In making a diagnosis of erectile dysfunction (ED), your doctor will start by taking a detailed medical and psychosexual history and conducting a thorough physical examination. If possible, interviewing your partner also is…

We have witnessed an unprecedented expansion and popularity of the treatment of male erectile disorder during the last decade. Our society, though still quite prudish and hypocritical about sexual issues, is becoming…

The data on short-term outcome of treatment for male erectile disorder demonstrate various success rates. Sporadic studies with psychological treatment modalities have reported success rates of up to 80%. Some studies…

One additional comment addresses an important question - who should treat, who should counsel? As McConaghy (1993, p. 236) pointed out, many psychiatrists and psychologists would feel that only a…

Each patient with erectile dysfunction should receive individualized and integrated treatment of his erectile dysfunction, with all indicated modalities applied.

The first step after the thorough evaluation, diagnosis determination, and patient…

Topical vasodilatators Numerous topical vasodilatators have been tried in the management of erectile dysfunction (Crenshaw and Goldberg 1996, pp. 443-458). These include nitroglycerin 2% ointment, glyceryl trinitrate paste, and minoxidil gel rubbed…

Male erectile disorder should always be viewed in the broader psychosocial context. The treatment approach should be integrated and should include educational, psychological, and (if indicated) biological components. Treatment of any established underlying condition…

A comprehensive evaluation of erectile dysfunction is the cornerstone of the management plan. The evaluation should include an initial assessment; a detailed psychosexual, medical, and psychosocial history; a physical examination; and, if indicated,…

As Schiavi pointed out in the previous edition of this book, “emphasis on specific determinants of erectile disorders has been influenced by prevailing theoretical perspectives as they have shifted over the time”. We…

According to the latest estimate of prevalence of sexual dysfunction in the United States, sexual dysfunction was reported by 31% of males in a national probability sample from the 1992 National Health and…

Knowledge of the physiological processes underlying erection is essential in order to comprehend how the newest pharmacological agents exert their effects in treating male erectile disorder. Following is a brief…

Male Erectile Disorder Introduction

The treatment of male erectile disorder has received a great deal of attention and publicity over the last several years. The arrival of sildenafil (Viagra),…

The essential feature of male erectile disorder, according to DSM-IV (American Psychiatric Association 1994), is a persistent or recurrent inability to attain, or to maintain until completion of the sexual activity, an adequate…