Medical history (history of illness) represents an important component in the diagnosis of erectile dysfunction (erectile dysfunction). Family history
Social history
- What is your occupation?
- Is there any evidence of psychosocial stress or strain due to your family situation?
Current medical history/systemic history (somatic and psychological complaints).
- Do you have a normal sexual drive?
- Do you have trouble getting or maintaining an erection?
- Does an erection occur prematurely, delayed or not at all?
- How strong is the erection (swelling of the penis?/”hardness”)? Can penetration occur?
- Does a premature swelling of the penis occur?
- Do you have erections in the morning or at night?
- Do you have an erection when you masturbate?
- Were your erections stable or unstable in the past?
- Frequency of sexual intercourse:
- Current frequency?
- Previous frequency?
- How long have the symptoms been present?
- When do the symptoms occur:
- Is there a temporal relationship with other events?
- Has erectile dysfunction occurred in a long-term partnership or with new partnership?
- Do you have disturbances during ejaculation?
- Pain?
- Burning?
- Blood in the semen?
- Premature ejaculation?
- Can orgasm be achieved?
- How does the partner react?
- How does a typical sexual intercourse take place?
- Are you satisfied with your sexual situation?
- Do you snore?
If necessary, use the International Index of Erectile Function (IIEF) questionnaire in addition to the above questions; see Erectile Dysfunction/Classification for details. Vegetative history including nutritional history.
- Are you overweight? Please tell us your body weight (in kg) and height (in cm).
- Do you smoke? If so, how many cigarettes, cigars or pipes per day?
- Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
- Do you use drugs? If yes, what drugs (amphetamines, heroin, cocaine, marijuana, methadone, synthetic drugs) and how many times a day or week?
Self-history incl. drug history.
- Pre-existing conditions (cardiovascular disease (including hypertension), diabetes mellitus, injuries).
- Therapies (has therapy already taken place?).
- Operations
- Allergies
Medication history
- Antibiotics
- Anticholinergics
- Antidepressants
- Selective serotonin reuptake inhibitors (SSRIs).
- Serotonin–norepinephrine reuptake inhibitors (SNRI).
- Tricyclic antidepressants (nonselective monoamine reuptake inhibitors, NSMRIs).
- Other antidepressants
- Antidiabetics
- Antiepileptic drugs
- Antihypertensives
- ACE inhibitors
- Alpha-1 receptor blockers
- Beta blocker
- Calcium antagonists
- Clonidine
- Methyldopa
- Anticoagulants
- Cortisone derivatives
- Diuretics
- Amiloride
- Spironolactone
- Thiazide
- Gout agents
- Hair restorer
- Hypnotics/sedatives
- Antipsychotics (neuroleptics)
- Anxiolytics
- Psychoanaleptics
- Sympathomimetics
- Tranquilizers
- Lipid-lowering agents Clofibrate CSE inhibitors
- Gastrointestinal therapeutics
- Non-steroidal anti-inflammatory drugs (NSAID)
- Prostate drugs
- Dutasteride (dual 5α-reductase inhibitor).
- Finasteride (selective inhibitor of steroid 5α-reductase type II and type III).
Intake duration longer than 205 days was 4.9-fold more likely to result in persistent erectile dysfunction (PED) than shorter intake duration.
- Cytostatics
