Related Experiment Video
Updated: May 22, 2026

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
Published on: May 30, 2025
Erectile dysfunction as an initial presentation of diabetes discovered by taking sexual history
Nobutaka Hirooka1, Daniel P Lapp
1University of Pittsburgh Family Medicine, Faculty Development Fellowship (UPMC Shadyside), Pittsburgh, Pennsylvania, USA. hirookan@upmc.edu
Abstract:
This case, as an important clinical reminder, will illustrate improvement of a patient's quality of life and care in chronic diseases through sexual history taking in the primary care setting. The case report also includes recommended investigation for erectile dysfunction (ED). Family physicians need to maintain awareness of sexual dysfunction as part of the history taking during a general medical investigation to avoid leaving sexual issues untreated including ED. If left untreated, ED can lead to psychological trauma, frustration and lower self-esteem. Additionally, ED is associated with major comorbidities such as cardiovascular disease, hypertension, dyslipidaemia, psychological conditions and diabetes mellitus. Thus, appropriately identifying this medical condition may lead prompt diagnoses and treatment of other major diseases.
Related Concept Videos
Type I Diabetes III: Clinical Manifestations
Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis
Disorders of the Male Reproductive System
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...
Diabetes: Symptoms, Diagnosis, and Complications
Diabetic Retinopathy
Diabetes Insipidus I: Introduction