The People's Money (2024-2025)

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Source: {"body":{"en":"<xml><dl class=\"decidim_awesome-custom_fields\" data-generator=\"decidim_awesome\" data-version=\"0.10.2\"><dt name=\"text-1727190723263-0\">Do you have specific Neighborhood(s) in mind?</dt><dd id=\"text-1727190723263-0\" name=\"text\"><div></div></dd><dt name=\"checkbox-group-1727190854919-0\">Which group(s) does your idea focus on? Select as many as apply.</dt><dd id=\"checkbox-group-1727190854919-0\" name=\"checkbox-group\"><div alt=\"Youth\">Youth</div><div alt=\"Older Adults\">Older Adults</div><div alt=\"Public Housing Residents\">Public Housing Residents</div><div alt=\"Justice Impacted People\">Justice Impacted People</div><div alt=\"People with Disabilities\">People with Disabilities</div><div alt=\"Limited English Speakers\">Limited English Speakers</div><div alt=\"Immigrants/ Migrants\">Immigrants/ Migrants</div><div alt=\"Veterans\">Veterans</div><div alt=\"LGBTQ+ People\">LGBTQ+ People</div><div alt=\"Parents\">Parents</div><div alt=\"Unhoused People\">Unhoused People</div><div alt=\"Low Income People\">Low Income People</div><div alt=\"Black, Indigenous and/or People of Color\">Black, Indigenous and/or People of Color</div></dd><dt name=\"textarea-1727191113616-0\">Describe the challenge you want to address:</dt><dd id=\"textarea-1727191113616-0\" name=\"textarea\"><div>Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It is a common condition, particularly among older men, but it can affect individuals of any age.\n=================================================================================\nCauses of ED\n1. Physical Causes:\nCardiovascular conditions (e.g., atherosclerosis, high blood pressure)\nDiabetes mellitus (damages blood vessels and nerves)\nHormonal imbalances (low testosterone or thyroid issues)\nNeurological disorders (e.g., Parkinson’s disease, multiple sclerosis)\nObesity or sedentary lifestyle\nPeyronie’s disease (scar tissue in the penis)\nChronic kidney or liver disease\n2. Psychological Causes:\nStress and anxiety\nDepression\nRelationship problems\nPerformance anxiety\n3. Lifestyle Factors:\nSmoking (damages blood vessels)\nExcessive alcohol consumption\nDrug use (e.g., opioids, recreational drugs)\n4. Medication Side Effects:\nAntidepressants, antihypertensives, or anti-seizure medications may contribute to ED.\n=================================================================================\nTypes of ED\nOrganic ED: Due to physical or physiological factors (e.g., blood flow issues, hormonal imbalance).\nPsychogenic ED: Primarily caused by psychological factors (e.g., stress or anxiety).\nMixed ED: A combination of physical and psychological factors.\n=================================================================================\nSymptoms\nDifficulty achieving an erection\nTrouble maintaining an erection during sexual activity\nReduced sexual desire or libido\nOccasional difficulty with erections is not necessarily a cause for concern, but persistent issues may require medical evaluation.\n=================================================================================\nDiagnosis\nMedical history: Includes lifestyle, medication, and psychological factors.\nPhysical exam: Focus on the penis, testicles, and vascular health.\nBlood tests: To check hormone levels, diabetes, or cardiovascular issues.\nNocturnal penile tumescence test: Evaluates erections during sleep.\nUltrasound: Assesses blood flow to the penis.\n=================================================================================\nTreatment Options\n1. Lifestyle Modifications:\nExercise regularly to improve cardiovascular health and reduce stress.\nQuit smoking and limit alcohol consumption.\nMaintain a healthy diet to prevent obesity and diabetes.\n2. Medications:\nPhosphodiesterase type 5 (PDE5) inhibitors:\nSildenafil (Viagra)\nTadalafil (Cialis)\nVardenafil (Levitra)\nAvanafil (Stendra)\nThese drugs enhance blood flow to the penis. Caution is needed in men taking nitrates.\n3. Counseling or Therapy:\nFor men with psychogenic ED, sex therapy or cognitive-behavioral therapy (CBT) can be beneficial.\n4. Hormone Replacement Therapy (HRT):\nFor men with low testosterone levels.\n5. Mechanical Devices:\nVacuum erection devices (VEDs) create a vacuum around the penis to draw blood into it.\n6. Surgical Treatments:\nPenile implants: Inflatable or malleable devices inserted into the penis.\nVascular surgery: Rarely performed but may be used in cases of vascular damage.\n7. Alternative Treatments:\nAcupuncture, herbal supplements (e.g., ginseng), or lifestyle adjustments. Caution: Many supplements lack scientific evidence and may interact with medications.\n=================================================================================\nPrevention\nManage chronic conditions like diabetes, high blood pressure, or cholesterol.\nRegular exercise and a balanced diet.\nRegular health check-ups.\nOpen communication with your partner and stress management techniques.\nWould you like more detail about any specific treatment, lifestyle changes, or psychological strategies for managing ED?</div></dd><dt name=\"textarea-1727191235485-0\">What is the solution to the challenge?</dt><dd id=\"textarea-1727191235485-0\" name=\"textarea\"><div>Sildenafil Citrate, Cenforce, Tadalafil, Vidalista</div></dd><dt name=\"number-1727191411855-0\">Please provide your Zip Code</dt><dd id=\"number-1727191411855-0\" name=\"number\"><div>10012</div></dd></dl></xml>"},"title":{"en":"Erectile Dysfunction | Causes, Types, Symptoms, Treatment | USA-Medicines.com"}}

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