How Is Erectile Dysfunction Diagnosed?

Q: I am having problem of Erectile Dysfunction for last 3 months. I can’t get an erection during sexual contact. I am now in my 40s and want to get relief from ED problem. Please provide me some information on how ED is diagnosed?
Expert Answer

Erectile dysfunction refers to a man’s inability to attain and maintain an erection. Erectile Dysfunction can only be diagnosed through a trained medical health expert. The greatest challenge comes in trying to establish its exact cause and requires a detailed interview, physical assessment, and laboratory tests.

Cross Examination

Erectile Dysfunction Diagnosed

Your physician will initially seek to establish if you suffer from any other sexual problems during orgasm, sexual arousal or while ejaculating. If your doctor rules out any other problem, he/she will proceed to establish the possible causes and contributing features. This will involve an in-depth interview about your past sexual experiences, relationships and other personal matters. The doctor may as ask if you have been accidentally caught engaging in a sexual act in earlier life. He/she may also seek to know how closely you relate with your sexual partner. The answers you provide will help him/her garner information about possible cause, the severity of your condition and what might be contributing.

Erectile Dysfunction Examinations

  • Physical Examination: This entails a thorough check up of your penis and testicles. The aim is to find out if there are any irregularities which can cause or contribute to your Erectile Dysfunction
  • Heart Rate Examination: Your doctor will assess your pulse rates including the area around your genitals to find out if there are any circulatory problems
  • Abdominal Examination: This often seeks to establish if you have a liver or kidney disease which can contribute to erectile dysfunction
  • Examination Of Nervous System: Your doctor will assess your response to stimulation

Laboratory Tests

  • Blood Test: Your physician will take a sample of your blood and assess the levels of testosterone hormones, blood glucose and lipids profile. The blood test will also establish the functioning of your thyroid glands, kidney, and liver to find out if they could be contributing or the cause of your ED
  • Urine Test: Just like the blood test, urine test checks for any irregularities in blood sugar and hormones and ascertain possibilities of kidney dysfunction, diabetes, or low levels of testosterone hormones
  • Nocturnal Penile Tumescence: Men have erections during sleep and when awake. If you don’t have erections during this time, it’s an indication that there some abnormalities in your blood supply to the penis, nerve problems or hormonal imbalances
  • Duplex Ultrasound Test: This is a test for assisting doctors to see how the blood flows and its structure in the blood vessels
  • Other tests include injections to increase blood flow to the penis. The response is used in the identificationt of the possible causes. Vascular test and Dynamic infusion cavernosometry can also be conducted in patients suffering from ED

Neurological Testing

Although neurological testing is not usually conducted lately, it can be a good way of establishing the cause of ED in some patients. The process involves the assessment of penile sensitivity and nervous system through the use of an electromagnetic vibration. Pudendal electromyography seeks to establish an injury to the pudendal nerve which connects the genital tissues to the rest of nervous system. An injury to the nerve can cause or contribute to an erectile dysfunction in a man.

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Expert Author : Mark Simms (Consumer Health Digest)

Mark Simms is a prolific freelance health and beauty writer, independent researcher with a long history and expertise of providing reliable and relatable health content for magazines, newsletters, websites including blogs and journals. He also enjoy exploring men’s and women’s health category writing articles about sex and relationships, product review and providing information on sexual health.