The histories of patients
A diagnosis of erectile dysfonction is made with the people who have repeated inability to get is to and / or a building during a satisfactory sexual activity for at least three months to obtain. The free communication between the patient and the physician is important to establish the diagnosis of erectile dysfonction to appreciate their seriousness and to determine the cause. In the conversations the patient, the doctors try to answer the following questions:
- Does the patient dysfonction erectile or loss of libido or a flurry of ejaculation (for example, the premature ejaculation)?
- Due dysfonction erectile psychological or physical factors? The men have involuntary erections healthy early in the course of the morning and during the paradoxical sleep (a stage in the cycle of sleep with rapid eye movements). The dysfonction erectile psychogenic suffering people (dysfonction erectile that the psychological factors has been as guilty as the stress and anxiety rather than physical factors), in general, to obtain these accidental erections. People with physical reasons of erectile dysfonction (for example, of atherosclerosis, nicotine addiction and diabetes) have these involuntary erections do not in general.
- Since at-il of the physical causes of erectile dysfonction? A history of nicotine addiction, heart attacks, cerebrovascular accidents and poor circulation in the extremities before the strike as the cause of atherosclerosis dysfonction erectile. Weakened sense of the penis and the testes may suggest that dysfunction of the bladder and the reduction of sweating in the lower extremities of diabetic nerve injury. Loss of sexual desire and training, lack of sexual fantasies, the gynecomastia (development of excess volume of the breasts) and decreased beat the Poils of the face in front of low levels of testosterone.
- Medicines the patients take, which may contribute to erectile dysfonction?
The physical examination
The physical examination can provide information from the physical reasons of the dysfonction erectile exhibit. For example, if the penis as planned on the sense of touch is not responding, can be a problem in the nervous system of reason. Small testes, enlarged breasts and can Gesichtsbehaarungsmangel (gynecomastia) address about hormonal problems such as hypogonadism with low levels of testosterone. Diagnosed with a reduction in bleeding as a result of atherosclerosis may sometimes be pulses in the legs or listening with a stethoscope for breath arterially to find weak (the sound of blood flowing in the arteries narrower made). Unusual features of the penis itself could the root of the dysfonction erectile, for example, the bending of the penis with a painful erection suggest could be the result of Peyronie’s disease. A private attention is given to the factors underlying the risk for erectile dysfonction.