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Erectile Dysfunction Diagnosis and Alternative Treatment  

All men would like to have firm and lasting erection. It is, however, not the case for some men who have erectile dysfunction, commonly called ED or impotence. To solve the problem, they seek for medical help for diagnosis and treatment. This is important to treat the ED and its cause earliest possible.  


Normally, to start the diagnosis, your health care provider will ask you questions regarding your erectile dysfunction (ED). This conversation is important to discover possible risk factors or causes which can lead to the disease. And then a physical examination will be performed to evaluate your body. Depending on the result, you may also be referred to an urologist for more appropriate diagnostic procedures. 


Erectile Dysfunction Diagnosis  

A typical Erectile Dysfunction Diagnosis may include these tests:  

  • Urine Tests : this is important to evaluate the ED but also to confirm or rule out diabetes and kidney disease. 
  • Blood Tests : the blood texts aim at assessing for diabetes, high cholesterol, testosterone level, kidney disease, and others. 
  • Duplex Ultrasound : this diagnostic procedure is used to evaluate blood flow into the penis. Ultrasound exam is also important in the erectile dysfunction diagnosis to determine if there are venous leaks. During the exam, an injection of prostaglandin is given to induce an erection and a duplex ultrasound is used to measure blood flow. 
  • Nocturnal Penile Tumescence( NPT) : this is spontaneous penile erection during sleep or when waking up , given it is normal for a healthy man to have up to 6 erections during sleep.  
  • Bulbocavernosus Reflex Test : often called "Osinski reflex" , bulbocavernosus reflex(BCR) is a diagnostic testof neurogenic impotence. It is used to determine if there is an intact nerve system in the penis. When the glands penis is squeezed, there is a normal reflex contraction of the anus. 
  • In certain circumstance, your doctor can also recommend other tests such as penile biothesiometry, penile angiogram, corpus cavernosometry, magnetic resonance angiography, and others.

Erectile Dysfunction Treatment  

ED treatment to be effective must not include treatment of the dysfunction only but also the primary cause of the disorder. Therefore, the health care provider will consider determining the factor of the disease and treat it if possible. Usually, an assessment of the physical and/or psychological components which can contribute erectile dysfunction (ED) will be examined in order to decide on the type of treatment most suitable for the importance.  The problem is that treatment usually work temporary to enable an adequate erection for intercourse, but do not permanently solve the underlying problem. 

Common oral drugs used to treat erectile dysfunction include mainly PDE5 Inhibitors: sildenfil (Viagra), tadalafil (Cialis) and vardenafil (Levitra). However, if the disorder is due to p sychological factors counseling can be important.  


Other therapeutic means include injectable drugs, creams and penile suppositories, vacuum therapy and rarely surgery.



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