Impotence
Aging
Psychogenic causes
Testicular causes (primary or secondary)
Congenital hypogonadism (especially Froehlich's syndrome, Klinefelter's syndrome, hypogonadotropic eunuchoidism)
Acquired hypogonadism
Viral orchitis
Trauma
Radiation
Hepatic insufficiency
Chronic pulmonary disease
Chronic renal failure
Granulomatous disease (especially leprosy)
Testicular carcinoma
Pituitary tumor, especially when associated with hyperprolactinemia
Pituitary insufficiency
Neurologic disease
Anterior temporal lobe lesion
Spinal cord disease (e.g., multiple sclerosis)
Autonomic and peripheral polyneuropathies (e.g.,
diabetic)
Loss of sensory input
Tabes dorsalis
Dorsal root ganglia disease
Lesions of nervi erigentes
Aortic bypass surgery
Prostatectomy
Rectosigmoid surgery
Drugs
Antihypertensive agents
Thiazides
Beta blockers
Clonidine
Methyldopa
Guanadrel
Antidepressants (e.g., tricyclics, monoamine oxidase inhibitors)
Antipsychotic agents (e.g., phenothiazines, haloperidol, thioridazine)
Central nervous system depressants (e.g., diazepam, chlordiazepoxide, barbiturates)
Addictive drugs (e.g., heroin, methadone)
Anticholinergic agents
Antiandrogens (e.g., finasteride, leuprolide, spironolactone)
Estrogens
Alcoholism
Vascular disease (e.g., Leriche syndrome)
Priapism, previous
Penile disease
Trauma
Peyronie's disease
Reference
1. McConnell JD, Wilson JD: Impotence, p. 286. See Bibliography, 2.
6-O. Menorrhagia and Nonmenstrual
Vaginal Bleeding
Midcycle ovulatory bleeding (normal variant)
Inadequate corpus luteum (luteal phase defect)
Uterine or endometrial disease
Endometritis
Endometriosis
Uterine adenomyosis
Endometrial polyps
Uterine leiomyomas
Carcinoma
Intrauterine synechiae
Intrauterine device
Vaginal or cervical disease
Vaginitis, cervicitis
Cervical scarring
Carcinoma
Abortion
Ectopic pregnancy
Ovarian destructive lesions (e.g., tumor, chronic salpingo-oophoritis)
Hypothalamic or pituitary lesion (e.g., tumor, sarcoidosis)
Adrenal disease (hyper- or hypofunction)
Thyroid disease (hyper- or hypofunction)
Anovulatory Bleeding
Estrogen withdrawal bleeding
Estrogen breakthrough bleeding
Chronic, continuous estrogen therapy
Polycystic ovarian disease
Estrogen-secreting ovarian tumor
Progesterone breakthrough bleeding (e.g., continuous low-dose oral contraceptives)
Stress, psychogenic factors
Reference
1. Carr BR, Bradshaw KD: Disorders of the Ovary and Female Reproductive Tract, p. 2097. See Bibliography, 2.
Bibliography
1. Brenner BM, Rector FC (eds):
Brenner and Rector's The Kidney, 5/e. Philadelphia: WB Saunders, 1996.
2. Fauci AS, Braunwald EE, Isselbacher KJ, et al. (eds):
Harrison's Principles of Internal Medicine, 14/e. New York: McGraw-Hill, 1998.
3. Maxwell MH, Kleeman CR, Narin RG (eds):
Clinical Disorders of Fluid and Electrolyte Metabolism, 4/e. New York: McGraw-Hill, 1987.
4. Schrier RW (ed):
Renal and Electrolyte Disorders, 5/ed. Philadelphia: Lippincott–Raven, 1997.
5. Schrier RW, Gottschalk CW (eds):
Diseases of the Kidney, 6/e. Boston: Little, Brown and Company, 1997.
6. Rose BD:
Clinical Physiology of Acid-Base and Electrolyte Disorders, 4/e. New York: McGraw-Hill, 1994.
7. Daugirdas JT, Int TS (eds):
Handbook of Dialysis, 2/e. Boston: Little, Brown and Company, 1994.
8. Neilson EG, Couser WG (eds):
Immunologic Renal Diseases. Philadelphia: Lippincott–Raven, 1997.
Book Source Details
- Book Title: A Pocket Manual of Differential Diagnosis
- Author(s): Stephen N. Adler, Dianne B. Gasbarra
- Year of Publication: 1999
- Copyright Details: A Pocket Manual of Differential Diagnosis, Copyright © 1999 Lippincott Williams & Wilkins.
Other Book Chapters Related to Impotence
Read excerpts from these other book chapters related to Impotence:
Medical Books Excerpts
- IMPOTENCE
- "Algorithmic Diagnosis of Symptoms and Signs" (2003)
- [ read ]
- IMPOTENCE
- "Differential Diagnosis in Primary Care" (2007)
- [ read ]
- Impotence
- "Handbook of Signs & Symptoms (Third Edition)" (2006)
- [ read ]
- Impotence
- "A Pocket Manual of Differential Diagnosis" (1999)
- [ read ]
- Impotence
- "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
- [ read ]
- Impotence
- "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
- [ read ]
- Impotence
- "Nursing: Interpreting Signs and Symptoms" (2007)
- [ read ]
- IMPOTENCE
- "Differential Diagnosis in Primary Care" (2007)
- [ read ]
Copyright Details: A Pocket Manual of Differential Diagnosis, Copyright © 2008 Williams & Wilkins.
More About Causes of Impotence
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