ED is defined as the inability to achieve an erection that is adequate for intercourse. Supplement Keywords Erectile dysfunction Tadalafil 2005 WPMH GmbH. Published by Elsevier Ireland Ltd. Vol. 2, No. 1, pp. 141–157, March 2005 143 ED is generally a patient-driven diagnosis, determined by taking a careful medical history. There are no specific laboratory tests that clinically diagnose the presence or absence of ED.
Sunday, November 27, 2011
Tuesday, November 22, 2011
How should men with ED be evaluated prior to therapy?
Except in rare circumstances, the initial evaluation of men does not impact what will be offered for treatment. Rather, screening aims to identify comorbid cardiovascular disease, diabetes, hyperlipidemia, hypertension, hypogonadism, and depression, all of which merit intervention in their own right. Because most men with ED have a disproportionate burden of comorbidities, it is considered appropriate to measure lipids and glucose after an overnight fast, and to record blood pressure to screen for treatable conditions. SinceEDmay bemedication-induced, screening for concomitant administration of possible causative medicines (eg., thiazide diuretics, beta blockers, serotonin-selective reuptake inhibitors (SSRIs), alpha-reductase inhibitors, and aldosterone antagonists) is important [3–8]. Hypogonadism is an uncommon cause of ED (causative in less than 5% of ED cases). Testosterone testing is of utility in men with low libido. In such men initial screening with a morning total testosterone is reasonable, to be followed with a repeat morning total testosterone and free testosterone if the initial screen is below normal or in the low normal range. The practice of measuring testosterone in men with intact libido has been reported to not be cost-effective .
Optimizing Tadalafil Therapy - Introduction
Erectile dysfunction (ED) is a topic of considerable importance to men’s health. In men with cardiovascular disease and diabetes mellitus especially, ED is increasingly being recognized as a comorbid condition. ED is a treatable condition, but some treatment options—sex therapy, implants, vacuum devices, intracavernosal injections, and herbal medications and creams—could be time consuming, painful, awkward, or of questionable efficacy. The advent of oral phosphodiesterase 5 (PDE5) inhibitors has revolutionized the treatment of men with ED.
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