The sexual dysfunction may present with various facets such as a decreased sexual desire, a difficulty in initiating a erection despite adequate stimulation , the inability to achieve penile rigidity that would allow vaginal penetration or the difficulty to maintain such a penile rigidity during intercourse. Once the male has to deal with these problems would normally apply to the Specialist Andrologist to try to understand the reason or reasons for his sexual discomfort and to get information about the remedies or solutions to the problem.
On this occasion, the patient should be subjected to a rigorous diagnostic process.
Through a careful medical history, can be analyzed the clinical context, a careful evaluation of the characteristics of erectile dysfunction, a thorough physical examination, certain laboratory tests, and any invasive tests or physiological.
To highlight the risk factors is a general medical medical history. The finding of reduced sexual desire or other medical history can either point to endocrine factors.
Some may be of interest because of a neurological history of alcoholism or diabetes with peripheral neuropathy. Other neurological problems generally precede more obvious Erectile Dysfunction.
The drug history is' also important to consider the use and abuse of drugs are increasingly used.
Some estimates say that about 25% of cases are caused by drugs used to treat other diseases (antihypertensives, antidepressants, anxiolytics, barbiturates, gastrointestinal agents, diuretics)
becomes useful to investigate how the patient perceives his own Erectile Dysfunction . Should take this route and time of onset, frequency of erections, the ability to have an erection spontaneously in the preliminaries, the character of erections upon awakening, the ability to achieve adequate rigidity to achieve penetration and the ability to keep up to orgasm.
examination should detect secondary sexual characteristics (hair, muscle mass, subcutaneous fat, vocals), examination of the testes, the auction, the digital rectal examination for prostate
assessment, examination of the arterial pulse peripheral neurological examination of the sensitivity of the perianal and anal sphincter tone.
have appropriate blood tests that can highlight systemic disease undetected, such as blood count, urinalysis, serum creatinine, blood glucose, lipid profile.
