Room 520-B | Lilly ICOS LLC Tuesday, July 12, 2005 Time: 8:30 AM-10:00 AM |
Sex over 65.
Lee, Jay C.*,1, 1 University of Calgary, Canada
ABSTRACT- Erectile Dysfunction (ED) is increasingly being recognized as a sentinel of underlying endothelial disease. Several population-based studies of ED prevalence have found significant associations between ED and diabetes, ED and prostate disease, ED and peripheral vascular disease, and ED and hypertension.1-3 In addition, men with such comorbid conditions, men with anxiety and/or depression, and men being treated with certain drugs including antidepressants and thiazide diuretics, tend to have more severe and/or harder to treat ED.4, 5 Many factors can contribute to the development of ED, but one of the most commonly associated factors is age. Between 40 and 70 years of age, the probability of developing moderate ED doubles from 17% to 34%, and the probability of developing severe ED triples, from 5.1% to 15%.1 Thus, ED should be considered a significant health issue for men over the age of 40. Many physical and emotional changes occur with aging. Rates of certain medical conditions, such as diabetes, prostate disease, and cardiovascular disease increase with age and androgen levels decrease with age. Consequently and unfortunately, these factors all have a significant impact on ED, and can contribute to a decline in sexual function in the elderly. This case-based discussion will focus on sex in the patient who is over 65 years of age. The evidence surrounding the sexual patterns of the older patient and the co-morbidities that should be considered when treating the older patient will be reviewed. Many individuals with erectile dysfunction have multiple co-morbidities and the focus will be on how physicians can treat their ED patients so they are safe and happy. The objectives of this presentation are to provide information to enable the participants to: 1. Determine whether or not older individuals are sexually active 2. Identify co-morbidities that should be considered when treating an older individual with ED 3. Choose effective pharmacologic therapy for the older individual with erectile dysfunction
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