Treatment Plan and Notes:
D.J., a 63-year-old male client, presented himself to the clinic with concerns regarding his current sex life. He notes that he got married to a 48-year-old lady two years ago, six years after his first wife died in a car accident. D.J. reports that he has been having a good sex life for the last year. However, he complains that he no longer performs as he used to in the last five months as his penis fails to harden enough for an erection. He notes he has tried some herbals he bought at a farmer’s market he had been advised by his male friend, but these also failed to maintain his erection.
D.J. appears anxious and distressed while discussing his sexual health and sex life concerns. He reports his major concern is failing to satisfy his wife and her looking for pleasure in other young men. His vitals are a bit elevated, and he is currently under high blood pressure treatment. He had been drinking a lot of alcohol before he met his current wife though he is working on his alcohol consumption. From the presented symptoms and D.J.’s health history, he has been diagnosed with erectile dysfunction (ED).
Sildenafil (Viagra) was diagnosed for D.J.’s ED. He will be required to take the medication at 50 mg an hour before he engages in any sexual activity with his wife. He should not take the medication unless he wants to have sex. The drug dosage will be adjusted as needed and as his ED symptoms progress, as well as how well he tolerates the drugs after a couple of times of use. D.J. was also educated on erectile dysfunction and how age and HBP can lead to ED. He was also educated on the risks of using Sildenafil at his age and with his current HBP status. He is required to cut on the alcohol further and tell his wife that he will be using Sildenafil for sex. He will also be required to remain active daily. He clearly expressed his understanding of the treatment plan. D.J.’s next appointment is earlier advised on Tuesday, June 20, 2023, at 11:00 AM. He is required to report any unintended symptoms and experiences with the use of Sildenafil within the next two uses. Top of Form