Chronic medical conditions


Diabetes mellitus

Inflammatory conditions of the prostate Coronary and peripheral vascular disease

Neurologic disorders (e.g., Parkinson's disease and multiple sclerosis)

Endocrine disorders (hypogonadism and pituitary, adrenal, and thyroid disorders)

Psychiatric disorders (depression, anxiety, and schizophrenia)


Renal failure

Liver disease

Penile disease (Peyronie's disease or anatomic abnormalities) Surgical procedures Perineal surgery Radical prostatectomy Vascular surgery Lifestyle Age


Excessive alcohol consumption Obesity

Poor overall health and reduced physical activity Trauma

Pelvic fractures Spinal cord injuries

Table 51-2 Medication Classes Associated With ED

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