A 67-year-old man presents for a follow-up visit regarding his erectile dysfunction (ED). Three months previously, he was prescribed 25 mg of sildenafil (Viagra) by mouth to be taken as needed before sexual activity but no more frequently than every 24 hours. He was also told that if the 25-mg dose was ineffective, then he could take two 25-mg tablets (50 mg). Despite taking 50-mg doses of sildenafil on several occasions, the patient reports that the medication did not produce erections. He says that he has a satisfying relationship with his wife and that they created ample time for lovemaking before taking the medication. He reports feeling frustrated. The patient enquires about additional options for treating his ED.
*This case is from Docplexus editorial team for educative purpose only. Source: Beckman, T. J., & Litin, S. C. (2010, July). Clinical Pearls in Men's Health. In Mayo…
