ExcelMale
Menu
Home
What's new
Latest activity
Forums
New posts
Search forums
What's new
New posts
Latest activity
Videos
Lab Tests
Doctor Finder
Buy Books
About Us
Men’s Health Coaching
Log in
Register
What's new
Search
Search
Search titles only
By:
New posts
Search forums
Menu
Log in
Register
Navigation
Install the app
Install
More options
Contact us
Close Menu
Forums
General Health & Fitness
Health & Wellness
Evaluation of the Male with Erectile Dysfunction
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Reply to thread
Message
<blockquote data-quote="madman" data-source="post: 274971" data-attributes="member: 13851"><p><strong>37.1 Introduction</strong></p><p></p><p><em><strong>The evaluation of the male who presents with erectile dysfunction (ED) can be one the most impactful visits in the long-term health of the patient.</strong> <strong>As illustrated in this chapter, ED has a number of important implications for overall men’s health. </strong>ED may be the only symptom that convinces a man to seek medical advice, which he may have avoided for many decades. This can be described as a “delicate” or “sensitive” topic for many men as feelings of masculinity, vitality, and self-worth are often wrapped up in sexual performance. Furthermore, cultural norms have served to stifle open discussion of mores and sexual function. The issue of penetrative sex or intercourse is rarely discussed by men. <strong>It is important to remember that a man presenting to a physician’s office with ED may have needed to build up a significant amount of courage to come forward, often not only needing to speak to the provider performing the evaluation but also a number of other staff including call centers, schedulers, medical assistants, nurses, etc</strong>. <strong>The goal of the ED evaluation is to elucidate the emotional and physical well-being of the patient and to provide a safe and comfortable environment that allows the clinician to perform a proper and complete evaluation. <u>Moreover, we have found many patients lack an understanding of the etiology of their ED, and part of the evaluation should include detailed patient education on how lifestyle and medical comorbidities contribute to ED</u>.</strong></em></p><p></p><p></p><p></p><p></p><p><strong><em>37.1.1 Epidemiology</em></strong></p><p><strong><em>37.1.2 Public Health Implications</em></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong>37.2 Initial Detection</strong></p><p><em>37.2.1 Screening</em></p><p><em>37.2.2 Sexual History</em></p><p><em>37.2.3 Questionnaires</em></p><p></p><p></p><p></p><p></p><p><strong>37.3 Medical History</strong></p><p><em>37.3.1 Comorbidities and Medications</em></p><p><em>37.3.2 Social History/Lifestyle Factors</em></p><p></p><p></p><p></p><p></p><p><strong>37.4 Physical Exam</strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong>37.5 Diagnostic Testing</strong></p><p><em>37.5.1 Laboratory Evaluation</em></p><p><em>37.5.2 Penile Function Evaluation</em></p><p><em>37.5.3 Cardiac Risk Assessment</em></p><p><em>37.5.4 Psychological Evaluation</em></p><p></p><p></p><p></p><p></p><p><strong>37.6 Conclusions</strong></p><p></p><p><em><strong><u>Evaluating the male with ED includes a detailed and comprehensive patient history and a focal physical exam</u>. Attention should be paid to the development of a therapeutic relationship with the patient and with consideration paid to a shared decision-making process. Evaluation should be performed in a nonjudgmental atmosphere. This will allow the patient to freely express the nature and extent of his ED and will allow for a more comprehensive treatment plan of available options and therapeutics. The physician–patient relationship should not be diminished, as this rapport will allow for a strong bond and a foundation for which to introduce, emphasize, and support the lifestyle changes that often drive ED and can improve it over time. This results in motivated patients who are committed and responsive to suggestions of regular exercise, efforts at weight loss, healthy eating, and smoking cessation.</strong></em></p><p><em><strong></strong></em></p><p><em><strong><u>Of utmost importance is the evaluation of cardiac risk factors</u>. For many men, seeking care after the development of ED might be their first encounter with the healthcare system since their childhood. <u>A properly balanced assessment will result in important long-term implications for the overall health of the patient and future morbidity</u>. This is a unique opportunity to intervene in a patient’s health and put them on a path to improved health and well-being.</strong></em></p></blockquote><p></p>
[QUOTE="madman, post: 274971, member: 13851"] [B]37.1 Introduction[/B] [I][B]The evaluation of the male who presents with erectile dysfunction (ED) can be one the most impactful visits in the long-term health of the patient.[/B] [B]As illustrated in this chapter, ED has a number of important implications for overall men’s health. [/B]ED may be the only symptom that convinces a man to seek medical advice, which he may have avoided for many decades. This can be described as a “delicate” or “sensitive” topic for many men as feelings of masculinity, vitality, and self-worth are often wrapped up in sexual performance. Furthermore, cultural norms have served to stifle open discussion of mores and sexual function. The issue of penetrative sex or intercourse is rarely discussed by men. [B]It is important to remember that a man presenting to a physician’s office with ED may have needed to build up a significant amount of courage to come forward, often not only needing to speak to the provider performing the evaluation but also a number of other staff including call centers, schedulers, medical assistants, nurses, etc[/B]. [B]The goal of the ED evaluation is to elucidate the emotional and physical well-being of the patient and to provide a safe and comfortable environment that allows the clinician to perform a proper and complete evaluation. [U]Moreover, we have found many patients lack an understanding of the etiology of their ED, and part of the evaluation should include detailed patient education on how lifestyle and medical comorbidities contribute to ED[/U].[/B][/I] [B][I]37.1.1 Epidemiology 37.1.2 Public Health Implications[/I] 37.2 Initial Detection[/B] [I]37.2.1 Screening 37.2.2 Sexual History 37.2.3 Questionnaires[/I] [B]37.3 Medical History[/B] [I]37.3.1 Comorbidities and Medications 37.3.2 Social History/Lifestyle Factors[/I] [B]37.4 Physical Exam 37.5 Diagnostic Testing[/B] [I]37.5.1 Laboratory Evaluation 37.5.2 Penile Function Evaluation 37.5.3 Cardiac Risk Assessment 37.5.4 Psychological Evaluation[/I] [B]37.6 Conclusions[/B] [I][B][U]Evaluating the male with ED includes a detailed and comprehensive patient history and a focal physical exam[/U]. Attention should be paid to the development of a therapeutic relationship with the patient and with consideration paid to a shared decision-making process. Evaluation should be performed in a nonjudgmental atmosphere. This will allow the patient to freely express the nature and extent of his ED and will allow for a more comprehensive treatment plan of available options and therapeutics. The physician–patient relationship should not be diminished, as this rapport will allow for a strong bond and a foundation for which to introduce, emphasize, and support the lifestyle changes that often drive ED and can improve it over time. This results in motivated patients who are committed and responsive to suggestions of regular exercise, efforts at weight loss, healthy eating, and smoking cessation. [U]Of utmost importance is the evaluation of cardiac risk factors[/U]. For many men, seeking care after the development of ED might be their first encounter with the healthcare system since their childhood. [U]A properly balanced assessment will result in important long-term implications for the overall health of the patient and future morbidity[/U]. This is a unique opportunity to intervene in a patient’s health and put them on a path to improved health and well-being.[/B][/I] [/QUOTE]
Insert quotes…
Verification
Post reply
Share this page
Facebook
X (Twitter)
Reddit
Pinterest
Tumblr
WhatsApp
Email
Share
Link
Sponsors
Forums
General Health & Fitness
Health & Wellness
Evaluation of the Male with Erectile Dysfunction
This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
By continuing to use this site, you are consenting to our use of cookies.
Accept
Learn more…
Top