Erectile Dysfunction

One in five men report problems with erectile dysfunction (ED), which means a consistent and repeated problems sustaining an erection. Without treatment, ED can make sexual intercourse difficult.

To diagnose ED, a physical examination and selected laboratory testing are performed on all patients with complaints of ED. Although not different from a routine physical examination, special emphasis is placed on review of genito-urinary, endocrine, vascular and neurologic systems. The physical examination may corroborate aspects of the medical history (e.g. poor peripheral circulation), and may occasionally reveal unsuspected physical findings (e.g. Peyronie’s plaques, small testes or prostate cancer). The physical examination also provides an opportunity for patient education and reassurance regarding normal genital anatomy.

Results of the initial evaluation and specialized testing are reviewed with the patient and patient’s partner, if possible, prior to initiating therapy.

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