Erectile Dysfunction :: PLAB 2 Symptomatic Differential Stations

• ED due to beta-blocker/SSRI/ unknown cause

  • Other presenting symptoms: 

    • History of ED and ejaculation problems

  • Past history and PMAFTOSA: 

    • Rule out suicide risk

    • Sexual history

    • Medication history

    • Rule out FLAWS

  • Social:

    • Life effects

    • Work

    • Mood, relationships

  • Exam and Invs:

    • GPE, vitals

    • BMI

    • Abdominal examination

    • Genital examination

    • PR

    • Routine bloods, HbA1c, lipids, testosterone

  • Referral:

    • Specialist routine for medication review

  • Treatment: 

    • Change medication (involve senior)

    • Offer viagra

    • General advice:

      • Avoid alcohol, smoking

      • Avoid excessive masturbation

      • Offer couples counselling

      • Weight loss

  • Warning signs:

    • Side effects of Viagra (dizziness/falls)

    • Worsening symptoms

    • Suicidal thoughts