213- male sexual dysfxn Flashcards
1
Q
four main types of sex dysfxn in men
A
libido, ED, ejaculatory, orgasmic
2
Q
when should you have sex if you dont want to get preggo
A
Days 1-7 are low risk, 8-19 are high risk, 20-end of cycle are low risk
3
Q
what are some big co morbid conditions associated with ED
A
HTN, hyperlipidemia, DM, CAD
4
Q
what drugs can cause ED
A
beta blockers, thiazide diuretics, opiates,
5
Q
what are some first line oral pharmacologic therapy drugs for ED? what do they do?
A
sildenafil, tadalafil, vardenafil. Phosphodiesterase 5 inhibitors which decrease cGMP degradation
6
Q
steps lead up to erection
A
NO stimulates guanyl cyclase which increases cGMP which causes penile smooth muscle relaxation and erection
7
Q
what drugs can cause retrograde ejaculation? anejaculation?
A
alpha blockers (for BPH) SSRIs
