Health Questions and Answers

Question: Describe the typical evaluation of a patient with ED?


A typical initial evaluation includes history (with particular attention to medications), physical exam, and laboratory testing to rule out endocrine abnormalities. Start by checking TSH, prolactin, and testosterone and ruling out systemic disease with urinalysis, complete chemistry panel and blood count, and HbA1c level in patients with diabetes. Carefully review the patient’s medication list and ascertain alcohol consumption to assess possible etiologies for ED. Nocturnal penile tumescence testing is available to assess erectile function.

Reference: Basa ALP, Afsharkharaghan H (Zollo A, ed): Endocrinology in Medical Secrets, 3rd ed. 2001.

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