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Psychiatry Sexual Disorders 38d7f4b9

A 30-year-old male presents to OPD with erectile dysfunction. Basic screening evaluation is unremarkable. The next step in evaluation/management should be:

A
Oral sildenafil titrate trial
B
Cavernosometry
C
Doppler study
D
Neurological testing
High-Yield Explanation
In a young patient with negative screening, the most likely cause of erectile dysfunction is psychogenic erectile dysfunction. He should be given a trial of oral sildenafil. Alternatively, other drugs can also be used like Oral Phentolamine ,Alprostadil (intraurethral/ injectable) Psychotherapy can also be given specifically Dual Sex therapy ( Masters and johnson technique): In this couple is treated as a unit.

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