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ERECTILE DYSFUNCTION LUCY NNEOMA NWAEKE #1011 MD4

Intro Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

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Page 1: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

ERECTILE DYSFUNCTION

LUCY NNEOMA NWAEKE#1011 MD4

Page 2: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

Intro

Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual intercourse.

It has a significant impact on quality of life

Page 3: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual
Page 4: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

Signs and symptoms

Erectile dysfunction symptoms may include persistent:

Trouble getting an erection

Trouble keeping an erection

Reduced sexual desire

Page 5: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

causes

Neurogenic: spinal cord and brain injuries

parkinson’s

alzheimer’s

multiple sclerosis

stroke Hormonal: pituitary gland tumors

low levels of testosterone

Page 6: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

Arterial: peripheral vascular disease

HTN

decreased BF to the penis

carvasonal: peyronie’s disease

Surgery: radiation therapy

prostate and bladder surgery cancer surgery

surgery of the colon

Page 7: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

Aging

Alcohols

Drugs

Obesity cigarette smoking

Page 8: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

Physiological causes: anxiety

depression

relationship problems

mental disorders

Page 9: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

Risk factors

Medical conditions

Using tobacco

Overweight

Certain medical treatment

injuries

Medications

Psychological conditions

Drug and alcohol abuse

Page 10: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

complications

An unsatisfactory sex life

Stress or anxiety

Embarrassment or low self-esteem

Marital or relationship problems

The inability to get your partner pregnant

Page 11: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual
Page 12: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

Tests and diagnosis

Physical examination

Blood tests

Urine tests

Ultrasound

Overnight erection test (NPT)

Psychological exam

Penile angiogram

MRA

Page 13: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

treatment

Sildenafil (Viagra)

Tadalafil (Cialis)

Vardenafil (Levitra, Staxyn)

Page 14: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

Other treatments

Alprostadil penis suppository

Alprostadil self-injection

Testosterone replacement therapy

BEFAR

penile pumps

Penile implants

Hormone treatment

Blood vessel surgery

counselling

Page 15: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

Alternative treatment

Korean red ginseng (Panax ginseng)

Dehydroepiandrosterone (DHEA)

L-arginine

Acupuncture

Herbal viagra

Page 16: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

Quit smoking

Loose weight

Get regular exercise

Get treatment for drug and alcohol problems

Work through relationship issues

Page 17: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

Clinical case

a 56-year-old man who presents to his family physician for follow-up of hypertension control. During his history, he reports significant erectile dysfunction (ED) that has progressed over the past 8 months. This has been distressing to him and to his wife and has caused significant marital strife. He has been treated for hypertension for 4 to 5 years and is currently taking a combination of hydrochlorothiazide and atenolol with good blood pressure control..

Page 18: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual

His past history includes obesity and a sedentary lifestyle. His blood pressure is moderately controlled (146/92 mm Hg). At 69 inches tall, he weighs 248 pounds

He reports no morning erections, nocturnal erections, or spontaneous erections satisfactory for vaginal penetration. He has normal ejaculatory function pain or hematospermia. Physical examination is normal with normal genitalia, prostate examination, but a rotund abdomen that is nontender.

Page 19: Intro  Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection that is sufficient for satisfactory sexual