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Performance anxiety and relationship issues are common psychological causes.

Medications and substance use can cause or exacerbate ED; antidepressants and tobacco use are the most common. ED is associated with an increased risk of cardiovascular disease, particularly in men with metabolic syndrome.

Tobacco viagra 50 mg tablet buy online cessation, regular exercise, weight loss, and improved control of diabetes, hypertension, and hyperlipidemia are recommended initial lifestyle interventions.

Oral phosphodiesterase-5 inhibitors are the first-line treatments for ED. Second-line treatments include alprostadil and vacuum devices.

Surgically implanted penile prostheses are an option when other treatments have been ineffective.

Counseling is recommended for men with psychogenic ED.

Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance.1 ED becomes more common as men age ( Figure 1 ) .2 At least 12 million U.S. Current smoking is significantly associated with ED, and smoking cessation buy viagra tablet online amazon has a beneficial effect on the restoration of erectile function.

Men with metabolic syndrome should be counseled to make lifestyle modifications to reduce the risk of cardiovascular events and ED. Phosphodiesterase-5 inhibitors are the first-line treatment for ED.

A = consistent, good-quality patient-oriented evidence; B = inconsistent or buy viagra tablet online amazon limited-quality patient-oriented evidence; C = consensus, disease-oriented evidence, usual practice, expert opinion, or case series. For information about the SORT evidence rating system, go to https://www.aafp.org/afpsort . Current smoking is significantly associated with ED, and smoking cessation has a beneficial effect on the restoration of erectile function.

Men with metabolic syndrome should be counseled to make lifestyle modifications to reduce the risk of cardiovascular events and ED.

Phosphodiesterase-5 inhibitors are the first-line treatment for ED.

A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented evidence; C = consensus, disease-oriented evidence, usual practice, expert opinion, or case series.

For information about the SORT evidence rating system, go to https://www.aafp.org/afpsort . BEST PRACTICES IN UROLOGY: RECOMMENDATIONS

FROM

For supporting citations and to search Choosing Wisely recommendations relevant to primary care, see https://www.aafp.org/afp/recommendations/search.htm . BEST PRACTICES IN UROLOGY: RECOMMENDATIONS FROM THE CHOOSING WISELY CAMPAIGN. Do not prescribe testosterone to men with erectile dysfunction who have normal testosterone levels.

Source: For more information on the Choosing Wisely Campaign, buy viagra tablet online amazon see http://www.choosingwisely.org.

For supporting citations and to search Choosing Wisely recommendations relevant to primary care, see https://www.aafp.org/afp/recommendations/search.htm . The prevalence of erectile dysfunction increases with age. The prevalence of erectile dysfunction increases with age.

Abstract Diagnosis Causes and Related Conditions History and Physical Examination Laboratory Evaluation Treatment Managing Psychogenic ED References. The five-question International Index of Erectile Function (IIEF-5) allows rapid clinical assessment of ED and can measure the effectiveness of ED treatments (see https://www.buy

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Other diagnostic options include a single-question self-assessment (Table 1) 4 and the Brief Male Sexual Function Inventory.5. Single-Question Assessment of Erectile Dysfunction.

Impotence means not being able to get and keep an erection that is rigid enough for satisfactory sexual activity.

Not impotent: always able to get and keep an erection good enough for sexual intercourse.

Minimally impotent: usually able to get and keep an erection good enough for sexual intercourse. Moderately impotent: sometimes able to get and keep an erection good enough for sexual intercourse.

Completely impotent: never able to get and keep an erection good enough for sexual intercourse. Single-Question Assessment of Erectile Dysfunction.

Impotence means not being able to get and keep an erection that is rigid enough for satisfactory sexual activity. Not impotent: always able to get and keep an erection good enough for sexual intercourse.

Minimally buy viagra tablet online amazon impotent: usually able to get and keep an erection good enough for sexual intercourse.

Moderately impotent: sometimes able to get and keep an erection good enough for sexual intercourse.

Completely impotent: never able to get and keep an erection good enough for sexual intercourse. Abstract Diagnosis Causes and Related Conditions History and Physical Examination Laboratory Evaluation Treatment Managing Psychogenic ED References.