The latest research regarding erectile dysfunction in this population includes organic and psychogenic etiologies, correlations between the COVID-19 pandemic, and online pornography consumption. In our large pediatric urology practice, we found an 31x increase of adolescent males presenting with erectile dysfunction since 2014. The majority of cases are attributed to a psychogenic etiology such as anxiety or depression. It is likely that with stress from anxiety and depression, cortisol levels rise, increasing vascular resistance and leading erectile dysfunction in this population. Most patients want to be reassured of normal testosterone levels, offered cognitive behavioral therapy, and be rehabilitated with tadalafil starting at 5 mg p.o. daily until tapered.
Keyphrases
- physical activity
- sleep quality
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- healthcare
- young adults
- primary care
- peritoneal dialysis
- patient reported outcomes
- replacement therapy
- obsessive compulsive disorder
- quality improvement
- childhood cancer
- heat stress
- smoking cessation
- deep brain stimulation