Department of Urology, University of Miami Miller School of Medicine, Miami, Florida, USA.
Postgrad Med J. 2018 Mar;94(1109):171-178. doi: 10.1136/postgradmedj-2017-135233. Epub 2017 Nov 4.
Erectile dysfunction (ED) affects about 50% of men in the USA and is primarily attributed to physiological (organic) and psychological causes. However, a substantial portion of men suffer from ED due to iatrogenic causes. Common medications such as antihypertensives, non-steroidal anti-inflammatory drugs and antacids may cause ED. Physicians should be aware of the various prescription medications that may cause ED to properly screen and counsel patients on an issue that many may feel too uncomfortable to discuss. In this review, we discuss the physiology, data and alternative therapies for the ED caused by medications.
勃起功能障碍（ED）影响了大约 50%的美国男性，主要归因于生理（器质性）和心理原因。然而，相当一部分男性由于医源性原因而患有 ED。常见的药物，如降压药、非甾体抗炎药和抗酸剂，都可能导致 ED。医生应该了解可能导致 ED 的各种处方药，以便正确地对患者进行筛查和咨询，因为许多患者可能觉得这个问题过于尴尬而不愿讨论。在这篇综述中，我们讨论了药物引起 ED 的生理机制、数据和替代疗法。
