title: Impotence in medical clinic outpatients.
abstract: One thousand one hundred eighty men in a medical outpatient clinic were screened as to the presence of impotence. Four hundred one men (34%) were impotent, and of those, 188 (47%) chose to be examined for their problem. After a comprehensive evaluation the following diagnoses were obtained: medication effect, 25%; psychogenic, 14%; neurological, 7%; urologic, 6%; primary hypogonadism, 10%; secondary hypogonadism, 9%; diabetes mellitus, 9%; hypothyroidism, 5%; hyperthyroidism, 1%; hyperprolactinemia, 4%; miscellaneous, 4%; and unknown causes, 7%. The mean age of the impotent patients was 59.4 years, and the prevalence of alcoholism was 7%. Luteinizing hormone, follicle-stimulating hormone, testosterone, thyroxine, triiodothyronine (T3), T3 resin uptake, and prolactin studies were necessary to diagnose individual cases. We conclude that erectile dysfunction is a common and often overlooked problem in middle-aged men followed in a medical clinic.
mesh_terms: D000437:Alcoholism / Q000150:complications; D000554:Ambulatory Care Facilities; D000959:Antihypertensive Agents / Q000009:adverse effects; D004232:Diuretics / Q000009:adverse effects; D004700:Endocrine System Diseases / Q000150:complications; D007172:Erectile Dysfunction / Q000139:chemically induced / Q000209:etiology* / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012017:Referral and Consultation; D014570:Urologic Diseases / Q000150:complications; D014665:Vasodilator Agents / Q000009:adverse effects
chemical_list: D000959:Antihypertensive Agents; D004232:Diuretics; D014665:Vasodilator Agents