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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Italian Scientific Societies, guidelines on the diagnosis and management ED
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<blockquote data-quote="madman" data-source="post: 244287" data-attributes="member: 13851"><p><em><strong>Recommendation #2.</strong> We recommend investigating the sexual function and ruling out erectile dysfunction in all patients with systemic diseases, especially in those with organ failure <strong>(Good clinical practice).</strong></em></p><p><em><strong></strong></em></p><p><em><strong><em><strong>Recommendation #17.</strong></em></strong><em> All patients treated with anti-androgenic drugs must be informed about possible negative effects on erectile function</em><strong><em><strong> (Good Clinical Practice).</strong></em></strong></em></p><p><em><strong><em><strong></strong></em></strong></em></p><p><em><strong><em><strong><em><strong>Recommendation #26. </strong></em></strong></em></strong><em><em>We recommend considering nonorganic and organic risk factors always jointly and in their entirety</em></em><strong><em><strong><em> <strong>(Good Clinical Practice).</strong></em></strong></em></strong></em></p><p><em><strong><em><strong><em><strong></strong></em></strong></em></strong></em></p><p><em><strong><em><strong><em><strong><em><strong>Recommendation #29.</strong></em></strong></em></strong></em></strong><em><em><em> We recommend considering the partner and her/his sexual dysfunctions as direct or indirect risk factors for erectile dysfunction</em></em></em><strong><em><strong><em><strong><em> <strong>(Good Clinical Practice).</strong></em></strong></em></strong></em></strong></em></p><p><em><strong><em><strong><em><strong><em><strong></strong></em></strong></em></strong></em></strong></em></p><p><em><strong><em><strong><em><strong><em><strong><em><strong>Recommendation #31.</strong></em></strong></em></strong></em></strong></em></strong><em><em><em><em> We suggest investigating the presence of erectile dysfunction in the workup of couple infertility, particularly when undergoing assisted reproduction techniques</em></em></em></em><strong><em><strong><em><strong><em><strong><em><strong> (Good Clinical Practice).</strong></em></strong></em></strong></em></strong></em></strong></em></p><p><em><strong><em><strong><em><strong><em><strong><em><strong></strong></em></strong></em></strong></em></strong></em></strong></em></p><p><em><strong><em><strong><em><strong><em><strong><em><strong><em>Recommendation #32. </em></strong></em></strong></em></strong></em></strong></em></strong><em><em><em><em><em>We recommend against the use of the redundant and stigmatizing term «psychogenic» for patients with non-organic, or idiopathic, erectile dysfunction. </em></em></em></em></em><strong><em><strong><em><strong><em><strong><em><strong><em><strong>(Expert opinion).</strong></em></strong></em></strong></em></strong></em></strong></em></strong></em></p><p><em><strong><em><strong><em><strong><em><strong><em><strong><em><strong></strong></em></strong></em></strong></em></strong></em></strong></em></strong></em></p><p><em><strong><em><strong><em><strong><em><strong><em><strong><em><strong>Recommendation #33.</strong> </em></strong></em></strong></em></strong></em></strong></em></strong><em><em><em><em><em>We recommend against the “exclusion diagnosis”, as it is not evidence-based, of erectile dysfunction.</em></em></em></em></em><strong><em><strong><em><strong><em><strong><em><strong><em><strong> (Good clinical practice).</strong></em></strong></em></strong></em></strong></em></strong></em></strong></em></p><p><em><strong><em><strong><em><strong><em><strong><em><strong><em><strong></strong></em></strong></em></strong></em></strong></em></strong></em></strong></em></p><p><em><strong><em><strong><em><strong><em><strong><em><strong><em><strong><em><strong>Recommendation #34.</strong> </em></strong></em></strong></em></strong></em></strong></em></strong></em></strong><em><em><em><em><em><em>We suggest considering subclinical erectile dysfunction as a taxonomic entity deserving of clinical attention</em></em></em></em></em></em><strong><em><strong><em><strong><em><strong><em><strong><em><strong><em><strong> (Expert Opinion).</strong></em></strong></em></strong></em></strong></em></strong></em></strong></em></strong></em></p><p><em><strong><em><strong><em><strong><em><strong><em><strong><em></em></strong></em></strong></em></strong></em></strong></em></strong></em></p><p><em><strong><em><strong><em><strong><em><strong><em><strong><em>Recommendation #43.</em> </strong></em></strong></em></strong></em></strong></em></strong><em><em><em><em><em>We suggest educational, psychological, psycho-sexological, and marital assessment in all patients with ED</em></em></em></em></em><strong><em><strong><em><strong><em><strong><em><strong><em><strong> (Good clinical practice).