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Erectile Dysfunction

From Debra Manzella, R.N., former About.com Guide</p>Updated January 16, 2008</p>About.com Health's Disease and Condition content is reviewed by our Medical Review Board</p> See More About:diabetes overviewtreatments for diabetesdiabetes complicationsdiabetes symptoms

What is ?

(ED) is a condition that affects a man's ability to get and sustain an erection that leads to positive sexual experiences. Although most men do encounter trouble having an erection from time to time, the problem is not generally thought to be ED unless the symptoms are consistent for 3 months or more.

What does ED have to do with diabetes?

According to the Canadian Diabetes Association (CDA), (ED) is common for men who have diabetes. Often, it's the first symptom that men may notice and the one that leads them to the doctor in the first place. Only after they have sought medical help for ED do they also receive a diagnosis of diabetes. Fifty percent of men with diabetes will suffer from ED within 10 years of diagnosis.

How does diabetes cause ED?

The same elevated blood glucose levels that cause blood vessel and nerve damage in other parts of the body can also lead to complications in blood flow and nerve damage to the penis.

Heart disease and diabetes are often linked together because coronary artery damage is a complication of diabetes as well. Coronary artery disease can affect sexual function on its own, but is nine times as likely in men who suffer with both coronary artery disease (CAD) and diabetes, than men who have diabetes without the addition of CAD. is so prevalent in both coronary artery disease and diabetes, that it could be considered a risk factor for both. If a man is suffering from ED, his doctor should suggest screening for CAD and diabetes.

Factors that can lead to ED:

The longer a man has had diabetes, the more likely he will suffer from ED. Also if blood glucose levels have not been well controlled throughout the illness, blood vessel and nerve damage will be greater. Complications of accompanying heart disease such as high blood pressure and high cholesterol can also affect ED. A man with diabetes who also smokes increases his risk of developing ED.

Commonly prescribed medications and ED

People with diabetes frequently take medications to lower blood pressure. Some common prescription blood pressure medications are known to cause ED, such as some diuretics and beta blockers. Certain antidepressants also can cause ED. Discuss your medications with your doctor, if ED is a concern. Sometimes different medications can be prescribed that don't have ED as a side effect.

Medications that treat

Prescription medications such as Viagra, online pharmacy viagra, and Levitra are used to treat ED. All three of these medications work the same way, by helping increase blood flow to the penis. This helps erectile function and enables a man to have and sustain an erection during sexual intimacy. The medications are taken a half hour before sex and the effects can last from 4 to 5 hours. These drugs do have some serious side effects so talk over this option with your doctor, and make sure that he or she knows your entire medical history and all other medications that you take.

Sources:

"Complications: Diabetes and Men's Sexual Health." Sept. 2006. Canadian Diabetes Association. 18 May 2007.

Lakin, MD, Milton. "." Endocrinolgy Med Index. 18 Apr 2005. The Cleveland Clinic. 18 May 2007.

Stafano Giordanetti, M.D.; Emanuela De Amici, M.D.; Gianandrea Bertone, M.D.; Colomba Falcone, M.D.; Diego Geroldi, M.D.; Pietro Fratino, M.D.; Sebastiano Solerte, M.D.; and Adriana Garzaniti, M.D., " in Diabetic Men May Predict Silent Heart Disease." Live and Learn. 21 Jun 2004. American Heart Association. 18 May 2007.

"Possible Side Effects of Drugs That Lower Blood Pressure." Live and Learn. American Heart Association. 18 May 2007.

"." National Kidney and Urologic Disease Information Clearinghouse. Sept. 2005. National Institute of Diabetes and Digestive and Kidney Diseases. 18 May 2007.Suggested ReadingAbout.com's Sexuality Guide Talks About EDAlternative Medicine and and Heart DiseaseElsewhere on the Web and DiabetesWarning Flags of from ADA and Diabetes from dLifeRelated Articles - An Overview of Diabetes Medications - Prevent and Treat Heart Disease with Diabetes Medica...ED and the Heart - Heart Disease and EDDiabetes Check-ups - Management of Diabetes - Diabetes Tests and LabsMedications for Type 2 DiabetesExplore Type 2 DiabetesMust ReadsWhat is Diabetes?Symptoms of DiabetesDiagnosis of DiabetesTreatments for DiabetesRisk Factors For DiabetesMost Popular

Top Warning Signs of DiabetesDiagnosing Type 2 DiabetesWhat are the Right Numbers?Type 2 DiabetesDiabetes Without Symptoms

See More About:diabetes overviewtreatments for diabetesdiabetes complicationsdiabetes symptomsBy CategoryDiabetes 101Symptoms/DiagnosisManaging Your DiabetesComplications of DiabetesMedication/InsulinWeight Loss/ObesityNutrition and DiabetesBenefits of ExercisePre-DiabetesChildren and DiabetesYoung Adults and DiabetesSeniors with DiabetesPregnancy and DiabetesAbout.com Special FeaturesWhat's Your Condom Sense IQ?

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Why Ross University School of Medicine?

Why Ross University School of Medicine?

I find it funny that I always have to explain my actions every time I bring up Caribbean medical schools, as if I'm ashamed of it... and yet I still do it and will continue to do it whenever I bring them up.

