Follow the thought process;
endothelial function was significantly improved only after beer consumption
Ergo, beer will solve this. You can thank me after seeing what your doctors' pontification is.
http://online.liebertpub.com/doi/full/10.1089/jomh.2013.1503
Jacob Rajfer, MD,1 and Martin M. Miner, MD2,3
1Department of Urology, UCLA School of Medicine, Los Angeles, California.
2Department of Family Medicine and Department of Urology, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island.
3Men's Health Center, The Miriam Hospital, Providence, Rhode Island.
ABSTRACT
The
ability to attain and then maintain an erection is the result of a
dynamic balance between arterial inflow and cavernosal outflow. Any
imbalance that either decreases arterial inflow and/or increases
cavernosal outflow may result in symptomatic erectile dysfunction (ED).
Current data suggest that vasculogenic ED is of arterial origin and
primarily the result of the development of systemic endothelial
dysfunction (EnD). Since systemic EnD is heralded as an early marker of
cardiovascular disease, specifically coronary artery atherosclerotic
heart disease (CAD), it has been suggested that the onset of ED can be
used as a marker for either the presence, or future development, of CAD.
However, the failure to find arterial dysfunction in some young men
with largely vasculogenic ED, combined with the recognition that most
men with ED, regardless of age, appear to have at least some cavernosal
smooth muscle dysfunction, has prompted a reexamination of the roles of
vascular endothelium and the cavernosal smooth muscle in the development
of aging-related ED, as well as a reexamination of the significance of
ED as a marker of subsequent cardiovascular disease. The unifying
concept that explains all these events is the aging-related apoptosis
that occurs within vascular smooth muscle. In the penis, this smooth
muscle apoptosis will cause cavernosal veno-occlusive dysfunction
(CVOD), which initially affects a man's refractory period. In the
peripheral vascular system, the apoptotic process leads to an increase
in peripheral vascular resistance, and patients may present with
hypertension. Hypertension and CVOD, then, represent the same
pathophysiologic disorder in two different organ systems.
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