Management of erectile dysfunction in the hypogonadal man: a case-based review.

摘要: Erectile dysfunction (ED) has emerged as an important marker of cardiovascular and overall health, independent other known conventional risk factors. ED often precedes coronary artery disease in half affected subjects, could indicate the presence pathology. The pathophysiology role androgens sexual function are described, along with relevant literature on effects aging erectile gonadal function. concept testosterone supplementation (TST) men is reviewed. authors utilize clinical vignettes to discuss appropriate management two cases at different life stages who have setting hypogonadism propose a treatment algorithm. In patients all ages, proper identification underlying decreased libido paramount choosing between use TST, phosphodiesterase type 5 inhibitors, or both, these disorders.