ABSTRACT

Q. A 65-year-old male has noticed a progressive deterioration in his erections over a 1-year period. He is now avoiding sexual relationships with his wife. His wife is very concerned and asks him to see his GP. The GP tells him not to worry as it is a normal part of the ageing process. After a further 6 months as things continue to get worse, he decides to see another partner in the same practice who refers him to see a urologist. How do you define erectile dysfunction?