Arduca Paul
Men's Health Clinic, Freemasons Hospital, Victoria.
Aust Fam Physician. 2003 Jun;32(6):414-20.
Erectile dysfunction (ED) is a common age related problem best managed in general practice. The incidence of ED will thus increase as men live longer. It is only in the past decade that the pathophysiology of ED has been well understood.
This article discusses the mechanisms of normal erectile function and dysfunction and the assessment and management of ED.
The success of currently available and newly emerging oral agents has revolutionised the management of ED. However, the majority of men with ED remain undiagnosed and untreated and patients are often unable to distinguish between a problem of ED, desire or libido. It is particularly important for general practitioners to enquire about ED in middle aged and older men, diabetics and patients with vascular disease. Appropriate management goes beyond management of the actual condition, and involves addressing lifestyle and psychosocial issues.
勃起功能障碍（ED）是一个常见的与年龄相关的问题，在全科医疗中能得到最佳处理。随着男性寿命延长，ED的发病率将会上升。直到过去十年，ED的病理生理学才得到充分理解。
本文讨论正常勃起功能和功能障碍的机制以及ED的评估与管理。
现有及新出现的口服药物的成功应用彻底改变了ED的治疗方式。然而，大多数ED男性仍未得到诊断和治疗，而且患者常常无法区分ED问题、性欲或性冲动问题。对于全科医生而言，询问中年及老年男性、糖尿病患者和血管疾病患者的ED情况尤为重要。恰当的管理不仅包括对实际病情的处理，还涉及解决生活方式和心理社会问题。
