This episode makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE" as well as other institutions such as the British Association of the Urological Surgeons, as well as the American and European Urology Associations. Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by any of them. My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this video I will go through clinical guidance and advice on erectile dysfunction provided by the following institutions: ·      BAUS- British Association of Urological Surgeons ·      AUA- American Urology Association ·      EAU- European Association of Urology ·      NICE- National Institute for Health and Care Excellence I will summarise the guidance from a Primary Care perspective only. I am not giving medical advice; this podcast is intended for health care professionals; it is only my interpretation of the guidelines and you must use your clinical judgement.   There is a YouTube version of this and other videos that you can access here:   The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The guidelines can be found here:  ·      BAUS: https://www.baus.org.uk/patients/conditions/3/erectile_dysfunction_impotence ·      NICE : https://cks.nice.org.uk/topics/erectile-dysfunction/ ·      EAU: https://www.europeanurology.com/article/S0302-2838(21)01813-3/fulltext ·      AUA : https://www.bing.com/ck/a?!&&p=c5356f703dad5a45JmltdHM9MTY5Njg5NjAwMCZpZ3VpZD0xM2M1MGRhYS1mMDZkLTZlM2EtMWIzYi0wMTRhZjQ2ZDZkYjcmaW5zaWQ9NTI1OQ&ptn=3&hsh=3&fclid=13c50daa-f06d-6e3a-1b3b-014af46d6db7&psq=erectile+dysfunction+american+guideline&u=a1aHR0cHM6Ly93d3cuYXVhbmV0Lm9yZy9kb2N1bWVudHMvR3VpZGVsaW5lcy9QREYvRUQtSlUucGRm&ntb=1  The shortened Sexual Health Inventory for Men (SHIM/IIEF-5) can be found here: ·      https://www.baus.org.uk/_userfiles/pages/files/Patients/Leaflets/SHIM.pdf Thumbnail photo: ·      Image by Drazen Zigic on Freepik ·      a href="https://www.freepik.com/free-photo/young-man-having-headache-holding-his-head-pain-home_26343730.htm#query=upset%20men&position=1&from_view=search&track=ais"Image by Drazen Zigic/a on Freepik  Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]   Music provided by Audio Library Plus    Watch: https://youtu.be/aBGk6aJM3IU   Free Download / Stream: https://alplus.io/halfway-through   Transcript  Hello and welcome, I am Fernando, a GP in the UK. Today, we will go through clinical guidance and advice on erectile dysfunction. For this I have looked at guidance by the: ·      BAUS- British Association of Urological Surgeons ·      AUA- American Urology Association ·      EAU- European Association of Urology ·      NICE- National Institute for Health and Care Excellence ·      As well as other local NHS Hospital Trusts protocols available in the London area. I will summarise the guidance from a Primary Care perspective only. So let’s jump into it. Erectile dysfunction is seen in 50 - 55% of men between 40 and 70 years old. It is often associated with obesity, high blood pressure, high cholesterol and diabetes and most treatable causes can be identified by a clinical history, physical examination and routine blood tests. And we will start by taking a detailed sexual history. It is advisable to use validated patient questionnaires, such as the shortened Sexual Health Inventory for Men (SHIM/IIEF-5), to assess the presence, severity, and impact of erectile dysfunction. A link to this questionnaire can be found in the episode description. Otherwise, we will ask about: ·      onset, duration, and quality of erections; ·