Sexual disorders are common but often neglected by neurologists

Sexual disorders, such as loss of sexual desire, erectile dysfunction, decreased lubrication, changes in arousal, disturbances of ejaculation and orgasm are common but often neglected by neurologists. However, they significantly impact on quality of life, and may be early features of a neurological disorder. This review is compiled following a literature search up to including 2005.

Sexual disorders are common but often neglected by neurologists

PDE5 inhibitors are a good choice for men at any age who are in good health and who do not have conditions that preclude taking them.

However, PDE5 inhibitors are not suitable for everyone. Men who take nitrate drugs for angina, or certain types of alpha-blockers for high blood pressure and benign prostatic hyperplasia, should not take PDE5 inhibitors. The PDE5 inhibitors are less effective in men with diabetes and in men who have been treated for prostate cancer.

Men with the following conditions should not take PDE5 inhibitors without the recommendation of their doctors and even then should use them with caution.