Urology: E.D Flashcards
1
Q
What is the first line pharmacological treatment for E.D?
A
- phosphodiesterase-5 inhibitors (e.g. sildenafil)
2
Q
What are the contraindications to phosphodiesterase-5 inhibitors?
A
- nitrate prescription (e.g ISMN)
- patients in whom sexual activity is not advised
- non-arthritic optic neuropathy
- retinal degeneration
- ketoconazole/itraconazole in combo with vardenafil
- heart failure and uncontrolled arrhythmia/HTN (taldalafil only)
3
Q
Which single lifestyle change is most likely to increase fertility?
A
Reducing BMI to below 30
Those who have a BMI over 29 should be informed they are likely to have reduced fertility.
4
Q
Which classes of medications can cause erectile dysfunction?
A
- Anti-depressants
- Anti-hypertensives
- Cardiac drugs
- Diuretics
- Hormonal
- Histamine receptor 2 antagonists
- Recreational drugs
