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Erectile dysfunction (ED) is a condition in which a man can’t erection or maintain sex. It occurs in over 70% of cases. This is when the penis becomes weaker or less responsive. These problems last at most six months.

Erectile dysfunction can be a result of age. Erectile dysfunction is a condition that affects between 60 and 69 year-old German men. The figure is 53% for 70- to 79 year-olds.

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Erectile Dysfunction – Risk Factors

Erectile dysfunction can be caused by a variety of risk factors. These risk factors include smoking, diabetes mellitus and excessive alcohol consumption.

Erectile dysfunction can also be caused by a variety of diseases. Erectile dysfunction can also be caused by a deficiency in the male sex hormone (testosterone), central nervous system diseases, or mental illness (e.g. depression).

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Erectile dysfunction can also be caused by medications. Antidepressants and medications that raise blood pressure are some examples.

Last, but not least: age-related benign prostatic enlargement (BPH), is another risk factor for developing erectile disorder.

Erectile Dysfunction – Diagnosis

A complete medical history is the first step to diagnose. This is the most important contact between the doctor, patient and family. The majority of cases are taken at the family physician’s office. In rare cases, a referral may be made to a urologist. The physician will conduct an anamnesis together with the patient to determine the medical history and narrow down possible causes. The physician will then conduct a thorough physical exam.

Anamnesis Sexual

To get a clear picture of the disorder, the doctor will also ask questions about patient’s sexuality (sexual anamnesis). You can use standard questionnaires, such as the IIEF-5, to help you accurately evaluate your symptoms.

Examen Physique

The doctor will then perform a physical exam, focusing on the prostate and reproductive organs. Many erection issues are caused by circulatory problems. The doctor will check the blood pressure and pulses of the legs and arms.

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Blood Test

A blood test can provide information about potential risk factors, such as high blood sugar levels or low blood lipid levels.

Doppler sonography – Ultrasound examination of blood vessels in the penis

A special ultrasound exam (Doppler Sonography) can check the blood flow to the penis vessels.

Penile erectile tissue Injection Test (SKAT)

The urologist may inject a drug into your penis if necessary. This causes an erection. This is known as the erectile tissue inject test. Additional information is available about whether or not an erection takes place in this test.

Measuring the stiffness of the nocturnal limbs

To analyze spontaneous erections while sleeping, a special measuring device is available. Normal values indicate that the erection is possible. This could indicate that psychological causes are more common than physical ones.

Penile corpus cavernosum X-ray exam with contrast medium (cavernosography)

A prostaglandin injection is used to erect the erection before cavernosography can begin. The corpus cavernosum then needs to be punctured. A contrast medium is then administered. The urologist will then be able to determine if and how much damage has occurred to the blood vessels by taking an X-ray.

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