Sexual health Flashcards
what is erectile dysfunction
inability to achieve or maintain an erection sufficient for satisfactory sexual performance
Most common cause of erectile dysfunction
vascular disease- atherosclerosis impairing blood flow
causes or erectile dysfunction
autonomic neuropathy
neurogenic central causes- parkinsons, ms, stroke
medications- hypertensives, diuretics, antidepressants, anti-cholinergics, antipsychotics
endocrine causes- prolactinoma, hypogonadism
pelvic surgery
anatomical abnormalities (Peyronie’s disease)
psychogenic causes- damage to nerves and blood vessesl
Treatment of erectile dysfunction
- lifestyle changes (e.g. weight loss, reduce alcohol, exercise)
- psychosexual therapy
- oral phosphodiesterase inhibitors like sildenafil (increase blood flow to the penis)
- vacuum aiids
- intra-cavernosal injections
- penile prosthesis
SE of sildenafil
headache, flushing, hypotension, blue tinge to vision
contraindications for sildenafil
individuals who take nitrates
hypertension or hypotension
arrhythmias
unstable angina
stroke
recent MI
what is a rare and serious complication of sildenafil
priapism
what is the mechanism of the drug mainly used to treat erectile dysfunction
phosphodiesterase inhibitor
