Diagnosis of ED: History
Detailed sexual and medical history, including:
Nature and frequency of ED
Risk factors for ED, eg:
Concurrent disease
Drug abuse
Psychiatric illness
Risk Factors for ED
Hypertension
Hyperlipidemia
Hypogonadism
Endocrine disorders
Smoking
Alcohol abuse
Trauma or surgery to the pelvis or spine
Depression
Drug abuse
Anemia
Vascular disease
Peyronie’s disease
Vascular surgery
Drugs Associated with ED
Alcohol
Estrogens
Antiandrogens
H2 receptor blockers
Anticholinergics
Ketoconazole
Antidepressants
Marijuana
Antihypertensives
Narcotics
ß-blockers
Psychotropics
Cigarettes
Cocaine
Spironolactone
Lipid-lowering agents
NSAIDs
Cytotoxic drugs
Diuretics
Diagnosis of ED: Physical Examination
Assessment of secondary male sexual characteristics
Femoral and lower extremity pulses
Focused neurologicexamination
Perianal sensation
Sphincter tone
Bulbocavernosus reflex
Examination of penile vasculature
Evaluation of prostate size by digital rectal exam
Detection of Peyronie’s plaques
Laboratory Tests
Morning serum testosterone specimen
Serum prolactin
Tests for other systemic disease:
Complete blood count
Urinalysis
Serum creatinine
Glucose
Lipid profile
Thyroid function tests
Special Tests: Indications
Vasoactive agent injection
Intracavernosal injection therapy
Penile prosthesis implantation
Vascular surgery
Nocturnal penile tumescence, eg, Snap-Gauge, Rigiscan
Screen for psychogenic vs organic ED
Duplex ultrasonography
Vascular surgery
Post Workup Patient Management
Patient education
Assessment of etiology and discussion of treatment options
Lifestyle modification: Diet and exercise; stress reduction; alcohol, smoking, and illicit drug use if an issue
Trial of chosen therapy
Treatment Options for ED:
Oral medications at online canadian pharmacy
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Cialis – Cialis, or Super Viagra, is used to treat erectile dysfunction, more commonly known as impotence. A man is impotent if he cannot achieve or sustain an erect penis for sexual activity.
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Levitra – LEVITRA is a new FDA-approved oral prescription medication for the treatment of erectile dysfunction (ED) in men
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