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    Erectile dysfunction Diagnosis




    Erectile dysfunction Diagnosis
    There are no formal tests to diagnose erectile dysfunction. Some blood tests are done to exclude underlying disease, such as hypogonadism and prolactinoma. Impotence is 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 find out whether you have physiological and psychological impotence is to determine whether the patient ever has an erection. The current diagnostic and statistical manual of mental diseases has included a listing for impotence.
    Duplex ultrasound is used to evaluate blood flow, venous leak, signs of atherosclerosis, and scarring or calcification of erectile tissue. Injecting prostaglandin, a hormone-like stimulator produced in the body, induces erection. Ultrasound is then used to see vascular dilation and measure penile blood pressure.
    Tests such as the bulbocavernosus reflex is used to determine if there is sufficient nerve sensation in the penis. The physician squeezes the head of the penis, which immediately causes the anus to contract if nerve function is normal. A physician measures the latency between squeeze and contraction of the anal sphincter or by feeling it with a gloved finger inserted past the anus.
    Penile biothesiometry test uses electromagnetic vibration to evaluate sensitivity and nerve function in the glans and shaft of the penis.
    Dynamic infusion cavernosometry technique in which fluid is pumped into the penis at a known rate and pressure. It gives a measurement of the vascular pressure in the corpus cavernosum during an erection.
    Cavernosography measurement of the vascular pressure in the corpus cavernosum. 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 may be visualised by infusing a mixture of saline and x ray contrast medium and performing a cavernosogram.
    A variety of self-report measures for assessing the levels of your sexual function are now available. These measures can be conducted on your own at home or in a private room at your doctor's office. The most commonly used test is the International Index of Erectile Function. It has 15 items and assesses erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction, as well as the severity of your ED.
    Do not forget to visit your doctor some times a year, and if you have speed life style and often have stresses and problems with your health, it will be better for you to make 4-5 visits per year.