When diagnosing men with erectile dysfunction, their doctor will ask several questions regarding their sexual history and lifestyle in order to isolate the source of their issue.
Doctors may prescribe pills that increase penis blood flow by amplifying nitric oxide effects; examples include Viagra (sildenafil) and Cialis (tadalafil).
Overnight Erection Test
Before bed, your doctor will place a device around your penis to track how many and strong erections occur at night, which allows them to assess whether your erectile dysfunction stems from psychological or emotional factors or not. Men typically experience three to five erections daily during deep sleep; if none occur on test night it could indicate low testosterone or diabetes as possible causes.
Your doctor might use duplex or Doppler ultrasound testing to examine blood flow to your penis and record video images, in order to see whether there are any irregularities with blood supply that could contribute to erectile dysfunction. Your physician uses a handheld transducer called a duplex or Doppler transducer on these blood vessels, placing it over them with its probe over them; video footage captured can demonstrate scarring or hardening in arteries supplying your penis that might cause problems erectile dysfunction.
Blood Tests
To better diagnose the source of your ED, your physician may order blood tests. These will give an idea of your overall health while potentially revealing hormone deficiencies that restrict blood flow.
Your doctor will also want to learn about both your medical and sexual history in order to assess what may be contributing to ED - be it disease, surgery, medication or illness; mental or emotional problems could also be at play here.
Penile Doppler ultrasound allows your doctor to assess how the blood flows during an erection, by injecting you with medication that dilates your blood vessels. This allows him to see exactly how much blood is flowing in during an erection and when one breaks down. He may then repeat the test in order to measure any improvement or decline. Alternatively, this can also be conducted at a sexual health clinic rather than through mardana kamzori ka ilaj full.
Physical Examination
Physical exams provide an evaluation of your blood vessels, nerves and muscles that assist with getting and keeping an erection. Your physician may also examine your penis for any lumps or bruising.
Your doctor will likely review your sexual history, asking whether and when any previous episodes of erectile dysfunction have started. He or she may also inquire into symptoms like low libido, poor performance in bed or difficulty with climax or orgasm ejaculation (climaxing) that you might have noticed.
Your doctor may suggest medications to increase nitric oxide, which increases blood flow to your penis and helps you achieve an erection. They might also advise lifestyle changes like quitting smoking or cutting back alcohol intake. In cases caused by psychological factors like depression or anxiety, therapy might also help; though often this treatment option works better when both partners participate.
Testosterone Levels
Testosterone is an essential male sexual hormone essential to driving sexual desire and other functions, such as developing features like body hair, facial hair and deeper voice in men as well as producing sperm. Low testosterone levels may lead to problems like infertility or even loss of sex drive while negatively impacting mood as a whole.
Antidepressants, diuretics and nitrates may contribute to erectile dysfunction (ED). Additionally, poor diet, stress and depression may exacerbate this condition.
Yale Medicine Urology Department offers various treatment options to assist those living with erectile dysfunction to live better lives. Based on your health conditions and partner preferences, we can treat the root causes of your ED. We prioritize personalized care by listening carefully to our patients and their partners about the impact their erectile dysfunction is having in their lives, offering advanced medical and surgical kamzori ka ilaj.