Men's Health in Primary Care: An Emerging Paradigm of Sexual Function and Cardiometabolic Risk
Miner MM. Urol Clin North Am. 2012 Feb;39(1):1-23.


Department of Family Medicine and Urology, The Men's Health Center, The Miriam Hospital, 164 Summit Avenue, The Warren Alpert School of Medicine, Brown University, Providence, RI 02906, USA.


An office evaluation of men's health in primary care requires a thorough understanding of the implications of male sexual dysfunctions, hypogonadism, and cardiometabolic risk stratification and aggressive risk management. The paradigm of the men's health office visit in primary care is the recognition and assessment of male sexual dysfunction, specifically erectile dysfunction, and its value as a signal of overall cardiometabolic health, including the emerging evidence linking low testosterone and the metabolic syndrome. Indeed, erectile dysfunction may now be thought of as a harbinger of cardiovascular clinical events and other systemic vascular diseases in some men.