Erectile dysfunction (ED) is one of the most common conditions affecting middle-aged and older men. Nearly every primary care physician, internist, and geriatrician will be called upon to manage this condition or to make referrals to urologists, endocrinologists, and cardiologists who will assist in the treatment of ED. This article will briefly discuss the diagnosis and management of ED. In addition, emerging concepts in ED management will be discussed, such as the use of testosterone to treat ED, the role of the endothelium in men with ED and treating the partner of the man with ED. Finally, future potential therapies for ED will be discussed.

FAqs:

IT’S EMBARRASSING TO TALK TO MY DOCTOR, WHAT SHOULD I DO?

It’s natural to feel uncomfortable talking about sexual problems. It’s important to remember that your doctor is a trained professional and only wants to help. Having your partner with you at the visit may help ease some of the concern, and he/she may have questions for your doctor as well. 

WHAT IS AN INTRA-CAVERNOSAL INJECTION?

Intraurethral suppositories are injections that go directly to the corpora cavernosa, located on the upper sides of the penis. There are several different drugs available, and many doctors prefer to use a combination because there are fewer side effects. These injections can be painful and may lead to fibrosis or scarring of the cavernosa.

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