Erectile Dysfunction and Cardiovascular Disease
Case Presentation
A 67-year-old man visits his primary care physician with the chief complaint of erectile dysfunction (ED). He has a two-year history of inability to achieve and maintain an erection adequate for vaginal penetration. He has a decrease in the frequency of nocturnal and early morning erections. He has tried sildenafil 50 mg on several occasions without any improvement in his sexual performance. He also reports lethargy, a decrease in his libido, and falling asleep after meals.
He has a history of borderline hypertension and elevated total cholesterol. He is a sm...
