Impotence Erectile Dysfunction
Impotence Erectile Dysfunction is a huge concern for many men, even younger ones. This problem effects self esteem, relationships and even reproductive abilities in some cases. Thanks to Viagra, Levitra and Cialis and the related advertising these problems have come out of secrecy and are much more approachable for many men. Still it takes a great deal of courage to come into the doctor and seek help for this problem.
Evaluation for Impotence Erectile Dysfunction starts with a good history. Upon scheduling an appointment for this problem you will be sent a form asking about your sexual functioning as well as other health issues that may impact your performance. We also try to define the problem as some men are not totally clear on the factors that may be contributing to their poor performance.
Evaluation also consists of a physical examination and blood testing, including a male hormone profile, PSA and other relevant tests. It is helpful to bring copies of any recent lab testing to avoid redundant testing. In some cases we do penile ultrasound examinations to assess penile arterial inflow, venous leakage and Peyronnie’s plaques.
Treatment may be some of the oral meds mentioned above, vacuum pumps, injection therapy, or penile implants. All of these approaches have their place, depending on the patient, their specific issues, and personal preferences.
We give ED the serious consideration that it deserves and strive to make patients feel comfortable addressing this sensitive issue.