How is ED diagnosed?

ED is reliably diagnosed on clinical history where you can tell your ED story, by examination and investigations.

The doctor will ask about the ED, when it began, how frequent it is and of anything makes it better. Your relationship with your sexual partners may also be explored. A morning erection is common for most males and if that happens for you, it suggests that the machinery is intact and that the cause may be psychological, stress or drug related. Similarly, if you can masturbate successfully, this is a good sign.

The doctor may ask you to fill in some questionnaires, related to your erectile function or psychological well-being, such as depression. Your doctor might examine you. Your doctor would check your blood pressure and do a genital exam to check for testicle size and for any curvature of the penis. This may warrant a referral to a urologist, a surgeon specializing in this area. In some circumstances your doctor might also like to check your prostate. If you appear overweight, your doctor might work out your body mass index (BMI). This may be something that you might need to address, as well as your smoking, drug or alcohol use.

A sample of your blood would be sent to the laboratory to check for signs of heart disease, diabetes, high cholesterol and low testosterone. The testosterone check should be done in the morning while fasting so don’t be surprised if your doctor suggests a morning clinic appointment. If your testosterone is low, replacing this hormone might well sort out your ED.
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