Onset & Progression-
Situations & Frequency-
- PE - BP / Pulse
- GU- Abdominal / Femoral Vascular Auscultation
EAS Contraction (S2-S4), Hypospadias, Phimosis, Hypogonadism, Prostate Size
DDx: Aging / Psychogenic/ Neurogenic /Vasculogenic / Iatrogenic / Hormonal etiologies
Suggestive of Hormonal: decreased libido, premature ejaculation, fatigue) and physical findings (e.g., testicular or muscular atrophy
CBC, BMP, UA, TSH, FLP, 1st Total T4, Prolactin.
If Total T4 <300 x2(<230 treated with Testosterone tend to show benefit.), Diagnose Hypogonadism & check LH & FSH (If high Primary Hypogonadism). Referral to Endrocrine may be appropriate.
- Treat Medical Conditions
- Modify Medication Therapy
PDF5-Inhibitors for diabetes mellitus and spinal cord injury, and of sexual dysfunction associated with antidepressants. A 9, 12, 17, 19–21 Additional therapy for erectile dysfunction may consist of psychosocial therapy and testosterone supplementation in men with hypogonadism. B 8, 13, 36 Testosterone supplementation in men with hypogonadism improves erectile dysfunction and libido.