Male

• Erectile Dysfunction

Female

• Low libido/Arousal

• Anorgasmia

• Dyspareunia

  

  

Sexual Dysfunction

• Often the "hidden agenda" when patients present with other complaints
• Important to use clear terminology and have frank discussions
• Erectile dysfunction has multiple causes: vascular, neurologic, hormonal, medication-related
• Medications associated with dysfunction include antihypertensives, beta blockers, and SSRIs
• Low testosterone can cause both erectile dysfunction and decreased libido
• Treatment options include PDE5 inhibitors, vacuum devices, constriction rings, and intracavernosal injections
• Female sexual dysfunction includes vulvar/vaginal pain, decreased arousal, or decreased libido
• Libido issues without hormonal abnormalities often require sex therapy