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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