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.
Many females suffer from sexual dysfunction. As it is an embarrassing situation, they frequently fail to consult their physician for help. Currently a significant amount of research is being performed in this field.
A common symptom of this condition is dyspareunia, or painful sexual intercourse. It is frequently due to physiological decrease of secretions normally responsible for the lubrication of the vagina during sexual intercourse and is a result of decline of female hormones. Other symptoms of female sexual dysfunction include orgasmic difficulties and low sexual desire associated with depression or dyspareunia. Pelvic surgery if the blood supply or nerve supply of the genitalia is affected or disease of the female pelvic organs such as endometriosis may be responsible for the sexual difficulties in females.
A detailed history and physical examination will usually reveal the cause of the problem. In difficult cases of female sexual dysfunction a pelvic or vaginal ultrasound may provide the answer to this embarrassing problem. With current advances in revolutionary pharmacological agents, females with sexual problems can consult a urologist for help.
This website uses cookies.