Schilling A, Rattenhuber U
Fortschr Med. 1980 Nov 20;98(43):1690-6.
The fashionable assumption that most cases of impotence are due to psychological problems is rooted in myth and often leads physicians to miss a wide range of possible physical causes. Since many metabolic, neurologic or cardiovascular disorders may cause sexual impairment, sexual and general history have to be done with utmost care and are the key to further work-up. Each systemic disorder has to be tested in regard to its significance for the sexual dysfunction. Since many drugs have a negative effect on sexual function the patient has to be asked for the medicaments he uses. A minimal laboratory work-up is required in order to get an idea of the patient's general condition.
认为大多数阳痿病例是由心理问题导致的这种流行观点源于误解，并且常常致使医生忽略众多可能的生理原因。由于许多代谢、神经或心血管疾病都可能导致性功能障碍，所以必须极其谨慎地询问性史和一般病史，这是进一步检查的关键。每种全身性疾病都必须就其对性功能障碍的影响进行检查。由于许多药物会对性功能产生负面影响，所以必须询问患者正在使用的药物。为了解患者的一般状况，需要进行最低限度的实验室检查。
