Men's health

Question 1

What is the treatment for erectile dysfunction

Answer 1

LIFESTYLE ADVICE
* Reduced alcohol intake
* Stop smoking and replace with either nicotine patches or vaping to treat cessation
* Regular exercise (to reduce BMI)

DRUG TREATMENT
* Oral phosphodiesterase type-5 inhibitor

Question 2

What is the first-line drug prescribed for erectile dysfunction (include dosages)

Answer 2

On occasion…
* Sildenafil 50mg - 1hr before sex
* Avanafil 100mg - 15-30 minutes before sex

Frequent sexual activity (more than twice a week)
* Tadalafil 5mg OD

Question 3

How does Finasteride work ?

Answer 3

Finasteride is a 5a reductase inhibitor and blocks the conversion of testosterone to dihydrotestosterone.

Question 4

What are the treatment for male baldness ?

Answer 4

• Minoxidil 5% solution (private prescription)
• Minoxidil 5% scalp foam (private or OTC)
• Finasteride 1mg OD

Question 5

What are the treatment options for benign prostate hyperplasia

Answer 5

1. Watchful waiting
2. Surgical options
   * Transurethral incision of the prostate (TUIP)
   * Transurethral resection of the prostate (TURP)
3. Drug treatment
   * Offer Tamsulosin (relaxes bladder) to men with mod-severe symptoms.
   * Offer Finasteride if >30g and at high risk of progression

Question 6

Summarise the IPSS scores

Answer 6

• 1-7 = mild
• 8-19 = moderate
• 20-35 = severe