</strong></em></strong></em></strong></em></strong></em></strong></em></strong></em></p><p><em><strong><em><strong><em><strong><em><strong><em><strong><em><strong></strong></em></strong></em></strong></em></strong></em></strong></em></strong></em></p><p><em><strong><em><strong><em><strong><em><strong><em><strong><em><strong><em>Recommendation #56.</em></strong></em></strong></em></strong></em></strong></em></strong></em></strong><em><em><em><em><em><em> We suggest considering psychoanalysis as a therapeutical option in selected patients in whom other therapeutic approaches for erectile dysfunction have failed </em></em></em></em></em></em><strong><em><strong><em><strong><em><strong><em><strong><em><strong><em><strong>(Expert opinion).</strong></em></strong></em></strong></em></strong></em></strong></em></strong></em></strong></em></p><p><em></em></p><p><em><em><em><em><em><em><em><strong>Recommendation #60.</strong> We suggest a combination of chronic and on-demand PDE5i in patients not responding to conventional therapy <strong>(Expert Opinion).</strong></em></em></em></em></em></em></em></p><p><em><em><em><em><em><em><em></em></em></em></em></em></em></em></p><p><em><em><em><em><em><em><em><em><strong>Recommendation #61.</strong> We recommend against the use of counterfeit PDE5i <strong>(Good clinical practice).</strong></em></em></em></em></em></em></em></em></p><p><em><em><em><em><em><em><em><em><strong></strong></em></em></em></em></em></em></em></em></p><p><em><em><em><em><em><em><em><em><strong>Recommendation #62.</strong> No sufficient evidence to recommend nutritional supplements is currently available.</em></em></em></em></em></em></em></em></p></blockquote><p></p>
[QUOTE="madman, post: 244287, member: 13851"] [I][B]Recommendation #2.[/B] We recommend investigating the sexual function and ruling out erectile dysfunction in all patients with systemic diseases, especially in those with organ failure [B](Good clinical practice). [I][B]Recommendation #17.[/B][/I][/B][I] All patients treated with anti-androgenic drugs must be informed about possible negative effects on erectile function[/I][B][I][B] (Good Clinical Practice). [I][B]Recommendation #26. [/B][/I][/B][/I][/B][I][I]We recommend considering nonorganic and organic risk factors always jointly and in their entirety[/I][/I][B][I][B][I] [B](Good Clinical Practice). [I][B]Recommendation #29.[/B][/I][/B][/I][/B][/I][/B][I][I][I] We recommend considering the partner and her/his sexual dysfunctions as direct or indirect risk factors for erectile dysfunction[/I][/I][/I][B][I][B][I][B][I] [B](Good Clinical Practice). [I][B]Recommendation #31.[/B][/I][/B][/I][/B][/I][/B][/I][/B][I][I][I][I] We suggest investigating the presence of erectile dysfunction in the workup of couple infertility, particularly when undergoing assisted reproduction techniques[/I][/I][/I][/I][B][I][B][I][B][I][B][I][B] (Good Clinical Practice). [I]Recommendation #32. [/I][/B][/I][/B][/I][/B][/I][/B][/I][/B][I][I][I][I][I]We recommend against the use of the redundant and stigmatizing term «psychogenic» for patients with non-organic, or idiopathic, erectile dysfunction. [/I][/I][/I][/I][/I][B][I][B][I][B][I][B][I][B][I][B](Expert opinion). Recommendation #33.[/B] [/I][/B][/I][/B][/I][/B][/I][/B][/I][/B][I][I][I][I][I]We recommend against the “exclusion diagnosis”, as it is not evidence-based, of erectile dysfunction.[/I][/I][/I][/I][/I][B][I][B][I][B][I][B][I][B][I][B] (Good clinical practice). [I][B]Recommendation #34.[/B] [/I][/B][/I][/B][/I][/B][/I][/B][/I][/B][/I][/B][I][I][I][I][I][I]We suggest considering subclinical erectile dysfunction as a taxonomic entity deserving of clinical attention[/I][/I][/I][/I][/I][/I][B][I][B][I][B][I][B][I][B][I][B][I][B] (Expert Opinion).[/B][/I][/B] Recommendation #43.[/I] [/B][/I][/B][/I][/B][/I][/B][/I][/B][I][I][I][I][I]We suggest educational, psychological, psycho-sexological, and marital assessment in all patients with ED[/I][/I][/I][/I][/I][B][I][B][I][B][I][B][I][B][I][B] (Good clinical practice). [I]Recommendation #56.[/I][/B][/I][/B][/I][/B][/I][/B][/I][/B][/I][/B][I][I][I][I][I][I] We suggest considering psychoanalysis as a therapeutical option in selected patients in whom other therapeutic approaches for erectile dysfunction have failed [/I][/I][/I][/I][/I][/I][B][I][B][I][B][I][B][I][B][I][B][I][B](Expert opinion).[/B][/I][/B][/I][/B][/I][/B][/I][/B][/I][/B][/I][/B] [I][I][I][I][I][I][B]Recommendation #60.[/B] We suggest a combination of chronic and on-demand PDE5i in patients not responding to conventional therapy [B](Expert Opinion).[/B] [I][B]Recommendation #61.[/B] We recommend against the use of counterfeit PDE5i [B](Good clinical practice). Recommendation #62.[/B] No sufficient evidence to recommend nutritional supplements is currently available.[/I][/I][/I][/I][/I][/I][/I][/I] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Italian Scientific Societies, guidelines on the diagnosis and management ED
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