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Symptoms and Signs – Differential Diagnosis of Impotence
• Endocrine: hyperprolactinemia, diabetes mellitus (DM), Cushing’s syndrome, hypothyroidism or hyperthyroidism, abnormality of hypothalamic-pituitary-testicular axis
• Medications
• Neurogenic: autonomic or sensory neuropathy, spinal cord trauma or tumor, cerebrovascular accident (CVA), multiple sclerosis (MS), temporal lobe epilepsy
• Peyronie’s disease
• Prostatectomy
• Psychogenic
• Systemic illness: renal failure, chronic obstructive pulmonary disease (COPD), cirrhosis of liver, myotonic dystrophy
• Vascular: arterial insufficiency, venous leakage, arteriovenous (AV) malformation, local trauma
• Endocrine: hyperprolactinemia, diabetes mellitus (DM), Cushing’s syndrome, hypothyroidism or hyperthyroidism, abnormality of hypothalamic-pituitary-testicular axis
• Medications
• Neurogenic: autonomic or sensory neuropathy, spinal cord trauma or tumor, cerebrovascular accident (CVA), multiple sclerosis (MS), temporal lobe epilepsy
• Peyronie’s disease
• Prostatectomy
• Psychogenic
• Systemic illness: renal failure, chronic obstructive pulmonary disease (COPD), cirrhosis of liver, myotonic dystrophy
• Vascular: arterial insufficiency, venous leakage, arteriovenous (AV) malformation, local trauma
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