DIAGNOSING
ERECTILE
DYSFUNCTION
Our Dr. Vigor specialists diagnose erectile dysfunction (ED) with a medical and sexual history, and a mental health and physical exam. You may be embarrassed to talk about ED. However, remember that a healthy sex life is part of a healthy life. The more your Dr. Vigor team knows about you, the more likely he or she can help treat your condition.
Medical and Sexual History
Getting a focused medical and sexual history is one of the first things your clinician will do to help diagnose ED. He or she will ask you to provide information, such as:
- From 1 to 10 how you would rate your confidence that you can get and maintain an erection?
- How often is your penis firm enough for intercourse when you have erections from sexual stimulation? [0% of the time or NEVER, 25% of the time or RARELY, 50% of the time or SOMETIMES, 75% of the time or OFTEN, 100% of the time or ALWAYS]
- How often are you able to maintain an erection during sexual intercourse? [0% of the time or NEVER, 25% of the time or RARELY, 50% of the time or SOMETIMES, 75% of the time or OFTEN, 100% of the time or ALWAYS]
- How often do you find sexual intercourse satisfying? [0% of the time or NEVER, 25% of the time or RARELY,50% of the time or SOMETIMES, 75% of the time or OFTEN, 100% of the time or ALWAYS]
- Do you have erections when you wake up in the morning? [0% of the time or NEVER, 25% of the time or RARELY, 50% of the time or SOMETIMES, 75% of the time or OFTEN, 100% of the time or ALWAYS]
- From 1 to 10 how you would rate your level of sexual desire or sex drive or libido?
- When engaging in sexual activity, how often are you able to climax, or orgasm, and ejaculate? [0% of the time or NEVER, 25% of the time or RARELY, 50% of the time or SOMETIMES, 75% of the time or OFTEN, 100% of the time or ALWAYS]
- When engaging in sexual activity, how often are you able to climax, or orgasm, and ejaculate? [0% of the time or NEVER, 25% of the time or RARELY, 50% of the time or SOMETIMES, 75% of the time or OFTEN, 100% of the time or ALWAYS]
- Have you had any surgeries or treatments that may have damaged the nerves or blood vessels near your penis? [if yes, please provide details]
- Please provide a comprehensive list of prescription and over-the-counter medicines you take.
- Do you use illegal drugs, drink alcohol, or smoke? [if yes, please provide details]
This information will help the team at Dr. Vigor understand your ED problem. The medical history can reveal diseases and treatments that lead to ED. Reviewing your sexual activity can also help your ED specialist diagnose problems with sexual desire, erection, climax, or ejaculation.
mental health and physical exam
Your Dr. Vigor specialist may ask some personal questions and use a questionnaire to help diagnose any psychological or emotional issues that may be leading to ED. The clinical team may also ask your sexual partner(s) questions about your relationship and how it may influence your ED.
We will also perform a physical exam to help diagnose the causes of ED. During the physical exam, your clinician often examines your:
- Penis to find out if it’s sensitive to touch. If the penis lacks sensitivity, a problem in the nervous system may be contributing to your ED.
- Penis’s appearance for the source of the problem. For example, Peyronie’s disease causes the penis to bend or curve when erect.
- Body for extra hair or breast enlargement [gynecomastia], which can point to hormonal problems.
- Blood pressure.
- Pulse in your wrist and ankles to see if you have a problem with circulation
lab tests
Blood tests can uncover possible causes of ED, such as: diabetes, atherosclerosis, chronic kidney disease, and hormonal problems.
imaging tests
We may recommend a Doppler ultrasound that is performed by a technician at an outpatient center. The ultrasound can detect poor blood flow through your penis. The technician passes a handheld device lightly over your penis to measure blood flow. Color images on a computer screen show the speed and direction blood is flowing through a blood vessel. A diagnostic imaging specialist (e.g. radiologist) or urologist interprets the images. During this exam, a health care professional may inject medicine into your penis to create an erection.
nocturnal erection test
During a nocturnal, or nighttime, erection test, you wear a plastic, ring-like device around your penis to test whether you have erections during the night while you sleep. This test usually takes place at home or in a special sleep lab. A more involved version of this test uses an electronic monitoring device that will record how firm the erections are, the number of erections, and how long they last.
Each night during deep sleep, a man normally has three to five erections. If you have erections during either type of test, it shows that you are physically able to have an erection and that the cause of your ED is more likely a psychological or emotional issue. If you do not have an erection during either test, your ED is more likely due to a physical cause.
Each night during deep sleep, a man normally has three to five erections. If you have erections during either type of test, it shows that you are physically able to have an erection and that the cause of your ED is more likely a psychological or emotional issue. If you do not have an erection during either test, your ED is more likely due to a physical cause.
injection test
During an injection test, also called intracavernosal injection, an ED specialist will inject a medicine into your penis to cause an erection. In some cases, the specialist may insert the medicine into your urethra instead. The health care professional will evaluate how full your penis becomes and how long your erection lasts. Either test helps the health care professional find the cause for your ED.
why get a consultation?
01. → Although ED is very common, it is not a normal part of aging.
02. → ED affects about 30 million men in the United States.
03. → ED can be treated at any age.
04. → Dr. Vigor can work with your other health care providers to help analyze the underlying cause of your erectile dysfunction (ED).
05. → Dr. Vigor offers patients a variety of solutions to help combat ED and improve your sexual wellbeing.
06. → It may be difficult to talk about ED with a health care professional; but remember, scheduling a consultation with Dr. Vigor is the first step towards a healthier sex life.
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Your membership provides VIP access to expedited concierge care, experimental procedures, and advanced treatments -all in a friendly and welcoming environment.
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