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Impotence / Erectile Dysfunction

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How can we Diagnose Erectile Dysfunction?

Detailed sexual history, physical examination, blood tests and other diagnostic tests help to diagnose the cause of erectile dysfunction.

1. Patient medical/sexual history may reveal conditions or diseases that lead to impotence and helps distinguish among problems with erection, ejaculation, orgasm, or sexual desire.

2. Physical examination gives clues to the diagnosis of the cause of erectile dysfunction, for example-

A problem in the nervous system may be responsible if the penis does not respond as expected to touch.

Secondary sex characteristics, such as hair pattern, can point to hormonal problems.

An aneurysm may indicate the presence of a circulatory problem.

Unusual characteristics of the penis itself could suggest the cause of the impotence.

3. Laboratory tests that help to diagnose the cause of erectile dysfunction include blood counts, urinalysis, lipid profile, hormonal assays (thyroid, prolactin) and measurement of creatinine and liver enzymes. When low sexual desire is a symptom, measurement of testosterone in the blood can yield information about problems with the endocrine system.

4. Psychosocial examination helps reveal psychological causes of erectile dysfunction. The sexual partner also may be interviewed to determine expectations and perceptions encountered during sexual intercourse.

5. Diagnostic tests-              

Bulbocavernosus reflex test- This test is used to determine if there is sufficient nerve sensation in the penis.

Duplex ultrasound- Vascular dilation and penile blood pressure can be measured using duplex ultrasound.

Nocturnal penile tumescence (NPT) – Normally, men have five to six erections during sleep, especially during rapid eye movement (REM). Their absence indicates a problem with nerve function or blood supply in the penis.

Penile Biothesiometry- Electromagnetic vibrations are used to evaluate sensitivity and nerve function in the glans and shaft of the penis.

Dynamic Infusion Cavernosometry (DICC) - The vascular pressure in the corpus cavernosum during an erection can be measured with this test.

Corpus Cavernosometry- Measurement of the vascular pressure in the corpus cavernosum can be measured using this test.

Magnetic Resonance Angiography (MRA) - This is similar to magnetic resonance imaging and provides detailed images of the blood vessels.

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Hi am a 30 years old unmarried man, when am having my intercourse with my girl friend am facing premature ejaculation without satisfying her please help me by suggesting a good medicines, am regular smoker and ocassional drinker
Reh69 Monday, November 18, 2013
hi, I sm 24yrs old. have been masturbating since my early teenage. have been a regular smoker n drinker. was sexually very well but now m noticing dat since last 1yr my sexual health is worsening. now I get erection for very short time n even ejaculate within 4-5 strokes. plz help me
bechara Friday, July 05, 2013
Hi i am 33yrs old married having 2kids.nowadays i am not getting mood or erection while having sex but please suggest me some sexologist in south or central mumbai.i am working as a chauffer so please suggest me some good and reasonable doctor..please help me to save my marriage
innova11 Friday, January 18, 2013
Does Too much of masturbation can lead to Erectile Dysfunction??
969423 Saturday, June 30, 2012
was recommended to me. Any medical intervention should always be in consultation with your doctor
myfreddy Monday, June 04, 2012
hai, iam 43 old i am not getting penis errection power as well as i am having little smoking, my suger level is 140/, and iam having masterbeats habbit pls advice me some good medicine to improve errection power aswell as it should not increase my suger level pls. with regards arvind 9840876750 chennai.
L.J.Arvind Sunday, April 01, 2012
Hello I am 43 year old and i m very much disturbed due to my penis is not getting erect during the intercourse so i cant understand what too do pls help me what to be done.
chris70 Thursday, March 22, 2012
may i know about ED1000 treatment
smile21k Friday, February 17, 2012
Hello I am 30 years old an a virgin. I will remain a virgin for the rest of my life because I have exstreme social dificulties and I found that I prefer to remain single anyway. On e thing is really bothering me, I hardly get erections and when ever I do they last for a very short time. I thought about telling my doctor about my condition but I was way too afraid to ask him about treating my sexual dysfunction because in all the E.D. commercials all the men have a sexual partner, they never show any men who are single like me in those commercials. All I want to know is do men with out a sexual partner also talk to their doctor about taking medication to get rid of there E.D?
andrewskii Monday, January 02, 2012
You should consult with your Doctor...it is important to do because you are young for having this kind of problems. Just be honest with him about your sexual history, after ruling out meds and physical trauma, next step might be psych consult..one thing is you decide not to be in a commited relationship, but having social issues it is a concern. Hope it helps!
luisa55 Tuesday, February 21, 2012
hello i am 28 years old i suffered from some kind of erection problem my penis erect and rapidly went down it occur since a month now so what u think it may be
falcon Saturday, December 10, 2011
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