Related Experiment Video
Updated: Jul 11, 2026
04:22
Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
Published on: May 30, 2025
Erectile dysfunction: clinical guidelines (2).
M R Safarinejad1, S Y Hosseini
1Urology/Nephrology Research Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran. safarinrjad@unrc.ir
Urology Journal
|October 5, 2007
Summary
Erectile dysfunction affects millions of men globally. This framework guides physicians in evaluating, treating, and following up on male patients with erectile dysfunction (ED) to improve quality of life.
Area of Science:
- Urology
- Men's Health
- Sexual Medicine
Background:
- Erectile dysfunction (ED) is a prevalent condition affecting over half of men over 40.
- ED is projected to impact 322 million men worldwide by 2025.
- It is linked to aging, chronic illnesses, and modifiable risk factors.
Purpose of the Study:
- To present a comprehensive framework for the evaluation, treatment, and follow-up of male patients with erectile dysfunction.
- To guide physicians in managing erectile dysfunction.
- To address the growing prevalence and healthcare costs associated with ED.
Main Methods:
- A comprehensive literature review was conducted.
- MEDLINE database was searched for articles from 1975 to 2004 on male sexual dysfunction.
- Pertinent articles were discussed to inform the framework.
Main Results:
- Significant advancements have been made in treating erectile dysfunction (ED).
- ED can stem from various factors including vasculogenic, neurogenic, hormonal, and psychogenic causes.
- Urologists play a key role in managing ED, coordinating multidisciplinary care.
Conclusions:
- Erectile dysfunction (ED) significantly impacts men's quality of life.
- A thorough medical and psychological evaluation, involving both partners, is essential for managing ED.
- Identifying and correcting risk factors is crucial for effective treatment.
Related Concept Videos
01:20Disorders of the Male Reproductive System
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...
01:28Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors
Phosphodiesterase 5 (PDE5) inhibitors are potent enzymes that function to hydrolyze cyclic nucleotides to their corresponding 5' monophosphates. Their unique biochemical properties have been applied in treating Pulmonary Arterial Hypertension (PAH).
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
01:29Gastroesophageal Reflux Disease II: Clinical Features and Management
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
01:17Male Sexual Response: Erection & Ejaculation
Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
01:08Effect of Hepatic Disease on Pharmacokinetics: Dose Adjustments Due to Hepatic Impairment
Hepatic impairment, characterized by decreased liver function, does not uniformly mandate adjustments in drug dosage. Whether dosage modifications are necessary depends on various factors related to the drug's metabolism and elimination pathways. If a drug is primarily excreted via the kidneys and bypasses significant hepatic processing, if it undergoes minimal metabolic transformation in the liver, or if it is volatile and primarily expelled through the lungs, dose adjustments may not be...
01:29Angina III: Clinical Manifestations and Assessment
Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...