Erectile Dysfunction







Introduction

Erectile dysfunction (ED)is a common condition affecting 52% of men age 40-70 (10% with complete; 25% with moderate and 17% with minimal ED)

ED is a marker of underlying organic disease including:

  • Atherosclerosis (CAD,PVD, cerebrovascular disease)
  • Hypertension
  • Diabetes
  • Renal or hepatic failure
  • Hyper or hypothyroidism, hypogonadism, hyperprolactinemia
  • Alzheimer’s disease, multiple sclerosis
  • Depression
  • Spinal injury, autonomic dysfunction
  • Post urologic surgery

Medications may be implicated in ED. These include:

  • Anti-hypertensives
  • Anti-depressants
  • Hormones
  • Tranquilizers
  • Alcohol
  • Smoking
  • Diet

Viagra (sildenafil) has been released to the Canadian market .Other similar medications are forthcoming. These will have a significant impact on our practises. We all can expect to see many patients who will ask for the medication or who wish to be informed of the safety and suitability of this agent in their case. Many patients might have manifest or occult coronary artery disease. In this context it is important that we are all well versed in the cardiovascular implications of sexual intercourse and medications such as Viagra used to treat ED.

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  Version 2.0, July 2004
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