Male Sexual and Erectile Dysfunction - Differential Diagnosis Algorithm
Erectile Dysfunction
- Psychological
• Performance Anxiety
• Lack of Sensate
• Focus
• Mood Disorder
• Anxiety Disorder
• Stress
• Guilt
• Interpersonal Issues
- Pharmacological
• Anti-hypertensives
• Anti-depressants
• Diuretics
• Benzodiazepines
• Alcohol
• Sympathomimetic Drugs (e.g. Cocaine, Amphetamines)
Chronic Disease
• Diabetes
• Cardiovascular Disease
• Connective Tissue Disease
- Neurological
• Stroke
• Spinal Cord Injury
• Multiple Sclerosis
• Dementia
• Polyneuropathy
- Physiological
• Hypotestosteronism
• Prolactinemia
• Hypothyroidism
• Hyperthyroidism
- Pelvis
• Trauma
• Pelvic Surgery
• Prostate Surgery
• Priapism
• Infection
• Bicycling
- Other
• Hypertension
• Dyspareunia
• Dialysis
- Physiological
• Hypotestosteronism
• Prolactinemia
• Hyper-estrogenism
• Hypothyroidism
• Hyperthyroidism
• Chronic Pain
- Pharmacological
• Anti-depressants
• Narcotics
• Anti-psychotics
• Anti-androgens
• Alcohol
• Benzodiazepines
• Hallucinogens
- Psychological
• Mood Disorders
• Anxiety Disorders
• Guilt
• Stress
• Interpersonal Issues (e.g. Lack of trust in partner)
• Psychosis/Delusions
• Previous psycho-social trauma '(e.g. Abuse)
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