SEXUAL HEALTH FOR THE MAN AT MIDLIFE - IN-OFFICE WORK-UP

Normal physiologic changes occur with age that affect male sexuality. The etiology of these problems is often vascular but may be influenced by medications, neurologic conditions, or endocrinopathies, and/or ia trogenic factors. Penile sensitivity and erectile responses decline wi th age, and patients may present with concerns about ejaculatory disor ders and erectile dysfunction. Physicians need to know the pharmacolog ic, surgical, and educational solutions. Treatment modalities for erec tile dysfunction include vacuum erection, devices, intracavernosal or intraurethral alprostadi injections, and penile implants.