The Curbsiders Internal Medicine Podcast #317 Erectile Dysfunction for Primary Care
14 snips
Jan 24, 2022 AI Snips
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Arborist With Saddle-Related ED
- Dr. Winter recalled an arborist with ED from chronic saddle pressure causing pudendal injury.
- The case illustrates uncommon occupational causes of erectile dysfunction.
Make Sexual History Routine
- Normalize sexual health questions by including them on intake forms and asking matter-of-fact follow-ups.
- Use direct language like, 'I see you noted difficulty with erections; tell me more,' to reduce shame and open dialogue.
Testosterone's Role Across Genders
- Testosterone matters for all people, not just men, and extreme suppression from some feminizing regimens can impair libido.
- Consider physiologic low-dose testosterone for trans patients when appropriate to improve sexual function without masculinizing effects.