumulated sexual tension gets released during orgasm, causing ejaculation in males.
Immediately after orgasm comes the resolution phase, where the body slowly returns to its original, un-excited state.
Alright, let’s take a closer look at the penis which is made of three long cylindrical bodies: the corpus spongiosum that surrounds the penile urethra, and the two corpora cavernosa made of erectile tissue.
The corpora cavernosa are wrapped in a fibrous coat called the tunica albuginea, and each corpus cavernosum is made up of blood-filled spaces called the cavernosal spaces.
These areas are lined with endothelial cells surrounded by smooth muscle.
Running down the centre of each corpus cavernosum is a large artery called the deep artery which gives off smaller arteries that supply the cavernosal spaces.
Next, blood get drained from these spaces by small emissary veins, which drain into the deep dorsal vein.
This vein then carries the blood back into the systemic circulation.
Now, the penis receives both somatic and autonomic innervation through the cavernous nerves, which innervate both the corpus spongiosum, and the corpora cavernosa.
Erectile dysfunction (ED) is the inability to get and maintain an erection firm enough for sexual intercourse. It is a common problem, affecting main people. There are many possible causes of ED, including diabetes, heart disease, obesity, high blood pressure, and low testosterone levels.
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