Erectile Dysfunction

Question 1

Erectile Dysfunction Epidemiology

Answer 1

-High prevalence

Question 2

Erectile Dysfunction RFs

Answer 2

-Similar to CVD

Question 3

Erectile Dysfunction Aetiology

Answer 3

Organic

• Vascular (CVD, atherosclerosis, HTN, DM, smoking)
• Central, neurological (Parkinson’s, MS, tumours, cerebrovascular disease)
• Peripheral neurological (polyneuropathy)
• Hormonal (hypogonadism, Hyperprolactinaemia, thyroid disease)
• Drugs (aHTN, BBs, diuretics, antidepressants, antipsychotics)
• Psychogenic causes

Question 4

Erectile Dysfunction Invesitgations

Answer 4

• Fasting glucose
• Morning testosterone
• FSH, LH and prolactin if low
• Nocturnal, vascular, neurological, endocrine and psychodiagnostic evaluation

Question 5

Erectile Dysfunction Management

Answer 5

• Treat cause
• Treat RFs
• Phosphodiesterase inhibitors
• Topical treatments