Since pharmacologic therapies have brought it to public attention, erectile dysfunction (ED) is widely known as a sexual problem—although it is often organic, and most commonly vascular, in etiology. Increasingly, ED is being considered a marker for cardiovascular disease, since cardiac symptoms often develop within a few years of symptoms of ED. Because of these broader implications, clinicians who manage men with ED are called on to advise them regarding treatment and prevention strategies—but also to identify and address the risk factors and medical comorbidities associated with this common complaint.
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