A man with Parkinson's disease (PD) may develop erectile dysfunction (ED).
Sexual problems that may be encountered in a patient with Parkinson's disease:
(1) erectile dysfunction
(2) loss of ejaculatory control with premature ejaculation
(3) difficulty in reaching organism
(4) dissatisfaction with quality of sex
|
Factor Contributing to Erectile Dysfunction |
Management |
|
autonomic dysfunction or failure |
medications to improve autonomic function |
|
hypokinesia or tremor |
increase dopaminergic dose |
|
dyskinesia |
adjust dopaminergic dose or timing |
|
anxiety and/or depression |
antidepressant therapy |
|
antidepressant medication |
change antidepressant |
|
typical erectile dysfunction |
sildenafil citrate or other phosphodiesterase inhibitor |
|
other disease (BPH, diabetes, etc) |
management for other disease |
|
other medications (anti-hypertensive, other) |
change in medication or dose |
where:
• Erectile dysfunction in PD usually appears after the onset of neurologic findings. The onset of ED prior to or concurrent with PD-like symptoms suggests multiple system atrophy (MSA).
• Some PD therapies may be associated with hypersexuality.
• An SSRI antidepressant may be associated with sexual dysfunction.
• A PD patient on a phosphodiesterase inhibitor may experience orthostatic hypotension, especially if autonomic dysfunction is present.
Specialty: Urology
ICD-10: ,
