Erectile dysfunction - How to diagnose and which treatment

Erectile dysfunction is defined as the consistent inability to obtain and maintain a penile erection sufficient to allow for satisfactory sexual intercourse.

But this can happen eventually with a man and that does not mean that he suffers from this problem. How to know then? This is what we will discover in this article.

Erectile Dysfunction – How To Diagnose And Which Treatment #1 – Causes

From the patient’s point of view, embarrassment is the most common barrier; however, lack of sexual interest or acceptance of the condition is another potential obstacle to seeking treatment.

It is important that physicians are not only receptive to patients who present with ED but specifically ask them if they have concerns about their sexual function.

From the epidemiological point of view, ED may be related to several major diseases, including hypertension, cardiovascular diseases, dyslipidemia, diabetes, and depression. Although erectile dysfunction is not commonly regarded as a symptom of presentation of these health conditions.

Erectile Dysfunction – How to Diagnose and Treat it #2 – Sexual History

The first step in diagnosing erectile dysfunction is to confirm it, as patients often confuse ED with other sexual dysfunctions, including premature ejaculation and inability to reach orgasm.

With the approval of the man, the partner may also be involved in the interview process in order to expand aspects of the sexual history and identify treatment goals. Other key issues include the type of stimuli used during sexual encounters, the presence of nocturnal erections, and the ability to masturbate.

As with other medical problems, it is important to establish symptom onset (duration) as well as severity (mild, moderate, severe) and time (once, always, situational) to help confirm dysfunction and identify the diagnosis.

Erectile Dysfunction – How to Diagnose and What Treatment #3 – Quiz

Questionnaires may be useful and are simple tools used to assess the presence or severity of ED. Especially when the man is unfamiliar with the condition and when a measurable clinical response is required.

Although the questionnaires are a subjective tool with different forms of interpretation, they can serve as objective data to evaluate the response of the treatment or the progression of the disease.

One of the most widely used questionnaires is the International Index of Ethnic Function (IIEF). This is a 15-item questionnaire covering five domains, including desire, erection, orgasm, ejaculation, and satisfaction. With scores ranging from 1 to 5 per question.

An abbreviated version of this questionnaire is composed of five issues focused on the field of erection and sexual satisfaction with a maximum score of 30. Men with the normal erectile function will have a score of plus or minus 25.

It is important to note that a score of zero is possible if the patient has not tried sexual intercourse. This may make it difficult to interpret the results, but a discussion with the patient may clarify the true erectile function.

Erectile Dysfunction – How to diagnose and which treatment #4 – Answer the questionnaire

From 1 to 5, answer sincerely, in the last 6 months:

1. How do you assess your confidence in being able to get and maintain an erection?
2. When you had erections with sexual stimulation, your erections are hard on penetration?
3. During intercourse, how often have you been able to maintain your erection after penetration?
4. During intercourse, how difficult was it to maintain your erection to complete intercourse?
5. When you have tried sexual intercourse, how often has it been satisfactory to you?

RESULTS: Here, a total score ranges from 5 to 25. A score of 22-25 conveys normal erectile function; 17-21 mild erectile dysfunction; 12-16 mild to moderate ED; 8-11 moderate ED; and less than 7 ED serious.

Erectile Dysfunction – How to Diagnose and What is the Treatment #5 – Treatment

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