Common causes of erectile dysfunction [tNGQ11q5Q1u]
Vascular
Cardiovascular risk factors (eg, hypertension, smoking, diabetes)
Abnormal vascular examination (eg, bruits, decreased pulses)
Neurologic
Neurologic comorbidity (eg, diabetic neuropathy, multiple sclerosis, spinal injury/surgery)
Gradual onset, loss of bulbocavernosus reflex
Psychogenic
Sudden onset
Situational (eg, ED with partner, normal erection during masturbation)
Normal nonsexual nocturnal erections
Endocrine
Additional symptoms due to underlying disorder
Abnormal hormone levels (eg, TSH, prolactin)
Medications
Onset related to starting medication
Antihypertensives, SSRIs, antiandrogenic medications
Hypogonadism
Gradual onset
Decreased libido, gynecomastia, testicular atrophy
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