JAY A. GOLDSTEIN, M.D.
To the editor: The male patient with erectile dysfunction who has had normal findings on urologic, endocrinologic, and hemodynamic evaluations is usually referred for sexual counseling with his partner or, possibly, for individual psychotherapy. When these approaches are not helpful, he may be classed as having "idiopathic" dysfunction and be left with the choices of papaverine injection, penile prosthesis insertion, or no further medical treatment. Treatment with naltrexone might provide another alternative.
Seven middle-aged men had not been able to achieve a firm erection or ejaculation for a minimum of 2 years. After extensive workup, they were classed as having
GOLDSTEIN JA. Erectile Function and Naltrexone. Ann Intern Med. ;105:799. doi: 10.7326/0003-4819-105-5-799_1
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Published: Ann Intern Med. 1986;105(5):799.
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