A careful physical exam is then performed, with special attention to vascular, hormonal or neurological problems. Blood tests may be required to look for diabetes or hormonal deficiencies. The remainder of the testing is personalized for each patient depending on age, other health problems and personal preferences. Occasionally, more sophisticated tests such as Dynamic Infusion Cavernosometry and Cavernosography can be helpful. This elaborate test, usually reserved for patients under age 60, evaluates the nerves and blood vessels responsible for erections.
Treatment is tailored to the wishes of the patient and partner.
While one form of therapy might be acceptable to one individual, it might be totally unacceptable to another. Options can include sexual counseling, oral or injectable medications, vacuum devices, reconstructive surgery and penile implants. Other oral medications which are occasionally helpful include isoxsuprine, a vasodilator, and trazodone, an antidepressant. One of the newer and more successful treatments is penile self-injection therapy. Medications such as prostaglandin El, phentolamine, or papaverine are injected with a tiny needle into the penis.