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A 20-year-old woman with a 3-year history of erectile dysfunction, was referred to a specialist sexual function clinic for a private sexual dysfunction. A medical history, physical examination, and urology consultation were performed. Her presenting symptoms included:

  • An enlarged prostate
  • Multiple ejaculation problems
  • Lack of libido
  • Difficulty with penetration
  • Difficulty getting or keeping an erection

A physical examination was performed. The findings were:

  • Erectile dysfunction
  • Pulmonary arterial hypertension
  • A history of pulmonary hypertension
  • A left-to-right sex drive
  • A history of benign prostate enlargement
  • A history of a bladder catheterisation procedure
  • A history of a benign prostate gland
  • An erection was not spontaneous

The clinical examination showed an enlarged prostate (Figure 1). Her pulmonary hypertension was suspected and blood pressure monitoring was not performed (Table 1).

Figure 1: The clinical picture of the patient

Further information

About the patient

The patient was a man who had been diagnosed with an erectile dysfunction by the specialist sexual function clinic in South Africa. She was referred to the sexual function clinic for an private sexual dysfunction, which was not approved by the Food and Drug Administration (FDA).

She had no prior history of erectile dysfunction. Her family had not seen any family members who had heard of her history of erectile dysfunction, as she was a married mother and was not aware of any other family members who had heard of her history of erectile dysfunction. She was also not aware of any other family members who had received a private sexual dysfunction referral.

The patient was able to perform an erection without any problem. She had no history of urinary tract infections or the inability to have sexual intercourse. The cause of the erectile dysfunction was a male factor and the symptoms were mild to moderate. However, the symptoms were not severe enough to require an emergency medical consultation.

Causes

The erectile dysfunction was caused by a specific gene in the family PDE5 (sildenafil citrate) family. It is a phosphodiesterase-5 enzyme. The patient was prescribed sildenafil citrate to treat erectile dysfunction. There was no evidence of cardiovascular abnormalities. Her family had no history of sexual dysfunction and the symptoms were mild to moderate. The cause of the erection was the same as that for a man with the same sexual dysfunction (Table 1).

Table 1: Causes of the erectile dysfunction

Causes of erectile dysfunction

The causes of erectile dysfunction were not known. However, the patient was told that her family had experienced sexual dysfunction in the past when they were not aware of her condition. It was her family that had experienced sexual dysfunction, but they did not know the cause. The family did not know the cause of her condition, however, the patient was told that her family had experienced sexual dysfunction in the past. The cause of her sexual dysfunction was not established. The cause of the urinary tract infections was not established.

Causes of erection

The causes of erection were not known. However, the patient was told that her family had experienced erectile dysfunction in the past when they were not aware of her condition. It was her family that had experienced erectile dysfunction. The family did not know the cause of her condition, however, the patient was told that her family had experienced erectile dysfunction in the past.

Prevalence

The prevalence of erectile dysfunction was 5.8% in patients aged 55 and over. This prevalence increased to 6.3% in those aged 65 years and older. This increase was similar to that seen in the general population. In the general population, the prevalence of erectile dysfunction was similar to that seen in men in the general population. However, this increase was more pronounced in patients aged 65 and over. The prevalence of erectile dysfunction was higher in patients with a history of pulmonary hypertension (9.9% vs 3.4%).

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As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Cialis. Cialis can interact with bodily substances, causing potentially serious adverse reactions.

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        Common side effects reported from Cialis use include:

        • Headache
        • Indigestion
        • Heartburn
        • Upset stomach
        • Gas
        • Nausea
        • Flushing

        More severe side effects include:

        • Painful erections or erections that last longer than 4 hours
        • Sudden loss of vision
        • Sudden loss of hearing
        • Ringing in the ears
        • Chest pain
        • Shortness of breath
        • Painful urination
        • Increased urination frequency
        • Fainting
        • Dizziness
        • Skin rash
        • Hives
        • Facial swelling

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        Specifically, you should inform your health care provider of any alpha-blocker, antifungal, HIV protease inhibitor, or high blood pressure medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

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