EpistemisErectile dysfunction
Specialty: Nephrology and urology.
Why it occurs
- Vascular (diabetes, atherosclerosis)
- Neurogenic
- Hormonal (hypogonadism)
- Psychogenic
- Drugs
Initial workup
Cardiovascular profile, blood glucose, morning testosterone; review drugs.
red flags
Erectile dysfunction can be the first sign of cardiovascular disease → assess cardiovascular risk.
Standard management
- PDE5 inhibitors (sildenafil) — 1st line (contraindicated with nitrates)
- Treat the cause — cardiovascular/hormonal control
Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.
- Area
- Nephrology and urology
- Listed causes
- 5
- Treatment options
- 2