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[...]... spinal cord from an injury or tumour, drug abuse (eg alcohol, marijuana, cocaine), medications (eg prazosin, psychotropics, heparin, vasodilators) and an excessive dose of the drug alprostadil (Caverject) which is used to stimulate an erection There are many rare causes that vary from leukaemia and sickle cell anaemia to multiple myeloma and a stroke, which may need to be excluded by doctors after an... tissue such as the lung, eye, genitals and urinary tract can be caused by the intracellular bacterium Chlamydiae that can cause diseases in birds (particularly parrots) and koalas as well as humans Chlamydiae are a group of organisms that are not bacteria, but closely resemble bacteria They act as parasites inside human cells, cause the destruction of the cell where they multiply, and then move on to infect... a well-trained physician The appropriate section of the oath can be translated as: To preserve pure and immaculate my life and art, not to castrate even that may ask me to, but to leave this to manual labourers” Some members of the British aristocracy believed until late last century that hemi-castration (removal of one testicle) would give them male heirs, as sperm from the right testicle was meant... (but not all) cases of NSU are caused by a Chlamydial infection, while unidentified bacteria are responsible for the other cases Chlamydiae are a group of organisms that are not bacteria, but act as parasites inside human cells and eventually destroy the cell They are spread by passing from a man to his female sexual partners, where it remains in the vagina to infect the woman’s next sex partner In... also available including:- alprostadil (Caverject) injections into the penis - alprostadil (Muse) pellets may be inserted into the urethra (urine tube in the penis) - vardenafil, sildenafil (Viagra) and tadalafil tablets Several other medications are under development (eg apomorphine) See also ALPROSTADIL; EJACULATION, LACK OF; EJACULATION PREMATURE; LIBIDO LACKING; 24   MEN’S BUSINESS A to Z   NEUROGENIC... being asked to provide a fresh sample of ejaculated semen for analysis in a laboratory If this shows that the sperm are alive and healthy, and the joint factors above are absent, then investigation of the woman can commence An abnormal sample of semen will result in extensive detailed investigations to determine the cause of the abnormality If a man is impotent (unable to sustain an erect penis) then... NOT scratch it! 20   MEN’S BUSINESS A to Z   Excessive sweating in an area that is usually well covered and constricted by clothing is a common cause of skin irritation and itching The damaged skin may become infected by fungi and/or bacteria to cause a painful, oozing rash Prevention is better than cure, and regular washing of the area when sweaty, loose clothing and cotton underwear (nylon may look... thinking about sex A woman may find that one particular sex position causes orgasm more easily than other positions See also EJACULATION; MASTURBATION; SEXUAL INTERCOURSE PAGET’S DISEASE OF THE PENIS Paget’s disease of the penis is a very rare, slow growing cancer in the skin of the penis and scrotum It is classed as an adenocarcinoma type of cancer, and may have spread from an adenocarcinoma elsewhere... male, and on the vulva and in the vagina of a woman is a venereal (sexually transmitted) disease These include genital herpes (causes a blister which bursts to form a painful, tender, shallow ulcer), syphilis (causes a painless ulcer at the original site of infection), and rarer venereal diseases such as chancroid, donovanosis and lymphogranuloma venereum Behçet syndrome is a rare condition that causes... testes and ovaries, as well as some development of a vagina, penis and breasts Most cases are not true hermaphrodites (both testes and ovaries present) but are pseudohermaphrodites in that they appear to have dual sexuality but on closer examination one sex predominates See also PSEUDOHERMAPHRODITE HOLIUM LASER PROSTATE SURGERY Large prostate glands that are not cancerous (prostatomegaly) can block the . intracellular bacterium Chlamydiae that can cause diseases in birds (particularly parrots) and koalas as well as humans. Chlamydiae are a group of organisms. SILDENAFIL; TADALAFIL ANAL SEX About 20% of sexually active adults have at some stage had anal sex, but far fewer have regular anal sex. Even amongst male

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