ABSTRACT
Direct vascular factors, such as atherosclerosis, also cause ED. Other
causes should be excluded: psychogenic ED, Peyronie’s disease, problems
of the sexual partner, and medications (sedatives, antidepressants, anti-
hypertensives). The additional loss of ejaculation suggests more severe
autonomic involvement. l Female sexual dysfunction may occur from vaginitis, loss of vaginal
lubrication, cystitis, and other causes.
