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What should I do if I develop persistent erectile dysfunction? It is best to see your GP. He or she is likely to discuss the problem, go over any medication you may be taking, and do a physical examination. This can help to identify, or rule out, possible underlying causes. Before treatment, your GP may suggest some tests. Erectile dysfunction, heart disease and other vascular diseases: The root cause of the narrowing of the arteries is caused by atheroma. Atheroma is like fatty patches or plaques that develop within the inside lining of arteries. (This is similar to water pipes that get furred up with scale.) Plaques of atheroma may gradually form over a number of years in one or more places in the body, commonly in arteries going to the heart, brain, legs and penis. In time, these can become bigger and cause enough narrowing of one or more of the arteries to cause symptoms and problems. What Causes Male Sexual Problems? Psychological causes: These include work-related stress and anxiety, concern about sexual performance, marital or relationship problems, depression, feelings of guilt, and the effects of a past sexual trauma. buy propecia canadian Blood testosterone levels can be measured to detect deficiency. Although, there is no clear cut testosterone level to define hypogonadism, levels lower than 250 nanograms per deciliter are considered low, and levels of greater than 350 nanograms per deciliter are considered normal. Testosterone levels in between these numbers may be labeled indeterminate. buy propecia canadian Call Your Doctor immediately or Go to an Emergency Room If: You have an extended or painful erection, unrelated to sexual desire, lasting more than a few hours. How Are Male Sexual Problems Diagnosed? To diagnose a man's sexual problem, the doctor likely will begin with a thorough history of symptoms and a physical exam. He or she may order other tests to rule out any medical problems that may be contributing to the dysfunction. The doctor may refer you to other health professionals, including a urologist (a doctor specializing in the urinary tract and male reproductive system), sex therapist, and other counselors. quick forum readtopic cialis none online buy cialis
Nocturnal penile tumescence (NPT) - It is normal for a man to have five to six erections during sleep, especially during rapid eye movement (REM). Their absence may indicate a problem with nerve function or blood supply in the penis. There are two methods for measuring changes in penile rigidity and circumference during nocturnal erection: snap gauge and strain gauge. A significant proportion of men who have no sexual dysfunction nonetheless do not have regular nocturnal erections. cheapest propecia online propecia online
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Credit Suisse - Head Responsible Investments & Philanthropy
Patrick Elmer is Head of Responsible Investments and Philanthropy Services at Credit Suisse Private Banking, advising clients on innovative investment solutions that combine financial and social returns. Before joining Credit Suisse in September 2008 as Head of Microfinance, Patrick has worked for many years in Mozambique, Tanzania and Madagascar, first managing the private sector development portfolio of seco (Swiss State Secretariat for Economic Affairs) and later establishing and managing microfinance banks on behalf of public and private investors. Patrick Elmer holds a Master degree in International Affairs from the University of St. Gallen and a Master degree on Developing Countries from the Swiss Federal Institute of Technology Zurich.
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