The list of
diagnostic tests mentioned in various sources as used in the diagnosis of
Impotence includes:
- Physical examination
- Blood pressure
- Palpate peripheral pulses (to determine if there are abnormalities to the blood supply)
- Test nerve function by testing reflexes and sensation
- Genital examination looking for evidence Peyronie's disease and checking size, shape and consistency of the testicles and penis
- Digital rectal examination to assess prostate size, consistency and tenderness
- Examine for the loss of secondary sexual characteristics - may suggest Klinefelter's syndrome.
- Mental state examination (to help detect depression, anxiety and other psychiatric diagnoses) - including appearance, behavior, rate and continuity of speech, mood, affect, thought content, evidence of any hallucinations or abnormal beliefs, orientation to time, place and person, attention and concentration, short-term memory, insight and judgement.
- Blood tests
- Blood lipid levels including cholesterol and triglycerides (looking for vascular disease)
- Fasting blood sugar (looking for diabetes)
- Liver function (looking for drug or alcohol problem)
- Iron studies (looking for hemochromatosis)
- Electrolytes and renal function
- Thyroid function tests
- Total testosterone and DHEA-S levels (for libido)
- If testosterone is low, test FSH, LH and prolactin levels
- Prostate specific antigen (PSA) levels
- Urine tests
- Urine microscopy and culture
- Urine drug screen, if indicated
- Radiological investigations
- Transrectal ultrasound, if suspect prostate cancer
- MRI spine, if suspect multiple sclerosis and other spinal cord lesions
- Nocturnal tumescent study - an electronic computerized test to detect and measure penile erections during sleep. It acts as a guide to differentiate between psychological cause (normal studies) and organic physical cause (poor function).
- Nerve conduction studies may be required to rule out diabetic neuropathy as a cause of sexual dysfunction
- Electrophysiological tests such as visual-evoked response (VER) - may be required to diagnose Multiple sclerosis.
- Physical exam
- Blood counts
- Urinalysis
- Lipid profile
- Creatinine test
- Liver enzymes test
- Testosterone level
- Monitoring nocturnal penile tumescence
- Psychosocial examination
simple and nice listing of diagnosis method.
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