Psychiatric mnemonics: sexual issues
Impotence causes PLANE:
Psychogenic: performance anxiety
Libido: decreased with androgen deficiency, drugs
Autonomic neuropathy: impede blood flow redirection
Nitric oxide deficiency: impaired synthesis, decreased blood pressure
Erectile reserve: can’t maintain an erection
Male erectile dysfunction (MED): biological causes MED:
Medicines(propranalol, methyldopa, SSRI, etc.)
Ethanol
Diabetes mellitus
Male Erectile Dysfunction (MED): drugs causing it “STOP
erection”:
SSRI (fluoxtine)
Thioridazone
methyldOpa
Propranalol
Premature ejaculation: treatment 2 S’s:
SSRIs [eg: fluoxitime]
Squeezing technique [glans pressure before climax]
· More detail with 2 more S’s:
Sensate-focus excercises [relieves anxiety]
Stop and start method [5-6 rehearsals of stopping stimulation before
climax]
