Modern medicine to refer to violations associated with the partial or complete loss of a man’s ability to have sexual intercourse, uses such a term as “erectile dysfunction” (ED). Previously, this sexual impotence was called “impotence,” it was customary to refer it to the natural age (along with the psychological and physiological) changes in the body.

The diagnosis of “erectile dysfunction” (“impotence”) can be made only to those men who have more than 25% of sexual intercourses were unsuccessful. Often, in the presence of physical abnormalities, these patients remain in libido, which creates additional psychological problems. Modern medicine has reached a level of its development, thanks to which the diagnosis allows to detect erectile dysfunction (impotence) in the early stages and select adequate prophylaxis. This gives a high chance of restoring a man’s sexual potential after undergoing special therapy.

Despite the widespread occurrence of organic causes of impotence, experts found that in 9 out of 10 cases of sexual dysfunction appear against the background of unfavorable psychological factors. If a man noticed at least one of the above manifestations, he should consult a doctor as soon as possible, identify the causes of the disease and select methods of treatment and prevention of erectile dysfunction.


Correct diagnosis of erectile dysfunction

If symptoms of impotence occur in men, it is necessary to promptly carry out diagnostics and a number of therapeutic measures. In this case, it is required together with a specialist to develop a system for the prevention of impotence. Diagnosis of erectile dysfunction can be carried out in several stages.

Definition of patient complaints

At the first visit, the doctor must ask the patient about the problems in his sex life. Symptoms of impotence (erectile dysfunction) are detected after filling out a special questionnaire – the International Index of Erectile Function (ICEF-5). The survey form includes 5 simple questions. Answers to them allow a specialist to assess the degree of impotence, to choose prevention and treatment.

Psychosocial examination

Great importance in the diagnosis of sexual disorder is given to the analysis of the psychological state of the patient. The doctor needs to find out what kind of relationship the patient has with the sexual partner, what reaction they both show to erectile dysfunction. Effective treatment and prevention cannot be prescribed without determining the presence or absence of anxiety and depression in a man. In these cases, a more effective treatment would not be a drug therapy for erectile dysfunction, but a consultation with a neurologist or psychotherapist.

Collecting medical history

In about 21% of cases, the causes of organic forms of impotence are regular medication or surgery. The collection of medical history is necessary to identify these actions and their impact on the man’s body. Also in the history should be collected information about bad habits, systemic and chronic diseases, taking drugs and drugs, radiotherapy to the pelvic organs, etc.

Physical examination

During the examination, the doctor assesses the patient’s physique, special attention is paid to the severity of secondary sexual characteristics in a man. One of the main objectives of the survey is to identify problems associated with improper functioning of the thyroid gland. This includes hair loss, changes in heart rate, skin problems, etc. Medical examination of the external genital organs shows the state of the scrotum, possible changes in the form of a member (congenital or in case of Peyronie’s disease). Diagnosis of the prostate (to determine inflammation) is performed rectally. Physical examination allows to establish the causes and degree of erectile dysfunction.

For example, if there is a weak sensitivity of the penis, the cause of impotence may be damage to the nervous system. In the case when the patient is diagnosed with an increase in the mammary glands, small size of the testes, slow growth of facial hair, then these are signs of problems with low testosterone levels in the blood.

Laboratory research

Diagnosis of erectile dysfunction involves the measurement of blood pressure in the vessels of the penis, ultrasound and radioisotope scanning. The most effective method to detect signs of impotence is to monitor spontaneous nocturnal erections. Normally, their duration is at least 20% of the total sleep time. This percentage of erections with reduced rigidity increases significantly with age.

Erectile dysfunction (impotence) is a treatable sexual disorder. In 95% of cases, if the course of therapy was started in a timely manner, the patient comes to a full recovery. Prevention of impotence includes a number of simple actions: maintaining a healthy lifestyle, avoiding alcohol, smoking and drugs, maintaining a regular sex life (without frequent changes of partners, sexual excesses and prolonged abstinence). To start taking any medications for impotence, you must first consult with a specialist. If a man has had a pelvic organ surgery or has had an injury, he will need the help of an urologist.