If the patient has not had a recent evaluation, certain basic laboratory studies ruling out concomitant processes which may contribute directly to the ED are certainly in order. If the patient has a very low or absent sexual drive, serum testosterone, free testosterone, and FSH, may be added. Testosterone should be measured in a patient who would be a candidate for replacement if the level was low. Excluded from this group would be patients with known prostatic cancer. Instead of seeking treatment, some men resign themselves to the problem, which often leads to feelings of depression, embarrassment, shame, and frustration.
Experts agree that good communication is the foundation for an enduring relationship.
However, when couples encounter sexual difficulties, communication in the best of relationships can become strained or break down. Partners often feel inadequate and abandoned as the male avoids any situation that may lead to sexual activity. Some may fear they are no longer attractive or that they have done something to create the situation. Overcoming ED is most successful when a man and his partner openly communicate, continue to demonstrate love and affection, reassure each other that they still care, and have a mutual desire to carry through with the treatment options. There are various degrees of erectile dysfunction.