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How ED is assessed

How is erectile dysfunction diagnosed?

ED diagnosis starts with a conversation, but it does not always end there. The history may reveal that a blood-pressure check, physical examination, laboratory test or referral is needed before treatment.

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The direct answer

Clinicians diagnose ED using medical, sexual and mental-health history. Depending on the situation, they may add a physical examination, blood pressure, laboratory testing or specialized assessment.

01

The history defines the problem

Expect questions about onset, consistency, firmness, morning erections, desire, ejaculation, pain, curvature and the situations in which symptoms occur.

02

Medical context changes the differential

Diabetes, vascular disease, surgery, neurological symptoms, hormone concerns, medications, smoking and substance use can guide the next step.

03

When an examination or test is useful

A clinician may examine circulation, nerve function or penile anatomy and order tests based on symptoms and risk. Ultrasound or specialized erection testing is reserved for selected cases.

04

What online assessment can and cannot do

Online review can collect a detailed history and support some prescribing decisions. It cannot palpate pulses, examine anatomy or replace testing when the diagnosis or safety picture is uncertain.

Help for erection difficulties

Can ED medication help with these symptoms?

Sildenafil and tadalafil help blood vessels relax, improving blood flow during sexual stimulation. That can make it easier to get and keep an erection firm enough for sex.

Trouble getting an erection?

Wanting sex but struggling to get firm enough can be a sign of ED. Find out how prescription treatment may help.

Difficulty getting an erection

Losing your erection during sex?

ED can also mean getting an erection but not keeping it. Learn about losing firmness and when medication may be an option.

Difficulty keeping an erection

Sexual stimulation is still needed. These medicines do not increase desire and are not suitable for everyone; a prescription is required.

Keep going

Useful next steps