Erectile Dysfunction Flashcards
What is erectile dysfunction?
Inability to attain or maintain sufficiently rigid penile erection
What are the common 2 etiologies of ED?
Organic and psychogenic etiologies
ED may be a common sign of what disease?
Cardiovascular disease
Loss of libido in males may indicate a deficiency in what?
Androgen
Loss of erections may result from what?
Arterial, venous, neurogenic, hormonal or psychogenic causes
What is most common cause of ED?
Decrease in arterial flow from progressive vascular disease
What medications are associated with ED?
Antihypertensives, antidepressants and opioids
What is a fibrotic disorder that results in varying degrees of penile pain, curvature or deformity?
Peyronie disease
What is anejaculation?
Loss of seminal emission
What causes anejaculation?
Androgen deficiency
Sympathetic denervation
What labs and lab findings would you get with ED?
Lipid profile: evaluate for dyslipidemia
Glucose: DM
Testosterone: abnormalities in free testosterone and LH
When should testosterone test be done?
Between 0800-1000
What lifestyle mods should be done for ED?
Reduction of cardiovascular disease risk:
Smoking cessation
Reduce alcohol
Diet
Exercise
What is ED treatment based on?
Treating underlying conditions
Who manages hormonal replacement therapy for ED?
Urology
