Erectile Dysfunction denotes the inability to obtain or maintain an erection for satisfactory sexual intercourse. It is a symptom of an underlying disease. Evaluation of Erectile Dysfunction begins by obtaining a detailed sexual, medical, and surgical history. It is also important to inquire about the patient's current medications and any history of head, perineal, or pelvic trauma.
Physical examination consists of review of systems.
Following a history and physical examination blood tests are performed to assess the hormones. Frequently the physician may be able to establish the causes of erectile dysfunction and treat the problem with oral medication. In rare cases performing a test called the Duplex Doppler checks the circulation of the penis. Currently, many revolutionary oral medications like Viagra, marketed by the Pfizer company, are available that may correct the problem. In patients in whom pharmacologic manipulation fails, other options such as penile injections and penile prosthesis may be necessary.