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Diagnostic Criteria for the evaluation of Erectile Disfunction

Sexual Funcion and Related History
Description of erectile dysfunction

Age at onset and duration
Association with specific event
Progression (rapid vs. Gradual) of dysfunction
Quality of erections
Partial, unable to sustain
Frequency of dysfunction:
Mild(ocasional)
Moderate(often)
Complete absence
Setting of erectile dysfunction
Presence or absence of nocturnal erections
Presence or absence of dysfunction with different partners
Presence or absence of dysfunction with self pleasuring
Other sexual problems
(loss of libido, ejaculation problems)
Presence of chronic disease

Use of presecription, over-the-counter,
or recreational drugs
Cigarette smoking
Social issues
- Relationships
- Life stressors
Exprectations of patient and partner
Knowledge of sexual function
Medication Type
Antihypertensive
Medications

Diuretics
Thiazides
Spironolactone
Sympatholytics
Central agents
(methyldopa, clonidine)
Periphneral agents
(reserpine)
Alpha blockers
Beta blockers
(particularly E.D. Decreased libido
nonselective agents)
Calcium channel blockers




E.D. Decreased lidido.
E.D. Decreased lidido.

E.D. Decreased lidido.


Erectile dysfunction
E.D. Decreased lidido.
Erectile dysfunction
E.D. Decreased lidido.



E.D. Decreased lidido.
Psychiatric
Medications

Antipsycholic agents
Antidepressants
Trycyclic antidepresents
Monoamine oxidase
inhibitors
Selective serotonin
Reuptake inhibitors
Anxiolytic agents
Neuroleptics



Multiple phases of s. f.

E.D. Decreased libido

Multiple phases of s. f.

E.D. ejaculatory dysfun.

Decreased libido
Associated Conditions
Aging

Chronic disease
Diabetes mellitus
Heart disease
Hypertension
Lipid disorders
Renal failure
Liver disease
Vascular disease

Neurogenic causes
Spinal cord injury
Multiple sclerosis
Herniated disc

Penile injury/disease
Peyronie´s disesase
Priapism
Anatomic
Abnormalities

Medications
Endocrine
abnormalities
Hypogonadism
Hyperprolactinemia
Hypothyroidism/
Hyperthyroidism

Life style
Cigarette smoking
Chornic alcohol
Abuse

Psychologic issues
Depression
Anxiety
Social stress

Trauma/injury

Pelvic trauma
surgery

Pelvic radiation
Medication Type
Antidiandrogenic

Digoxin

Histamine H2 receptor
Blockers


E.D. decreased libido

E.D. decreased libido
Others

Alcohol
(Long-term
heavy use)

Ketoconazole

Niacin

Phenobarbital

Phenytoin


DE.D. decreased libido



E.D. decreased libido

Decreased libido

E.D. decreased libido

E.D. decreased libido
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