Male Sexual Response (Nace)

Question 1

What are the two types of stimulation that can cause erection?

Answer 1

1. Psychogenic - via CENTRAL stimulus

2. Reflex - via TACTILE (sacral reflex arc)

Question 2

What are the two absolutes needed to get an erection?

Answer 2

1. Adequate Bloodflow

2. Sufficient Levels of NO synthase

Question 3

What nerves are involved in the 3 parts of ejaculation?

Answer 3

Point - Parasympathetic - Pelvic n.
Squeeze - Sympathetic - Hypogastric n.
Shoot - Sympathetic - Pudendal n.

Question 4

ED may be an early warning sign of CV events soon to come. Why is this?

Answer 4

Pts. who get ED often have many CV risk factors like DM, Smoking, HTN, Dyslipidemia, Medication use

Question 5

What defines premature ejaculation?

Answer 5

Brief Latency of Ejaculation - less than 1 min of intercourse
Lack of control of Ejaculation
Psychological distress to patient or partner

Question 6

What should you suspect in hematospermia in a man under 40?

Answer 6

Gonorrhea or Chlamydia infection (40% of the time)

Question 7

What should you suspect in hematospermia in older men?

Answer 7

Prostate Cancer