ED is not a life-threatening condition, but left untreated it can be associated with de-
pression, loss of self-esteem, poor self-image, and marital discord. The primary goal of therapy is achievement of erections suitable for intercourse and improvement in patient quality of life. Additionally, the ideal therapy should have minimal side effects, be convenient to administer, have a quick onset of action, and have few or no drug interactions.10 In addition to a physical exam, a thorough medical, social, and medication history with emphasis on cardiac disease must be taken before starting any treatment for ED to assess for ability to safely perform sexual activity and to assess for possible drug interactions.
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