Diagnosis and Treatment of Erectile Dysfunction


Most commonly, diagnosis will be the result of your doctor asking you about your symptoms and medical history, in association with a physical exam.  Naturally, during the discussion, expect questions about the frequency, quality, and duration of your erections.

Other tests that can assist the diagnosis are as follows:

Nocturnal Penile Tumescence Testing

This test will monitor erections while you sleep. Involuntary erections during sleep are normal. If you have erectile dysfunction but have normal erections during sleep, the problem may be emotional. If you have problems with an erection even while you sleep, the problem may be physical.

Doppler Imaging

Doppler imaging is used to look at the blood flow. The test is done to check for blood flow in the penis. It will also look for blockage in the arteries or veins that supply the penis.

A Note About Premature Ejaculation

Whereas erectile dysfunction is a man’s inability to attain or maintain an erection sufficient for satisfactory sexual performance, premature ejaculation is ejaculation which occurs sooner than desired and typically before or shortly after penetration. This is persistent, diminishes the satisfaction related to the sexual encounter and causes substantial distress to the patient and his partner. Premature ejaculation is the most common sexual dysfunction reported by men. Differentiating between erectile dysfunction and premature ejaculation is crucial in determining an appropriate treatment strategy. Treatment options include behavioral, topical, and oral therapies and can be selected following a discussion with your provider.

Treatment of Erectile Dysfunction