Organic Causes of Erectile Dysfunction in Men Under 40

摘要: There are a significant number of men under 40 who experience erectile dysfunction (ED). In the past, vast majority cases were thought to be psychogenic in nature. Studies have identified organic etiologies 15-72% with ED 40. Organic include vascular, neurogenic, Peyronie's disease (PD), medication side effects and endocrinologic sources. Vascular causes commonly due focal arterial occlusive disease. Young multiple sclerosis, epilepsy trauma close proximity spinal cord at increased risk ED. It is estimated that 8% PD 40, 21% these individuals experiencing Medications causing antidepressants, NSAIDs finasteride (Propecia), antiepileptics neuroleptics. Hormonal sources uncommon young population, however possible Klinefelter's syndrome, congenital hypogonadotropic hypogonadism, acquired hypogonadism. The workup should thorough history physical examination. prevalence vascular prompt consideration nocturnal penile tumescence testing Doppler ultrasound. Treatment options may improve exercise oral PDE-5 inhibitors.