Case history
Case history #1
A 60-year-old man presents with frequent inability to maintain an erection for intercourse. He has a history of hypertension and diet-controlled type 2 diabetes mellitus. His medications include hydrochlorothiazide, lisinopril, and aspirin. He quit smoking 2 years ago, rarely exercises, and is married in a stable relationship.
Case history #2
A 56-year-old man presents with the inability to obtain a full erection 6 months following radical retropubic prostatectomy for localized prostate cancer. He is otherwise healthy. He has regained continence and continues on active surveillance for his cancer with no evidence of recurrence.
Other presentations
Patients are generally reluctant to initiate a discussion regarding their sexual dysfunction with their healthcare provider, but if questioned by their doctor would be willing to discuss the problem.[4] Given the high prevalence of the condition and that it may occur in the absence of comorbid conditions, screening should take place as part of routine health assessment. ED can also present as a complication of use of common medications, depression/psychiatric disorders, traumatic injury to the spinal cord, genitals, or pelvis, or conditions that specifically relate to sexual dysfunction (premature ejaculation, Peyronie disease).
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