Combined Effect of Continuous and Interval in Addition to Tadalafil Drug on Erectile Dysfunction
Combined Effect of Continuous and Interval in Addition to Tadalafil Drug on Erectile Dysfunction
Erectile dysfunction (ED) is the persistent inability to attain and maintain a sufficient
 erection to permit satisfactory sexual performance. ED, a condition closely related to
 cardiovascular morbidity and mortality, is frequently associated with obesity. The importance
 of reducing cardiovascular risk factors remains fundamental to the overall vascular good
 health of the man, and that includes sexual vascular health. ED shares similar modifiable
 risks factors with coronary artery disease (CAD). Lifestyle modification that targets CAD
 risk factors may also lead to improvement in ED.
Sixty obese men with ED complaints will be divided to two groups, exercised and non-exercised
 groups; n= 30 patients in every group. Both groups will receive five milligrams of tadalafil
 one time per day for 8 weeks but the exercised group only will receive - in addition to
 tadalafil - combined continuous and interval aerobic training, 3 session weekly for 8 weeks
 after detecting their target heart rate via the cardiopulmonary exercise test.
Inclusion Criteria:

 1. Sixty sedentary obese married men with BMI > 30 kg/m2.

 2. The age of participants will range from 40-50 years old.

 3. Blood pressure will be < 140/90 mm Hg.

 4. The patients who will have ED at least from 6 months with IIEF-5 score < 22.

 Exclusion Criteria:

 1. Alcoholic, smoker, hypertensive, diabetic, and addicted patients.

 2. Patients with pulmonary, renal, hepatic, and cardiac disorders.

 3. Lower limb arthritis or orthopaedic disorders that will hinder the training program.

 4. Prostatic inflammation, hyperplasia, and tumors.

 5. Participation in a structured sport program in the previous 6 months.

 6. previous pelvic and genital surgeries.