Thanks Avocet, itsme, Mr. Justin and Lborn (I’m sure you were just trying to help) on passing on the helpful info…I’m feeling better already :)
I was surfing for something else tonight and came across the following interesting information about ED:
It is thus evident that ED is a harbinger for the presence of established co-morbidities in men, and the physical and laboratory screening should focus on the presence or absence of these disease states. Of 521 patients with ED examined for co-morbidities in a large sexual dysfunction clinic, 39% had hypertension, 37% were found to be hypogonadal, and 34% experienced medication-related ED. Sixty-eight percent were thought to have primarily organic etiologies, 8% psychogenic, and 24% mixed. Ninety-nine percent of those patients with hypogonadism had a concomitant medical condition.
They also stated about the causes of ED:
THE RELATIONSHIP OF SEXUAL DYSFUNCTION TO CO-MORBIDITIES IN MEN
The major risk factors for ED have long been known and include diabetes mellitus, prostate disease, peripheral vascular disease, coronary artery disease, hyperlipidemia, hypertension, and cigarette smoking. Lumbar disk disease and other neurologic risk factors, as well as obstructive sleep apnea and, finally, depression, can be added to this list. Clearly, ED is a symptom associated with the chronic medical conditions common in the primary care practitioner’s office.
They recommend the following lab tests to help diagnose the cause of ED:
Laboratory tests should include the following:
Serum glucose, creatinine, and lipid profile Free testosterone or total testosterone (especially with the triad of hypogonadism symptoms: diminished libido, diminished energy, and fatigue) Serum luteinizing hormone (LH) and prolactin levels if total testosterone is low, especially in an individual under the age of 50 Thyroid stimulating hormone (TSH) and prostate-specific antigen (PSA) levels
They also had an interesting chart of the mechanisms of “organic” ED (not psychologically related).
My guess is that the pharmacologic slice of the pie (attached .gif) might be higher than 10%. A very popular protocol for treatment of hypertension is the use of beta-blockers along with thiazide diuretics. Although highly effective against hypertension, the combo is a double whammie negative for erectile function. Many users of this protocol experience wilting erections years down the road. This is unfortunate with so many varied and excellent anti-hypertensives to choose from these days that do not have negative sexual fallout.