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Sexual dysfunction


How is male sexual dysfunction diagnosed?

How is male sexual dysfunction diagnosed?
The doctor likely will begin with a physical exam and a thorough history of symptoms. He or she may order other diagnostic tests to rule out any medical problems that may be contributing to the dysfunction. The doctor may refer the patient for consultations with other health care professionals, including an urologist (a doctor specializing in the urinary tract and male reproductive system), an endocrinologist (a doctor specializing in glandular disorders), a neurologist (a doctor specializing in disorders of the nervous system), sex therapists and other counselors.
Tests the doctor may use to help evaluate sexual dysfunction include:

Blood tests — These tests are done to evaluate hormone levels.
Vascular assessment — This involves an evaluation of the blood flow to the penis. A blockage in a blood vessel supplying blood to the penis may be contributing to erectile dysfunction.
Sensory testing — Particularly useful in evaluating the effects of diabetic neuropathy, sensory testing measures the strength of nerve impulses in a particular area of the body.
Nocturnal penile tumescence and rigidity testing — This test is used to monitor erections that occur naturally during sleep. This test can help determine if a man’s erectile problems are due to physical or psychological causes.
How is male sexual dysfunction treated?
Many cases of sexual dysfunction can be corrected by treating the underlying physical or psychological problems. Treatment strategies may include the following:

Medical treatment — This involves treatment of any physical problem that may be contributing to a man’s sexual dysfunction.
Medications — New medications, such as sildenafil (Viagra™), varderafil (Levitra™), or tadalafil (Cialis™ ) may help improve sexual function in men by increasing blood flow to the penis.
Hormones — Men with low levels of testosterone may benefit from hormone injections. The use of a testosterone patch applied to the scrotum or other parts of the body has been approved by the Food and Drug Administration to help increase testosterone levels to a normal range. Testosterone replacement by pills and implantable pellets also is being evaluated.
Psychological therapy — Therapy with a trained counselor can help a person address feelings of anxiety, fear or guilt that may have an impact on sexual function.
Mechanical aids — Aids such as vacuum devices and penile implants may help men with erectile dysfunction.
Education and communication — Education about sex, and sexual behaviors and responses may help a man overcome his anxieties about sexual function. Open dialogue with your partner about your needs and concerns also helps to overcome many barriers to a healthy sex life.