ED

Question 1

ED- Eti

Answer 1

• Consistent inability to attain or maintain rigid penile erection for sexual performance
• 1/2 men 40-70 yrs
• Loss of libido, psychogenic, CV disease, hormonal
• Meds: anti-depressants, opiods, anti-HTN

Question 2

ED- Dx

Answer 2

• Determine underlying cause: review meds, chronic conditions
• Presence of 2 sex characteristics
• Nocturnal penile tumescence testing
• Inject vasoactive meds

Question 3

ED- Tx

Answer 3

Meds: sildenafil, vardenafil

• Vacuum erectile device
• Injectable meds, prosthesis, vascular reconstruction

Question 4

Male infertility- Eti

Answer 4

• Inability to conceive a child > 1 yr intercours
• 15-20% couples
• 1/3 from male factors
• Testicular insults, infections, meds & drugs

Question 5

Male infertility-Dx

Answer 5

• Semen analysis
• < 15 million/ml oligozoospermia, azoospermia = absence
• Genetic test- <10 mil
• Transrectal US: prostate & seminal vesicles