It may be uncomfortable for you to discuss your sex life with a urologist or a sexologist, but it is the most effective way to deal with your concerns. Together with your doctor, you can identify what is important in your sex life and choose the best treatment option to have a satisfactory sex life. If you have a partner, it is important to include them in these consultations.
NO is one of the key molecules involved in getting an erection. It works by dilating (widening) blood vessels in the penis, allowing more blood to flow into it, which is how an erection takes place. Anything that disrupts its production is bad news for strong erections. .
Mayo Clinic: Erectile Dysfunction: Diagnosis and Treatment.UCSF Medical Center: Erectile Dysfunction Diagnosis.Urology Care Foundation: How is ED Diagnosed?National Institute of Diabetes and Digestive and Kidney Diseases (NIH): Diagnosis of Erectile Dysfunction.Cleveland Clinic: Erectile Dysfunction (ED): Diagnosing.
Heart disease or atherosclerosis (inflammation and narrowing of the arteries)High blood pressureHigh cholesterolObesityDiabetesStrokeMetabolic syndrome (a cluster of risk factors that includes high blood pressure, elevated insulin levels, high cholesterol and triglycerides, and increased body fat around the waist)Parkinson’s diseaseMultiple sclerosis (MS)A brain or spinal cord injuryChronic kidney diseaseNerve disordersHypogonadism (a condition where the body doesn’t make enough testosterone)Peyronie’s disease (scar tissue inside the penis)Sleep disorders
Some information provided may not be valid for residents of other countries due to variations in medical practice and drug approval and indications.
As is true in so many medical conditions, lifestyle modifications, considered first-line therapy, can have a salutary effect in ED management, and men should be encouraged to make the necessary changes to the benefit of their sexual function and to their overall health as well. Despite the benefits of behaviour modification, men presenting with ED want the physician to help with measures that can have an immediate impact.
Performance anxiety. People with depression tend to think more negatively and may feel less confident. A depressed man might think, “I don’t have what it takes to please my partner” and then have erection difficulties.
You have a question that many men are concerned about. You go online to research the question: do I have erectile dysfunction?
A doctor can help decide what medication(s) may be the best for the patient. This is an important step to do so the doctor can help choose the best and safest drug(s) and other treatments so that men with other medical problems can get individualized care appropriate for their medical conditions. Read Doctor's View Readers Comments 12 Share Your Story
To diagnose erectile dysfunction, the doctor will ask questions about the symptoms and medical history. A complete physical exam is done to detect poor circulation or nerve trouble. The physician will look for abnormalities of the genital area that could cause problems with erections.
If your doctor doesn't take your problem seriously, ask to be referred to a specialist. Don't let yourself be fobbed off with comments like "What do you expect at your age?"
Experts often treat psychologically based impotence using techniques that decrease anxiety associated with intercourse. The patient's partner can help apply the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety during treatment of physical impotence. If these simple behavioral methods at home are ineffective, a doctor may refer an individual to a sex counselor. Readers Comments 2 Share Your Story
Blood levels of testosterone, prolactin, FSH (follicle-stimulating hormone), LH (luteinising hormone) and thyroid hormones will normally be measured.
You can consult the sexologist/ andrologist or specialist doctor for Erectile Dysfunction in the case of severity.
Many conditions are closely related to ED and may contribute to symptoms, including the following: