In the ads for Viagra, Cialis, and Livitra they all say “Ask your doctor if you are healthy enough for sex.” These are the guidelines we doctors use to decide.
The Princeton Consensus (Expert Panel) Conference is a multispecialty collaborative tradition dedicated to optimizing sexual function and preserving cardiovascular health. The third Princeton Consensus met November 8 to 10, 2010, and had 2 primary objectives. The first objective focused on the evaluation and management of cardiovascular risk in men with erectile dysfunction (ED) and no known cardiovascular disease (CVD), with particular emphasis on identification of men with ED who may require additional cardiologic work-up. The second objective focused on reevaluation and modification of previous recommendations for evaluation of cardiac risk associated with sexual activity in men with known CVD. The Panel’s recommendations build on those developed during the first and second Princeton Consensus Conferences, first emphasizing the use of exercise ability and stress testing to ensure that each man’s cardiovascular health is consistent with the physical demands of sexual activity before prescribing treatment for ED, and second highlighting the link between ED and CVD, which may be asymptomatic and may benefit from cardiovascular risk reduction. © 2012 Mayo Foundation for Medical Education and Research Mayo Clin Proc. 2012;87(8):766-778
Mayo Clin Proc. 2012 Aug;87(8):766-78. doi: 10.1016/j.mayocp.2012.06.015.
The Princeton III Consensus recommendations for the mnagement of erectile dysfunction and cardiovascular disease [PubMed Abstract] [Full Text HTML] [Full Text PDF].
Slide Presentation of The Princeton III Consesus Recommendations [Full Text PDF]