Question

The male patient with diabetes and heart disease confides to you that he can no longer have an erection. What is the reason for these changes?

A. It is a normal part of aging and is relieved with sildenafil (Viagra).
B. It usually is related to emotions and is a temporary problem.
C. It is often the first sign of diabetic autonomic neuropathy.
D. It indicates that the patient has developed a neurogenic bladder.

Answer 1

Erectile dysfunction (ED) can be caused by various factors, including aging, diabetes, vascular disease, psychiatric disorders, and certain medications. Physiological and psychological factors can also contribute to ED. Treatment options include medications such as sildenafil (Viagra).

Step-by-step explanation:

Erectile dysfunction (ED) is a condition in which a person has difficulty either initiating or maintaining an erection. It can be caused by a variety of factors, including aging, diabetes, vascular disease, psychiatric disorders, and the use of certain medications. The physical and emotional conditions associated with these factors can lead to interruptions in the vasodilation pathway, resulting in an inability to achieve an erection.

In addition to these causes, physiological and psychological factors can also contribute to ED. Physiological causes include kidney failure, diseases such as diabetes or multiple sclerosis, and certain treatments for other disorders. Psychological causes may include stress, performance anxiety, or mental disorders.

Treatment options for ED include medications such as sildenafil (Viagra), which can help promote erections in men with the condition. However, it is important for individuals with underlying health problems, especially those with cardiac disease taking nitrates, to avoid Viagra or consult a physician to determine if it is safe for them to use the drug.