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Diagnostic Procedures for Erectile Dysfunction

Diagnostic Procedures for  Erectile Dysfunction
To determine whether the cause of the erection problem is physical or psychological, the urologist may prescribe a change in medication, hormone replacement, antidepressant therapy, devices, or self injection to promote erections. In some cases, the
patient may opt for a surgical alternative, such as insertion of a penile implant.
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 - to look for evidence of systemic problems, such as the following:
A problem in the nervous system may be involved if the penis does not respond as expected to certain touching.
Secondary sex characteristics, such as hair pattern, can point to hormonal problems, which involves the endocrine system.
Circulatory problems could be indicated by an aneurysm.
Unusual characteristics of the penis itself could suggest the basis of the impotence.
3. Laboratory tests - to help diagnose impotence include blood counts, urinalysis, lipid profile, and measurements 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 - to help reveal psychological factors. The sexual partner also may be interviewed to determine expectations and perceptions encountered during sexual intercourse.