We investigated whether a preference by patients regarding the gender of a health care provider to manage erectile dysfunction (ED) may be a factor in the diagnosis and care of this condition, whose broader medical significance is an area of increasing interest. A brief questionnaire was completed by 1087 adult males in a primary care setting. The questionnaire explored provider gender preference and other possible biases. The prevalence of ED in the 40-69 age group in our population was 68.8%. The prevalence was 81% in the age group of 70 and more. Of those who reported having experienced ED, 51.5% had discussed it with a provider, and 28.1% had been treated. Approximately, 57% expressed no provider gender preference, regardless of history of ED. Of those who stated a preference, approximately 75% prefer male providers. However, also among those who state a preference, Hispanics are not as likely as non-Hispanics to prefer a male provider (P=0.03). Most believe that males and females are equally qualified to manage ED, but among those who have a different opinion, the gender perceived more favorably is male. The issue of privacy during the discussion of ED was also very important to the respondents in this study.

Preference for gender of health care provider in management of erectile dysfunction.

The Decision-Making Process Of Primary Care Doctors In Undertaking Health Check-Ups For Male Patients In Malaysia

Historically, erectile dysfunction (ED), as all sexual dysfunctions, has been relegated to a lower priority in a busy primary care practice. However, it is becoming evident that ED will not only accompany disease states of high comorbidity, but also can serve as an early marker for some patients presenting without established cardiovascular disease. What follows is an examination of trends of sexual inquiry in primary care practice and why asking about erectile dysfunction should be vital; how to engage a patient to allow for such a discussion; the workup, treatment, and determination of organic erectile dysfunction; how to manage the nonresponder to PDE5i therapy; and when to refer. It is the hope of the authors that sexual inquiry can become standard in primary care practice. The number of men with ED is increasing by the decade, and it is vital to propose both a workup and a treatment plan, that is, not only simple but also includes basic lifestyle changes that address diet and exercise. The chapter will include the optimization of PDE5i therapy, and will review other pharmacologic and surgical therapies.

Primary Care Evaluation and Treatment of Erectile Dysfunction

To evaluate the screening patterns of primary care physicians (PCP) with regards to erectile dysfunction, a study was performed using an Institution Review Board Approved SHIM (Sexual Health Inventory for Men) questionnaire of 131 male patients presenting to the Family Practice Clinic at West Virginia University School of Medicine in Morgantown. A total of 109 surveys were completed and the data were compiled and analyzed with descriptive statistics using SPSS version 10.0 software. Of these patients, over 92% were Caucasian. The average age bracket for the study population was 40-50, and the average number of risk factors for ED, not including age, was 1.65. Forty-one percent of patients had a SHIM score less than or equal to 21, indicative of an element of ED. A total of 84% had primary care physicians, 22% of patients with a PCP were screened for ED. Of those who were screened by their PCP over half were initiated by the patient. As a result of this study, we believe the SHIM instrument should be performed on patients with any identifiable risk factor since effective treatment of ED is available, and ED can be associated with occult cardiac disease.

Screening for erectile dysfunction in the primary care practice: results of a survey.

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Screening for erectile dysfunction in the primary care practice: results of a survey.