How to Diagnose Erectile Dysfunction (ED)?

Diagnosis of ED or any other disease is as important as the treatment because it gives you the direction for your issues removal or its maintenance.

That is why the diagnosis of ED also done before going for treatment. But how the diagnosis made is carried by the following things.

There is a mixture of evaluations that are used to diagnose ED. A urologist may help to diagnose erectile dysfunction with the help of history that includes:

  1. Medical history
  2. Sexual history
  3. Mental health history
  4. Physical examination
  5. Tests

All these things are done to analyze what is the cause and how to treat these issues. Well, many men feel reluctant to describe their issue in front of a medical specialist but keeping your issue hide may make it worse.

So, explain the exact things that you feel right now related to sexual functioning and erections. Let’s take a glance at these diagnosis elements.

Erectile Dysfunction diagnosis

1. Medical History

This is the foremost thing that going to help your doctor for erectile dysfunction diagnosis. The medical history will explain about your medical issues which contribute to ED such as:

  • Any kind of surgeries
  • Various treatments for other diseases
  • Nerves or blood vessels damage near the penis
  • Prescripted or over-the-counter medications
  • Any Illegal drugs
  • Alcohol consumption
  • Smoking

2. Sexual History

The sexual history is used to analyze the impact of sexual issues on ED. Well, the main task of ED removal is to make you able for sexual intimation. And for that sake, your doctor may ask you about your performance during the erections.

How your sexual intimation aid you for sexual intercourse, how much you are capable of performing erections? does your sexual intercourse satisfy you? did your erections effect on your morning wake up? what is your level of sexual desire?

how many times you can have ejaculations, orgasm, and desired climax during your sex? All these things are asked to evaluate for sexual causes behind ED.

3. Mental Health History

Mental health history is conducted to dig out the hidden psychological causes behind ED. A health care professional will administer a few questionnaires to diagnose psychological and emotional precursors for ED. He or she may also ask you about your relationship from you and your partner to evaluate more deeply related to erectile dysfunction.

4. Physical Examination

A health care professional performs a physical examination to help in the diagnosis of ED. It is performed to check either there is any physical issue which hindering you from performing a desired and satisfying erections. This examination includes:

  • Nervous system issues related to penis sensitivity either it is sensitive to touch or lack of sensitivity.
  • Any kind of penile disease such as Peyronie’s disease that affects the shape of the penis and bends it while erections.
  • Hormonal problems may affect the body such as extra hair or breast enlargement, and improper sexual functioning.
  • If you have an imbalanced blood pressure than it also leads to ED.
  • Blood circulation issues can also make you prone to erectile dysfunction. Your pulse and knee blood circulation is checked.

5. Tests

A medical professional will conduct the tests to diagnose based on scientific readings and findings. These tests are:

  • Lab tests
  • Ultrasonography
  • Urine Tests
  • Blood tests
  • Nocturnal erection test
  • Injection test

tests to diagnose Erectile Dysfunction

Lab Tests

Some of the blood tests that are used to diagnose ED may be linked to other internal causes that happen to this issue. These tests are:

  • Diabetes
  • Atherosclerosis
  • Chronic kidney disease
  • Hormonal problems


This test is conducted by a technician who passes a handheld device lightly over your penis. It will give a measurement of blood flow. The color images on a computer screen will depict the blood flow directions on the penis vessels. A certified urologist and radiologist interprets the images and makes the diagnosis.

Urine Tests

It is also called urinalysis that involves the urine tests to look upon the signs that cause erectile dysfunction due to diabetes and other health issues.

Blood tests

These blood tests may help to check either the ED is due to blood pressure, blood sugar, insulin imbalance, or testosterone lack. Other hormones are also evaluated to check their link to ED.

Nocturnal Erection Test

It is a test that is done at night to check either you have erections in the night while sleeping or not. You have to wear a ring-like plastic device on your penis to check the erection presence on the night while you are sleeping. This test is done at home or in a special lab.

An advanced version of this test uses an electronic monitoring device that records the firmness of an erection, number of erections, and their time length.

Normally, a man has three to five erections in a night while sleeping, and if you have these readings shown on this test than you have some other causes of developing erectile dysfunction.

But, if you have no erections during this test then you are having some physical issues behind ED.

Injection Test

The intracavernosal injection is known as an injection test. It is done by a health care professional that inject medicine into your penis and cause an erection. 

Medicine is inserted into your urethra by a health care professional and he will evaluate the fullness and firmness of your penis.

It helps to find the cause of ED and it is performed in the personal office of the health care professional.

All these tests are used separately or combined to dig out what is the reason for ED and aid in its diagnosis for treatment.

Bottom Line

Diagnosis is important because it will give you direction for your ED treatment. It also helps the doctor or medical professional to decide what kind of treatment or cure you will require for erectile dysfunction. Must evaluate yourself for its diagnosis before you choose any kind of treatment for ED.

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