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Erectile dysfunction disorders can be diagnosed by consulting a proper physician. First the patient needs to schedule enough time with the doctor to explain in detail the problem faced by him. As the dysfunction is not a normal issue for men, the doctor needs to be sensitive while asking questions and retrieving information from the patient. The patient should open himself up before the doctor because any information hidden might go unnoticed and the treatment might not be able to cure the dysfunction. The doctor might ask about the achievement, sustainability and duration of erection and if the erection is suitable enough for penetration and even after that it is enough to satisfy your partner.
The first step in the diagnosis of erectile dysfunction is a thorough sexual, medical and psychosocial test. The patient may be asked about any kind of surgeries done or any kind of accidents or traumas happened near the hip and pelvis areas. Past history of any kind of therapies like radiation or chemotherapy will be questioned for. Medication or other prescribed supplements within the past year need review. Information regarding drug abuse like heroin, marijuana, cocaine, alcohol abuse, smoking habits and caffeine intake will be thoroughly checked. Indications of any kind of depression or stress related problems have to be taken into consideration. The patient will be asked regarding tension during sex, libido or sexual desire, anxiety, nervousness, lethargy and unhealthy stress at home or at work.
One needs to be very frank about one’s relation with his partner. Does she know you are suffering from this dysfunction, are you looking out for some help from her to deal with it, Does she feel happy about your overall relationship, Does she support you in overcoming the problem are a few questions posed by the doctor. Other typical questions are about the duration of this problem, diminished desires, and ability to achieve erection, orgasm and ejaculation, hardness of the erection, duration of the erection, frequency of intercourse, average duration of an intercourse, early morning erections, penile curvature, previous diagnosis and treatments and a few others.
The doctor does some physical examination before going for laboratory tests. Special attention is laid on the genitals, nervous, urinary and cardiovascular systems. Blood pressure needs a careful check because it is linked to this dysfunction. The doctor then checks for any history of diseases like diabetes, heart diseases, testicular issues, low testosterone production, penile plaques, and physical injury to the nerves of the penis.
The doctor may use a stethoscope to check for any narrowed arteries in the legs and penis as atherosclerosis leads to this dysfunction.
Laboratory tests done to diagnose the problem include Complete blood test, analysis of the urine since abnormal signs may indicate kidney disease or diabetes, Lipid profile involving HDL and LDL levels because higher levels or LDL (bad) cholesterol promotes atherosclerosis, Blood glucose levels for any signs of diabetes mellitus and high levels of blood hemoglobin A1c with diabetes indicate poor control of glucose levels, Serum creatinine if high may be due to kidney damage, total testosterone levels early in the morning due to the fact that testosterone levels fluctuate widely during day and a low testosterone level indicates hypogonadism, PSA ( prostrate specific antigen) blood levels need to be known because testosterone aggravates prostrate cancer.
Apart from the lab tests, other tests like erections during sleep can distinguish between physical and psychological causes. A psychosocial test comprising an interview and a questionnaire will reveal the psychological factors affecting the erectile dysfunction. The partner may also have to be interviewed to know about the problem in depth. Medicated drugs like Viagra, Cialis can be then prescribed depending on the nature and intensity of the problem after diagnosis.
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