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    Erectile dysfunction Diagnosis

    Erectile dysfunction DiagnosisThere are no formal tests to diagnose erectile dysfunction. Some blood tests are generally done to exclude underlying disease, such ashypogonadism and prolactinoma. Diabetes is considered a disorder, but is also a risk. Impotence is also related to generally poor physical health, poor dietary habits, obesity, and most specifically cardiovascular disease such as coronary artery disease and peripheral vascular disease. A useful and simple way to distinguish between physiological and psychological impotence is to determine whether the patient ever has an erection. If never, the problem is likely to be physiological; if sometimes (however rarely), it could be physiological or psychological. Erection is a result of difficult process blood vessels and nervous system participates in that. When a man is sexually excited, the arteries of penis broaden, providing enhanceable inflow of blood to him. At the same time of deep is vein of penis squeezed, limiting the outflow of blood. At a greater inflow and less outflow of blood a penis increases - erection develops. As there is a great number of reasons of origin of impotence, your treating doctor can use a few different tests, to diagnose disorder and appoint treatment. Effective treatment can be appointed only after establishment of reason of impotence. Before to send you on passing of some tests, a doctor must study your medical map and conduct a medical close-up. A doctor also can put question to you, touching your personal and sexual life. Some of these questions can seem to you too intimate and even improper. Nevertheless, important, that you answered on them honestly.
    It is normal for a man to have five to six erections during sleep, especially during rapid eye movement (REM). Their absence may indicate a problem with nerve function or blood supply in the penis. There are two methods for measuring changes in penile rigidity and circumference during nocturnal erection: snap gauge and strain gauge. A significant proportion of men who have no sexual dysfunction nonetheless do not have regular nocturnal erections. Penile biothesiometry. This test uses electromagnetic vibration to evaluate sensitivity and nerve function in the glans and shaft of the penis. It gives a measurement of the vascular pressure in the corpus cavernosum during an erection. Saline is infused under pressure into the corpus cavernosum with a butterfly needle, and the flow rate needed to maintain an erection indicates the degree of venous leakage. The leaking veins responsible may be visualised by infusing a mixture of saline and x ray contrast medium and performing a cavernosogram.;]Digital Subtraction Angiography: In DSA, the images are acquired digitally.