For many men, a physical exam and answering questions (medical history) are all that's needed for a doctor to diagnose erectile dysfunction and recommend a treatment. If you have chronic health conditions or your doctor suspects that an underlying condition might be involved, you might need further tests or a consultation with a specialist.
Tests for underlying conditions might include:
- Physical exam. This might include careful examination of your penis and testicles and checking your nerves for sensation.
- Blood tests. A sample of your blood might be sent to a lab to check for signs of heart disease, diabetes, low testosterone levels and other health conditions.
- Urine tests (urinalysis). Like blood tests, urine tests are used to look for signs of diabetes and other underlying health conditions.
Ultrasound. This test is usually performed by a specialist in an office. It involves using a wandlike device (transducer) held over the blood vessels that supply the penis. It creates a video image to let your doctor see if you have blood flow problems.
This test is sometimes done in combination with an injection of medications into the penis to stimulate blood flow and produce an erection.
- Psychological exam. Your doctor might ask questions to screen for depression and other possible psychological causes of erectile dysfunction.
April 21, 2017
- Montague DK, et al. The management of erectile dysfunction: An AUA update. The Journal of Urology. 2005;174:230.
- Erectile dysfunction. Urology Care Foundation. http://www.urologyhealth.org/urologic-conditions/erectile-dysfunction. Accessed Nov. 26, 2016.
- Cunningham GR, et al. Overview of male sexual dysfunction. http://www.uptodate.com/home. Accessed Nov. 26, 2016.
- Erectile dysfunction. National Kidney and Urologic Diseases Information Clearinghouse. https://www.niddk.nih.gov/health-information/health-topics/urologic-disease/erectile-dysfunction/Pages/facts.aspx. Accessed Nov. 26, 2016.
- Cohen SD. The challenge of erectile dysfunction management in the young man. Current Urology Reports. 2015;16:84.
- Sexual function in Parkinson's disease. American Parkinson Disease Association. http://www.apdaparkinson.org/sexual-function-in-parkinsons-disease/. Accessed Nov. 29, 2016.
- Besiroglu H, et al. The relationship between metabolic syndrome, its components, and erectile dysfunction: A systematic review and a meta-analysis of observational studies. Journal of Sexual Medicine. 2015;12:1309.
- Hidden risks of erectile dysfunction "treatments" sold online. U.S. Food and Drug Administration. http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm048386.htm. Accessed Nov. 26, 2016.
- Guay AT, et al. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the evaluation and treatment of male sexual dysfunction: A couple's problem – 2003 update. Endocrine Practice. 2003;9:77.
- Berookhim BM, et al. Rutherford's Vascular Surgery. 8th ed. Philadelphia, Pa.: Saunders Elsevier. 2014. http://www.clinicalkey.com. Accessed Nov. 30, 2016.
- Nehra A, et al. The Princeton III consensus recommendations for the management of erectile dysfunction and cardiovascular disease. Mayo Clinic Proceedings. 2012;87:766.
- Ferri FF. Erectile dysfunction. In: Ferri's Clinical Advisor 2017. Philadelphia, Pa.: Mosby Elsevier; 2016. https://www.clinicalkey.com. Accessed Nov. 30, 2016.
- Brown A. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Dec. 6, 2016.
- Trost LW (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 7, 2016.
- Silva AB, et al. Physical activity and exercise for erectile dysfunction: Systematic review and meta-analysis. British Journal of Sports Medicine. 2016;0:1.
- Kratzik CW, et al. How much physical activity is needed to maintain erectile function? Results of the Androx Vienna Municipality study. European Urology. 2009;55:509.