Suggested Pre-Referral Evaluation and Management Guidelines
If low risk for cardiovascular disease, and patient is not taking any form of nitrate medication, trial of PDE5 medication (sildenafil citrate, tadalafil, vardenafil citrate)
Suggested Additional Test/Management Prior to Specialty Visit
Within last 6 months:
Serum glucose
Cholesterol profile
Within last month:
Testosterone
Free testosterone
Estradiol if estimated BMI>29