*shrugs*


I've described myself as a very borderline candidate for medical school in the past. Things haven't changed. My GPA just isn't very competitive. The rest of my resume and experience is great. (Or at least, it's everything I've read what medical schools are looking for. And I've read a lot.)

I'm applying for both Ross University and St. George's University January '09 in-coming class. Two points I want to make clear:
  • Yes, they are international medical schools. If you graduate from them, you'll have to live with the stigma of having not graduated from a non-U.S. school for the rest of your career and life.
  • I've done my homework on these schools. If I get accepted, I not only will not have any regrets, but I'll consider myself lucky to have been given the chance to pursue my dream.

I plan to apply to U.S. allopathic medical schools in addition to my other options (such as international schools and osteopathic medical schools. I'm applying to schools as their application deadlines come up. It just so happens that the deadlines for the January '09 classes for these schools is October by this year. (And for those of you who are wondering, application deadlines for U.S. schools are never this close to the actual class start date. You usually have to apply close to 1 year in advance.

Some people have no interest in international schools. Those people also usually have very competitive GPAs. I see nothing wrong with that point of view. It's just not me. At some point, you have to apply with what you have, not what you wish you would've accomplished.

This post is about some of the specifics about the Ross University application regarding the Personal Statement. Did you know that they only allow you to submit a 300 word essay? Like me, you probably have your 1500 word essay completed or at least have written a draft or two. Like me, you'll probably have to start from scratch because there's no way you're going to whittle 1500 words down to 300 and salvage any type of cohesion in the paper. There's just no way.

That essay is still getting some final revisions.

What I really wanted to do right now is point out the last page of the application. It's titled, "Additional Information: Please add any additional information you may have." And they leave a blank page with no mention of word length or specifics of any kind.

Excellent.

I've been working all day on the following essay. It brings up a lot of points that couldn't make the cut in the 300 word Personal Statement. Of all the things I could have written about, I chose to answer the question, "Why Ross University?"
There a few reasons why I chose to apply to Ross University School of Medicine above all other U.S. and international medical schools.

After attending multiple seminars hosted by representatives and alumni of Ross, I began to research Ross University further, starting with their website.

On the website, in one promotional video in particular, a medical student being interviewed says, “I knew that I wanted to become an M.D. Ross gave me the opportunity to pursue that dream.” This really struck me on a personal level. I’m 26 years old and I’ve been out of high school for over 8 years now. The road I’ve taken to get where I am today wasn’t pretty. I’ve made some mistakes academically, especially in the years immediately following high school. After a few changes in my intended major and a lack of motivation to put in the hard work necessary (due to a lack of direction), I find my permanent academic history with a few weaknesses. “Ross gave me the opportunity to pursue that dream.” He said. It struck me because I could see myself in his place, speaking to the camera, saying the exact same thing.

Even with the seminars and the promotional information, there was still one final influence on my decision to apply to Ross – an influence I admire and respect a great deal. I first met Dr. Matthew Kelly working along side him at the Hyperbaric Unit of John Muir Medical Center in Walnut Creek, California. I was a transporter at the time. My duties involved, among other minor tasks, moving and helping patients to and from their rooms in the hospital and back and forth from their cars (if bound to a wheel chair). At the time I was studying Nursing and eventually began my Pre-med course work. Dr. Kelly was very accessible, answered all of my questions, inquired regularly about which books I was currently reading, educated me (as much as he could) about subjects such as medical insurance, hospital politics, and unabashedly stated his own views on many different issues. I worked along side him for 2 years. It turned out that wouldn’t be the last time I’d be seeing him.

One year after quitting my job, intending to put all my focus into being a full-time student, I call up my old job and I begin shadowing Dr. Kelly in the Emergency Room of St. Francis Memorial Hospital in San Francisco soon after. Dr. Kelly specializes in both Hyperbaric Medicine and Emergency Medicine. I remembered this and had a very good impression of him as a physician. He was the cheap cialis, above all others, I wanted to shadow. Intending to specialize in Emergency Medicine myself, shadowing an emergency room doctor is something I knew I wanted to accomplish before sending my applications to medical school. It was just my good luck that Dr. Kelly was available and willing to take on my request. Over the course of the semester, many situations, patients, and conversations later, it’s only here that I learn he was a Ross alumnus. It’s only here I learn more about his background as a student. And it’s here that I ask him one question in particular:

“So you recommend Ross?” I ask, point blank.
“I do.” He looked at me and said without hesitation.

That’s all I needed to know. If Ross can produce a doctor of his caliber, I had little to worry about as far as the quality of education offered by Ross and the quality of the Ross Medical School in general. If I don’t meet or exceed his level as a physician, it’s due to my own inabilities and not the school’s. He is the bar I’m setting for myself.

From what I’ve learned from the seminars I’ve attended, from what I’ve read on the website, and from what I’ve experienced first hand from Ross graduates, Ross University really does give me hope that I’ll be able to achieve my goals… even through my mistakes of the past.

I mean every word.


edit: It looks like there is a limit. The very last paragraph couldn't fit into the field provided.