Erectile Dysfunction Nursing Care Essay

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‘Sexual dysfunction is characterized by a disturbance in the processes of the sexual response cycle or by pain associated with sexual intercourse’ (Videbeck, 2011). It can be caused by psychological factors alone, or a combination of medical and psychological factors. Sexual dysfunction includes sexual desire disorders, sexual arousal disorders, orgasmic disorders and sexual pain disorders. Male erectile disorder which is now just known as erectile disorder in DSM-5 (IsHak and Tobia, 2013) is defined as ‘the consistent or recurrent inability of a man to attain and/or maintain penile erection sufficient for sexual activity’ (Hatzimouratidis and Hatzichristou, 2007). Prevalence Walsh (2012) argues that male sexual dysfunction has a high prevalence in Ireland- his data collection from the Irish Study of Sexual Health and Relationships showed that 15.4% of men reported erectile dysfunction (ages 18-64). Erectile dysfunction is very prevalent in the mental health setting as a lot of drugs used in these settings have erectile dysfunction or ‘impotence’ listed as an adverse effect, such as Amitriptyline, Chlordiazepoxide (Librium), Chlorpromazine, Diazepam, Fluoxetine and Lorazepam (McVary, 2007). Aetiology • Most antidepressants may cause sexual dysfunction as an adverse effect of treatment (Araujo and Wittert, 2011) • Psychological and hormonal factors are also important as they participate in • the erectile function (Breza, 1995) • 30% of hypertensive patients have problems with erection (Orro and Kokk, 2012) • High LDL, smoking, hypertension and diabetes are risk factors for the coronary heart disease and also for the erectile dysfunction (Gorge et al, 2003) • Obesity is confessedly a significant risk factor for the cardiovascular disease, type 2 diabetes, cancer and the erectile dysfunction and low serum sex hormone - binding globulin levels in obesity are

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