Quick Summary
Erectile dysfunction (ED) is diagnosed through a combination of medical history, physical examination, and laboratory tests. Doctors aim to identify whether the cause is physical, psychological, or mixed.
- Step 1: Medical history review
- Step 2: Physical examination
- Step 3: Blood tests and hormone evaluation
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Initial Medical Assessment
Medical History
Doctors ask about symptoms, duration, lifestyle, and medications.
Psychological Review
Assessment of stress, anxiety, and mental health factors.
Lifestyle Factors
Smoking, alcohol use, exercise, and diet are evaluated.
Physical Examination
- Blood pressure measurement
- Cardiovascular evaluation
- Genital examination (if needed)
- Signs of hormonal imbalance
Laboratory Tests
Blood Tests
- Testosterone levels
- Blood sugar (diabetes screening)
- Cholesterol profile
Advanced Tests
- Nocturnal erection test
- Doppler ultrasound (blood flow)
- Hormone panel
Determining the Cause
After evaluation, doctors classify ED as:
- Physical (organic) – blood flow, hormones, nerve damage
- Psychological – stress, anxiety, depression
- Mixed – combination of both factors
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