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Sexual Dysfunction Treatment Message Board
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Old 07-24-2001, 10:54 PM   #1
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Post Viagra doesn't always work and DHEA.


I have been using viagra for the past year with variable success. Sometimes it worked absolutely great and I could have two erection in a row. But other times I would fail to maintain an erection for long.

The other day I had a blood test for DHEAS (a sex steroid) and mine was very low. So, I stared taking DHEA. After 3 weeks I stared having very strong morning erection again and the viagra is now working very consistently. Perhaps others can benefit from a simple blood test to determine your DHEA status.

Here is a very recent article, the first I believe, to show that DHEA can help some ED. You can take this to your doctor to help convince him to do the blood test.

Urology 1999 Mar;53(3):590-4; discussion 594-5 Department of Urology, University of Vienna, Austria.

OBJECTIVES: In 1994, the Massachusetts Male Aging Study presented an inverse correlation of the serum levels of dehydroepiandrosterone (DHEA) and the incidence of erectile dysfunction (ED). We evaluated the efficacy of DHEA replacement in the treatment of ED in a prospective, double-blind, randomized, placebo-controlled study. METHODS: The inclusion criteria included ED, normal physical and neurologic examinations, serum levels of testosterone, dihydrotestosterone, prolactin, and prostate-specific antigen (PSA) within the normal range, and a serum DHEA sulfate level below 1.5 micromol/L. Also all patients had a full erection after a pharmacologic erection test with 10O microg prostaglandin E1; pharmacocavernosography showed no visualization in corporeal venous structures. Forty patients from our impotence clinic were recruited and randomly divided into two groups of 20 patients each. Group 1 was treated with an oral dose of 50 mg DHEA and group 2 with a placebo one time a day for 6 months. The International Index of Erectile Function (IIEF), a 15-item questionnaire, was used to rate the success of this therapy. RESULTS: Therapy response was defined as the ability to achieve or maintain an erection sufficient for satisfactory sexual performance according to the National Institutes of Health Consensus Development Panel on Impotence. DHEA treatment was associated with higher mean scores for all five domains of the IIEF. There was no impact of DHEA treatment on the mean serum levels of PSA, prolactin, testosterone, the mean prostate volume, and the mean postvoid residual urine volume. CONCLUSIONS: Our results suggest that oral DHEA treatment may be of benefit in the treatment of ED. Although our patient data base is too small to do relevant statistical analysis, we believe that our data show a biologically obvious trend that justifies further extended studies.



 
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