Evaluation of male sexual dysfunction
- Glenn R Cunningham, MD
Glenn R Cunningham, MD
- Distinguished Professor Emeritus, Department of Medicine
- Baylor College of Medicine
- Mohit Khera, MD, MBA, MPH
Mohit Khera, MD, MBA, MPH
- Associate Professor
- Scott Department of Urology
- Baylor College of Medicine
- Section Editors
- Peter J Snyder, MD
Peter J Snyder, MD
- Editor-in-Chief — Endocrinology
- Section Editor — Pituitary Disease; Male Reproductive Endocrinology
- Professor of Medicine
- University of Pennsylvania School of Medicine
- Alvin M Matsumoto, MD
Alvin M Matsumoto, MD
- Section Editor — Male Reproductive Endocrinology
- Professor of Medicine
- University of Washington School of Medicine
- Michael P O'Leary, MD, MPH
Michael P O'Leary, MD, MPH
- Section Editor — Urology
- Professor of Surgery, Harvard Medical School
- Senior Urologic Surgeon, Brigham and Women's Hospital
Male sexual dysfunction has long been known to be common. Of late, knowledge of normal male sexual function and the causes of sexual dysfunction have become better understood, and more effective treatments are available. Male sexual dysfunction includes erectile dysfunction (ED), diminished libido, and abnormal ejaculation.
This topic will review the evaluation of male sexual dysfunction. An overview of male sexual dysfunction, treatment of men with sexual dysfunction, and sexual dysfunction associated with selective serotonin reuptake inhibitors (SSRIs) are discussed separately. (See "Overview of male sexual dysfunction" and "Treatment of male sexual dysfunction" and "Sexual dysfunction caused by selective serotonin reuptake inhibitors (SSRIs): Management".)
The following include some of the mechanisms that may be responsible for sexual dysfunction in men:
●Libido declines with testosterone deficiency , stress, relationship issues, depression , systemic illness, and in association with the use of a number of prescription and recreational drugs. (See "Overview of male sexual dysfunction", section on 'Decreased libido'.)
●There are many causes of erectile dysfunction (ED): vascular, neurologic, local penile factors, hormonal, drug induced, and psychogenic (table 1).To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- - Sexual history
- - Rapidity of onset
- - Erectile reserve
- - Assessment of interpersonal conflict
- - Role of the partner interview
- - Validated instruments to assess sexual function
- Physical examination
- Laboratory studies and diagnostic tests
- - Hormonal testing
- - Nocturnal penile tumescence testing
- - Duplex Doppler imaging
- Ejaculatory disorders
- ERECTILE DYSFUNCTION AND CARDIOVASCULAR DISEASE
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS