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Updated: May 14, 2026

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

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

Published on: May 30, 2025

Discussing sexual function in the cardiology practice.

M P J Nicolai¹, S Both, S S Liem

¹Department of Urology, Leiden University Medical Center, J3P, PO Box 9600, 2300 WB Leiden, The Netherlands. mpjnicolai@lumc.nl

Clinical Research in Cardiology : Official Journal of the German Cardiac Society

|February 9, 2013

Summary

Cardiologists rarely discuss sexual dysfunction with patients due to time constraints and lack of training. Improving this communication is crucial for cardiovascular patient care.

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Last Updated: May 14, 2026

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

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

Published on: May 30, 2025

Area of Science:

Cardiology
Sexual Medicine
Public Health

Background:

Sexual dysfunction is common in cardiovascular disease patients.
Erectile dysfunction shares risk factors with coronary artery disease.
Fear of cardiovascular events impacts patient sexual lives.

Purpose of the Study:

To assess cardiologists' attitudes and practices regarding sexual dysfunction discussions.
To identify barriers to addressing sexual health in cardiology practice.

Main Methods:

Anonymous 31-item questionnaire mailed to 980 Dutch cardiologists.
Addressed awareness, knowledge, and practice patterns of sexual dysfunction in cardiac patients.

Main Results:

53.9% response rate; only 16% regularly discuss sexual function.
Most cardiologists advise against resuming sexual activity post-myocardial infarction.
Lack of time, training, and patient initiative are key barriers.

Conclusions:

Sexual health is not routinely addressed in cardiology practice.
Ambiguity in responsibility, time, training, and experience hinder discussions.
A referral directory for sexual healthcare professionals is desired by cardiologists.