apollo
  • male
  • 40 Years
  • 21/12/2021

How do you diagnose erectile dysfunction?

Doctor 1

Answered by 1 Apollo Doctors

It's mostly based on history of symptoms such as trouble getting an erection, trouble keeping an erection and reduced sexual desire. Tests are done to know the presence of any organic causes.

Dr. Mubarak Suggests...

Consult a Urologist

Answered 04/07/2025

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  1. Initial Medical History and Symptom Discussion

    • Discuss sexual history, symptom onset, and psychological factors.
    • Review lifestyle factors like smoking, alcohol use, and stress.
  2. Physical Examination

    • Assess hormonal, nerve, and cardiovascular health.
    • Examine genitals and secondary sexual characteristics.
  3. Laboratory Tests

    • Conduct blood tests for hormone levels, blood sugar, and cholesterol.
  4. Specialized Diagnostic Tests (if needed)

    • Consider nocturnal penile tumescence test and Doppler ultrasound.
    • Evaluate psychological health if necessary.
  5. Referral to Specialists

    • Consult a urologist for further assessment.
    • Refer to an endocrinologist for hormonal issues.

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Answered 20/08/2025

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I'm looking for some advice on what medication I can take to help with issues related to the erectness and hardness of my penis during intercourse. I'm really concerned about finding a solution that doesn't come with unwanted side effects. Can you suggest something that would work without causing other problems?

To address erectness and hardness issues during intercourse, consider consulting a urologist or a sexologist for personalized guidance; in the meantime, natural remedies like L-arginine supplements, vitamin D, and zinc may help improve blood flow and erectile function;

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I'm dealing with tight foreskin where I can pull it back normally when soft, but during an erection it's really painful and tight around the head almost like a burning sensation. I'm not sure if my frenulum is tight too. Is there any way to fix this without surgery?

It sounds like you may have phimosis, a condition where the foreskin is too tight to retract fully and comfortably. This can cause pain and discomfort during erections, potentially from a tight frenulum as well. Non-surgical treatments can help, including topical steroid creams and gentle stretching exercises

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I'm having trouble pulling back the foreskin on my penis, and it's causing a really uncomfortable tightness at the tip during full erections and when trying to insert. On top of that, I'm dealing with premature ejaculation. Should I be seeing a urologist for this, or is a general surgeon the better option? Also, is there a connection between this issue with my foreskin, phimosis I think it's called, and premature ejaculation?

You should consult a urologist, as they specialize in genital and urinary tract issues, including phimosis (difficulty retracting the foreskin) and premature ejaculation (PE); while phimosis and PE can coexist, they are not directly related, but treating phimosis through circumcision, preputioplasty, or frenuloplasty may help alleviate discomfort and tightness, which could indirectly improve PE symptoms, and a urologist can assess and address both concerns.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.