{"id":577,"date":"2018-04-06T08:50:00","date_gmt":"2018-04-06T08:50:00","guid":{"rendered":"https:\/\/drmirkin.com\/2018\/04\/06\/warnings-from-impotence\/"},"modified":"2024-10-03T10:34:20","modified_gmt":"2024-10-03T14:34:20","slug":"warnings-from-impotence","status":"publish","type":"post","link":"http:\/\/drmirkin.com\/?p=577","title":{"rendered":"Warnings from Impotence"},"content":{"rendered":"
Extensive data from animal and human studies show that male impotence is associated with just about every risk factor that damages blood vessels or causes high blood sugar levels\u00a0 (Metabolism<\/em>, April 14, 2018)<\/mirkin>.\u00a0 Men who have difficulty achieving and maintaining an erection are at significantly increased risk for suffering heart attacks because both conditions are associated with exactly the same risk factors (International Journal of Impotence Research<\/em>, 2016;28:14\u201319; J Amer Coll Cardiology<\/em>, 2004;43:1405\u201311)<\/mirkin>.\u00a0 Most impotent men have no idea they are at high risk for a heart attack and cannot even name any of the six factors that put them at high risk for both impotence and heart attacks (Int J Clin Pract<\/em>, 2010;64:848\u2013857)<\/mirkin>:<\/div>\n
\u2022 smoking<\/div>\n
\u2022 overweight<\/div>\n
\u2022 diabetes<\/div>\n
\u2022 high cholesterol<\/div>\n
\u2022 high blood pressure<\/div>\n
\u2022 lack of exercise<\/div>\n
<\/div>\n
Of men who show up in a doctor’s office for the treatment for impotence, more than 25 percent have already been diagnosed with heart disease, 23 percent are diabetic, 34 percent are on drugs to treat high blood pressure, and almost 20 percent are on statins to lower high cholesterol (International Journal of Impotence Research, 2008;20:S15\u2013S20)<\/mirkin>. The same lifestyle changes that help to prevent a heart attack also help to prevent and treat impotence (J Sex Med<\/em>, Jan 2009;6(1):243-50)<\/mirkin>.<\/div>\n
<\/div>\n
How Arterial Plaques Cause Both Impotence and Heart Attacks<\/strong><\/div>\n
The arteries that carry blood to the penis are normally closed and allow only a slight trickle of blood to flow. When a man becomes excited, the muscles that surround the penile arteries relax to allow more than six times as much blood to fill through the penis. The pressure from this increased amount of blood closes off the veins that carry blood from the penis, so that more blood comes into the penis and less blood comes out, which causes the erection.\u00a0 Arteriosclerosis means that plaques are laid down on the inner linings of arteries to obstruct the flow of blood. Anything that obstructs the flow of blood into the penis can make a man impotent (Int J of Impot Res,<\/em>\u00a02007;19:446\u201347)<\/mirkin>.\u00a0 The same plaque formation that can obstruct the arteries leading to the heart can obstruct the flow of blood to the penis.<\/div>\n
<\/div>\n
You Need A Medical Evaluation before Taking Viagra or Testosterone<\/strong><\/div>\n
If you suffer from impotence, get a medical evaluation to find the cause. Impotent men suffer a very high rate of heart disease, even if they have not had that diagnosis (J Am Coll Cardiol<\/em>, 2005; 46: 1503\u20131506)<\/mirkin>. The rate of impotence in diabetic men is very high primarily because of the disease’s very high rate of arteriosclerosis (The Journal of Sexual Medicine<\/em>, 2013;9(8):2093\u20132103)<\/mirkin>.\u00a0 Men who take nitroglycerin or other nitrates for chest pain (angina) should not take drugs for impotence such as sildenafil, tadalafil, or vardenafil because the combination can drop blood pressure to very low levels.\u00a0 Men taking drugs for high blood pressure, such as alpha blockers doxazosin (Cardura), terazosin (Hytrin), or tamsulosin (Flomax)} also should be wary of taking drugs to treat impotence.\u00a0 Taking Viagra may help you achieve an erection, but it has not been shown to prevent heart attacks.<\/div>\n
<\/div>\n
The Difference between Low Testosterone and Blocked Arteries<\/strong><\/div>\n
Both having low testosterone<\/a> and\/or blocked arteries can cause impotence.\u00a0 However, when low testosterone causes impotence, it almost always also causes lack of desire, so if you are a man who has a strong sexual desire and inability to perform, you are at high risk for a future heart attack.\u00a0 Furthermore, a man requires a certain amount of testosterone to have desire and erections, but once a man has enough testosterone, more does not make him more sexual or give him the ability to achieve stiffer erections (Fertil Steril<\/em>, 1993;59:1118\u20131123)<\/mirkin>. Since arteriosclerosis damages the testicles to cause low testosterone, just taking testosterone pills or injections rarely cures impotence. Men with low testosterone levels are at increased risk for suffering from arthritis, cardiovascular disease, clinical depression, high blood pressure, high cholesterol, high triglycerides, pulmonary disease, stroke, and type 2 diabetes (Scientific Reports<\/em>, April 12, 2018)<\/mirkin>.<\/div>\n
<\/div>\n
My Recommendations<\/strong><\/div>\n
Every man who is impotent needs a medical evaluation that includes:<\/div>\n
\u2022 tests for diabetes and arteriosclerosis with their normal values: (Fasting blood sugar <100, One-hour-after-eating blood sugar <140), HBA1c < 5.7, Triglycerides <150, HDL >40, LDL <100, small size cholesterol particle size and Lp(a) < 100, systolic blood pressure at bed-time <120.)<\/div>\n
\u2022 hormone tests including testosterone and free testosterone<\/div>\n
\u2022 a check for use of medications that can cause impotence<\/div>\n
\u2022 a check for sleep disorders<\/div>\n
\u2022 tests for other conditions that cause impotence<\/div>\n
Regardless of the diagnosis, every impotent man should avoid smoke, alcohol and substance abuse, avoid being overweight, exercise regularly and follow a heart-healthful diet<\/a>.<\/div>\n
<\/div>\n
Checked 7\/12\/23<\/mirkin><\/div>\n","protected":false},"excerpt":{"rendered":"

The same lifestyle factors and diseases that cause impotence also cause heart attacks. Many impotent men have no idea they are at high risk for a heart attack and cannot even name any of the six factors that put them at high risk for both impotence and heart attacks: smoking, overweight, diabetes, high cholesterol, high blood pressure and lack of exercise.<\/p>\n","protected":false},"author":1,"featured_media":1029,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[22],"tags":[],"class_list":["post-577","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-men"],"_links":{"self":[{"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/posts\/577","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=577"}],"version-history":[{"count":1,"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/posts\/577\/revisions"}],"predecessor-version":[{"id":8332,"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/posts\/577\/revisions\/8332"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/media\/1029"}],"wp:attachment":[{"href":"http:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=577"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=577"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=577"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}