The three most common male sexual dysfunctions are decreased libido, erectile dysfunction (ED), and ejaculatory dysfunction (including premature ejaculation [PE] in men ages 18 to 59 years). One or more conditions can co-exist in an individual. The inability to achieve and maintain an erection sufficient for satisfactory sexual intercourse is a distressing and common symptom, affecting up to one-third of adult men. ED is common in men with systemic disorders such as hypertension, ischemic heart disease, and diabetes mellitus, and its prevalence increases with age (figure 1).
The nonsurgical management of male sexual dysfunction is reviewed here. The etiology and evaluation of sexual dysfunction, the surgical management of ED, and the management in men with diabetes mellitus or cardiovascular disease are discussed in detail separately.
●(See "Overview of male sexual dysfunction" and "Evaluation of male sexual dysfunction".)
●(See "Surgical treatment of erectile dysfunction".)
●(See "Erectile dysfunction in diabetes mellitus", section on 'Treatment'.)