A 30-year-old male presents to OPD with erectile dysfunction. Basic screening evaluation is unremarkable. The next step in evaluation/management should be:
In a young patient with negative screening, the most likely cause of erectile dysfunction is psychogenic erectile dysfunction. He should be given a trial of oral sildenafil. Alternatively, other drugs can also be used like Oral Phentolamine ,Alprostadil (intraurethral/ injectable) Psychotherapy can also be given specifically Dual Sex therapy ( Masters and johnson technique): In this couple is treated as a unit.
Oral sildenafil titrate trial
Cavernosometry
Doppler study
Neurological testing
Sexual Disorders