Erectile dysfunction (ED) is common and can be related to vascular, metabolic, hormonal, neurological, medication, psychological or relationship factors. A proper assessment can identify treatable contributors.
Assessment may include medical and sexual history, medication review, examination and selected laboratory tests. Cardiovascular and metabolic risk factors may also be relevant.
Treatment is individualized. Depending on the cause, options may include lifestyle changes, treatment of underlying conditions, medicines and selected advanced therapies.
PE is common and treatable. Assessment helps distinguish lifelong from acquired symptoms and identify associated factors.
Sexual-health consultations are handled as medical consultations; patients should feel able to discuss symptoms openly.
Men with persistent ED despite appropriate conservative treatment may require discussion of additional options, including penile implant evaluation in suitable cases.
Treatment decisions are individualized after appropriate clinical assessment.
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