A 70-year-old male presents with erectile dysfunction over the past six months. He has a history of diabetes and hypertension, which are well-controlled with medication. What are the potential causes, and what are the next steps?
Erectile dysfunction in this patient could be due to several factors. Given his history of diabetes and hypertension, vasculogenic erectile dysfunction is a primary consideration. Other potential causes include medication side effects, hormonal imbalance, psychological factors, or neurogenic causes. The next steps would involve a thorough evaluation, including a detailed history, physical examination, and laboratory tests to assess hormone levels. Depending on the findings, treatment options may include lifestyle modifications, change in medications, oral phosphodiesterase type 5 inhibitors, or referral to a urologist for further management.