A.
To determine: The additional information that should be obtained about the patient.
Introduction: Erectile dysfunction (ED) is a condition in which a male individual is not able to get an erection or is not able to keep an erection to have sexual intercourse with the partner. Many reasons can cause this condition in males.
A.
Explanation of Solution
The additional information that should be obtained about the patient apart from the physical examination includes medical history, sexual history, and psychosocial history. The drug history of the individual is also required as many medications that include prescribed, illicit, and over-the-counter can also cause ED. The laboratory tests should be done to know if there are any organic causes behind the condition.
B.
To determine: The contributing factors to the problem of the patient.
Introduction: There are two types of causes that result in erectile dysfunction, namely, psychogenic causes and organic causes. The psychogenic causes include depression, performance anxiety, and strained relationship, while organic causes include hormonal, vascular, neurological factors.
B.
Explanation of Solution
The erectile dysfunction is caused because the blood supply is not proper to the penis. One of the major reasons that cause erectile dysfunction is heart disease. In heart diseases, the efficiency of the heart to pump blood decreases that affects the supply of blood to other organs of the body. The drugs that are being administered by the man for heart diseases can also be contributing to the condition.
Other contributing factors are as follows:
- Aging also increases the risk of the condition.
- A decrease in the testosterone because of aging is also held responsible for the condition.
- In older men, depression, esteem issues, history of substance abuse, anxiety also contribute to ED.
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