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Erectile Dysfunction (ED ) : Workup in primary care

Erectile dysfunction (ED) is a common condition that affects many men at various points in their lives. It can have significant psychological effects and may be indicative of underlying health problems. Effective management of ED in primary care requires a systematic approach to identify the underlying causes, which can be both physical and psychological.


This table outlines a comprehensive workup for ED, focusing on a detailed physical examination, specific laboratory tests, and additional investigations. This approach ensures that clinicians not only address the symptoms of ED but also identify any serious underlying conditions that may require immediate attention or long-term management. The goal is to provide a thorough evaluation that informs a targeted treatment plan, enhancing outcomes and quality of life for affected individuals.



Evaluation AspectComponentsReasoning/Details
Physical ExaminationBlood pressure, heart rate, waist circumference, BMIAssess cardiovascular risk and general health.

Examination of chest, penis, prostate, testes, body hairIdentify physical signs of hypogonadism, structural abnormalities, or cardiovascular issues.

Gynecomastia, sparse body hair, reduced muscle massIndicators of testosterone deficiency.

Signs of hypogonadism (testicular atrophy, small prostate volume)Suggests hormonal imbalance affecting sexual function.

Penile abnormalities (Peyronie's disease, phimosis, frenulum breve)Structural issues contributing to ED.

Testicular abnormalities...

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