To: Anthony Wong who wrote (6959 ) 2/9/1999 7:09:00 PM From: Anthony Wong Respond to of 9523
Docs don't ask about impotence Tuesday February 9 3:23 PM ET NEW YORK, Feb 09 (Reuters Health) -- Doctors often do not ask patients if they are having problems with impotence, even those men who are most at risk of erectile dysfunction, results of a study suggest. Physician-initiated discussion about erectile dysfunction was documented in fewer than a quarter of the cases, according to a report in the February issue of the Postgraduate Medical Journal. The 102 study patients attended three clinics in rural Michigan between October 1995 and December 1996, and were either over 65, had hypertension or diabetes, and some had a combination of risk factors for impotence, reported Dr. Eric Perttula of the Hurley Medical Center in Flint, Michigan. Discussions about erectile dysfunction were documented in consultations with 17% of the hypertensive patients, 18% of the diabetics, and 30% of the patients older than 65 years. About 8% of men have erectile dysfunction at age 55, 40% of men over 60, and 73% of men at age 80. Diabetics are more likely to have problems and at younger ages, and men with hypertension may be taking drugs that increase the risk of erectile dysfunction. The physicians who did not initiate a discussion most often said that they expected the patient to broach the subject if necessary. A majority of providers did not cite lack of time as a reason for being reticent. ''While erectile dysfunction is a multi-faceted problem, there are many therapies available today which may allow men to lead normal sex lives,'' Perttula writes. ''Accurate and thorough history taking is one of the most important tools at our disposal for elucidating and treating erectile dysfunction,'' he concludes. SOURCE: Postgraduate Medical Journal 1999;75:83-85. dailynews.yahoo.com