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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

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[Management of sexual dysfunction in patients with coronary heart disease]

François Philippe1

  • 1Département de pathologie cardiaque, Institut mutualiste, Montsouris, Paris. francois.philippe@imm.fr

Presse Medicale (Paris, France : 1983)
|October 10, 2003
PubMed

Insights

For men over 55 with coronary heart disease, sexual activity is possible if a stress test is negative. Sildenafil is safe for erectile dysfunction in these patients when contraindications are respected.

Area of Science:

  • Cardiology
  • Sexual Medicine

Context:

  • Coronary heart disease (CHD) patients are often males over 55.
  • Sexual activity and erectile dysfunction (ED) are key considerations in CHD management.
  • Assessing risks associated with sexual activity is crucial.

Purpose:

  • To evaluate the safety and efficacy of treatments for erectile dysfunction in patients with coronary heart disease.
  • To provide guidance on managing sexual activity in older men with CHD.
  • To review the risks and benefits of phosphodiesterase-5 inhibitors in this population.

Summary:

  • A negative maximal stress test can rule out recurrent coronary ischemia during sexual intercourse.
  • Sildenafil demonstrates good hemodynamic and coronary tolerance in CHD patients when contraindications are observed.
  • Combination therapy with sildenafil and nitrate derivatives is contraindicated due to hypotension risk.

Impact:

  • Informs clinical practice regarding the safety of sexual activity for men with CHD.
  • Provides evidence-based recommendations for managing erectile dysfunction in cardiac patients.
  • Supports the development of tailored therapeutic strategies based on patient risk stratification.
Abstract

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