Workshop 4 - Lowy ED & PE - Family Planning NSW

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Atherosclerosis and ErectileDysfunctionAtherosclerosis in narrow penilearteries may manifest as <strong>ED</strong>before becoming apparent inother arteries. 1Detecting atherosclerosis inone set of blood vesselsincreases chance of findingit in other vessels. 1Sydney Men’s HealthArterial blockage compromises penis first Penile artery 1-2mm Coronary artery 3-4mm Internal carotid artery 5-7mm Femoral artery 6-8mmSydney Men’s HealthSexual impulseNeurotransmitterRelease of NO & chemical substratesSmooth muscle relaxationTumescenceVenous occlusionSydney Men’s HealthNormalpathway toerectionRigidityErection
Diabetic erectile dysfunction Arises from both vascular and neural damage(endothelial dysfunction) Often concomitant with disorder such ashypertension Chronic disease: emotional distress common MultifactorialSydney Men’s HealthSydney Men’s HealthGENERAL HISTORY Vascular risk factors Medical history– diabetes, cardio-vascular disease Psychological history– anxiety, depression Medications Use of substances– tobacco, alcohol, recreational drugs Stress factors– relationship, financial, familySydney Men’s Health
Page 1 and 2: Family Planning NSWConference & Ope
Page 3 and 4: 8 Sydney Men’sHealthWestern Austr
Page 5 and 6: Sydney Men’s Health15Sydney Men
Page 7: The sponge effect - Prof Tom Liu At
Page 11 and 12: A Practical Evaluation of Men with
Page 13 and 14: Low T & OSA causes loss of nocturna
Page 15 and 16: ED treatment algorithmIst line - li
Page 17 and 18: The first oral tabletsSydney Men’
Page 19 and 20: Sydney Men’s HealthSydney Men’s
Page 21 and 22: Oral Medication - PatientExperience
Page 23 and 24: Sydney Men’s HealthSydney Men’s
Page 25 and 26: NormalejaculationtimeFasterejaculat
Page 27 and 28: Treatment PE cont’d Treatment aim
Page 29: 86Sydney Men’s Health

Workshop 4 - Lowy ED & PE - Family Planning NSW

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