To perform sexual intercourse whole body parts work together. Brain and Glands control the hormones and signals. To maintain an erection.
Erectile dysfunction can have a lot of reasons and causes. Some of them are mental and emotional while some are physical. As published on NIDDK
- Physical reasons for erectile dysfunction are
- Heart disease
- High blood pressure
- Lack of exercise
- Unhealthy lifestyle
And on the emotional and mental side, the things are
- Relationship issues
Due to so many possible reasons and causes, your health provider have to do many tests to figure out the actual reason and best treatment
Sexual and Medical History
It is not a test but just like any other medical treatment, the doctor starts with questions about your sexual and medical history. It helps them to know and understand the real reason behind erectile dysfunction.
They ask about your past injuries, surgeries, medication, and lifestyle. They also ask about your sex drive, and relationship status to confirm that either erectile dysfunction is due to physical condition or mental and emotional conditions. All tell truth to your doctor honestly so he can help you out.
Physical Exam for Erectile Dysfunction
In a physical exam for erectile dysfunction doctor can check
Penis and Testicles
A doctor can check your testicles and penis to confirm that they look normal and nerves are working well as expected.
They also check either you have hair loss or not
In a physical exam doctor also check that your breasts are of normal size or larger than the normal. Because it can be a hormonal problem.
Ankles and wrists
They will check your pulse at the wrists and ankles to check whether you have a normal blood flow or not.
To confirm that you do not have cardio problems. They will check your readings to understand that you have a high blood pressure condition or not.
They also listen to your heartbeats to know that it sounds right or not.
Blood and Urine Tests for Erectile Dysfunction
After a physical exam and knowing your sexual and medical history, your doctor may ask you to do certain urine and blood tests. They will use them to understand the actual reason and problem which is causing erectile dysfunction. Such as
- Heart disease
- Hormonal problems
- Low testosterone
- Kidney disease
- Thyroid function
Thyroid glands are butterfly-shaped gland. It has many things to do and most important is the flow of sex hormone
Overnight Erection Test
A normal healthy man has usually three to five erections during sleep. The doctor can recommend an overnight erection test that you get an erection at night or not.
To do so, they place a device around the penis before night. This device measures how many times you got erections and how strong was the erection.
Another simple method to do the test is that they place a special plastic ring on the penis. The ring breaks out If you got an erection.
This test shows that if you can get an erection than erectile dysfunction could be emotional or mental
Ultrasound of Penis
Sometimes doctors suggest an ultrasound to check the blood flow to the penis, this test is done with an injection test.
This device looks like a wand, the doctor holds this device over your penis. This device creat sound waves to create a video of blood flow into and out of the penis.
This test is also called the intracavernosal test. To perform this test doctor injects a medicine into the base which gives an erection of the penis.
If you did not get an erection with this medicine it shows that you have a blood flow problem to your penis.
Usually, erectile dysfunction is caused by different kinds of mental and emotional issues. To understand the problem well doctor can ask you different questions about your mental health. These questions help him to check for anxiety, depression, or any other cause for ED.
If you are married and have a regular sexual partner, maybe your doctor needs to talk to you both together. This will help the doctor to understand your relationship and its effects on your ability to keep and getting firm erections.