The Physical Examination

admin — Sat, 06 Sep 2008 13:43:42 +0000

A thorough physical examination, with special attention to your genitals, can provide important information and, occasionally, reveal an obvious cause of ED. For example, small, soft, shriveled testicles or abnormal secondary sex characteristics, such as enlarged breasts or an abnormal hair pattern, suggest a hormonal problem. To solve this problem you can use cialis. The [ doctor will also carefully check the nerves in the genital, area. If the penis does not respond as expected when touched in a certain way, impotence may be attributed to a problem in the nervous system. Examination of the genitals may also reveal abnormalities that could interfere with j effective treatment, such as Peyronie’s disease, a curva-
ture of the penis caused by plaque formation. Peyronie’s disease is addressed further in Chapter 5.
The physical examination may also offer other, less obvious clues to the cause of ED. For example, the presence of high blood pressure, an irregular heartbeat, or an abdominal aneurysm - a ballooning of the aorta, which is the main blood vessel leading to the heart - might indicate a circulatory problem that can affect your ability to achieve and maintain an erection.

Laboratory Tests

A number of fairly routine laboratory tests can identify treatable conditions or previously undetected medical illnesses that can contribute to ED. A basic laboratory evaluation generally includes a complete blood count, a lipid profile to determine your cholesterol level, a blood sugar test, a urinalysis, kidney and liver function tests, and a check of your morning testosterone level (see The effects of testosterone).

Making the Diagnosis

admin — Sat, 06 Sep 2008 13:39:04 +0000

Physicians differ in the way they practice medicine, but a basic work-up generally includes a medical history, including the psychological and sexual aspects; a physical examination; and appropriate laboratory testing.

Medical History
If you have been seeing a doctor on a regular basis, he or she should have your medical history, but the information will need to be updated. The doctor will ask you questions about recent physical ailments; about your use of prescription, over-the-counter, or illegal drugs; and about your alcohol consumption and smoking habits. Because ED is associated with many common medical conditions and medications, your accurate responses to these questions can provide important clues to the cause of your ED. For example, if you have a long history of diabetes, there’s a strong possibility that your impotence is related to vascular disease or neuropathy, which are common complications of diabetes. Also, if you recently began taking a new medication to control high blood pressure, that could provide an important clue.
The doctor will also ask questions about your levels of stress and fatigue, as well as detailed questions about your sex life and your relationship with your partner. Some of these questions may seem too personal and embarrassing, but your doctor needs to know about your emotional health and your sexual functioning to correctly diagnose and treat your impotence. You should try to answer all questions as accurately, honestly, and candidly as possible. Your sexual history provides important information that helps the doctor decide what further evaluation is needed. One of the most important questions your doctor will ask is: “Do you wake up in the morning with a full, firm erection?” If you always wake up with an erection, it is unlikely that your impotence is caused by a physical problem. If you never wake up with a firm erection, then a Physical problem with your blood flow or your nerves may be the cause. In that case you can use cialis.

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The Physical Examination

Making the Diagnosis