Erectile dysfunction, commonly referred to as ED, is a form of impotence. ED is the inability to maintain an erection during sexual relations. There are a variety of causes for ED, including both psychological reasons and physical conditions. ED is commonly identified by a person before a medical exam takes place. The exam has three separate components.
History
Discuss with a health care provider your sexual and medical background. The doctor will ask about the circumstances in which the impotence occurs as well as the type of sexual relationship(s) one is involved in. The length of time an erection occurs, what level of libido one has, as well any other sexual difficulties are openly discussed. Medical conditions and past surgeries are considered. Patients should feel free to discuss all factors and not leave out any information, despite ED's being a sensitive topic.
Physical Exam
Examining the penis and scrotum will occur during the exam. The doctor will also feel the abdominal area for any unusual sensitivity. Pulses will be taken from the lower extremities.
Laboratory Tests
Orders may be given for urine, blood or hormone testing. Testing may also be done for diabetes. Ultrasound testing of the penis and scrotum may also occur.
Initial Treatment
Initial treatment of ED is usually ordered by the doctor on the day of the physical exam for most. Some patients may have to wait for test results. Treatment can include using oral medication, the use of a penile pump or a penile implant.
